Change Processes In Child Psychotherapy

This groundbreaking work advances a developmental perspective on both the basic processes of therapeutic change and the classification of childhood problems, offering a novel approach to the search for effective treatments for children. Generating a new flow of ideas between clinical practice and empirical research, the volume revitalizes basic modalities such as psychodynamic, play and cognitive therapies by identifying the core ingredients that enhance and retard the processes of change. The authors also demonstrate the limitations of utilizing diagnostic labels as the basis for assessing treatment efficacy, arguing instead for an integrative approach that links methods of intervention with a case-relevant analysis of the child's emotional, interpersonal and cognitive development. This book will appeal to clinical and school psychologists, psychiatrists, social workers, and other clinicians working with children, as well as researchers in the field. It also serves as a text in graduate-level courses on child treatment and child psychopathology.

This book draws together work from across Europe by leading clinical researchers who have been looking into the effectiveness of psychoanalytic interventions. They are mostly time limited, brief, non-intensive ways of working so are applicable in many settings and can therefore be generalised to other clinical teams. The populations worked with are diverse and often present mainstream services with refractory clinical problems, so an applied psychoanalytic approach is well worth trying, given the evidence presented in this volume. There is in addition an excellent theoretical chapter on the issues of such clinical research from Stephen Shirk which merits consideration by those wishing to evaluate their own work. This book is an important contribution to services for child and adolescent mental health. With increasing family distress and concerns about inadequate parenting, family breakdown and troublesome adolescents, it will help to ensure the full menu of interventions is retained in these times of financial restraint.

and knowledge, and as a possible way to illuminate change processes in psychotherapy. Today, developmental researchers and neuroscientists increasingly locate keys to psychological health and development in the earliest interactions between mother and infant." "This book, which consists of significant papers by the BCPSG, traces the group's contributions to psychoanalytic topics of note, including; the location of the implicit, the creation of meaning, the moment-by-moment clinical process, and the subjective experience of the therapist. The book also includes new introductions to selected chapters, which provide background on the original intent and reception of each article." --Book Jacket.

Like hiking off the well-traveled trail, attempting to bridge foreign do mains of research and practice entails certain risks. This volume repre sents an effort to explore the relatively uncharted territory of cognitive and social-cognitive processes embedded in child psychotherapy. The territory is largely uncharted, not because of a lack of interest in children and cognition, but because child psychotherapy has been chronically neglected by clinical researchers. For example, recent meta-analyses of the effectiveness of child psychotherapy draw on less than 30 non behavioral studies of child psychotherapy conducted over a 30-year period. The average of one study per year pales in comparison to the volume of research on adult psychotherapy. Moreover, research exam ining cognitive, affective, and language processes in child psycho therapy is virtually nonexistent. Consequently, the contributions to this volume should not be seen as reviews of an extant, clinical-research literature. Instead, they represent attempts to expand the more familiar and well-researched province of developmental psychology into the rel atively uncharted domain of child psychotherapy process. In addition to bridging the literature on child psychotherapy with research perspectives on children's cognitive and social-cognitive devel opment, this volume attempts to cross a second gap. Recent surveys of the utilization of psychotherapy research by practicing psychotherapists indicate the distance between these two domains is substantial. Only a small minority of practitioners find psychotherapy research to be a useful source of information for their practice.

Child psychotherapy is in a state of transition. On the one hand, pretend play is a major tool of therapists who work with children. On the other, a mounting chorus of critics claims that play therapy lacks demonstrated treatment efficacy. These complaints are not invalid. Clinical research has only begun. Extensive studies by developmental researchers have, however, strongly supported the importance of play for children. Much knowledge is being accumulated about the ways in which play is involved in the development of cognitive, affective, and personality processes that are crucial for adaptive functioning. However, there has been a yawning gap between research findings and useful suggestions for practitioners. Play in Child Development and Psychotherapy represents the first effort to bridge the gap and place play therapy on a firmer empirical foundation. Sandra Russ applies sophisticated contemporary understanding of the role of play in child development to the work of mental health professionals who are trying to design intervention and prevention programs that can be empirically evaluated. Never losing sight of the complex problems that face child therapists, she integrates clinical and developmental research and theory into a comprehensive, up-to-date review of current approaches to conceptualizing play and to doing both therapeutic play work with children and the assessment that necessarily precedes and accompanies it.

