A New Model of Techniques for Concurrent Psychodynamic Work with Parents of Child and Adolescent Psychotherapy Patients

Novick, Kerry Kelly; Novick, Jack

doi:10.1016/j.chc.2012.12.005

Cited by 4 publications

(5 citation statements)

References 19 publications

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“…Alongside an individual child psychodynamic and/or psychoanalytic psychotherapy, an area of good practice includes sessions of parallel parent work (24); furthermore the existing literature highlights how helpful and relevant it is to establish a good relationship with the family to promote the child's development, as highlighted by a number of authors (25)(26)(27)(28)(29)(30)(31).…”

Section: Theoretical Backgroundmentioning

confidence: 99%

Effectiveness of Brief Psychodynamic Therapy With Children and Adolescents: An Outcome Study

et al. 2019

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Studies on the effectiveness of child and adolescent psychotherapy treatments provided by the Italian National Health Service lag behind, while the scientific community has rather focused on the value of cognitive-behavioral psychotherapeutic approaches. This paper evaluates the effectiveness of a one year psychodynamically-oriented intervention with children and adolescents-aged between 6 and 18 years (M = 12.08, SD = 3.7)-and their parents, carried out in a Child and Adolescent Neuropsychiatric Service (SCIAF), part of the Italian National Health System. Following a psychodiagnostic assessment, two types of therapeutic intervention were offered: children and adolescents allocated to Group 1 (N = 26) were offered individual psychodynamic psychotherapy alone, whilst youths in Group 2 (N = 31) were offered individual psychotherapy, accompanied by parental support. This study examines the effects of this time-limited (12 month) psychodynamically-oriented psychotherapy in terms of improvements in patients' symptoms (measured on the Achenbach's questionnaires: Child Behavior Checklist and Youth Self-Report 11-18). This study also examines the effects of treatment on parents' perception of their family empowerment. This domain is measured on the Family Empowerment Scale (FES). Our findings seem to be partly in line with published studies according to which poor parenting (i.e., characterized by lack of warmth, a rigid and/or negative parenting style, poor monitoring of the children, etc.) would be positively associated with Externalizing problems in childhood. Our preliminary findings suggest that brief psychodynamic therapy seemed to show positive outcomes in both "Internalizing" and "Externalizing" difficulties, accounting for age-related differences, ICD-10 (1) diagnoses, and the types of treatment offered. However, no statistically significant changes were detected in the parents' perceptions of empowerment at 12 months.

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Section: Theoretical Backgroundmentioning

confidence: 99%

Effectiveness of Brief Psychodynamic Therapy With Children and Adolescents: An Outcome Study

et al. 2019

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“…Novick and Novick () highlight that in , Winnicott pronounced that without a mother, a baby could not exist, and nearly four decades later, Reiss () emphasised that the parent–child dyad needs to be the unit of assessment and of treatment. Novick & Novick's view is that in the time between those significant statements, parent work has been relatively neglected in CAP.…”

Section: Introductionmentioning

confidence: 99%

Exploring the factors affecting child and adolescent psychotherapists' and counsellors' decision‐making in clinical work with parents

Jäderberg

Goss

McBeath

2019

Couns and Psychother Res

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This study examined interventions with parents/carers in child and adolescent counselling and psychotherapy (CAP). The aim was to investigate clinicians' rationale behind their decision to work with parents and what types of interventions they use. Furthermore, the nature of clinicians' core training with regard to interventions with parents was investigated. The study used both quantitative data and qualitative textual data from an online survey of 110 CAP clinicians. There was significant agreement, regardless of previous training or level of experience, that clinical work with parents in CAP is beneficial, but little consensus for a rationale or model for best practice. There was a relationship between training, theoretical orientation and whether CAPs felt competent to work with parents. Unexpectedly, a significant number (83%) of integrative practitioners said that there had been ‘little’ to ‘none at all’ focus on working with parents on their core training course. Other unforeseen findings were in the domain of working outside generally accepted boundaries for CAP, with a notable number of clinicians making home visits—24.1% with parents alone and 38.9% with parent and child together—along with 47.2% using phone calls and/or email for coaching and support with parents. Many clinicians were candid about their sense of a lack of competence in working with parents, even though at least half were senior, experienced clinicians. A number of these practitioners made specific reference to the wish for further specialist training, with many asking for signposting to where further training could be obtained.

