Sliding doors: some reflections on the parent–child–therapist triangle in parent work–child psychotherapy

The parental presence as therapy agents, namely as a medium and support for the therapeutic process, is one of the paradoxical parameters of working with children. Parental presence serves as a reminder of the need to find a balance between inner and outer reality. The door that is closed in the therapy room leaves a parent on the other side but at the same time provides the child’s inner world with more latitude to reveal itself. This paper examines the fabric of relations created in the therapeutic parent–child–therapist triangle (analogous to Britton’s conceptualisation of the parent–parent–child link). How does this triangular connection affect the ability to be with the silent self (Winnicott) when the parent remains (tangibly and symbolically) on the other side of the therapy door? This paper presents two clinical examples to illustrate the complex fabric of relations created in the therapeutic parent–child–therapist triangle and the interactions between the internal and external reality of the parent–child relationship.     

Family wealth and parent–child relationships

This study examined associations between self-reported family wealth and parent–child relationships, by contrasting three theoretical perspectives on the shape of the association. The study utilized data from the Norwegian part of the “Health behaviour in school-aged children study (HBSC) 2013/2014”, with a sample of 3383 children aged 11–15 years old. The shape of associations between family wealth and parent–child communication were tested using regression spline models with knots at 1 SD below mean family wealth and at 1 SD above mean family wealth. The regression spline models showed that increasing family wealth was associated with easier family communication, clearer family communication, and higher family support. Results revealed that for boys, the association between family wealth and outcomes was stronger for the lower segment of family wealth, than in medium and high segments of family wealth. For girls, the gradient across level of wealth was monotone, with higher parent–child communication and higher family support at higher family wealth. To conclude, the results from this study suggest a nonlinear pattern of inequality in parent–child relationships across the range of family wealth.     

Additive and synergistic relations of early mother–child and caregiver–child interactions and socioeconomic outcomes in adulthood

Prior theoretical and empirical studies have linked the first 3 years of children's life with later life outcomes. One primary explanation is the critical role these experiences play in children's early brain development (including their early language and cognitive abilities) and subsequent schooling achievement. The current study is a registered report with two complementary research objectives: (1) examine to what extent stimulating and responsive interactions with mothers and nonparental caregivers during the first 3 years of life show additive or synergistic associations with key socioeconomic outcomes in adulthood (i.e., educational attainment, salary, and employment status), and (2) examine to what extent academic skills (i.e., mathematics, vocabulary, and literacy) during childhood and adolescence mediate these associations. The sample included 1364 individuals from a birth cohort study who were followed until age 26. Mother–child interactions had positive associations with educational attainment and negative associations with full-time employment, though no synergistic associations were found for the socioeconomic outcomes. In addition, the indirect effects of mother–child interactions on educational attainment through mathematics were strongest for children with less stimulating and responsive caregiver–child interactions. Potential implications of these findings for developmental theory are discussed.     

Teacher–child relationship,child withdrawal and aggression in the development of peer victimization

The study examined pre-kindergarten teacher–child relationship as a predictor of peer victimization up to first grade, assessed whether this role moderated risks from children's social withdrawal and/or aggression. Participants were 377 Australian children from 12 schools. Parent ratings of victimization in pre-kindergarten, kindergarten and first grade were used, as well as prekindergarten self-ratings of parenting. Teacher-ratings of conflict and closeness, child aggression and social withdrawal were collected in pre-kindergarten. Two-part growth curve analyses conjointly modeled the likelihood of being victimized and severity of victimization. Teacher–child conflict in prekindergarten predicted the likelihood of concurrent and first grade victimization; closeness in prekindergarten was protective of more severe victimization over time. Conflict also moderated the relationship between social withdrawal and growth in severity of victimization. Discussion focuses on elucidating the ‘invisible hand’ of the teacher in peer dynamics, and on interventions for reducing conflict and promoting closeness in the classroom.     

