The psychotherapy of parenthood: towards a formulation and valuation of concurrent work with parents

Hughes, Lynette

doi:10.1080/00754170500221253

Cited by 15 publications

(12 citation statements)

References 7 publications

(5 reference statements)

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“…As Whitefield and Midgley suggest, "working with parents' histories in parent work, however, where parents are attending sessions without their child, and yet not as patients themselves, may bring with it particular challenges" [(24), p. 273]. Systemic and psychoanalytic theories seem to agree in saying that homeostatic influences and resistances can occur when working clinically with families; change in one or the other parent could affect the couple's relationship, as well as their sense of empowerment (66).…”

Section: Discussionmentioning

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: Discussionmentioning

confidence: 99%

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

et al. 2019

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“…Based on the ideas of Sutton and Hughes (2005), Horne (2000) and Rustin (1998), the aim of intervention with parents is the assessment and treatment of parental aggressive behaviours and attitudes (passive or active, direct or indirect, conscious or unconscious) towards the child. More specifically, the objectives are (i) the revelation of the causes of the child's symptoms; (ii) the understanding of those parental behaviours and attitudes that enhance child psychopathology; (iii) the safeguarding of the uninterrupted parental participation in the child therapy process; (iv) the enhancement of the parents' and (through them) the child's motivation for engagement into the therapeutic process; and (v) the enhancement/strengthening of the supportive parental roles (Karpetis, 2008).…”

Section: Theoretical Background Of the Studymentioning

confidence: 99%

Psychodynamic clinical social work practice with parents in child and adolescent mental health services: a case study on the role of the father

Karpetis¹

2010

Journal of Social Work Practice

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This case study presents a psychodynamic approach to clinical social work practice with the father of a child who suffered from separation anxiety disorder symptoms. The theoretical background of the study is initially presented, followed by a description of the research setting and its participants. The clinician presents his work through critical incidents of parent and practitioner narratives during the assessment and intervention process. The effectiveness of the intervention with the father/parents and the resulting reduction in the child's symptoms appeared to be the consequence of the father's improvement in his role as both parent and husband, which in turn affected positively the mother's improvement in her parent and wife roles. Support to the father's adult part/strengths and the handling of the practitioner's counter-transference feelings were important parameters in evaluating the effectiveness of the intervention.

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“…It is widely accepted that CAPTs address highly complex problems – including inter-generational attachment difficulties – where first-line treatments have failed [ 39 , 40 ]. CAPTs are trained to work with children and their primary carers, to recognise adult mental health difficulties, and to refer parents/carers to GPs and adult services, where appropriate [ 41 ]. There have been several small studies of PCP for CD.…”

Section: Introductionmentioning

confidence: 99%

TIGA-CUB – manualised psychoanalytic child psychotherapy versus treatment as usual for children aged 5–11 years with treatment-resistant conduct disorders and their primary carers: study protocol for a randomised controlled feasibility trial

Edginton

Walwyn

Burton

et al. 2017

Trials

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BackgroundThe National Institute for Health and Care Excellence (NICE) recommends evidence-based parenting programmes as a first-line intervention for conduct disorders (CD) in children aged 5–11 years. As these are not effective in 25–33% of cases, NICE has requested research into second-line interventions. Child and Adolescent Psychotherapists (CAPTs) address highly complex problems where first-line treatments have failed and there have been small-scale studies of Psychoanalytic Child Psychotherapy (PCP) for CD. A feasibility trial is needed to determine whether a confirmatory trial of manualised PCP (mPCP) versus Treatment as Usual (TaU) for CD is practicable or needs refinement. The aim of this paper is to publish the abridged protocol of this feasibility trial.Methods and designTIGA-CUB (Trial on improving Inter-Generational Attachment for Children Undergoing Behaviour problems) is a two-arm, pragmatic, parallel-group, multicentre, individually randomised (1:1) controlled feasibility trial (target n = 60) with blinded outcome assessment (at 4 and 8 months), which aims to develop an optimum practicable protocol for a confirmatory, pragmatic, randomised controlled trial (RCT) (primary outcome: child’s behaviour; secondary outcomes: parental reflective functioning and mental health, child and parent quality of life), comparing mPCP and TaU as second-line treatments for children aged 5–11 years with treatment-resistant CD and inter-generational attachment difficulties, and for their primary carers. Child-primary carer dyads will be recruited following a referral to, or re-referral within, National Health Service (NHS) Child and Adolescent Mental Health Services (CAMHS) after an unsuccessful first-line parenting intervention. PCP will be delivered by qualified CAPTs working in routine NHS clinical practice, using a trial-specific PCP manual (a brief version of established PCP clinical practice). Outcomes are: (1) feasibility of recruitment methods, (2) uptake and follow-up rates, (3) therapeutic delivery, treatment retention and attendance, intervention adherence rates, (4) follow-up data collection, and (5) statistical, health economics, process evaluation, and qualitative outcomes.DiscussionTIGA-CUB will provide important information on the feasibility and potential challenges of undertaking a confirmatory RCT to evaluate the effectiveness and cost-effectiveness of mPCP.Trial registrationCurrent Controlled Trials, ID: ISRCTN86725795. Registered on 31 May 2016. Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-2166-2) contains supplementary material, which is available to authorized users.

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The psychotherapy of parenthood: towards a formulation and valuation of concurrent work with parents

Cited by 15 publications

References 7 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

Psychodynamic clinical social work practice with parents in child and adolescent mental health services: a case study on the role of the father

TIGA-CUB – manualised psychoanalytic child psychotherapy versus treatment as usual for children aged 5–11 years with treatment-resistant conduct disorders and their primary carers: study protocol for a randomised controlled feasibility trial

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