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The Importance of Affective Neuroscience for Child Psychotherapy 情感神经科学对儿童心理治疗的重要性
Q3 Psychology Pub Date : 2023-02-27 DOI: 10.1080/15289168.2023.2178820
K. Barish
ABSTRACT In this article, I will discuss how affective neuroscience can help us be better child therapists. I will highlight several important contributions of affective neuroscience, especially theory and research on SEEKING, PLAY, separation distress, and the role of positive emotion systems in child mental health. I will describe how these ideas deepen our understanding of healthy and pathological emotional development in childhood and inform our therapeutic work with both children and parents. I will also discuss the importance of feelings of pride and shame – vital aspects of children’s emotional lives that have not yet been extensively studied by affective neuroscience. I will briefly describe an integrative model for child therapy, informed by both psychodynamic theory and affective neuroscience. Our most successful interventions with children and families set in motion positive cycles of healthy emotional and interpersonal experiences – increased confidence and engagement in life and more affirming interactions between parents and children. In this way, we help troubled children and families reclaim some of the joyousness and wonder of childhood.
在这篇文章中,我将讨论情感神经科学如何帮助我们成为更好的儿童治疗师。我将重点介绍情感神经科学的几个重要贡献,特别是关于寻找、游戏、分离痛苦和积极情绪系统在儿童心理健康中的作用的理论和研究。我将描述这些想法如何加深我们对儿童健康和病态情感发展的理解,并为我们对儿童和父母的治疗工作提供信息。我还将讨论骄傲和羞耻感的重要性——这是儿童情感生活的重要方面,情感神经科学尚未对其进行广泛研究。我将简要地描述一个儿童治疗的综合模型,由心理动力学理论和情感神经科学提供信息。我们对儿童和家庭的最成功的干预使健康的情感和人际体验进入了积极的循环——增加了对生活的信心和参与,以及父母和孩子之间更加肯定的互动。通过这种方式,我们帮助问题儿童和家庭重拾童年的快乐和奇迹。
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引用次数: 1
Feasibility of a Psychodynamic School-Partnered Mental Health Service: A Pilot Study 心理动力学校合作心理健康服务的可行性:一项试点研究
Q3 Psychology Pub Date : 2023-01-02 DOI: 10.1080/15289168.2023.2166330
Elizabeth D. Storey, Tehela Nimroody, Tracy A. Prout, Timothy R. Rice, L. Hoffman
ABSTRACT Despite a long and rich history of psychoanalytically informed interventions in school settings, influencing child guidance and psychotherapeutic services provided to children and families, cognitive behavioral interventions have become the predominant method for working with children in schools. In the last 20 years there has been a reemergence of psychodynamic school partnerships, addressing many of the barriers to the provision of school-based psychotherapy. However, little research exists on the implementation and feasibility of delivering psychodynamic psychotherapy services through partnerships between psychodynamic clinical teams and schools. This pilot study examines psychotherapy outcomes within one such partnership between the New York Psychoanalytic Society and Institute and six New York City public schools during the 2020–21 school year. Therapists provided treatment using Regulation Focused Therapy for Children (RFP-C), a short-term manualized, psychodynamic intervention for children presenting with externalizing behaviors (delivered remotely/online due to the ongoing COVID-19 pandemic and hybrid school formats). After participation in RFP-C, parents reported a significant decrease in children’s symptoms of oppositional defiant disorder and some improvement in secondary attentional problems. This study also assessed the feasibility of implementing a school-based telemental health program in New York City. Strengths and limitations of the study, implications for future research, and clinical implications are also discussed.
