{"title":"Respark: igniting hope and joy after depression and trauma","authors":"Rachel Pardoe","doi":"10.1080/0075417X.2022.2037103","DOIUrl":"https://doi.org/10.1080/0075417X.2022.2037103","url":null,"abstract":"","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"48 1","pages":"151 - 154"},"PeriodicalIF":0.4,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41966048","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":"‘I caught you!’ Part 2: enriching the external reality","authors":"S. Levi","doi":"10.1080/0075417X.2022.2044370","DOIUrl":"https://doi.org/10.1080/0075417X.2022.2044370","url":null,"abstract":"ABSTRACT This paper describes and explores the second part of the therapeutic treatment of a young boy who was diagnosed with autism, aged two. In the previous paper, his intensive psychoanalytic psychotherapy and his mind’s growth were covered. In this paper, his non-intensive psychotherapy, parent work, a home-enrichment programme, a structured personality assessment (including use of the WISC-III UK), and mainstream integration will be reported on. The aim of this account is to argue that differential diagnosis is essential for complex cases where there is early neglect and abuse in the child’s developmental history. A psychoanalytic approach that includes personality assessment is suggested to accompany, and even at times replace, the more widely used medical and behavioural assessment methods. It is argued that this can be more comprehensive and helpful in getting to the bottom of the child’s psychological and developmental difficulties, and so can aid in planning effective treatment and support.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"48 1","pages":"48 - 68"},"PeriodicalIF":0.4,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41477477","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":"How to do things with questions: the role of patients’ questions in Short-Term Psychoanalytic Psychotherapy (STPP) with depressed adolescents","authors":"Yael Yadlin, E. Edginton, G. Lepper, N. Midgley","doi":"10.1080/0075417X.2022.2042584","DOIUrl":"https://doi.org/10.1080/0075417X.2022.2042584","url":null,"abstract":"ABSTRACT The role of patients’ questions in psychoanalytic psychotherapy is a neglected topic in the clinical and research literature. This qualitative study aims to bridge this gap by exploring the role of patients’ questions in Short-Term Psychoanalytic Psychotherapy (STPP) with adolescents suffering from depression. This is a single case study, focusing on the interaction between the patient and his therapist when questions were asked by the patient, using conversation analysis methodology. Data was taken from the IMPACT study, a randomised controlled trial, investigating three types of therapy in the treatment of adolescent depression. The findings identify some typical ways in which the therapist responded to the patient’s questions, and show that ‘surprising behaviours’ that seem associated with heightened affect appeared when the patient asked a question, leading to an enlivening of the therapeutic interaction. The study examines the significance of these findings within the context of the therapeutic relationship and discusses the implication of these findings for technique.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"48 1","pages":"123 - 140"},"PeriodicalIF":0.4,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44846852","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":"High-functioning autism: changes over fourteen years of psychoanalytic psychotherapy: part three","authors":"R. Holloway","doi":"10.1080/0075417X.2022.2040573","DOIUrl":"https://doi.org/10.1080/0075417X.2022.2040573","url":null,"abstract":"ABSTRACT This paper is the third of a triptych of papers. The word ‘triptych’ refers to traditional religious paintings, where three panels are joined with hinges. Each of the three papers in this triptych outlines certain aspects of my patient Sam’s fourteen year psychotherapy. When these papers are read together, they provide a detailed exploration of the most noteworthy changes I have observed in Sam over the fourteen years of our therapeutic relationship. This third and final part deals with the way that Sam’s defensive structures have developed and shifted over fourteen years. It integrates material from all three papers, and makes a foray into theorising about some possible aetiological sources of ASD, emphasising psychodynamic aspects. Taken together, the three papers are my effort to map out the important psychodynamic changes in Sam’s functioning across fourteen years of treatment.","PeriodicalId":43581,"journal":{"name":"JOURNAL OF CHILD PSYCHOTHERAPY","volume":"48 1","pages":"6 - 29"},"PeriodicalIF":0.4,"publicationDate":"2022-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46770842","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: 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":"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}