Improving parent–child interactions through interactive reading workshops

IntroductionMany authors agree on the importance of training parents in early literacy strategies.ObjectiveThis study analyses the effects of an intervention to improve parent–child interactions during reading sessions, using interactive reading techniques.MethodThe design is exploratory and includes a treatment group (n = 22), which benefited from four interactive reading workshops, and a control group (n = 18), which did not benefit from specific training. Both groups read the same books, three times a week, for 10 weeks. The children come from middle socioeconomic backgrounds and attend preschool or kindergarten (grades 1–3).ResultsThe analyses were conducted on the basis of pre- and post-intervention video observations, coded using the Adult–Child Interactive Reading Inventory (ACIRI). Results from an ANCOVA show that parental behavior, and in turn child behavior, improves in post-intervention: parents improve their children's attention to the text and implement literacy strategies, while the children become more involved in the interactions.ConclusionInteractive reading workshops for parents improve the quantity and quality of parent–child interactions when reading books in a natural and playful context.     

General mood of professional caregivers in child care centers and the quality of caregiver–child interactions

The present study is the first to relate professional caregivers’ general mood to the observed quality of their interactions with the children in their care. A total of 238 female caregivers from 133 child care groups in 64 centers completed the General mood scale of Bar-On’s Emotional Quotient Inventory (1997) and was observed while playing with small groups of children. Factor analysis on the General mood scale yielded five general mood factors, one negative and four positive. Two positive mood factors in particular, i.e., positivity and optimism, were found to contribute positively to the quality of professional caregivers’ behavior toward the children and, through their caregiving behavior, to the children’s well-being.     

Maternal depression and the timing of mother–child dialogue

Turn-taking in dialogue is an essential part of communication and early language experience. The prevalence of utterances and the timing of responses in dialogue were examined at 14 and 36 months of age in 104 mother–child dyads from the Early Head Start Research and Evaluation Project (EHSREP). Mothers varied in their level of depression risk (measured with the Center for Epidemiological Studies-Depression scale; CES-D). Although maternal utterance rate did not vary significantly across any factors, the latency of mothers' responses to their children decreased with development (12 ms/month) and was significantly related to that of their own children (i.e., slow-responding children had slow-responding mothers). Mothers with higher levels of depressive symptoms were 11% slower in responding to their children than mothers with low depression risk, suggesting that the interactive timing of speech to children may be particularly sensitive to maternal depression, modifying the contingent properties of children's early language experience.     

Parent–child talk and children's understanding of beliefs and emotions

We examined the development of children's understanding of beliefs and emotions in relation to parental talk about the psychological world. We considered the relations between parent–child talk about the emotions of characters depicted in a picture book, false belief understanding and emotion understanding. Seventy-eight primarily Caucasian and middle-class parents and their 3- to 5-year-old children participated (half boys and half girls). The emotions talked about were relatively simple, but the complexity of the situation varied in terms of whether or not an understanding of beliefs was required to understand the emotion. Talk about the belief-dependent aspects of the emotions of picture book characters predicted children's false belief understanding, whereas talk about non-belief-dependent aspects of these emotions predicted children's emotion understanding. We argue that these data suggest that the development of children's understanding of beliefs and emotions is intertwined with learning to talk about the psychological world.     

Recollections of parent–child relationships,attachment insecurity,and obsessive–compulsive beliefs

To adequately understand Obsessive Compulsive Disorder (OCD), it is important to understand the developmental origins of obsessive beliefs and corresponding compulsive acts. Prior work has shown that having cold, neglectful parents in childhood and/or insecure attachment styles are both linked to emotional disturbances. In this study, we explored the potential contributions of early parent–child relationships to attachment styles and the severity of obsessive–compulsive beliefs in adulthood. A sample of 397 college students completed online, self-report measures of retrospective parent–child relationships, adult attachment styles, and ongoing obsessive–compulsive symptoms. Analyses revealed that attachment anxiety partially mediated the association between parent–child relationships and obsessive beliefs; attachment avoidance failed to operate as a mediating mechanism. Our findings provide support for interpersonal approaches to obsessive–compulsive symptoms and disorder, with implications for the continuity of relationship dysfunction from childhood into adulthood.     

