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

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Clinical and Ethical Considerations in the Treatment of Gender Dysphoric Children and Adolescents: When Doing Less Is Helping More 治疗性别焦虑儿童和青少年的临床和伦理考虑:当做得少就是帮助更多
Q3 Psychology Pub Date : 2021-10-02 DOI: 10.1080/15289168.2021.1997344
David Schwartz
ABSTRACT Through an analysis of recently published treatment protocols, research findings and clinical experience, and guided by the principle of “first, do no harm,” the author argues that the use of pharmacological and surgical interventions in the treatment of gender dysphoric youth, especially in light of what is known about the transience of cross-gender identification in children, is mistaken both clinically and ethically. He further argues that psychotherapy, neglected by most of those advocating pharmacological and surgical interventions, is the best treatment option for these patients. The author elaborates some of the modifications of psychotherapeutic technique with both patients and their parents that he has found to be most effective with this population.
通过对最近发表的治疗方案、研究结果和临床经验的分析,并在“首先,不伤害”的原则指导下,作者认为,在治疗性别焦虑的青少年中使用药物和手术干预,特别是考虑到已知的儿童跨性别认同的短暂性,在临床和伦理上都是错误的。他进一步指出,心理治疗是这些患者的最佳治疗选择,而被大多数倡导药物和手术干预的人所忽视。作者详细阐述了他发现对这一人群最有效的对患者及其父母的心理治疗技术的一些修改。
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引用次数: 7
In Honor and Loving Memory of Anni Bergman 1919-2021 纪念和缅怀安妮·伯格曼1919-2021
Q3 Psychology Pub Date : 2021-10-02 DOI: 10.1080/15289168.2021.2005427
Sally Moskowitz, Inga Blom
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引用次数: 0
Little Girl, Big Feelings: Online Child Psychotherapy during the COVID-19 Pandemic 小女孩,大情感:COVID-19大流行期间的在线儿童心理治疗
Q3 Psychology Pub Date : 2021-10-02 DOI: 10.1080/15289168.2021.1999158
Sabrina Udwin, Tatianna Kufferath-Lin, Tracy A. Prout, L. Hoffman, Timothy R. Rice
ABSTRACT The COVID-19 crisis has provided unique opportunities for the expansion of telepsychotherapy services. To date, the extant literature on telepsychotherapy has not included many strategies for effective telepsychotherapy with youth and families. This paper examines the evolution of a play psychotherapy case conducted fully online amidst the COVID-19 pandemic in 2020. A review of the telepsychotherapy literature is provided and multiple aspects of online psychotherapy are explored within the context of a completed, online psychotherapy treatment with one eight-year-old girl with externalizing symptoms. This case study is the first start-to-finish online case of Regulation Focused Psychotherapy for Children, and to our knowledge one of the few known case studies of a completed, fully online, child psychotherapy case. Clinical vignettes illustrate how the therapist’s interpretation of the child’s defenses within an online modality allowed the child to progress in her ability to tolerate painful emotions. In addition, countertransference reactions of a novice therapist, treating her first psychotherapy patient, are highlighted. This unique case study provides support for the value of an online, play-based treatment for children with behavioral issues and their families.
