Short-Term Dynamic Psychotherapy for Infants and Their Parents

Cramer, Bertrand

doi:10.1016/s1056-4993(18)30425-5

Cited by 30 publications

(24 citation statements)

References 9 publications

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“…Psychodynamic approaches are generally aimed at maternal representations, addressing the declarative, verbalized mode of exchange (e.g., Cramer, 1995;Fraiberg, 1980;Hopkins, 1992;Lebovici, 1983;Provence, 1983;Seligman, 1994). Interactional approaches attempt to intervene into specific behavioral transactions, addressing the procedural mode of exchange (e.g., Brazelton, 1994;Malphurs, Field, Larraine, Pickens, Pelaez-Nogueras, Yando & Bendell, 1996;, McDonough, 1993;van den Boom, 1995).…”

Section: * * *mentioning

confidence: 99%

Brief mother–infant treatment: Psychoanalytically informed video feedback

Beebe

2003

Infant Mental Health Journal

146

100

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Specific patterns of interactive regulation documented by microanalytic methods of infant research can be applied to clinical interventions with mothers and infants. A brief treatment model is described that includes face-to-face split-screen videotaping (one camera on each partner) and therapeutic observation of the videotape with the parent. The intervention uses "video feedback" informed by a psychoanalytic approach, including positive reinforcement, modeling, and information giving, as well as interpretation, while watching the videotape. Specific interactions in the areas of attention, arousal, affect, and timing regulation are evaluated. The psychoanalytic intervention links the "story" of the presenting complaints, the "story" seen in the videotape, and the "story" of the parent's own upbringing. An attempt is made to identify specific representations of the baby that may interfere with the parents's ability to observe and process the nonverbal interaction. The mother's powerful experience of watching herself and her baby interact, and our joint attempts to translate the action-sequences into words, facilitates the mother's ability to "see" and to "remember," stimulating a rapid integration of the mother's procedural and declarative modes of information-processing. One treatment case, involving six contacts, is presented to illustrate the approach. By applying the specificity of interactive regulation identified by microanalysis of videotape into the psychodynamic treatment of mother-infant pairs, basic research can be translated into clinical practice.RESUMEN: Patrones específicos de regulación interactiva, documentados por medio de métodos microanalíticos de investigación infantil, pueden aplicarse a intervenciones clínicas con madres e infantes. Se describe un breve modelo de tratamiento, el cual incluye una grabación en vídeo, cara a cara y con la pantalla dividida (sendas cámaras se enfocan en cada uno de los participantes), así como la observación terapéutica del vídeo con la madre. La intervención usa las reacciones al vídeo explicadas por medio de un acercamiento sicoanalítico, incluyendo un reforzamiento positivo, modelos, cómo dar información, así como la interpretación, mientras que se está mirando el vídeo. Se evalúan interacciones específicas en las áreas de atención, despertar, afecto y la regulación del tiempo. La intervención sicoanalítica entrelaza la historia de la presentación de las quejas, la historia vista en el vídeo, y la historia del propio crecimiento de la madre. Se hace un intento por identificar representaciones específicas del bebé que pudieran interferir con la habilidad de la madre de observar y procesar la interacción no verbal. La poderosa experiencia de la madre que se observa a sí misma interactuando con su bebé, y nuestros intentos conjuntos de traducir la secuencia de acciones a palabras, facilita la habilidad de la madre de "ver" y de "recordar," lo cual estimula una rápida integración de las maneras de procesar la información que la madre posee, tanto de p...

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Section: * * *mentioning

confidence: 99%

Brief mother–infant treatment: Psychoanalytically informed video feedback

Beebe

2003

Infant Mental Health Journal

146

100

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“…During the past decade, research into interventions for early infant regulatory problems, relationship disturbances, and/or for maternal/paternal psychopathology affecting the infant -careDisorders of Excessive Crying, Feeding, and Sleeping • giver relationship, has evolved rapidly (Brazelton, 1994;Cooper & Murray, 1997;Cramer, 1995;Lieberman & Pawl, 1993;McDonough, 1995;Minde et al, 1993;Papousek et al, 1994;Sadeh & Anders 1993;Wolke, 1993).…”

Section: Therapeutic Interventions In Early Infancymentioning

confidence: 99%

“…For example, some interventions focus primarily on the parents' representations, although the ways they gain access to them may, again, diverge considerably (Cramer, 1995;Lieberman & Pawl, 1993;Stern, 1995). Others concentrate more on the infant's regulatory problem or on overt parent/infant behaviors and interactions (Brazelton, 1994;McDonough, 1995;Minde et al, 1993;Sadeh & Anders, 1993;Wolke, 1993).…”

Section: Therapeutic Interventions In Early Infancymentioning

confidence: 99%

“…The intricate links between the behavioral and representational levels of preverbal parent -infant communication have just begun to attract scientific attention (Lojkasek, Cohen & Muir, 1994;Stern, 1995). In the French and Geneva tradition (e.g., Cramer, 1995), mother -infant psychotherapy still remains focused on the mother's representations where "symptomatic interactional sequences" are used to illustrate the mother's perceptual distortions and to interpret her core neurotic conflict. Making the unconscious conscious by means of Disorders of Excessive Crying, Feeding, and Sleeping • verbal interpretations is considered prerequisite to any change on the behavioral level.…”

Section: Links Between the Behavioral And Psychodynamic Levels Of Parmentioning

confidence: 99%

See 1 more Smart Citation

Disorders of excessive crying, feeding, and sleeping: The Munich Interdisciplinary Research and Intervention Program

Hofacker

Papoušek²

1998

Infant Ment. Health J.

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“…The clinical and technical bases of Psychodynamic psychotherapy have been laid down by Fraiberg's pioneering work (Fraiberg, 1980) and then refined by various authors (Lebovici, 1983;Lieberman, Weston, & Pawl, 1991) A detailed description of this technique is available in additional publications (Cramer, 1995;Cramer & Palacio, 1993). This therapy aims at elucidating core conflictual relationships (Luborsky et al, 1988) between mother and child.…”

Section: Psychodynamic Psychotherapymentioning

confidence: 99%