Infant-holding bias variations in mother–child relationships: A longitudinal study

This longitudinal study examined the associations between maternal depressive symptoms and infant holding bias in a sample of N = 43 women during three prospective sessions: during pregnancy, two months after childbirth, and when the child was 19 months of age. The majority of mothers (65.8% on average) held their children on the left side of their body at all three sessions; approximately 30% demonstrated a change in their preference, in particular between the pre- and first post-natal session. Examination of reciprocal associations between holding bias and depression revealed that prior and concurrent depression did not predict changes in holding-side biases, whereas women's holding preferences when their infant was two months old predicted change in pre- to postnatal depressive symptoms; women favouring a right-sided holding bias were significantly more likely to report increased depressive symptoms across the perinatal period, whereas a left-sided holding bias was associated with decreased depressive symptomatology.     

The child in time: The influence of parent–child discussion about a future experience on how it is remembered

We investigated the influence of preparation provided by parents on preschoolers’ recall. One day before children participated in a staged novel event, parents discussed the event with their child either with (verbal+photos) or without (verbal) photographs. Parents and children in a control condition read an unrelated story. Then 8–10 days later the children were interviewed about the event. Children in the verbal+photos condition recalled significantly more than those in the control condition. Parental preparation style (e.g., evaluations, hypothetical language) was associated with the child's contributions to the preparatory discussion, but no aspect of parent or child style or content was associated with children's verbal recall. Similarly, there were no significant associations between children's performance on a task of episodic future thinking, and their preparatory discussion or recall, although episodic future thinking was strongly associated with language ability. The potential underlying mechanisms and theoretical implications are discussed.     

Parent–child career construction: A narrative study from a gender perspective

Nine families composed of mother and father, one son and one daughter were involved in this study to examine the role played by parents on children's career development from a gender perspective. In particular, this paper addresses the questions of how the parent–child dyad constructs stories about the child's career and the role played in it by the parent, and how same-sex dyads versus opposite-sex shape these stories. The narrative method was used as it lends itself to capturing family members storytelling about children's career. A narrative interview was administered to thirty-six participants with the data being analyzed using the adaptation of a tried-and-tested narrative analysis procedure. The findings show the importance of same-sex dyads in constructing career stories, plotted around themes of father–son educational and occupational transmission and mother–daughter alliance in facilitating girls' self-making. The study shows how storytelling helps family members to accommodate disruptions experienced during career transitions and to motivate choices that make vocational identity more stable. Implications for practice and future research are discussed.     

The contributions of child–mother attachment,maternal parenting stress,and military status to the prediction of child behavior problems

Studies show that children with a military parent are at heightened risk of the development of behavior problems. However, there is limited work examining how other factors experienced by military families may also influence behavior problems. In the current study, we recruited three types of Canadian families with a preschooler: families with a deployed military member, families with a nondeployed military member, and nonmilitary families. We examined whether the nonmilitary parent's (in all cases the mother) parenting stress and attachment relationship with the child are associated with behavior problems, and whether deployment status further contributes to the prediction. Child–mother dyads participated in an observed attachment assessment, and mothers reported on their stress levels and their child's behavior. Results showed that both child attachment insecurity and parenting stress were associated with elevated levels of internalizing problems; however, only parenting stress was associated with conduct problems. Military deployment predicted higher levels of internalizing and conduct problems beyond the contributions of attachment and stress. Furthermore, having a father in the military (whether deployed or not) also contributed to internalizing problems. These findings shed light on how the military lifestyle impacts early childhood mental health through the complex interplay between various parts of their environment.     

Using relationship-focused reflection to improve teacher–child relationships and teachers' student-specific self-efficacy