COVID-19危机为远程心理治疗服务的扩展提供了独特的机会。迄今为止,关于远程心理治疗的现有文献还没有包括许多有效的青少年和家庭远程心理治疗策略。本文研究了在2020年新冠肺炎大流行期间完全在线进行的游戏心理治疗案例的演变。对远程心理治疗文献进行了回顾,并在对一名有外化症状的八岁女孩进行完整的在线心理治疗的背景下,探讨了在线心理治疗的多个方面。本案例研究是第一个从开始到结束的以监管为重点的儿童心理治疗在线案例,据我们所知,这是为数不多的完整的、完全在线的儿童心理治疗案例研究之一。临床小插曲说明了治疗师如何在网络模式下解释孩子的防御,使孩子在忍受痛苦情绪的能力方面取得进展。此外,一个新手治疗师,治疗她的第一个心理治疗病人的反移情反应,是突出的。这个独特的案例研究为有行为问题的儿童及其家庭提供了基于游戏的在线治疗的价值。
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引用次数: 9
Reflective Functioning Questionnaire (RFQ): Psychometric Properties of the Persian Translation and Exploration of Its Mediating Role in the Relationship between Attachment to Parents and Internalizing and Externalizing Problems in Adolescents 反思性功能问卷(RFQ):波斯语翻译的心理测量特征及其在青少年父母依恋与内化、外化问题关系中的中介作用探讨
Q3 Psychology Pub Date : 2021-07-03 DOI: 10.1080/15289168.2021.1945721
Parisa Sadat Seyed Mousavi, E. Vahidi, S. Ghanbari, Saba Khoshroo, Seyede Zoha Sakkaki
ABSTRACT The aim of this study was to adapt the Reflective Functioning Questionnaire (RFQ) into Persian and to test the mediating role of Reflective Functioning (RF) in the relationship between attachment to parents and internalizing and externalizing problems in adolescents. 369 adolescents completed a Persian-translation of the RFQ, the Relationship Structures questionnaire of the Experiences in Close Relationships Revised (ECR-RS), a battery of scales that assess constructs related to RF, and the Youth Self Report questionnaire (YSR). Confirmatory factor analysis supported the two-factor model consisting of certainty and uncertainty about mental states. Construct validity was examined by the correlation between RFQ and related constructs and maladaptive psychological functioning. Structural equation modeling showed that uncertainty and certainty about mental states both mediated the positive relationship between attachment anxiety and internalizing and externalizing problems. This mediating effect was not found in the relationship between attachment avoidance and internalizing or externalizing problems. These findings provide support for the notion that the Persian-translation of the RFQ can be an applicable and reliable tool to assess RF in non-clinical adolescents. In conclusion, this questionnaire represents a valid measure for Persian-speaking clinicians and researchers.
摘要本研究的目的是将反思功能问卷(RFQ)改编成波斯语,并检验反思功能(RF)在青少年依恋父母与内化和外化问题之间的中介作用。369名青少年完成了RFQ的波斯语翻译,亲密关系经验关系结构问卷(ECR-RS),一系列评估亲密关系相关结构的量表,以及青少年自我报告问卷(YSR)。验证性因子分析支持心理状态确定性与不确定性的双因子模型。通过RFQ及其相关构念与适应不良心理功能的相关性检验构念效度。结构方程模型表明,心理状态的不确定性和确定性在依恋焦虑与内化和外化问题之间都起着正相关的中介作用。在依恋回避与内在化或外在化问题的关系中没有发现这种中介效应。这些发现支持RFQ的波斯语翻译可以成为评估非临床青少年RF的适用和可靠的工具。总之,本问卷对波斯语临床医生和研究人员来说是一种有效的测量方法。
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引用次数: 10
Dyadic EMDR: A Clinical Model for the Treatment of Preverbal Medical Trauma 二元EMDR:一种治疗言语前医学创伤的临床模式
Q3 Psychology Pub Date : 2021-07-03 DOI: 10.1080/15289168.2021.1940661
Barbara Wizansky, Ester Bar Sadeh
ABSTRACT This paper focuses on the dyadic experience of Preverbal Medical Trauma as a factor in sharpening understanding of symptomatic behavior in young children. It highlights the connection between implicitly encoded relationship memories and the development of the child-caregiver attachment relationship before, during and following the medical trauma. Literature relating to the effects of early trauma on the child’s neuropsychological development is discussed, together with a closer look at the unique effect of early medical trauma on the attachment system. A dyadic psychotherapeutic treatment model is proposed, anchored in the EMDR Protocol and the attachment relationship. The case example provides a structured guide to processing of the early medical trauma and treatment of present symptoms, with a suggestion for future research.
