{"title":"Research digest: sleep","authors":"Rachel Acheson","doi":"10.1080/0075417X.2022.2043414","DOIUrl":"https://doi.org/10.1080/0075417X.2022.2043414","url":null,"abstract":"the normal range of serious health problems health well-being. Background: To characterize cross-cultural sleep patterns and sleep problems in a large sample of children ages birth to 36 months in multiple predominantly-Asian (P-A) and predominantly-Caucasian (P-C) countries. Methods: Parents of 29,287 infants and toddlers (predominantly-Asian countries/ regions: China, Hong Kong, India, Indonesia, Korea, Japan, Malaysia, Philippines, Singapore, Taiwan, Thailand, Vietnam; predominantly-Caucasian countries: Australia, Canada, New Zealand, United Kingdom, United States) completed an internet-based expanded version of the Brief Infant Sleep Questionnaire. Results: Overall, children from P-A countries had significantly later bedtimes, shorter total sleep times, increased parental perception of sleep problems, and were more likely to both bed-share and room-share than children from P-C countries, p < .001. Bedtimes ranged from 19:27 (New Zealand) to 22:17 (Hong Kong) and total sleep time from 11.6 (Japan) to 13.3 (New Zealand) hours, p < .0001. There were limited differences in daytime sleep. Bed-sharing with parents ranged from 5.8% in New Zealand to 83.2% in Vietnam. There was also a wide range in the percentage of parents who perceived that their child had a sleep problem (11% in Thailand to 76% in China). Conclusions: Overall, children from predominantly-Asian countries had significantly later bedtimes, shorter total sleep times, increased parental perception of sleep problems, and were more likely to room-share than children from predominantly-Caucasian countries/regions. These results indicate substantial differences in sleep patterns in young children across culturally diverse countries/regions. Further studies are needed to understand the basis for and impact of these interesting differences. Empirical findings regarding the association between child attachment and sleep have been inconsistent. The objectives of this series of meta-analyses were to assess the size of the association between child sleep and attachment and to examine whether study methodology (attachment measure, sleep measure) and age moderate this association. Sixteen studies (2783 children aged from 6 to 38 months) were included. Significant associations were found between attachment security and sleep efficiency ( r = .18) and attachment resistance and sleep problems ( r = .18). There were significant moderator effects of sleep measure and age of the child, with the size of the association between sleep and attachment security increasing with age ( R 2 analog = .67). Inconsistent findings are likely due to inter-study variabilities in methodology and to a developmental effect on the sleep-attachment association. how to regulate emotion as a function of both contextual factors and individual differences. Aim: To evaluate parental perspectives on the acceptability and usefulness of a ‘cued-care’ approach to infant sleep implemented in an Australian primary care setting. The Po","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"48 1","pages":"155 - 167"},"PeriodicalIF":0.4,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41966131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trauma in child psychotherapy: some thoughts around a concept","authors":"Maria Papadima","doi":"10.1080/0075417X.2021.2021545","DOIUrl":"https://doi.org/10.1080/0075417X.2021.2021545","url":null,"abstract":"ABSTRACT This paper offers an exploration of the notion of trauma, viewing it as an ‘elastic’ concept that has changed over time within psychoanalytic theory, including in child psychotherapy. There is an argument for a multi-faceted, developmental, individual way of viewing trauma, taking into account contemporary knowledge about psychic trauma while at the same time not losing sight of some psychoanalytic ideas that were central in the formation of the term. This paper argues for the importance of reclaiming and holding onto certain Freudian elements of what trauma means, including the idea that structural/ontological trauma in the course of human life is necessary and developmentally important, and is differentiated from historical trauma, which is linked to a particular event. These different ways of thinking about trauma are explored through presenting the work of French child psychoanalyst Françoise Dolto.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"47 1","pages":"433 - 452"},"PeriodicalIF":0.4,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42603295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Editorial","authors":"Alexandra de Rementeria","doi":"10.1080/0075417X.2021.2018480","DOIUrl":"https://doi.org/10.1080/0075417X.2021.2018480","url":null,"abstract":"We have had such a good response to our invitation for submissions relating to trauma that the theme will continue beyond this special issue, into the spring issue. We would like to foster debate and so would welcome short pieces (4000 words) in response to the papers here. In this issue, we have a diverse collection of papers approaching the topic of trauma from very different angles. The first paper, a single case study by Fiorenzo Ranieri, tracks the ways in which a pre-teen with a history of complex trauma uses the mind of her therapist to scaffold her rediscovery of the world from a place of safety following her adoption. Like a much younger child, she wants to notice and name the physical world, particularly places of importance to her but also the most simple items: ‘An “our” apple must be less distressing than “her” apple, linked to her memories. “Our” apple is less persecutory because it is thought together in a context, that of psychotherapy, which is sufficiently welcoming and non-conflictual . . . for her it is important that I explore things emotionally, in order to understand them as a form of personal experience. Once the objects are understood in this sense, through me Sarah too will be able to re -appropriate them without feeling them hard and stinging, but soft enough to be integrated.’ Ranieri shows us how this process went on to encompass the human objects of her past and present and, in time, allowed the construction of a safer internal world. He notes that by the end of treatment, the girl was able to begin her somewhat delayed adolescent development. She was now psychologically safe enough to begin taking the healthy risks that development demands. For Graham Music, this capacity to reach out or move towards – towards the future, or towards others, with all the risk and lust for life that requires – is not just the reward of recovering from trauma, but an essential part of the healing process. Music is also clear that anger is a part of healing. In ‘Resparking from flatness: New thoughts on shut-down states after trauma and neglect,’ he delineates three kinds of shutdown states and how to work with them. He describes work from his early career, as well as more recent work, comparing his changing technique. We read about a boy whose defences might have passed for liveliness before a less attentive observer: ‘ . . . he demonstrated a quicksilver ability on the football field, the bullying stopped and he could stay even more under the radar, gliding around the dangers of group-life with his big smile, rather like he glided past tackles on the football pitch.’ Music describes a pincer movement. As a therapist, he had to challenge this evasive quality, but this would not have been helpful if he had not first created a space where it was safe for a black boy to be angry: safe from retaliation and safe from being misconstrued. I was moved by the delicacy with which Music notes the nascent rage beneath a look of disgust on his JOUR","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"47 1","pages":"333 - 337"},"PeriodicalIF":0.4,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43843415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treating complex trauma: a relational blueprint for collaboration and change","authors":"Maria Papadima","doi":"10.1080/0075417x.2021.2021544","DOIUrl":"https://doi.org/10.1080/0075417x.2021.2021544","url":null,"abstract":"of us were thrown suddenly into online therapeutic work. The Journal of Child Psychotherapy December 2020 edition contributed enormously to the thinking about this kind of work and this chapter adds another important way of thinking about this ‘fundamental modification of the process and setting’. This well written book fills a gap in the introductory literature about psychodynamic psychotherapy. The added value lies in its highly skilled and knowledgeable approach to contemporary practice and challenges. It will soon be found on many library shelves where introductory courses are run.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"47 1","pages":"495 - 498"},"PeriodicalIF":0.4,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44162887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Changing minds and evolving views: a bio-psycho-social model of the impact of trauma and its implications for clinical work","authors":"R. Emanuel","doi":"10.1080/0075417X.2021.2013927","DOIUrl":"https://doi.org/10.1080/0075417X.2021.2013927","url":null,"abstract":"ABSTRACT This paper summarises my current understanding of relevant neuroscience and trauma therapy concepts, and discusses the implications for psychoanalytic psychotherapy with traumatised patients. It also explores the new social constructivist theory of ‘How emotions are made’ which has deep resonances with the psychoanalytic theory of thinking. These bio-psycho-social models and ideas challenge our existing traditional techniques and ways of working with trauma, and places the necessity of addressing body states at the forefront of our work. Some guidelines on working with traumatised children are discussed which take account of the newer findings of the impact of trauma on the body/brain.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"47 1","pages":"376 - 401"},"PeriodicalIF":0.4,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42897974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reflections on the organisational processes on a SCBU – a child psychotherapist's view","authors":"Flavia Ansaldo","doi":"10.1080/0075417X.2021.2021436","DOIUrl":"https://doi.org/10.1080/0075417X.2021.2021436","url":null,"abstract":"ABSTRACT This paper illustrates the role of child psychotherapists on Neonatal Units as reaching beyond the direct work with parents and babies to include an engagement with the staff's internal representations of the organisational sphere within which they are positioned. An understanding of the ‘organisation in the mind’ requires consideration of multiple levels, including the organisational and social processes that shape individuals’ experiences. Through the use of composite case studies inspired by my work on a Special Care Baby Unit (SCBU), I argue that psychoanalytically informed practice within these settings can include indirect and often unplanned interventions aimed at lessening socially structured defences and creating opportunities for thinking for both parents and staff. In my conclusions, I suggest that the role of child psychotherapists on these units, with its understanding of unconscious internal processes and organisational dynamics, can promote reflective practice and facilitate oedipal growth at both the individual and organisational level.