Helping Mom Fail: A Case of a Stalemated Divorcing Process

This article describes a systems approach to the problem of a child who had become symptomatic as a result of her parents' separation. Elements of the divorcing process that can create a symptomatic child are highlighted. Family members cope with separation and divorce by devising strategies for navigating the divorcing process. These strategies can mesh to create dysfunctional sequences in which family members get “stuck.” Case material illustrates the development of a stalemated divorcing process, in which a dysfunctional sequence keeps the child uncontrollable and mother incompetent. Family therapy breaks the stalemate and allows family members to proceed with appropriate developmental tasks.     

Réflexions autour du processus de parentalité : quelles étapes et quelles spécificités dans l’adoption ?

Parenthood is a process lead by the desire of child and its project. The expectation of a child generates psychological reorganization but its reality will induce modification for the parental couple. We are questioning the process of parenthood amid the encounter of 18 couples divided according to crossed variables: nature of parenthood and its time. Childhood attachment patterns are questioned. The insecure attachment models with more perceived stress are frequent for new parents, the child being biological or adopted. This suggests the necessity to think the welcoming of the child and the couple's preparation to the welcoming together with an accompaniment for at least the first year of the child.     

The psychoanalytic process and the development of insight in child analysis: a case study

This paper describes a segment of the analysis of an aggressive latency-age child. The data demonstrate the relationship between the establishment of a psychoanalytic process (the analysis of transference, defense, and resistance), the development and nature of insight in the child, and the resulting therapeutic change. Examination of the process shows that the therapeutic gains were a result of insights acquired by the child, particularly his awareness of painful affects that had been warded off. This case is compared with Bornstein's treatment of a phobic child who manifested severely "out-of-control" behavior.     

There’s a Place: How Parents Help Their Children Create a Capacity for Playfulness and can it be Sustained across the Lifespan

ABSTRACT

This article traces the ways that playfulness shifts and grows with the child and with the parent-child dyad. It also speaks to the paradoxical manner in which feeling essential as a parent is both necessary at the beginning of the child’s life yet must evolve into relevance as the child’s autonomy warrants. Interestingly, grace and playfulness are both a content and a process in parenting. The playful parent’s wisdom produces a sense of grace over time just as it produces a way of being that the child can internalize so that they too can eventually parent with grace and fun should they so desire.     

幼儿园师生交往类型的研究

师生交往是当前教师与儿童发展研究的前沿领域。对幼儿园师生交往类型的探讨已成为近年来国内外研究与关注的焦点。本研究通过对105名幼儿教师的师生交往所进行的因素分析与聚类分析,较深入地揭示了幼儿园师生交往的四种类型：严厉型、民主型、开放学习型、灌输型及其各自所具有的特征．并指出开放学习型是我国幼儿园师生交往的一种特有类型。     

Working parents of children with behavioral problems: a study on the family-work interface

This study examines the process by which child behavioral problems are related to parents' well-being. We developed a family-work spillover model that was tested among 225 working parents. It was hypothesized that family-self conflict (FSC) mediates the relationship between child behavioral problems and parental strain, and that family-work conflict (FWC) mediates the relationship between parental strain and work engagement. Further, it was hypothesized that social support moderates the relationship between child behavioral problems and FSC. The results of (moderated) structural equation modeling supported the mediating role of FSC and FWC and the moderating role of social support. These findings suggest that the negative effects of raising a child with behavioral problems on parental well-being can be buffered by social support.     

The psychotherapy of parenthood: towards a formulation and valuation of concurrent work with parents

This paper explores the process and value of concurrent work with parents when their child is being treated in individual psychotherapy. The position taken is that psychoanalytic understanding generally and the specific formulations presented in this paper have a broader applicability in other aspects and approaches in child and adolescent mental health practice. The central issues are the interweaving of knowledge of family processes, child development and psychopathology, and the uses that can be made of an understanding of transference and countertransference. A particular formulation is presented in relation to aspects of the work that constitute ‘child guidance’ and those that may be considered as ‘psychotherapeutic’ in relation to parental psychopathology. We have coined the term ‘the psychotherapy of parenthood’ to give this work the status it deserves and to define a boundary within which to explore the areas and levels of this complex work. Some practice and training implications are considered.     