摘要:本文主要关注言语前医学创伤的二元经验作为加深对幼儿症状性行为理解的一个因素。它强调了在医疗创伤之前、期间和之后,内隐编码的关系记忆与儿童照顾者依恋关系发展之间的联系。有关早期创伤对儿童神经心理发展的影响的文献进行了讨论,并仔细研究了早期医疗创伤对依恋系统的独特影响。提出了一种以EMDR协议和依恋关系为基础的二元心理治疗模型。该案例为早期医学创伤的处理和当前症状的治疗提供了结构化的指导,并为未来的研究提供了建议。
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引用次数: 0
Engaging Racial Identification in Children in the Classroom: Commentary on Archangelo and O’Loughlin: Exploring Racial Formation in Children: Thoughts from an Encounter with Black Children in Brazil 在课堂上参与儿童的种族认同:对Archangelo和O 'Loughlin的评论;探索儿童的种族形成:来自与巴西黑人儿童相遇的思考
Q3 Psychology Pub Date : 2021-07-03 DOI: 10.1080/15289168.2021.1963114
Neil Altman
With the world in turmoil on so many fronts, psychoanalytic psychology, indeed all of psychology that focuses on the individual mind and individual behavior, faces challenges in maintaining its relevance to the social world. The past 2 years of widespread suffering related to the COVID pandemic, to resurgent political violence, and to racial injustice have upended billions of lives, while exposing how many people have always had to struggle to keep their heads above water. Prominent among the many new challenges facing the mental health fields is how to help children cope with such times of general upheaval. There are aspects of a contemporary psychoanalytic sensibility that can be of use in decoding children’s reactions to their social world, pointing the way toward remedial engagement with ongoing destructive elements. Ferenczi (1933) introduced us to the notion of “identification with the aggressor”; Fanon (1963) put that concept to work in the context of colonial aggression, part of which is the denigration of the subdued population by the colonial occupier. Colonized people, per Fanon, will identify with the aggressor and the denigrated image of themselves propagated by the colonizer. Racial disparities are evident in media coverage, in health care, in the administration of justice, and elsewhere. Children notice these things and adults, especially those who don’t live with protection from these calamities, don’t know how to help them interpret what they see. The effect on children appears in evidence of anti-dark-skinned prejudice in the work of Kenneth Clark and Mamie Clark (1939) and, daily, in classrooms in examples like those cited by Archangelo and O’Loughlin (2021) Their work launches us on a vital consideration of how teachers and others who interact with children can engage with their internalized prejudice and with the socially pervasive projection of “undesirable” characteristics into relatively dark-skinned bodies. I suggest that the preference for white dolls over black dolls noted by Kenneth and Mamie Clark, and by Archangelo and O’Loughlin, is the racially coded tip of the iceberg of children’s reactions to what they see and hear. Furthermore, that the responses they give to researchers’ questions reflect their assumption that grown-ups in authority, especially but not only, white ones, also have a preference for white coloring and expect the same from children. In short, I am suggesting that there is nothing inborn about preference for light-skinned dolls and people; their preferences reflect what they have taken in of nearly ubiquitous prejudice in their social world. I must add, however, that during 3 years during which I worked as a psychologist in the Newark N.J. Head Start program, in which 3and 4-year-old children and families were nearly universally dark skinned, not a single child commented on skin color in my light-skinned presence. I would not doubt that I was discouraging such comments in some way of which I was un