An integrative approach for child therapists of all disciplines and at all levels of training and experience. How to Be a Better Child Therapist is an innovative contribution to the theory and practice of child therapy. Drawing on several decades of experience, Kenneth Barish presents a comprehensive, multi-faceted approach to therapeutic work with children and families, based on a contemporary understanding of children’s emotions and emotional needs. This book offers a new theoretical integration, an in-depth discussion of the essential processes of child therapy, and a wealth of practical recommendations to help child therapists solve the varied problems presented to us in daily clinical work. Part 1 provides a theoretical foundation. Barish demonstrates how emotional and behavioral problems of childhood are most often caused by vicious cycles of painful emotions and pathogenic family interactions. Successful therapy arrests this malignant development and sets in motion positive cycles of healthy emotional and interpersonal experiences—increased confidence and engagement in life and more affirming interactions between parents and children. Over time, children and adolescents develop a less critical inner voice and more positive expectations for their future—a new sense of what is possible in their lives. Part 2 describes 10 principles that guide our efforts toward this overarching therapeutic goal. Barish offers advice on how we can improve all aspects of clinical work with children: How can we engage more children in treatment? Why is empathy essential to children’s emotional health and effective therapy? How do children learn to regulate their emotions? What is the role of play in contemporary child therapy? How can we combat a child’s discouragement and self-doubt? How can we overcome children’s resistance to talking about bad feelings? Part 3 presents a framework for therapeutic work with parents. Barish describes general principles for strengthening family relationships as well as practical plans for solving many common problems of their daily family life. He offers strategies for helping children who have difficulty with separations, doing homework, getting ready in the morning, or going to sleep at night; children with tantrums and uncooperativeness, rudeness and disrespect, sibling conflicts, and addiction to video games—problems for which parents, often urgently, ask our help. How to Be a Better Child Therapist is both inspiring and practical, essential reading for therapists of all theoretical orientations who work with children and families.

"The relational and the developmental point of view have never been brought together in an adequate way. This up-to-date scholarly, yet practical, integration opens a new vista within relational psychoanalysis and pioneers a fresh approach in the psychoanalytic treatment of children and adolescents. It is a work of great and lasting value to the field." –Peter Fonagy

Christiane Brems, in collaboration with new coauthor Christina Rasmussen, introduces prospective and practicing clinicians to theories and principles of applied clinical work with children ages three to twelve years. The authors take an integrated approach to understanding children and their families, using a biopsychosociocultural model for conceptualization and treatment planning. Their methods are practical and compassionate, as well as contextually grounded and individually tailored. Chapters follow the logical development of clinicians, mirroring the natural flow of work with children. Coverage ranges from the importance of a beginning practitioner’s introspection and of ethical and legal issues to a variety of intervention techniques and strategies and, finally, termination. Case studies showcase individualized and mindful treatment for each child with whom a clinician works. Outstanding Features of the Fourth Edition . . . · Essential attention to how clinicians’ self-awareness can lead to positive therapeutic relationships with children and their families. · Thorough discussions of the biopsychosociocultural model for conceptualization and treatment planning. · Emphasis on intensive assessment prior to treatment planning to address the needs of each child and family. · A compelling, practical exploration of mindfulness intervention with children. The authors’ methodology addresses the profound effects of the larger environment and culture on children. By adopting the authors’ integrated approach, clinicians are better able to understand important and complicated aspects of a child’s and family’s life. From there, compassionate, thoughtful, and relevant intervention ensues.