Child Assent and Parental Permission in Pediatric Research

Since children are considered incapable ofgiving informed consent to participate inresearch, regulations require that bothparental permission and the assent of thepotential child subject be obtained. Assent andpermission are uniquely bound together, eachserving a different purpose. Parentalpermission protects the child from assumingunreasonable risks. Assent demonstrates respectfor the child and his developing autonomy. Inorder to give meaningful assent, the child mustunderstand that procedures will be performed,voluntarily choose to undergo the procedures,and communicate this choice. Understanding theelements of informed consent has been theparadigm for assessing capacity to give assent.This method leaves the youngest, leastcognitively mature children vulnerable towaiver of assent and forced researchparticipation. Voluntariness can also becompromised by the influence of authorityfigures who can exert undue influence andcoerce children to participate in research. This paper discusses factors that may influencethe decision to give assent/permission,potential parent-child conflict in theassent/permission process and how it isresolved, and potential parental undueinfluence on research participation. Theseissues are illustrated with quotations drawnfrom a larger qualitative study of parentalpermission and child assent (data notpresented). We suggest a developmentalapproach, viewing assent as a continuum rangingfrom mere affirmation in the youngest childrento the equivalent of the informed consentprocess in the mature adolescent.     

The Divorce Process and Child Adaptation Trajectory Typology (DPCATT) Model: The Shaping Role of Predivorce and Postdivorce Interparental Conflict

Divorce has been conceptualized as a process. Research has extensively demonstrated that it is pre/postdivorce family environment factors that primarily account for the variability in children’s adaptation over parental divorce process rather than the legal divorce per se. Amongst various factors, interparental conflict has been consistently identified as a prominent one. Surprisingly, a single source is still lacking that comprehensively synthesizes the extant findings. This review fills this gap by integrating the numerous findings across studies into a more coherent Divorce Process and Child Adaptation Trajectory Typology (DPCATT) Model to illustrate that pre/postdivorce interparental conflict plays crucial roles in shaping child adaptation trajectories across parental divorce process. This review also summarizes the mechanisms (e.g., child cognitive and emotional processes, coparenting, parent–child relations) via which pre/postdivorce interparental conflict determines these trajectories and the factors (e.g., child gender and age, child coping, grandparental support) that interact with pre/postdivorce interparental conflict to further complicate these trajectories. In addition, echoing the call of moving beyond the monolithic conceptualization of pre/postdivorce interparental conflict, we also review studies on the differential implications of different aspects (e.g., frequency versus intensity) and types (e.g., overt versus covert) of interparental conflict for child adjustment. Last, limitations of prior studies and avenues for future research are discussed. The proposed framework may serve as a common knowledge base for researchers to compare/interpret results, detect cutting edges of the fields, and design new studies. The specificity, complexity, nuance, and diversity inherent within our proposed model await to be more fully revealed.

     

Infant mental health programs: Experimenting with innovative models—One center's experience with new program funding

This article describes one child and family treatment center's process of creating a long‐awaited, new infant/child early intervention program. An experimental service model is discussed in the context of the need for empirically validated assessment and intervention for very young clients in high‐risk families. Case examples and illustrations of service flow are provided. Some features of this program, such as the fact that it was set up for a seamless transition to a treatment research project, are highlighted.     

Termination as a therapeutic intervention when treating children who have experienced multiple losses

Children who have endured traumatizing events often have a history of prior disruptions and losses which also have been experienced as traumatic. Termination of therapy with these children, therefore, provides a unique opportunity for the clinician to provide the traumatized child and his or her caregiver with a new experience of loss; one that is controlled, predictable, and paced. Through this experience, the child and caregiver can develop a new model for loss, one that permits for losses that are a natural part of healthy growth and change. This article outlines one approach to utilizing termination as an integral component of the therapeutic process with infants, toddlers, and preschoolers and their caregivers. Using a psychodynamic model and working dyadically with the child and the caregiver, termination is approached as a primary intervention, pivotal to the successful treatment of this vulnerable population.     

Pathways to behavior problems in Norwegian kindergarten children: The role of parent emotion socialization and child emotion understanding

More than two decades of research have shown that parental emotion-related socialization behaviors (ERSBs) significantly predict child emotion understanding and externalizing behavior problems. This study aimed to replicate these findings in a sample of 40 Norwegian preschool children and to test whether the effect of parental ERSBs on externalizing child behavior problems was mediated through child emotion understanding. Parental report on ERSBs was obtained using the Coping with Children’s Negative Emotions Scale (CCNES) questionnaire. Child emotion understanding was assessed directly using the Test of Emotion Comprehension (TEC). The results showed that parental distress reactions and externalizing child behavior problems were significantly correlated and that parental expressive encouragement was significantly correlated with child emotion understanding. Estimation of indirect effects was conducted using process analysis and showed that parental expressive encouragement was indirectly related to externalizing child behavior problems (b = −0.17) via child emotion understanding. The results suggest that better child emotion understanding, and lower parental distress are related to lower levels of behavior problems in preschool children. These findings provide support for the Parental Meta-Emotion Philosophy (PMEP) model, where the effect of parental emotion socialization on externalizing child behavior problems is mediated through emotion understanding.     

