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Journal of Infant, Child, and Adolescent Psychotherapy最新文献

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Changing the Narrative. Refusing the Script 改变叙事。拒绝剧本
Q3 Psychology Pub Date : 2022-04-03 DOI: 10.1080/15289168.2022.2067975
David Price
ABSTRACT Rarely do we hear a narrative written in the first person, written from the perspective of a child who grew up in the foster care system. This paper provides a window into the interior world of a child who experienced traumatic loss and abandonment. This child–born to emigrant Jamaican parents–grew up in the foster care system in the UK from the early 1970ʹs through the late 1980ʹs. This first-person account is written from the perspective of a child, but also from the perspective of a licensed social worker, a clinician with 26+ years of experience working with foster care youth and families. The writer is a graduate of The New School for Psychoanalytic Psychotherapy and Psychoanalysis, where he received training in Child and Adolescent Psychotherapy. This narrative is just one perspective of a personal journey, and in no way aims to speak for all children who grow up in the foster care system. Given some of the emotionally charged content in this paper, a few details are written in a deliberately vague way to protect the privacy of all persons involved.
我们很少听到以第一人称的叙述,从一个在寄养系统中长大的孩子的角度来写。这篇文章提供了一个窗口,进入一个孩子的内心世界,谁经历了创伤损失和遗弃。这个孩子的父母是牙买加移民,从20世纪70年代初到80年代末,他在英国的寄养系统中长大。这个第一人称的叙述是从一个孩子的角度写的,但也从一个有执照的社会工作者的角度写的,一个有26年以上寄养青年和家庭工作经验的临床医生。作者毕业于精神分析心理治疗和精神分析新学院,在那里他接受了儿童和青少年心理治疗方面的培训。这个故事只是我个人旅程的一个视角,绝不是为了代表所有在寄养系统中长大的孩子。考虑到本文中一些情绪化的内容,为了保护所有相关人员的隐私,一些细节故意以模糊的方式写出来。
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引用次数: 1
Looking for Lily: Toward an Ontological Psychoanalysis with a Young Chinese Woman during COVID 寻找莉莉:在COVID期间与一位年轻中国女性进行本体论精神分析
Q3 Psychology Pub Date : 2022-04-01 DOI: 10.1080/15289168.2022.2050660
Fang Duan
ABSTRACT This essay describes a treatment with a young Chinese woman whom I call Lily. It deepened during the COVID pandemic when the vulnerability and tenacity of therapeutic aspiration of my patient and me brought forth a serious reckoning in me with my hitherto largely unexamined understanding and practice of psychoanalysis as “epistemological,” foregrounding knowledge, insights, and explicit verbal intervention. I became more aware of an “ontological” dimension of psychoanalytic work that emphasizes “being” and “becoming,” and asks basic questions such as “who are we,” “what are we like to each other,” and “what we could possibly be like.” For me, this changed vision of psychoanalytic work leads to a focus more on cultivating a deep human bond between the analyst and the patient and recognizing a fragile but also potentially powerful “therapeutic striving” presumably inherent in all humans. This shift in conceptual and clinical focus brought about significant change and growth both in my patient and in me.