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"47 1","pages":"453 - 469"},"PeriodicalIF":0.4,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46619443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Research digest: Therapeutic work with children and adolescents who have experienced trauma","authors":"Rachel Acheson","doi":"10.1080/0075417X.2021.2013928","DOIUrl":"https://doi.org/10.1080/0075417X.2021.2013928","url":null,"abstract":"One is conscious when approaching this area of research what a mammoth task lies ahead. Trauma is a complex and much debated field, both theoretically and clinically, and as the range of papers in this special issue demonstrates, can be approached and thought about from many different angles. As established in one of the abstracts included in this review (Norman et al., 2012), all forms of child maltreatment can have serious and significant impacts on several health indices, making the development of effective treatments all the more important. There is a plethora of research examining the treatment of trauma within youth psychotherapy, with the majority of it centring around trauma-focused cognitive behavioural therapy (TF-CBT). This approach, developed in the 1990s, is a shortterm intervention involving individual, parent, and family work, and focuses on the learning of cognitive strategies to manage negative emotions and beliefs stemming from highly distressing and/or abusive experiences. Meta-analysis (Morinaab et al., 2016) and systematic review (Carey & McMillen, 2012) have established the ‘high quality’ evidence for TF-CBT that subsequently has the most influence on public policy. However, eye-movement desensitization and reprocessing (EMDR) is also emerging as an alternative treatment with a good evidence base (Moreno-Alcázar et al., 2017). Currently, The National Institute for Health and Care Excellence (NICE) recommends both these treatments for children and adolescents who have experienced trauma. To a lay observer of the field, decisions surrounding choice of intervention could easily appear quite straightforward. There is high quality evidence for short-term manualised treatments, which are well suited to delivery within a public health setting. However, these treatments rely on a level of functioning that does not exist in all children and families that have experienced trauma, and fail to address the multiple and insidious ways complex trauma can imbed within the psyche, as discussed in many of the papers in this special issue. The complexity and ‘livedexperience’ of engaging in therapy focused on treating trauma symptoms are addressed by some of the research abstracts included below. Eastwood et al. (2021) and Graham & Johnson (2021) seem to broadly highlight the importance of a relational and individual approach, while Tiwaria et al. (2021) echo this with a call for ‘client-centred, eclectic approaches.’ Psychodynamic psychotherapy has been widely used with children who have experienced maltreatment, especially those who have been placed in foster care or have been adopted. Some of these studies have been included in this review, amongst them a randomised controlled trial looking at the effectiveness of individual child psychotherapy for girls who were JOURNAL OF CHILD PSYCHOTHERAPY 2021, VOL. 47, NO. 3, 499–512 https://doi.org/10.1080/0075417X.2021.2013928","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"47 1","pages":"499 - 512"},"PeriodicalIF":0.4,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47344256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A clinical guide to psychodynamic psychotherapy","authors":"R. Fleming","doi":"10.1080/0075417X.2021.2018481","DOIUrl":"https://doi.org/10.1080/0075417X.2021.2018481","url":null,"abstract":"This is a well-researched book, which tackles many important contemporary themes of the modern world. It will help many people interested in psychodynamic psychotherapy to increase their knowledge and/or take informed steps towards clinical training. Although it is entirely about psychodynamic psychotherapy with adults, I could imagine many sections of the book being used for all pre-clinical course teaching. The book is separated into clear well written sections, and each chapter has highly relevant references and useful resources. The list of YouTube videos was, for this reviewer, a revelation. Quality online psychotherapeutic presentations can open up a rich source of learning.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"47 1","pages":"491 - 495"},"PeriodicalIF":0.4,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47537260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trauma and place identity: the breaking and repairing of place attachment in the mind of an adolescent with developmental trauma","authors":"F. Ranieri","doi":"10.1080/0075417X.2021.2012498","DOIUrl":"https://doi.org/10.1080/0075417X.2021.2012498","url":null,"abstract":"ABSTRACT This paper illustrates features of psychoanalytic psychotherapy with a young adolescent who had experienced adverse childhood events, culminating in cumulative trauma. This led to the atrophying of her ‘sense of place’ and ‘place identity’, both integral to the development of a sense of self. The patient’s memory of places seemed to have been pulverised and required the contact and containment of the adult mind of the therapist to find recomposition. A therapeutic relationship developed, thanks to the sharing of objects and places which had become fragmented in the patient’s mind. There was a need for locations, paths, places, indeed entire nations needed to be emotionally recomposed in the transference, to assume rudimentary but thinkable forms. The psychotherapy made it possible to find part of my young patient’s memory through play, and the value of intensive but short-term work became evident. Psychotherapy allowed partial repair of the capacity for place attachment, which facilitated the exploration of the external world, the possibility of attachment to new places, and the construction of new place identities, alongside her developing sense of herself.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"47 1","pages":"338 - 356"},"PeriodicalIF":0.4,"publicationDate":"2021-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58870088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}