尽管在学校环境中,心理分析干预有着悠久而丰富的历史,影响着儿童指导和向儿童和家庭提供的心理治疗服务,但认知行为干预已成为学校儿童工作的主要方法。在过去的20年里,心理动力学学校伙伴关系重新出现,解决了许多阻碍提供以学校为基础的心理治疗的障碍。然而,关于通过精神动力临床团队和学校之间的合作伙伴关系提供精神动力心理治疗服务的实施和可行性的研究很少。这项试点研究在2020-21学年期间,在纽约精神分析学会和研究所与六所纽约市公立学校之间的合作伙伴关系中,调查了心理治疗的结果。治疗师使用儿童监管重点疗法(RFP-C)提供治疗,这是一种针对表现出外化行为的儿童的短期手动心理动力学干预(由于正在进行的COVID-19大流行和混合学校模式,远程/在线提供)。参与RFP-C后,家长报告儿童的对立违抗障碍症状显著减少,次要注意力问题有所改善。本研究还评估了在纽约市实施以学校为基础的远程心理健康计划的可行性。本文还讨论了本研究的优势和局限性、对未来研究的启示以及临床意义。
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引用次数: 1
Homing in on Adoption: Dreaming, Drawing, and Telling Stories in Relational Psychotherapy 聚焦于收养:关系心理治疗中的做梦、绘画和讲故事
Q3 Psychology Pub Date : 2023-01-02 DOI: 10.1080/15289168.2023.2171679
Billie A. Pivnick
ABSTRACT Adoptees and their families long for a relational home in which they can feel safe and accepted. Parents’ and children’s divergent histories, experiences, and visions of the future can make that vision a challenging one to achieve. As an adoptive mother and a clinical psychologist, the author is deeply familiar with seldom considered aspects of the adoption experience, including mismatched rhythms, struggles for recognition, loss aversion, and uncertainty borne of absences in family stories. This article presents a relational model for treating adoptees and their families that highlights parent engagement and employs both nonverbal and narrative modalities so that a joint vocabulary can develop, leading to new stories that are co-created, coherent, and sustaining despite the gaps they inevitably contain. Adoption thus construed becomes not just a loss, but also an opportunity for growth for all three of the parties to the adoption triangle. The article outlines key developmental dilemmas, presents a repertoire of techniques for drawing out nascent self-experience, and employs illustrative clinical vignettes to assist clinicians in encountering the often overwhelming affects and impasses common in working with these families.
被收养者和他们的家人都渴望有一个能让他们感到安全和被接受的家庭。父母和孩子不同的历史、经历和对未来的看法会使这种看法很难实现。作为一名养母和临床心理学家,作者对收养经历中很少被考虑的方面非常熟悉,包括不匹配的节奏,争取认可,损失厌恶,以及家庭故事中缺失的不确定性。本文提出了一种治疗被收养者及其家庭的关系模型,该模型强调父母的参与,并采用非语言和叙述两种方式,以便共同发展词汇,从而导致共同创造的新故事,连贯的,尽管它们不可避免地包含着差距。因此,收养不仅是一种损失,而且对收养三角关系中的所有三方来说都是一个增长的机会。这篇文章概述了关键的发展困境,提出了一系列的技术来描绘新生的自我体验,并采用说述性的临床小插曲来帮助临床医生在与这些家庭一起工作时遇到通常压倒性的影响和僵局。
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引用次数: 0
Addressing Emotion Regulation with Children: Play, Verbalization of Feelings, and Reappraisal 处理儿童的情绪调节:游戏、情感的语言化和重新评价
Q3 Psychology Pub Date : 2023-01-02 DOI: 10.1080/15289168.2023.2165874
L. Hoffman, Tracy A. Prout, Timothy R. Rice, Margo Bernstein
ABSTRACT Emotion regulation difficulties are a central component of distress in childhood. The challenges children face in managing, understanding, and expressing difficult emotions can be addressed through a range of treatment approaches designed for school-aged children. Four therapies commonly used today – Child Centered Play Therapy, Mentalization Based Therapy for Children, Regulation Focused Therapy for Children, and Dialectic Behavior Therapy for Children – recognize the connection between behavior and emotion and the need to promote the child’s emotion regulation. In this paper we present a brief overview of each treatment and compare the ways in which they utilize play and employ reappraisal, a specific type of emotion regulation. Additionally, we highlight the centrality of verbalization of feelings across each of the four treatments. We propose that play, verbalization of feelings, and explicit and/or implicit reappraisal are common factors that promote emotion regulation in a wide range of psychotherapeutic approaches for children.
