1 / 16

Child-Parent Psychotherapy: A relationship-based treatment for traumatized young children

Child-Parent Psychotherapy: A relationship-based treatment for traumatized young children. Alicia F. Lieberman, Ph.D. alicia.lieberman@ucsf.edu Chandra Ghosh Ippen, Ph.D. chandra.ghosh@ucsf.edu. A Developmental Approach to Treatment. Young children develop in relationships

MikeCarlo
Télécharger la présentation

Child-Parent Psychotherapy: A relationship-based treatment for traumatized young children

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Child-Parent Psychotherapy: A relationship-based treatment for traumatized young children Alicia F. Lieberman, Ph.D. alicia.lieberman@ucsf.edu Chandra Ghosh Ippen, Ph.D. chandra.ghosh@ucsf.edu

  2. A Developmental Approach to Treatment • Young children develop in relationships • Young children use relationships with caregivers to • Regulate physiological response • Form internal working models of relationships • Provide secure base for exploration and learning • Model accepted behaviors

  3. Impact of Trauma on Caregiver-Child Relationship • Either partner may develop new negative attributions based on trauma experience • Changes in the way they perceive each other • Traumatic expectations • Caregiver and child may serve as traumatic reminders for one another (Pynoos, 1997)

  4. Young Children Need to Be Seen in the Context of Their Relationships

  5. Child-Parent Psychotherapy Goals • Encouraging normal development: engagement with present activities and future goals • Maintaining regular levels of affective arousal • Establishing trust in bodily sensations • Achieving reciprocity in intimate relationships

  6. Child-Parent Psychotherapy Trauma-related goals • Increased capacity to respond realistically to threat • Differentiation between reliving and remembering • Normalization of the traumatic response • Placing the traumatic experience in perspective

  7. Multi-Theoretical Approach to Treatment • Developmentally Informed • Attachment • Trauma • Psychoanalytic • Social Learning • Cognitive–Behavioral • Culturally informed

  8. Child-parent PsychotherapyIntervention Modalities 1. Promote developmental progress through play, physical contact, and language 2. Unstructured/reflective developmental guidance 3. Modeling protective behaviors 4. Interpretation: linking past and present 5. Emotional support 6. Concrete assistance, case management, crisis intervention

  9. Randomized Trial • Treatment children show greater improvements than comparison group children • Traumatic stress symptomatology • Diagnosis of Traumatic Stress Disorder • Behavior problems • Treatment mothers show greater improvement • Avoidant symptomatology • Total PTSD symptomatology • General symptomatology (Lieberman, Van Horn, & Ghosh Ippen, 2005; Lieberman, Ghosh Ippen, & Van Horn, in press)

  10. Maternal Symptomatology: PTSD (CAPS) P<.001

  11. Maternal Symptomatology:PTSD (CAPS Total Score) P<.05 P<.001

  12. Child Behavior Problems:Total Problems (CBCL) p<.01

  13. Child Traumatic Stress Disorder p<.001

  14. Child Diagnosis:Traumatic Stress Disorder

More Related