这篇文章描述了我对一个叫莉莉的年轻中国女人的治疗。在COVID大流行期间,当我和我的病人对治疗的渴望的脆弱性和坚韧性使我对我迄今为止基本上未经检验的精神分析的理解和实践进行了严肃的反思时,这种认识加深了,这种理解和实践是“认识论的”,前景知识,见解和明确的口头干预。我越来越意识到精神分析工作的“本体论”维度,它强调“存在”和“成为”,并提出一些基本问题,如“我们是谁”、“我们彼此像什么”和“我们可能会是什么样子”。对我来说,这种对精神分析工作的改变使我更关注于培养分析师和患者之间深厚的人际关系,并认识到所有人类可能固有的一种脆弱但也可能强大的“治疗努力”。这种观念和临床焦点的转变给我的病人和我自己都带来了重大的变化和成长。
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引用次数: 1
The ADHD Compassion Project Case Consultation with Dr. Karin Ensink: Using Reflective Functioning in the Treatment of a Gender Non-binary ADHD Child 与Karin Ensink博士的ADHD同情项目案例咨询:使用反射功能治疗性别非二元ADHD儿童
Q3 Psychology Pub Date : 2022-03-14 DOI: 10.1080/15289168.2022.2045465
Francine Conway, K. Ensink, Melissa Farsang, Stephanie J. Lyon, Mirjam Burger-Calderon
ABSTRACT This paper documents a case consultation by Dr. Karin Ensink for the ADHD Compassion Project at Rutgers University using a psychodynamic, family-based, mentalization based treatment for children (MBT-C). Dr. Ensink serves as consultant on the case of a gender non-binary child with ADHD being treated at the clinic. Through this consultation, Dr. Ensink demonstrates the clinical utility of reflective functioning to a training clinician. By pairing the clinician’s conceptualization of the client with questions aimed to encourage reflective functioning she provides a path for the clinician to deepen the work with the child. The consultation highlights the importance in mentalization focused treatment of pinning down the episodic and using the therapeutic process to both join with the client and scaffold mentalization in real time.
摘要:本文记录了Rutgers大学Karin Ensink博士为ADHD同情心项目提供的一个案例咨询,该项目采用了基于家庭和心理化的儿童心理动力学治疗(MBT-C)。恩辛克医生在诊所治疗一名性别非二元儿童多动症的病例中担任顾问。通过这次咨询,恩辛克博士向培训临床医生展示了反思功能的临床应用。通过将临床医生对客户的概念与旨在鼓励反思功能的问题相结合,她为临床医生提供了深化与孩子的工作的途径。咨询强调了以精神化为重点的治疗的重要性,即确定情景性,并使用治疗过程与客户实时结合并支撑精神化。
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引用次数: 2
Teen and Torn: Adolescents Negotiating Cultural Dissonance 青少年与撕裂:青少年协商文化失调
Q3 Psychology Pub Date : 2022-03-14 DOI: 10.1080/15289168.2022.2046420
Gurmeet S. Kanwal
ABSTRACT Teenage has become a distinct, much talked about, and very important socio-economic group in American society since mid-twentieth century. While the origins of this categorization are embedded in capitalist market forces, the group dynamics have very widespread consequences, and need to be understood in cultural and psychological terms. This article focuses particularly on the pressures and stresses experienced by teenagers who are immigrant minorities from very different cultural backgrounds. A framework of threatened continuity of being, rather than one of separation-individuation, is proposed to explain the impact of cultural dissonance on these adolescents as they struggle to adapt, fit in and belong. Clinical strategies in approaching psychotherapeutic work with these teenagers are also explored.
自20世纪中期以来,青少年已经成为美国社会中一个独特的、经常被谈论的、非常重要的社会经济群体。虽然这种分类的起源植根于资本主义市场力量,但群体动力学具有非常广泛的后果,需要从文化和心理学的角度来理解。这篇文章特别关注来自不同文化背景的少数族裔移民青少年所经历的压力和压力。在这些青少年努力适应、融入和归属的过程中,提出了一种威胁存在连续性的框架,而不是分离-个性化的框架来解释文化失调对他们的影响。临床策略接近心理治疗工作与这些青少年也进行了探讨。
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引用次数: 1
Meeting the Needs of Children from Disadvantaged Households: The Derner-Hempstead Child Clinic 满足弱势家庭儿童的需要:德纳-亨普斯特德儿童诊所
Q3 Psychology Pub Date : 2022-03-02 DOI: 10.1080/15289168.2022.2043060
Nicole Daisy-Etienne, Ionas Sapountzis, Kirkland C. Vaughans, Yvette M. Jones
ABSTRACT The Derner Hempstead Child Clinic is a school-based, university-run community clinic that was created to offer mental health services to children and families in an underserviced area of Long Island, NY. The clinic also offers training to doctoral-level students from the Derner School of Psychology. In its few years of operation, the clinic has emerged as a source of support for the disadvantaged community despite the additional challenges created by the pandemic. To better respond to the multiple needs of the community and the training needs of the student therapists, the clinic is implementing a Nested Mentalization frame through an adaptation of the Weaving Thoughts supervision method.