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“…child treatments, as is widely argued (Kernberg et al, 2012;Novick & Novick, 2013), then delineating process as we attempt to do in this study can provide researchers and clinicians with insight into the psychotherapeutic processes at work with parents. In addition, it is important to begin to empirically define what is happening in these sessions with descriptive tools such as the PQS, so that clinical researchers can then determine the "effective ingredients" of collateral work with parents.…”

Section: Figurementioning

confidence: 90%

“…We examined parent and child sessions of RFP-C separately to determine whether parent sessions represented a qualitatively distinct aspect of RFP-C in terms of process, to make the argument for studying parent work more broadly and intentionally across child-focused treatments. If collateral work with parents can enhance the effectiveness of child treatments, as is widely argued (Kernberg et al, 2012; Novick & Novick, 2013), then delineating process as we attempt to do in this study can provide researchers and clinicians with insight into the psychotherapeutic processes at work with parents. In addition, it is important to begin to empirically define what is happening in these sessions with descriptive tools such as the PQS, so that clinical researchers can then determine the “effective ingredients” of collateral work with parents.…”

mentioning

confidence: 96%

“…Mentalization-based dynamic treatments tend to focus on parental reflective functioning and understanding the child’s inner world (Midgley et al, 2017; Slade, 2008). Psychodynamic work with parents may also emphasize parental reflective functioning (Hoffman & Prout, 2020); however, there is also an emphasis on tolerating the parent’s strong emotions surrounding their children, navigating developmental conflicts (such as autonomy and closeness), and linking the parent’s past and present (Novick & Novick, 2013). Cognitive–behavioral treatments tend to focus on exploring the parent’s potentially distorted thoughts and beliefs about parenting and teaching the parent skills for responding to and managing behavior (Forgatch & Patterson, 2010; Siqueland & Diamond, 1998).…”

mentioning

confidence: 99%

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An examination of parent sessions in regulation-focused psychotherapy for children.

Kufferath-Lin¹,

Doorn²,

Prout³

et al. 2021

Psychotherapy

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Collateral work with parents is a widely adopted practice within child psychotherapy. Therapeutic process within these parent sessions has not been empirically studied or defined, despite a sizable process-outcome literature in both child and adult individual therapy. This link between research and practice is particularly important among manualized, child-focused treatments, where the proposed therapeutic action and clinical approach to parent work is defined according to distinct theoretical principles. To address this gap in the child treatment literature, the present study used the Psychotherapy Process Q Set to examine the in-session processes of parent sessions from 16 treatments of regulation-focused psychotherapy for children (RFP-C). RFP-C is a manualized, psychodynamic treatment for children with disruptive behaviors that consists of 16 child sessions and four collateral parent sessions. The parent-session process ratings were compared to existing adult therapy prototypes and the RFP-C child session prototype. Results indicated that observer-coded psychotherapy process in RFP-C parent sessions was most similar to a cognitive-behavioral therapy prototype and moderately correlated with both a supportive-expressive psychodynamic psychotherapy and a reflective functioning prototype. Observer-coded parent session process was distinct from the RFP-C child prototype. Limitations and directions for future research and clinical practice are discussed. The findings of this study indicate the need to intentionally examine process in parent sessions, both within RFP-C and across modalities, as these sessions have their own unique mechanisms of therapeutic action that ultimately may be additive with regard to child outcomes. Clinical Impact StatementQuestion: What aspects of psychotherapy process characterize parent sessions in regulation-focused psychotherapy for children (RFP-C)? Findings: RFP-C parent sessions are characterized by supportive and collaborative discussions between therapist and parent that focus on helping the parent to make meaning of their child's disruptive behavior. Meaning: The findings of this study extend process research beyond the traditional therapist-parent dyad, laying the foundation for empirical examination of parent work both within RFP-C and across modalities, including process-outcome research, determination of common factors in parent work, and the use of clinical data to inform and shape manualized treatments. Next Steps: Future studies may compare process in parent work across child-focused treatments, potentially developing tools specifically for this purpose, which then can be related to child outcomes to determine the effective clinical ingredients of collateral work with parents.

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A New Model of Techniques for Concurrent Psychodynamic Work with Parents of Child and Adolescent Psychotherapy Patients

Cited by 4 publications

References 19 publications

Effectiveness of Brief Psychodynamic Therapy With Children and Adolescents: An Outcome Study

Effectiveness of Brief Psychodynamic Therapy With Children and Adolescents: An Outcome Study

Exploring the factors affecting child and adolescent psychotherapists' and counsellors' decision‐making in clinical work with parents

An examination of parent sessions in regulation-focused psychotherapy for children.

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