Exposed, scaffolded and connected - Foster carers' experiences of dyadic developmental psychotherapy: An interpretative phenomenological analysis.

Abstract

Objective: Research is required to better understand the experience and effectiveness of dyadic developmental psychotherapy (DDP), a promising intervention developed to meet the complex needs of developmental trauma-experienced children in substitute care. DDP is a systemic intervention, within which the child's carer plays a significant role. Given their significant role and the lack of existing research, this study aimed to explore how foster carers experience DDP.

Design: A qualitative design using semi-structured interviews with 10 foster carers was implemented.

Method: Interviews conducted via Microsoft Teams and telephone were recorded, transcribed and analysed using interpretative phenomenological analysis.

Results: Four group experiential themes and 11 subthemes were formed; 'from disbelief to clarity', 'scaffolded and safe', 'attuned and connected' and "It's worth it". From initial confusion and disappointment, came clarity of self-understanding and a more attuned, connected attachment relationship. DDP was experienced as both fulfilling and demanding.

Conclusions: Though the need to explore DDP's effectiveness remains, this study suggests foster carers experience DDP as a demanding yet worthwhile intervention. Implications for practice, especially an increased need for relational safety and carer support are explored, as well as avenues for future research.