Derner Hempstead儿童诊所是一个以学校为基础,由大学运营的社区诊所,旨在为纽约长岛服务不足地区的儿童和家庭提供心理健康服务。该诊所还为来自德纳心理学院的博士生提供培训。尽管大流行病带来了额外的挑战,但该诊所在其运营的几年中已成为向处境不利社区提供支持的来源。为了更好地应对社区的多重需求和学生治疗师的培训需求,诊所通过改编“编织思想”监督方法,实施了“嵌套心智化框架”。
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引用次数: 4
First Time Mothering After Child Welfare Involvement – The Ties That Bind: A Case Study 参与儿童福利后的第一次母亲-捆绑的纽带:一个案例研究
Q3 Psychology Pub Date : 2022-03-02 DOI: 10.1080/15289168.2022.2043059
T. Stephens
ABSTRACT This longitudinal single case-study analysis presents one woman’s (Opal’s) journey to resuming her place as a mother after over twenty years of child welfare involvement. Opal’s narrative account of her life with her large family in an urban center in the Northeast United States spans over fifty years. Her story illuminates moments of security, joy and happiness – emotions and experiences rarely documented as being connected to mothers like her. Her account illustrates the roadblocks and challenges that await Black mothers who are child welfare involved, and the ways in which they triumph over those barriers, and reclaim their place within their families. Opal’s narrative is organized into three phases, her: 1) Defining Years; 2) Activation and First-Time Mothering; and, 3) Generational Impact. Her ability to defy the master narrative regarding Black mothers provides a powerful contrast to the persistent violent tropes that undergird punitive child welfare policies and practices. Her story offers insights into dignified and effective ways of interacting with Black families in need of help.
摘要:本纵向单一案例研究分析呈现了一位妇女(奥珀尔)在参与儿童福利二十多年后恢复母亲地位的旅程。奥珀尔讲述了她和她的大家庭在美国东北部城市中心的生活,时间跨度超过50年。她的故事照亮了安全、快乐和幸福的时刻——这些情感和经历很少被记录下来,与像她这样的母亲有关。她的描述说明了参与儿童福利的黑人母亲面临的障碍和挑战,以及她们克服这些障碍,重新夺回自己在家庭中的地位的方式。欧泊尔的叙事分为三个阶段:1)定义年代;2)激活和首次生育;3)代际影响。她对有关黑人母亲的主流叙事的反抗能力,与作为惩罚性儿童福利政策和做法基础的持续暴力比喻形成了强烈对比。她的故事为我们提供了与需要帮助的黑人家庭进行有尊严和有效互动的方式。
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引用次数: 2
Adolescent Feminine Subjectivities Elaborated via Transitory Objects Created in the Analytic Field 通过分析场中创造的短暂客体来阐述青少年女性主体性
Q3 Psychology Pub Date : 2022-01-02 DOI: 10.1080/15289168.2022.2043057
E. Molinari, M. Brady
ABSTRACT This paper will consider the challenges adolescents, their families, and their psychoanalysts face when approaching the feminine/masculine theme. Adolescent sexual relationships co-construct and constitute versions of the feminine and the masculine. Such narratives of gender are compromise formations, which include overdetermined normativities and yet are idiographic and embodied. Conformity to cultural expectations leads to comprehensibility, but threatens the unique and the personal. We will consider clinical material from a fourteen-year-old girl who came into therapy because her mother considered her behavior towards her twin brother too aggressive. The family culture brought to the therapy expectations about the behavior of a young girl. What was important in this therapy was a setting with the use of different materials to build artistic objects. The presenting issue of the real relationship between sister and brother brought the male-female theme into the analysis, which was then present in the analytic relationship like a dream function. Putting this intuition into the theoretical frame of post-Bionian field theory, the female function is considered as the desire to be “at one ment” with the other (O) and the masculine function to realize necessary separation and subjective knowledge (K).