由于世界在许多方面都处于动荡之中,精神分析心理学,实际上是所有关注个人思想和个人行为的心理学,在保持其与社会世界的相关性方面面临着挑战。过去两年,与新冠肺炎大流行、政治暴力死灰复生和种族不公正有关的广泛痛苦,颠覆了数十亿人的生活,同时也暴露出有多少人一直不得不努力维持生计。在心理健康领域面临的许多新挑战中,突出的是如何帮助儿童应对这种普遍动荡的时期。在解读儿童对社会世界的反应时,当代精神分析感性的一些方面可以发挥作用,为治疗持续存在的破坏性因素指明道路。Ferenczi(1933)向我们介绍了“侵略者认同”的概念;法农(1963)在殖民侵略的背景下运用了这一概念,其中一部分是殖民占领者对被征服的人口的诋毁。根据法农的说法,被殖民的人民将认同侵略者和殖民者所宣传的被贬低的他们自己的形象。种族差异在媒体报道、医疗保健、司法和其他方面都很明显。孩子们会注意到这些事情,而成年人,尤其是那些没有受到这些灾难保护的人,不知道如何帮助他们理解他们所看到的。在Kenneth Clark和Mamie Clark(1939)的研究中,这种对儿童的影响体现在反黑皮肤偏见的证据中,在Archangelo和O 'Loughlin(2021)所引用的例子中,这种影响每天都出现在课堂上。他们的研究让我们思考,教师和其他与儿童互动的人如何应对他们的内化偏见,以及社会上普遍存在的将“不受欢迎的”特征投射到相对深色皮肤的身体上。我认为Kenneth和Mamie Clark以及Archangelo和O 'Loughlin所提到的对白人玩偶的偏好是儿童对他们所看到和听到的反应的种族标记的冰山一角。此外,他们对研究人员问题的回答反映了他们的假设,即掌权的成年人,尤其是但不仅是白人,也偏爱白色,并期望孩子们也喜欢白色。简而言之,我的意思是,对浅肤色的娃娃和人的偏好并不是天生的;他们的偏好反映了他们所接受的社会中几乎无处不在的偏见。然而,我必须补充一点,在我作为心理学家在新泽西州纽瓦克的“开端”项目中工作的3年里,在这个项目中,3、4岁的孩子和家庭几乎都是深色皮肤,没有一个孩子在我浅色皮肤的面前评论肤色。我毫不怀疑,我在某种程度上阻止了这样的评论,而我自己却没有意识到。然而,有一天,一个小男孩坐在我旁边,开始抚摸我的手臂,我想:“好吧,它来了!”过了一会儿,他说:“你胳膊上为什么有这么多毛?”
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引用次数: 0
Change in the Play of Children Who Experienced Early Relational Trauma: Theoretical and Clinical Reflections on Psychodynamic Intervention 经历过早期关系创伤的儿童的游戏变化:心理动力学干预的理论和临床反思
Q3 Psychology Pub Date : 2021-07-03 DOI: 10.1080/15289168.2021.1945729
Miguel M. Terradas, Antoine Asselin
ABSTRACT Children who experienced early relational trauma resulting from chronic exposure to maltreatment and neglect within the parent-child relationship in the early years of life are often trapped in traumatic play with no possibility of psychic elaboration or have difficulty using play in a manner that is beneficial to them in traditional play psychotherapy. The purpose of this article is twofold. Firstly, it describes how play changes in the course of psychotherapy with children who experienced early relational trauma. Secondly, it demonstrates how therapists must use different types of interventions to meet the needs of traumatized children, particularly their capacity to play to overcome the deleterious effects of trauma. A four-stage model of how play changes over the course of psychotherapy with children who suffered from early relational trauma is proposed. Finally, each stage is analyzed regarding the features expected in the play and the psychotherapeutic interventions that should be used accordingly. A clinical illustration is also discussed.
在童年早期,由于长期暴露于虐待和忽视的亲子关系中而经历了早期关系创伤的儿童,往往被困在创伤性的游戏中,无法进行精神上的阐述,或者在传统的游戏心理治疗中,难以以对他们有益的方式使用游戏。这篇文章的目的是双重的。首先,它描述了经历过早期关系创伤的儿童在心理治疗过程中的游戏变化。其次,它展示了治疗师必须如何使用不同类型的干预来满足受创伤儿童的需求,特别是他们克服创伤有害影响的能力。一个四阶段的模型,如何发挥变化的过程中,心理治疗与儿童遭受早期的关系创伤提出。最后,对每个阶段进行分析,考虑到戏剧的特征和应该使用的心理治疗干预措施。还讨论了一个临床实例。
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引用次数: 3
Exploring Racial Formation in Children: Thoughts from an Encounter with Black Children in Brazil 探究儿童的种族形成:来自与巴西黑人儿童相遇的思考
Q3 Psychology Pub Date : 2021-07-03 DOI: 10.1080/15289168.2021.1950485
Ana Archangelo, M. O’Loughlin
ABSTRACT In this work, using spontaneous expression of white skin color preference by Black Brazilian children as stimulus, we seek to examine the construction and performance of racial subjectivity in Black children. Drawing on a range of psychoanalytic theories, we strive to develop a psychoanalytic understanding of racial formation that is complex and non-essentializing. The paper concludes with an examination of the possibilities of pedagogical interventions that might provide space for Black children to occupy and perform more expansive racial identities, assisted by teachers who embody receptivity, a capacity for positive mirroring, and an ability to practice mentalizing pedagogies.
