Dr. Josephson is Chief of Child and Adolescent Psychiatry at the University of Louisville School of Medicine and Chair of AACAP’s Family Committee. He has a long standing interest in the relationship between family functioning and child and adolescent psychiatric disorders. Specifically, his writing and teaching have focused on the integration of therapies, including the integration of individual and family therapy and integration of pharmacotherapy and family therapy. Dr. Josephson's perspective is that multimodal interventions are often the most effective, leading to the important question of sequencing of therapies - when to do that. Dr. Josephson is particularly interested in how family influences the formation of intra-psychic percepts - how family interaction influences and shapes the mind. He has applied this concept in working with adolescent psychopathology and disruptive behavior disorders. Dr. Josephson's clinical writing has included work in family therapy, eating disorders, psychiatric education, adolescent psychopathology, and religion/spirituality. In this Clinical Consultation Breakfast, Dr. Josephson presents several cases in which family interaction is demonstrated to be related to a child's cognitive style and psychodynamics. Videotape examples are used to illustrate these dynamics and discussion focuses on the integration of therapies and their sequencing - individual, family, and pharmacologic.