本文将考虑青少年、他们的家庭和他们的精神分析师在接近女性/男性主题时所面临的挑战。青少年的性关系共同构建和构成了女性和男性的不同版本。这种性别叙事是妥协的形成,包括过度确定的规范性,但又具体和具体化。对文化期望的遵从导致了可理解性,但威胁到了独特性和个性。我们将考虑一名14岁女孩的临床资料,她来接受治疗是因为她的母亲认为她对双胞胎兄弟的行为过于咄咄逼人。家庭文化给治疗带来了对年轻女孩行为的期望。在这种疗法中,重要的是使用不同材料来构建艺术品的环境。姐弟之间真实关系的呈现问题将男女主题带入了分析,并以梦函数的形式呈现在分析关系中。将这种直觉置于后bionian场理论的理论框架中,女性功能被认为是与另一个人“在一起”的欲望(O),男性功能被认为是实现必要的分离和主观知识(K)。
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引用次数: 0
Playing in and with the Dark: Symbolic Meaning and Psychic Function of the Dark in Neglected and Maltreated Children in Psychodynamic Psychotherapy 在黑暗中玩耍:心理动力学心理治疗中被忽视和虐待儿童黑暗的象征意义和心理功能
Q3 Psychology Pub Date : 2022-01-02 DOI: 10.1080/15289168.2022.2040085
Miguel M. Terradas, Antoine Asselin, D. Drieu
ABSTRACT According to our clinical experience, children who were neglected or maltreated at a young age show a peculiarity in psychodynamic play psychotherapy: they often play in and with the dark. How can children who often experience traumatic situations in the dark be so keen to sneak into it to play? As far as we know, no author has pointed out this characteristic of maltreated children’s play, and there is very little literature on the general subject. The purpose of this article is fourfold. Firstly, it aims to explore the symbolic value that the dark might have for these children. Secondly, it aims to describe some typical psychological mechanisms of the psychic functioning of traumatized children, which may explain why the dark has become a useful play space for them. We suggest that darkness became a transitional space in which they can ignore the environment to avoid their imagination being hampered by the constraints of physical reality. Thirdly, the article elaborates on the technical characteristics and counter-transference issues related to playing in the dark. Fourthly, it uses several examples to illustrate how playing in the dark unfolds, and how the dark can become a decisive factor in the play of traumatized children.
根据我们的临床经验,在幼年时期被忽视或虐待的儿童在心理动力学游戏心理治疗中表现出一个特点:他们经常在黑暗中玩耍。为什么经常在黑暗中经历创伤的孩子会如此热衷于潜入黑暗中玩耍呢?据我们所知,还没有作者指出受虐待儿童游戏的这一特点,关于这一主题的文献也很少。本文的目的有四个方面。首先,它旨在探索黑暗对这些孩子可能具有的象征价值。其次,它旨在描述创伤儿童心理功能的一些典型心理机制,这可能解释为什么黑暗成为他们有用的游戏空间。我们建议,黑暗成为一个过渡空间,在这个空间中,他们可以忽略环境,避免他们的想象力受到物质现实的限制。第三,阐述了暗夜游戏的技术特点和反移情问题。第四,它用几个例子来说明在黑暗中玩耍是如何展开的,以及黑暗如何成为受创伤儿童玩耍的决定性因素。
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引用次数: 0
Psychotherapy with Patients with Neurocognitive Impairments 神经认知障碍患者的心理治疗
Q3 Psychology Pub Date : 2022-01-02 DOI: 10.1080/15289168.2022.2050659
N. Sorscher
ABSTRACT Neurodivergent children, adolescents, and adults demonstrate both learning and attention challenges that contribute to academic and social failures. The emotional consequences of these disorders include: lowered self-esteem, pervasive feelings of shame, profound insecurity about academic skills, and a deep sense of vulnerability. In many cases, symptoms of depression and anxiety are direct consequences of these challenges. Thus, many patients with neurocognitive difficulties will consult with psychotherapists for help in alleviating their psychiatric symptoms. It is therefore essential that clinicians are mindful of the various types of learning disorders, understand their impact on the developing psyche, and are able to facilitate insight and awareness of these issues. I will provide an overview of the different types of learning disorders, review the literature on common psychological themes found in the psychotherapy of individuals with these disorders, and then present case histories illustrating both themes in treatment and effective interventions. Such interventions will include psychoeducational, insight-oriented, and relational techniques.