摘要本研究以巴西黑人儿童对白色肤色偏好的自发表达为刺激,探讨黑人儿童种族主体性的建构与表现。利用一系列精神分析理论,我们努力发展一种对种族形成的精神分析理解,这种理解是复杂的,非本质化的。本文最后考察了教学干预的可能性,这些干预可能会为黑人儿童提供空间,让他们占据并表现出更广泛的种族身份,并由具有接受能力、积极镜像能力和实践心智化教学法能力的教师协助。
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引用次数: 2
On Racial Melancholy and the Need to See. Commentary on Archangelo and O’Loughlin’s Paper “Exploring Racial Formation in Children: Thoughts from an Encounter with Black Children in Brazil” 论种族忧郁和看的需要。评注Archangelo和O 'Loughlin的论文《探索儿童中的种族形成:来自与巴西黑人儿童相遇的思考》
Q3 Psychology Pub Date : 2021-07-03 DOI: 10.1080/15289168.2021.1965433
Ionas Sapountzis
Archangelo and O’Loughlin’s beautifully written paper begins with a reference to the experiments by Kenneth and Mamie Clark on Black children’s preference for white dolls. This preference has always been understood to reflect the conflicted racial identities of Black children who are raised in a society that devalues individuals with darker skin and treats them as inferior. The preference for white dolls and the conflicted racial identities they denote point to deeply oppressive racial policies that have left Black children and everyone around them with “deep racial scars” (p. 1). They also point to a level of biracial awareness that white children do not typically demonstrate. Unlike Black children, many of the white children grow up without ever having to question the glaring racial inequalities in the world and the painful realities that maintain them. Sadly, the Black Brazilian children Archangelo and O’Loughlin present in their paper demonstrate the same troubling preference for white dolls. Much like the children in the Clarks’ study, nine-yearold Sarah finds white dolls to be prettier and more intelligent. Listening to her words makes one wonder where her faith in the superiority of the white dolls comes from. One can ask the same question in the case of the four-year-old-girl who compares her nail polish to Archangelo’s and says, “Your color is the color of happiness, mine’s of badness.” It is a painful statement to read as she associates the darker color of her nails and most likely, of her skin, with badness. In it one can read not just a silly equivalence or a reference to a more desired identity of an adult woman with wellmanicured nails, but her quick association of dark color with badness. Research shows that children between the ages of 3–4 make the connection between appearance and color but have no understanding of race as a social construct (Goodman, 1952; Stoute, 2019). What have these girls experienced that has contributed to such beliefs? What have they internalized that has led them to these symbolic equations and statements of negation? Racial formation, Archangelo and O’Loughlin note, is a complex process that involves more than adopting “wrong beliefs” and holding “wrong attitudes” (p. 6). It is a process that operates on a conscious and unconscious level and is shaped by socio-historical developments and the racial inequalities that emanate from them. Archangelo and O’Loughlin do not dwell on the history of racial oppression and exploitation and the effect of these realities on the formation of racial identity over generations. Instead, they turn their lens on the experiences of racial grief and melancholy and the role they play in the formation of racial identity for children who live in racially oppressive cultures. The skin color of children who are raised in such cultures is “stained with grief,” they state, and has an “intergenerationally transmitted racial melancholy” (p. 14). The grief they experience is derived f
