有外化问题的儿童接受以规则为中心的儿童心理治疗(RFP-C)的父母的防御概况:一项试点研究

IF 1.8 Q3 PSYCHOLOGY, CLINICAL

Mediterranean Journal of Clinical Psychology Pub Date : 2020-08-13 DOI:10.6092/2282-1619/MJCP-2515

Mariagrazia Di Giuseppe, Tracy A. Prout, Matilde Fabiani, Thomas Kui

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引用次数: 17

摘要

背景：内隐情绪调节作为一种心理防御机制，在养育子女中发挥着重要作用，尤其是对有外化行为问题的儿童的父母来说。研究强调了以调节为中心的儿童心理治疗（RFP-C）在减少对立违抗性障碍儿童心理困扰方面的有效性（Prout et al.，2019；Prout，2020）。目前的混合方法研究分析了孩子接受RFP-C治疗的父母的防御功能特征。方法：我们分析了从RFP-C随机对照试验中随机选择的14个视频记录的家长会议，该试验旨在检验一种新型的手动心理治疗对有外化行为的儿童的疗效。使用Q型防御机制评定量表（DMRS-Q；Di Giuseppe等人，2014）对临床样本和社区对照中的父母的防御功能进行了定量和定性分析。结果：适应性、强迫性和神经质防御最为普遍，10至30种防御机制占整体防御功能得分的5%以上。与社区对照组相比，患有对立违抗性障碍的儿童的父母在从属关系、幽默、压制和贬低他人形象方面的使用率明显更高。防御性个人简介叙述增加了对照顾者情绪调节的强度和局限性的定性理解。讨论：研究父母的防御机制可以更好地了解父母童年痛苦的经历，以及父母的防御风格如何影响孩子的外化行为。在临床环境中解决防御功能可以增强对抗性违抗性障碍儿童的心理调节，并改善治疗效果。

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Defensive profile of parents of children with externalizing problems receiving Regulation-Focused Psychotherapy for Children (RFP-C): A pilot study

Background: Implicit emotion regulation, operationalized as psychological defense mechanisms, plays an important role in parenting, especially for parents of children with externalizing behavior problems. Research has highlighted the efficacy of the Regulation Focused Psychotherapy for Children (RFP-C) in reducing psychological distress in children with oppositional defiant disorder (Prout et al., 2019; Prout, 2020). The current, mixed-methods study analyzed the characteristic defensive functioning of parents whose children were treated with RFP-C. Methods: We analyzed 14 video-recorded parent sessions randomly selected from the RFP-C randomized controlled trial examining the efficacy of a novel manualized psychotherapy for children with externalizing behaviors. Defensive functioning was quantitatively and qualitatively analyzed using the Q-sort version of the Defense Mechanisms Rating Scales (DMRS-Q; Di Giuseppe et al., 2014) for parents in the clinical sample and community controls. Results: Adaptive, obsessional, and neurotic defenses were most prevalent, with 10 to 30 defense mechanisms accounting for more than 5% of the overall defensive functioning score. Significantly higher use of affiliation, humor, suppression, and devaluation of other’s image were found among parents of children with oppositional defiant disorder as compared to community controls. Defensive Profile Narratives added a qualitative understanding of the strength and limitations of the caregivers’ emotion regulation. Discussion: Studying parents’ defense mechanisms may provide a better understanding of the parental experience of childhood distress and how parental defensive style may impact children’s externalizing behaviors. Addressing defensive functioning in a clinical setting could enhance psychological adjustment among children with oppositional defiant disorder and improve therapeutic outcomes.

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来源期刊

Mediterranean Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

4.10

自引率

53.80%

发文量

审稿时长

4 weeks

期刊介绍： The MJCP is an Open Access Peer-Reviewed International Journal in Clinical Psychology. MJCP accepts research related to innovative and important areas of clinical research: 1. Clinical studies related to Clinical Psychology, 2. Psychopathology and Psychotherapy; 3. Basic studies pertaining to clinical psychology field as experimental psychology, psychoneuroendocrinology and psychoanalysis; 4. Growing application of clinical techniques in clinical psychology, psychology of health, clinical approaches in projective methods; 5. Forensic psychology in clinical research; 6. Psychology of art and religion; 7. Advanced in basic and clinical research methodology including qualitative and quantitative research and new research findings.