神经分化儿童、青少年和成人都表现出学习和注意力方面的挑战,导致学业和社会失败。这些障碍的情感后果包括:自尊心降低、普遍的羞耻感、对学术技能的深刻不安全感以及深刻的脆弱感。在许多情况下,抑郁和焦虑的症状是这些挑战的直接后果。因此,许多有神经认知困难的患者会向心理治疗师寻求帮助,以减轻他们的精神症状。因此,临床医生必须注意各种类型的学习障碍,了解它们对发展中的心理的影响,并能够促进对这些问题的洞察力和认识。我将概述不同类型的学习障碍,回顾在这些障碍患者的心理治疗中发现的常见心理主题的文献,然后介绍病例史,说明治疗和有效干预的主题。这些干预将包括心理教育、洞察力导向和关系技术。
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引用次数: 0
Posttraumatic Treatment Interventions for Refugee Children Residing in the Middle East and North Africa (MENA) Region: A Brief Review 居住在中东和北非(MENA)地区的难民儿童创伤后治疗干预措施:简要回顾
Q3 Psychology Pub Date : 2022-01-02 DOI: 10.1080/15289168.2022.2050664
Lea Sacca, Stéphanie Khoury, Christelle Maroun, M. Khoury, Veronica Maroun, Jason Khoury, Priscilla Bouery
ABSTRACT Despite the tremendous burden of refugees on regional and global health care financial systems, the current tools set into place to deal with the worsening conditions of asylum seekers have failed to address the significant challenges facing the Middle East, which in turn affected the capability of host countries to provide the necessary care for incoming population groups. One of the main health risks refugees in the Middle East and North Africa (MENA) region suffer from is mental health disorders, mainly posttraumatic stress disorder (PTSD), depression, and anxiety. Due to the limited accessibility of mental health services and the shortage of mental health professionals in host communities, refugees end up neglecting their conditions and subsequent consequences, which result in a long-term social, psychological, and economic impact. The following scoping review aims to evaluate PTSD interventions implemented for refugee children in developing nations within the MENA region. The York methodology was used to ensure transparency, enable replication of the search strategy, and increase the reliability of study findings. The results indicate that several strategies such as art therapy, cognitive-behavioral therapy, digital-based educational games, writing for recovery, group theraplay, and profound stress attunement framework deemed effective in decreasing PTSD symptoms on a short-term basis. However, future interventions should apply more sustainable strategies to help refugee children in the long-term management of the chronic mental illness. Additional research regarding this topic is needed in the MENA region.
尽管难民对区域和全球卫生保健金融系统造成了巨大的负担,但目前用于处理寻求庇护者日益恶化的条件的工具未能解决中东面临的重大挑战,这反过来影响了东道国为入境人口群体提供必要照顾的能力。中东和北非(MENA)地区难民面临的主要健康风险之一是精神健康障碍,主要是创伤后应激障碍(PTSD)、抑郁和焦虑。由于获得精神卫生服务的机会有限,以及收容社区缺乏精神卫生专业人员,难民最终忽视了他们的状况和随后的后果,从而造成长期的社会、心理和经济影响。以下范围审查旨在评估中东和北非地区发展中国家难民儿童实施的创伤后应激障碍干预措施。使用约克方法学来确保透明度,使搜索策略能够复制,并提高研究结果的可靠性。结果表明,艺术疗法、认知行为疗法、基于数字的教育游戏、康复写作、团体治疗和深度压力调节框架等几种策略被认为在短期内有效地减少了PTSD症状。然而,未来的干预措施应采用更可持续的战略,帮助难民儿童长期管理慢性精神疾病。中东和北非地区需要对这一主题进行进一步研究。
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引用次数: 0
期刊
Journal of Infant, Child, and Adolescent Psychotherapy
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