Psychoanalytic psychotherapy in paediatric liaison: a diagnostic and therapeutic tool

Paediatric liaison work requires an appreciation of the interweaving of the different factors involved when a child has physical symptoms. Psychoanalytic psychotherapy is usually viewed simply as a potential treatment option. This paper argues that its use is both therapeutic and diagnostic and that it should be valued for this breadth of contribution. The therapeutic process is conducted in a way that can promote an understanding of the child and their context and thus enhance the ability 9 to meet the child's needs by all involved in their care. This can be achieved without sacrificing the degree of privacy that the psychotherapist/patient relationship requires. Material is presented from the psychotherapy of a child who had an hereditary condition which moved unexpectedly into a terminal 2 phase after psychotherapy was started. Examples are given to illustrate the importance of the understanding gained from therapy and how, through an integrative process, it was used to assist the overall 4 care. The material also describes the potential diagnostic use of information from psychotherapy when this is formulated by consideration of conscious and unconscious mechanisms alongside mental state phenomenology. This has implications for the relationships between disciplines and for their training requirements.     

Intermediate Cognitive Organizations in the Process of Learning a Mathematical Concept: The Order of Positive Decimal Numbers

This investigation found that children use three implicit and incorrect rules when comparing decimal numbers and that these rules are intermediate levels of response in the process of learning decimal numbers. The rules are intermediate in that: (a) the frequency of their use by children decreases from the fourth grade to the seventh grade; and (b) when a child is able to give a correct answer to the comparison of two decimal numbers, it is possible to induce use of the rules by giving the child more than two numbers to compare. These findings are interpreted as evidence that intermediate cognitive tools, which respond successfully to most of the tasks encountered early in learning, continue to coexist with more advanced tools.     

A Paradigmatic Behavioral Approach to the Treatment of a "Wild" Child

This study examines the notion that an adequate child teaching program can help overcome cognitive and other deficits resulting form severe isolation and explores generalization to other children. The article reviews the pertinent literature in the light of Staats' theory of child development and the cumulative-hierarchical training of the child. It then presents some results of a few experimental-longitudinal studies. These suggest that the process of learning cognitive skills is very similar to that described in similar to that described in similar investigations with different types of children and different types of trainers.     

Painting the vortex: The existential structure of the experience of parenting a child with autism

The experience of parenting a child with autism is one of change to the parent's self. The associated triad of impairment in autism of impaired communication, social skills and a repetitive way of being permeates into the self of the parent through the medium of the social parent child relationship. This is a progressive process likened to the parent being pulled into a vortex. The existential mechanisms through which this may plausibly occur are considered.     

The Child Immigrant

This article uses a developmental perspective to look at the effects of immigration on the young child. Factors influencing the way in which the immigrant family negotiates the ongoing process of settling into the new country are considered. It is argued that the ability of parents to provide an adequate holding environment to protect the young child from too much loss or dislocation is probably the most critical factor in determining whether the child's internal world will be enriched or impoverished by the immigration experience. It is emphasized that immigration is an ongoing process for the entire family. Some clinical material is presented to illustrate how the child's engagement in the process of separation-individuation both shapes and is shaped by, the immigration experience.     

Developmental Counseling in the Elementary School

Some of the fundamentals basic to a theory and practice of developmental counseling with the elementary school child are set forth. Pertinent child development research is cited that implies the need for developmental counseling with normal children. The value of this counseling in the elementary school setting is in facilitating the total learning process. Unique factors of this counseling, including short-term service, focus on developmental problems, and the establishment of goals, are described. Principles for working with children in the counseling process are discussed.     

Up front and personal: confronting dynamics in the Family Group Conference

The Family Group Conference is a participatory model of decision making with families in child protection. It is a legal process that brings together the family, including the extended family, and the professionals in a family-led decision-making forum. Bringing together extended family and professionals to discuss child protection concerns can create a highly charged dynamic. Workers are challenged by family, family are challenged by workers, and family members challenge each other. Practice is also exposed to wider scrutiny as professionals also challenge the work. This article briefly describes the development and practice of family group conferencing as a family-centred legal process in Aotearoa, New Zealand. It then examines the findings of a study exploring the dynamics emerging from family group conference practice from the perspective of the coordinators who convene them. Family group conferencing as a family strengthening practice is discussed.