情绪调节困难是儿童痛苦的一个重要组成部分。儿童在管理、理解和表达困难情绪方面面临的挑战可以通过为学龄儿童设计的一系列治疗方法来解决。目前常用的四种治疗方法——以儿童为中心的游戏治疗、以儿童心理为基础的治疗、以儿童调节为重点的治疗和儿童辩证行为治疗——认识到行为和情绪之间的联系以及促进儿童情绪调节的必要性。在本文中,我们简要概述了每种治疗方法,并比较了它们利用游戏和使用重新评估(一种特定类型的情绪调节)的方式。此外,我们强调了四种治疗方法中情感语言化的中心地位。我们认为,游戏、情感的语言化以及显性和/或隐性的重新评估是促进儿童心理治疗方法中情绪调节的共同因素。
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引用次数: 0
‘I Am Not Your Son!’: Adolescence as the Fulcrum for Negation and Negativism “我不是你的儿子!:青春期是否定和否定主义的支点
Q3 Psychology Pub Date : 2023-01-02 DOI: 10.1080/15289168.2023.2175566
P. Sauvayre
ABSTRACT This paper uses clinical material to develop the notion that adolescence, at least in this culture, is a developmental fulcrum, a pivot, for foundational, even primary experiences that are refracted in the theoretical concepts of negation and negativism, as developed by André Green in his masterpiece, The Work of the Negative. His thesis is that the negative is a, if not the, foundational psychoanalytic concept, with negation being conceptualized as its creative “work” momentum, and negativism its pathological destructive entropy. Using the original sources Green’s densely rich introduction points us to, we will follow the thread of the negative to link clinical material through philosophy, clinical theory, and metapsychology. This thread that will take first to the “master-slave dialectic” (Hegel), then to the “fort-da game” (Freud), to “the birth of the subject into the symbolic order” (Lacan), to “absence and the transitional object” (Winnicott), to “attacks on linking” (Bion), to “the effort to drive the other crazy” (Searles), and to depression without an object (Marty). Finally, we will also highlight some theoretical dimensions of negation, specifically the socio-cultural, that are notably overlooked in Green’s associative sequence. These include the concepts of “destruction as the cause of coming into being” (Spielrein), of “woman as Other” (De Beauvoir), and of the “adherence of black skin” (Fanon). To conceptualize the cultural dialectical arrest as a simple variant of individual development (notwithstanding the infinite amounts of overlap), would be a grave error, and be victim to the forces that keep this “dialectical arrest” in place, and the individuals in the dialectical struggle, in their place.
本文使用临床材料来发展这样一个概念,即青春期,至少在这种文化中,是一个发展的支点,一个支点,对于基本的,甚至是主要的经验,这些经验反映在否定和消极主义的理论概念中,正如安德鲁·格林在他的杰作《消极的工作》中所发展的那样。他的论点是,否定即使不是精神分析的基本概念,也是一个基本概念,否定被概念化为创造性的“工作”动力,而否定则是病态的破坏性熵。利用格林密集丰富的介绍所指向的原始资料,我们将沿着否定的线索,通过哲学、临床理论和元心理学将临床材料联系起来。这条线索将首先指向“主从辩证法”(黑格尔),然后指向“堡垒游戏”(弗洛伊德),指向“主体在象征秩序中的诞生”(拉康),指向“缺席和过渡对象”(温尼科特),指向“对联系的攻击”(比昂),指向“驱使他人疯狂的努力”(塞尔),以及指向没有对象的抑郁(马蒂)。最后,我们还将强调否定的一些理论维度,特别是社会文化维度,这在格林的联想序列中被明显忽视。这些概念包括“毁灭是产生的原因”(斯皮尔林)、“女人是他者”(德·波伏娃)和“黑皮肤的粘附”(法农)。将文化的辩证逮捕概念化为个人发展的一种简单变体(尽管有无限多的重叠),将是一个严重的错误,并成为保持这种“辩证逮捕”的力量和保持辩证斗争中的个人在其位置上的力量的受害者。
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引用次数: 1
What’s Going on Around Here? Psychodynamic Thinking on Guns, Violence, and Youth in America: Aggression, Depression, and Destruction 这是怎么回事?枪支、暴力和美国青年的心理动力学思考:侵略、抑郁和破坏
Q3 Psychology Pub Date : 2023-01-02 DOI: 10.1080/15289168.2023.2167045
Jordan Bate, Joseph T. Mikulka, L. Rosenberg, Shana Grover, A. Khadivi, J. Bellinson
ABSTRACT In May 2022, a gunman entered Robb Elementary School in Uvalde, TX and shot and killed 21 people, including 19 children. Section II (child and adolescence) of the American Psychological Association, Division 39 (the Society for Psychoanalysis and Psychoanalytic Psychology) responded by organizing a two-part conversation series, titled, “What’s going on around here? Psychodynamic Thinking on Guns, Violence, and Youth in America,” a heading we hoped would capture the intention to think together about these issues, which themselves are difficult to define and label. This paper is a manuscript of the first of these conversations, with discussants Shana Grover, PhD, Ali Khadivi, PhD, and Larry Rosenberg, PhD, who were invited based on their clinical and professional experience working with young people who are considered at-risk for perpetrating violence, as well as those who have themselves been victims of violence. The conversation centered on the ways that psychodynamic thinking can inform how mental health professionals conceptualize what underlies an individual’s threats or acts of violence, approach risk assessment and intervention, and formulate an understanding of these horrific events at an individual, and cultural and societal level, to guide our responses both inside and outside of the therapy room.
