Manual of Regulation-Focused Psychotherapy for Children (RFP-C) with Externalizing Behaviors

Hoffman, Leon; Rice, Timothy; Prout, Tracy A.

doi:10.4324/9781315736648

Cited by 38 publications

(71 citation statements)

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“…Such approaches may offer novel opportunities for identification of atrisk popu lations as well as therapeutics. For example, we have dis cussed the power of implicit emotion regulation (83) as an organizational model to childhood neurodevelopmental disorders (84). The emotion regulation deficits exhibited in premature male infants may make these children par ticularly responsive to this mode of intervention.…”

Section: Resultsmentioning

confidence: 99%

Postnatal testosterone may be an important mediator of the association between prematurity and male neurodevelopmental disorders: a hypothesis

Rice

2017

International Journal of Adolescent Medicine and Health

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Children born premature are at risk for neurodevelopmental disorders, including autism and schizophrenia. This piece advances the hypothesis that altered androgen exposure observed in premature infants is an important mediator of the neurodevelopmental risk in males associated with prematurity. Specifically, the alterations of normative physiologic postnatal activations of the hypothalamic-pituitary-gonadal axis that occur in preterm males are hypothesized to contribute to the risk of neuropsychiatric pathology of prematurity through altered androgen-mediated organizational effects on the developing brain. The physiology of testosterone and male central nervous system development in full-term births is reviewed and compared to the developmental processes of prematurity. The effects of the altered testosterone physiology observed within prematurity outside of the central nervous system are reviewed as a segue into a discussion of the effects within the nervous system, with a special focus on autism spectrum disorders and attention deficit hyperactivity disorder. The explanatory power of this model is reviewed as a supplement to the preexisting models of prematurity and neurodevelopmental risk, including infection and other perinatal central nervous system insults. The emphasis is placed on altered androgen exposure as serving as just one among many mediators of neurodevelopmental risk that may be of interest for further research and evidence-based investigation. Implications for diagnosis, management and preventative treatments conclude the piece.

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Section: Resultsmentioning

confidence: 99%

Postnatal testosterone may be an important mediator of the association between prematurity and male neurodevelopmental disorders: a hypothesis

Rice

2017

International Journal of Adolescent Medicine and Health

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“…These strategies are common with seriously emotionally disturbed patients, as in the case of Peter, and/or evidence when there are affective outbursts in response to the therapist interventions, which may have occurred in Walter's case. In this perspective, children with few internal resources require the therapist to be flexible and have the ability to adapt their interventions to the patient's needs (Hoffman et al, 2016). Furthermore, it is possible that the small emphasis given to changes in the children's moods and the decrease of the neutrality by Walter's therapist are also associated with the complexity and non-linearity of a therapeutic process used with children with limited psychic resources.…”

Section: Discussionmentioning

confidence: 99%

“…We observed in the present therapeutic processes, as well as in those reported by some previous studies (Goodman, 2015;Gastaud et al, 2015), that for some children with different diagnoses, a difficult, angry, aggressive or resistant child can relate to a directive, didactic and limit-setting therapist. Although these treatments were psychodynamically oriented, helping a child to identify or regulate dysregulated and strong emotions demands intervention strategies other than interpretive work, at least during some phases of the treatment (Hoffman et al, 2016). This empirical evidence can contribute to the improvement of clinical practice with children with these characteristics, suggesting the importance of acknowledging and understanding the effective elements of therapy, rather than simply focusing on treatment types.…”

Section: Discussionmentioning

confidence: 99%

Mentalization in Child Psychodynamic Psychotherapy

Carvalho¹,

Goodman²,

Ramires³

2019

Brit J Psychotherapy

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Mentalization has been considered a common factor across therapeutic processes, inherent to all effective treatment models. However, empirical findings and evidence about the presence and relevance of the construct for use in child psychodynamic psychotherapy processes are scarce. To contribute to filling this gap, the aim of this study was to analyse three children's psychotherapies in regards to the similarity of the treatments to the mentalization process prototype. This study is exploratory, longitudinal and descriptive, and is based on the systematic case studies procedure. Three school‐age children and their therapists participated. Two hundred and seventy‐three sessions were coded with the Child Psychotherapy Process Q‐Set and analysed according to their similarity to the mentalization process prototype. The results showed that it was possible to identify the presence of elements based on the mentalization approach in child psychodynamic psychotherapy. In addition, the presence of the therapist's mentalizing attitudes was associated with increased feelings of security and a greater connection of emotions to experiences. The results corroborated the propositions that enhancing mentalization is an implicit process in child psychodynamic psychotherapy, and suggested the importance of acknowledging and understanding the essential elements that compose the treatment models.

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“…An 8-week manualized psychoanalytic approach to children aged 6–12 with externalizing behaviors organized around defense analysis ( 28 ) is under initial study. This trial may be eligible for evidence testing through neurobiological markers, including ERPs as well as functional magnetic imaging (fMRI).…”

Section: Exploring This Hypothesis and Conclusionmentioning

confidence: 99%

Commentary: Neural Changes Associated with Treatment Outcome in Children with Externalizing Problems

Rice

2016

Front. Psychiatry

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Manual of Regulation-Focused Psychotherapy for Children (RFP-C) with Externalizing Behaviors

Cited by 38 publications

References 0 publications

Postnatal testosterone may be an important mediator of the association between prematurity and male neurodevelopmental disorders: a hypothesis

Postnatal testosterone may be an important mediator of the association between prematurity and male neurodevelopmental disorders: a hypothesis

Mentalization in Child Psychodynamic Psychotherapy

Commentary: Neural Changes Associated with Treatment Outcome in Children with Externalizing Problems

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