Archangelo和O 'Loughlin这篇文笔优美的论文一开始就引用了Kenneth和Mamie Clark关于黑人儿童偏爱白人玩偶的实验。人们一直认为,这种偏好反映了黑人孩子的种族身份冲突,他们在一个贬低肤色较深的人、把他们视为劣等人的社会中长大。对白人娃娃的偏爱和它们所代表的种族身份冲突表明,种族政策的压迫使黑人儿童和他们周围的每个人都留下了“深深的种族伤痕”(第1页)。它们还表明,白人儿童通常不会表现出一定程度的混血儿意识。与黑人孩子不同,许多白人孩子在成长过程中从未质疑过世界上明显的种族不平等,以及维持这种不平等的痛苦现实。可悲的是,Archangelo和O 'Loughlin在他们的论文中提到的巴西黑人儿童也对白人玩偶表现出了同样令人不安的偏好。就像克拉克研究中的孩子们一样,9岁的莎拉发现白色的洋娃娃更漂亮,也更聪明。听着她的话,人们不禁想知道她对白人娃娃优越性的信念从何而来。同样的问题也可以用在一个四岁的小女孩身上,她把自己的指甲油和阿尔changelo的作比较,然后说:“你的颜色是幸福的颜色,我的是邪恶的颜色。”当她把自己指甲的深色,很可能还有皮肤的深色,与坏联系在一起时,这是一个令人痛苦的陈述。在这篇文章中,你不仅可以读到一个愚蠢的等同,也可以读到一个有着精心修剪的指甲的成年女性更令人渴望的身份,但她很快就把深色与坏联系起来了。研究表明,3-4岁的儿童在外貌和颜色之间建立了联系,但对种族作为一种社会结构没有理解(Goodman, 1952;斯托特,2019)。这些女孩经历了什么,促成了这样的信念?他们内化了什么使他们得出这些象征性的等式和否定的陈述?Archangelo和O 'Loughlin指出,种族形成是一个复杂的过程,不仅仅是采用“错误的信念”和持有“错误的态度”(第6页)。这是一个在有意识和无意识层面上运作的过程,并受到社会历史发展和由此产生的种族不平等的影响。Archangelo和O 'Loughlin没有详述种族压迫和剥削的历史,以及这些现实对几代人形成种族认同的影响。相反,他们把镜头对准了种族悲伤和忧郁的经历,以及这些经历对生活在种族压迫文化中的儿童形成种族认同所起的作用。他们说,在这种文化中长大的孩子的肤色“染上了悲伤”,并且有一种“代际传播的种族忧郁”(第14页)。他们所经历的悲伤来自于压迫性的现实和反复经历的系统性仇恨。但作者提到的种族忧郁是一种更广泛的经历,一种无法轻易用语言表达的经历。作为intuition
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引用次数: 1
STARR: Sensory-based, trauma assessment, and intervention to restore resilience STARR:以感觉为基础,创伤评估和干预恢复弹性
Q3 Psychology Pub Date : 2021-07-03 DOI: 10.1080/15289168.2021.1945728
C. Soma, J. Sloan, Sara Garipey, Gabriela Mueller, Rebecca Gerlach, Holly Sanders-Cobb, Dominique Mason
ABSTRACT This article features Sensory-based, Trauma Assessment and Intervention to Restore Resilience (STARR), a multi-modal, interdisciplinary approach that utilizes a sensory-based, mind-body and attachment-focused framework to healing trauma and restoring resilience in children and families. A family case example highlights and explores the integration of sensory-based and mind-body interventions throughout treatment, which compiles a holistic assessment inclusive of strengths, resources and opportunities for healing from trauma rather than a sole focus upon deficits. STARR offers an ally to children and parents and provides safety, attachment, connection, empowerment, and knowledge sharing through experiential, resilience-building experiences. Best practice recommendations for practitioners who work with at-risk and traumatized children and families in various settings including virtual platforms, are presented.
基于感官的创伤评估和干预恢复弹性(STARR)是一种多模式、跨学科的方法,利用基于感官、身心和依恋的框架来治疗儿童和家庭的创伤和恢复弹性。一个家庭案例的例子强调并探讨了在整个治疗过程中基于感觉和身心干预的整合,它编制了一个全面的评估,包括创伤愈合的优势、资源和机会,而不是仅仅关注缺陷。STARR为儿童和家长提供了一个盟友,并通过经验和复原力建设经验提供安全、依恋、联系、授权和知识共享。在包括虚拟平台在内的各种环境中,为从事风险和创伤儿童和家庭工作的从业人员提出了最佳实践建议。
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引用次数: 0
期刊
Journal of Infant, Child, and Adolescent Psychotherapy
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