2022年5月,一名枪手进入德克萨斯州乌瓦尔德的罗布小学,枪杀21人,其中包括19名儿童。美国心理学会第39分会(精神分析和精神分析心理学学会)第二分会(儿童和青少年)对此作出回应,组织了一个由两部分组成的系列对话,题为“这里发生了什么?”“枪支、暴力和美国青年的心理动力学思考”,我们希望这个标题能抓住大家一起思考这些问题的意图,这些问题本身很难定义和贴上标签。本文是第一次对话的手稿,讨论嘉宾是莎娜·格罗弗博士、阿里·哈迪维博士和拉里·罗森伯格博士。邀请他们参加讨论的依据是他们与被认为有实施暴力风险的年轻人以及那些本身就是暴力受害者的年轻人的临床和专业经验。谈话集中在心理动力学思维的方式上,它可以告诉心理健康专业人员如何概念化个人威胁或暴力行为的基础,如何进行风险评估和干预,以及如何从个人、文化和社会层面对这些可怕的事件形成理解,以指导我们在治疗室内外的反应。
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引用次数: 0
Psychodynamic Treatment for Infants with Feeding Tube Dependency 婴幼儿饲管依赖的心理动力学治疗
Q3 Psychology Pub Date : 2023-01-02 DOI: 10.1080/15289168.2023.2166331
M. Wilken, J. Vaz, Johanna Boehme, Antonia Jockenhoefer
ABSTRACT Over the past three decades, a dramatic increase in infants with total food aversion and a dependence on artificial feeding via tube has been reported. This condition, known as Feeding Tube Dependency, is complex, and the psychodynamics contributing to it is largely unknown. To overcome FTD and the underlying food aversion, we must gain an understanding of the motivational patterns as well as the feeding relationship. Here, we outline the psychodynamic of Feeding Tube Dependency in early childhood. Based on this research, we suggest a treatment program and provide a case example. Abbreviation: DC: 0-3R: Diagnostic Classification: 0-3 Revised; FTD: Feeding Tube Dependency; PTFD: Posttraumatic Feeding Disorder
在过去的三十年里,据报道,婴儿对食物的厌恶和对人工喂养的依赖急剧增加。这种情况,被称为喂食管依赖,是复杂的,心理动力学在很大程度上是未知的。为了克服FTD和潜在的食物厌恶,我们必须了解动机模式以及喂养关系。在这里,我们概述了儿童早期喂食管依赖的心理动力学。在此基础上,提出了相应的治疗方案并提供了实例。缩写:DC: 0-3R:诊断分类:0-3修订;FTD:喂食管依赖性;PTFD:创伤后进食障碍
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引用次数: 1
Accessibility at What Price? Therapists’ Experiences of Remote Psychotherapy with Children and Adolescents During the COVID-19 Pandemic 无障碍的价格是多少?新冠肺炎大流行期间儿童青少年远程心理治疗经验
Q3 Psychology Pub Date : 2022-10-02 DOI: 10.1080/15289168.2022.2135935
A. Erlandsson, David Forsström, A. Rozental, A. Werbart
ABSTRACT Psychotherapy has traditionally been delivered in person, but recent technological advances have made it possible to conduct remote treatments. There is currently strong evidence for the efficacy of guided self-help with online support from a therapist, but less is known about video-mediated psychotherapy. The COVID-19 pandemic has however forced many therapists to provide remote treatments. This transition might be especially trying for therapists of children and adolescents, but their experiences are underexplored. This study aimed to investigate their perceptions of video-mediated psychotherapy. Semi-structured interviews were conducted with 16 therapists and analyzed using thematic analysis. The therapists described how they struggled with technical and ethical issues and tried to overcome the loss of their usual therapeutic tools. They were concerned that the online format led to less effective treatments or could have negative effects, even if it might increase care availability. Generally, they felt frustrated, inadequate, and stressed, and experienced less job satisfaction. The therapists concluded that video-mediated sessions might be a good alternative for children and adolescents – provided the therapists themselves could determine for whom and when to offer video sessions. Implications of their experiences are discussed, including how psychotherapy training might have to incorporate issues related to remote psychotherapy.
