Reflective family play: A model for whole family intervention in the infant and preschool clinical population

Philipp, Diane A.

doi:10.1002/imhj.21342

Cited by 27 publications

(30 citation statements)

References 50 publications

(70 reference statements)

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“…Watch Wait and Wonder , is an infant-led play-intervention to enhance mentalizing (Philipp 2012), a function predicting secure attachment (Underdown and Shai 2014). In addition, we taught mindfulness and affect regulation skills (using tools from the trauma literature); and Positive Parenting tools to enhance insight and knowledge (Nelson 2006).…”

Section: Discussionmentioning

confidence: 99%

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Maternal-infant mental health: postpartum group intervention

Meschino

Philipp

Israel

et al. 2015

Arch Womens Ment Health

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Dyadic interactions associated with maternal depression and anxiety may perpetuate maternal mental illness and impact infant attachment. Individual and maternal-dyadic therapies are effective but resource intensive. We assessed feasibility, acceptability, and preliminary efficacy of a newly developed maternal-infant dyadic group therapy intervention. This was an open-label pilot study targeting mothers with mood or anxiety disorders, and their infants aged 6 to 12 months. We conducted three 12-week groups combining evidence-based maternal and mother-infant dyadic strategies to enhance mood, insight, parenting, and mentalizing capacity. We measured recruitment and retention rates, reasons for nonparticipation, and missed sessions. Acceptability of the intervention was assessed via questionnaires and semi-structured interviews. Efficacy outcomes were the Parenting Stress Index (PSI), Edinburgh Postnatal Depression Scale (EDPS), and the Beck Anxiety Inventory (BAI), measured pretreatment and posttreatment. The feasibility and acceptability were excellent. There was a significant reduction in mean depressive symptom scores (t 3.31; p 0.008 sig) and a trend toward decreasing anxiety scores (t 1.96; p 0.08). The total PSI score decreased, approaching statistical significance (t 2.23; p 0.057). Enhanced insight, parenting capacity, affect regulation, and positive interaction with baby were supported with self-report surveys and interviews. This resource-efficient novel mother-baby dyadic group intervention shows excellent feasibility, acceptability, and has good preliminary efficacy results. It has the potential to improve depression, anxiety, affect regulation, parenting, and maternal mentalization.

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Section: Discussionmentioning

confidence: 99%

“…This treatment specifically targets parental reflective function (Philipp 2012;Rosignol et al 2013). In each WWW session, mothers play with their own baby for 10-15 min, with instructions to follow the child's lead.…”

Section: Interventionmentioning

confidence: 99%

Maternal-infant mental health: postpartum group intervention

Meschino

Philipp

Israel

et al. 2015

Arch Womens Ment Health

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“…However, many studies (Caldwell et al, 2014;Coyle, 2012;Evangelou et al, 2013;Melo & Alarcão, 2011;Melo & Alarcão, 2012;Melo & Alarcão, 2013;Philipp, 2012;Turner, Richards, & Sanders, 2007;Williamson, Knox, Guerra, & Williams, 2014) did initially target the family or specific father-son, mother-child, or parent-teen dyads. Most of the studies' interventions would first target an individual (through school, universities, clinics, hospitals, and nongovernment organisations) who are either at risk of or have already been diagnosed with some physical or psychological condition.…”

Section: Engaging the Familymentioning

confidence: 99%

“…Many studies merely used case examples to illustrate their interventions (Bickerton, Hense, Benstock, Ward, & Wallace, 2007;Dausch & Saliman, 2009;Lepage, 2005;Marvel et al, 2009;Philipp, 2012;Smith & Handler, 2009;Szapocznik, Zarate, Duff, & Muir, 2013;Williamson et al, 2014). Therefore, the level of attrition (or participant dropout) is also of concern in intervention studies.…”

Section: Engaging the Familymentioning

confidence: 99%

Using the RE‐AIM framework to identify and describe best practice models in family‐based intervention development: A systematic review

Isaacs

Roman

Savahl

et al. 2017

Child & Family Social Work

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The family unit carries with it a responsibility of possibly being the most important predictor of positive child development. The aim of this systematic review is to identify and describe best practice models or processes in family-based intervention development. The following databases were included in the review: PsychArticles, Academic Search Complete, ERIC, SocIndex, Sage, Sabinet, and Pubmed. Peer-reviewed, English language, qualitative, quantitative, and mixed methods in nature conducted within the last 10 years. Interventions were required to include families as part of the programme as well as describe the model or process used in intervention development. Two self-developed data extraction tables were developed for this review. The articles included for review were heterogeneous in terms of the outcomes, and so a narrative synthesis was used. After yielding an initial search of 400 studies, 28 articles were finally included for extraction and analysis with varying levels of intervention strength. Interventions are further described in terms of reach, effectiveness, adoption, implementation, and maintenance dimensions. A feasible intervention appears to be one that is flexible, engages processes to recruit those who are most at-risk and is facilitated by someone known to or from the same community as the participants, can retain its participants, and can be evaluated with the same participants at a minimum of 6 months later.

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“…However, when looking at those authors' texts who mentioned some aspects, it would appear that psychodynamic approaches were in the minority and the focus when carrying out early childhood music therapy was usually on creative and improvisational music therapy. This could explain why the concepts of reflective function, mentalization, and parent´s representations were absent, even though these issues are currently an important focus for early interaction research worldwide (Fonagy, 2012;Pajulo et al, 2012;Philipp, 2012;Solbakken et al, 2011).…”

Section: Reflection On Most Important Findingsmentioning

confidence: 99%

Literature Review of Early Childhood Music Therapy Between 1990-2012

Tuomi

Ala-Ruona

Oldfield

2017

Voices

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Abstr Abstract actThe article examines music therapy literature from 1990 to 2012 focusing on children aged 0 to 5-years old. The literature includes clinical descriptions, research articles, chapters in books, peer reviewed electronic publications, and peer reviewed journals. Altogether 125 different texts were found which fulfilled the criteria for inclusion. Simple quantitative analysis gave guidelines for deeper, comparative qualitative analysis. According to the data the older children were more often written about than younger children. Historically the dominance from individual work has been shifting to dyadic/family work. The active methods were most commonly singing and playing with instruments. Children with autism spectrum disorder (ASD) were most strongly represented together with paediatric patients and children with developmental disabilities. Interaction between family members and the positive factors were emphasized in the articles. The importance of fun and enjoyment was underlined throughout all client groups. The results claim that more specific information of the effects of early childhood music therapy is needed. In addition, related areas of research, cross-scientific viewpoints, and common fields of interests should be taken into consideration in the future.

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Reflective family play: A model for whole family intervention in the infant and preschool clinical population

Cited by 27 publications

References 50 publications

Maternal-infant mental health: postpartum group intervention

Maternal-infant mental health: postpartum group intervention

Using the RE‐AIM framework to identify and describe best practice models in family‐based intervention development: A systematic review

Literature Review of Early Childhood Music Therapy Between 1990-2012

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