The present study evaluated whether LLInC (Leerkracht-Leerling Interactie Coaching in Dutch, or Teacher-Student Interaction Coaching), a teacher-based coaching-intervention, yielded improvements in dyadic affective teacher–child relationships in elementary school (Grades 2–6). Based on attachment theory, LLInC aims to foster more flexible and differentiated mental representations of teachers' relationships with individual children with whom they experience relationship difficulties. Using a quasi-experimental design, we compared an intervention group of teachers (n = 46 teachers and 92 children) receiving LLInC with a control group receiving no form of intervention (n = 32 teachers and 88 children). To investigate possible transfer effects, we asked teachers from the intervention group to report on their relationships and self-efficacy beliefs regarding two other children with whom they experienced relationship difficulties as well (n = 46 teachers and 81 children). Multilevel models were used to examine intervention effects on teachers' perceptions of relationship quality (i.e., Closeness, Conflict, Dependency), and teachers' student-specific self-efficacy beliefs for Behavior Management and Emotional Support. Teachers receiving LLInC reported short-term improvements in Closeness and self-efficacy beliefs for Emotional Support and decreases in Conflict as compared to control teachers. Similar improvements in Closeness and self-efficacy for Emotional Support were found for the intervention-transfer group as compared to control teachers. Also, teachers receiving LLInC had short-term and longer-term improvements in self-efficacy beliefs for Behavior Management as compared to control teachers. These improvements regarding Behavior Management were not found for the intervention-transfer group.     

Teacher–child relationships and academic achievement: A multilevel propensity score model approach

A robust body of research finds positive cross-sectional and longitudinal associations between teacher–child relationships and children's academic achievement in elementary school. Estimating the causal effect of teacher–child relationships on children's academic achievement, however, is challenged by selection bias at the individual and school level. To address these issues, we used two multilevel propensity score matching approaches to estimate the effect of high-quality teacher–child relationships in kindergarten on math and reading achievement during children's transition to first grade. Multi-informant data were collected on 324 low-income, Black and Hispanic students, and 112 kindergarten and first-grade teachers. Results revealed significant effects of high-quality teacher–child relationships in kindergarten on math achievement in first grade. No significant effects of teacher–child relationships were detected for reading achievement. Implications for intervention development and public policy are discussed.     

Parent–child resemblance and kin investment: Physical resemblance or personality similarity?

Resemblance between parents and children has been suggested as an indicator of kinship. Because men, unlike women, cannot be certain about parenthood, resemblance may influence men more than women when making investment decisions. In the present paper we examine the relation of physical resemblance and personality similarity with parental investment for 90 Dutch parents and their school-age children. For mothers investment was linked to personality similarity, whereas for fathers investment was linked to physical resemblance, suggesting that fathers are influenced by physical cues when making investment decisions, whereas mothers are influenced by psychological cues.     

Interrogatives in dialogue: Case study of mother and child 16–19 months

Question-answer sequences were examined within the dialogues of a mother-infant dyad. Mother and male infant were observed at the infant's ages of 16, 17, 18, and 19 months. The structure, content, and function of the mother's questions were analyzed in conjunction with the child's contingent responses. The child exhibited an increase in overall responsiveness to his mother's questions for the period observed. In terms of question structure and content, at about 17 months the mother began to ask more of those questions to which the child responded with a higher percentage of relevant-appropriate responses. In terms of question function, no single systematic pattern of change occurred in the frequencies of various question functions and responses. It was concluded that the present data describe a process of simultaneous change in the direction of greater congruency between mother and child behaviors, although further research is needed to determine the generalizability of the present results.     

Own and perceived parental religiosity and the quality of the parent–child relationship

This aim of this study was to investigate the association between perceived parental religiosity and the quality of the parent–child relationship. Eighty-nine adolescent boys and girls completed the Santa Clara Strength of Religious Faith Questionnaire (SCSRFQ) and the Parent–Child Relationship Survey (PCRS). The results showed that the girls had a better relationship with their mothers than with their fathers, while the boys tended to view their relationships with their father and mother of equal quality. It was also found that greater perceived religiosity of both the fathers and mothers was associated with a better parent–child relationship.     

Why child neuropsychiatry?]

The author gives a brief survey of the development of Child-Neuropsychiatry in the G.D.R. and subsequently gives reasons for the decision in favor of the unity of neurology and psychiatry as applied to children and juveniles, which is in contrast to developments in other countries. In addition to hygienic, economic, organizational, and medical considerations, this decision was also determined by the fact that a Child-Neuropsychiatrist must, in his practical work as a subspecialist, be able to head a multiprofessional team and, thus, help assure optimum development of a child's personality.