传统上,心理治疗是面对面进行的,但最近的技术进步使远程治疗成为可能。目前有强有力的证据表明,在治疗师的在线支持下,指导自助是有效的,但对视频媒介的心理治疗知之甚少。然而,COVID-19大流行迫使许多治疗师提供远程治疗。对于儿童和青少年的治疗师来说,这种转变可能尤其艰难,但他们的经历尚未得到充分探讨。本研究旨在调查他们对视频媒介心理治疗的看法。对16名治疗师进行半结构化访谈,并采用主题分析进行分析。治疗师描述了他们如何与技术和伦理问题作斗争,并试图克服失去常用治疗工具的问题。他们担心在线形式会导致治疗效果降低,或者可能产生负面影响,即使它可能增加护理的可用性。一般来说,他们感到沮丧、不足和压力,工作满意度较低。治疗师得出结论,如果治疗师自己可以决定为谁以及何时提供视频治疗,那么视频介导的治疗可能是儿童和青少年的一个很好的选择。他们的经验的含义进行了讨论,包括心理治疗培训可能必须纳入有关远程心理治疗的问题。
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引用次数: 7
Review: Two Casebooks on Child and Adolescent Therapy 回顾:两本儿童和青少年治疗案例书
Q3 Psychology Pub Date : 2022-10-02 DOI: 10.1080/15289168.2022.2132044
K. Barish
Jack and Kerry Kelly Novick, along with Denia and Thomas Barrett and an international group of child and adolescent psychoanalysts, have given us two unique and important books on the psychoanalytic treatment of children and adolescents. Both Casebooks present detailed therapeutic work, followed by commentaries and editorial reflections. All of the therapists and discussants are anonymous, ensuring greater confidentiality and allowing more in-depth descriptions of the therapeutic process.
杰克·凯利·诺维克和克里·凯利·诺维克,以及丹尼娅和托马斯·巴雷特以及一个国际儿童和青少年精神分析学家小组,为我们提供了两本独特而重要的关于儿童和青少年精神分析治疗的书。两本案例书都介绍了详细的治疗工作,随后是评论和编辑的反思。所有的治疗师和讨论者都是匿名的,以确保更大的保密性,并允许更深入地描述治疗过程。
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引用次数: 0
Using the Weaving Thoughts Peer Supervision Method to Generate a Nested Mentalization Frame: The DHCC Experience 用编织思想同伴监督法生成嵌套心智化框架:DHCC经验
Q3 Psychology Pub Date : 2022-10-02 DOI: 10.1080/15289168.2022.2138690
Ionas Sapountzis, J. Wainstein, Jennifer K. Pereira, Kirkland C. Vaughans, Nicole Daisy-Etienne, Yvette M. Jones
ABSTRACT The Weaving Thoughts (WT) peer group process is a method for eliciting insight that is used by analytic groups in Europe. The process involves the presentation of a therapy session to a group of colleagues who know nothing about the case and share their reactions and associations after the presentation of the session. This paper offers an account of the use of the WT group process at a university-run school-based community clinic, the Derner Hempstead Child Clinic. Through the use of the WT group process the directors and supervisors of the clinic were able to create a nested mentalization frame that was experienced as supportive by student therapists, faculty supervisors and administrators.
编织思想(WT)同伴小组过程是一种启发洞察力的方法,被欧洲的分析小组使用。这个过程包括向一群对病例一无所知的同事介绍治疗过程,并在介绍过程后分享他们的反应和联系。本文提供了一个使用WT小组过程在一个大学经营的校本社区诊所,德纳·亨普斯特德儿童诊所。通过使用WT小组过程,诊所的主任和主管能够创建一个嵌套的心理框架,学生治疗师、教师主管和管理人员都能从中获得支持。
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引用次数: 1
期刊
Journal of Infant, Child, and Adolescent Psychotherapy
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