Child psychotherapy
Encyclopedia
For therapies based on attachment theory see Attachment based therapy (children).

Mental health interventions for children vary with respect to the problem being addressed and to the age and other individual characteristics of the child. Although such interventions share some approaches, treatment methods can be quite different from each other.

Terms describing child treatments may vary from one part of the world to another, with particular differences in the use of the terms "psychotherapy" and "psychoanalysis". For these reasons, readers should take special care to consider definitions of terms in this article.

Evidence-based child and adolescent psychotherapy

There are many therapeutic approaches to address mental health concerns among children and adolescents. Some of these approaches are backed by strong scientific evidence, and some are not. A detailed summary of these issues is provided by the American Psychological Association
American Psychological Association
The American Psychological Association is the largest scientific and professional organization of psychologists in the United States. It is the world's largest association of psychologists with around 154,000 members including scientists, educators, clinicians, consultants and students. The APA...

.

Parent-infant psychotherapy

If the normal course of secure attachment
Attachment theory
Attachment theory describes the dynamics of long-term relationships between humans. Its most important tenet is that an infant needs to develop a relationship with at least one primary caregiver for social and emotional development to occur normally. Attachment theory is an interdisciplinary study...

 between parent and infant is disrupted, parent-infant psychotherapy is one technique that can be used to restore this bond. This technique requires a three-way relationship between the parent, child and therapist. During the therapy sessions the parent expresses his or her thoughts and feelings which are based on a combination of factors including:
  1. The parent’s experiences as a child
  2. The parent’s expectations and hopes for the child’s future
  3. The relationships the parent has with other people


The therapist’s role is as an observer and an interpreter of the interaction between the infant and the parent. He might share some of his thoughts about the behaviour of the child with the parent and by doing so offering the parent an alternative way of experiencing the child. This technique helps the parent to resolve issues with his or her own infancy-experiences in order to restore secure attachment with the infant. And it helps lower the risk for psychopathological developments of the child in the future.

Challenges to therapists

Children entering psychotherapy have most often been exposed to family violence or other traumatic experiences. Treating traumatized children may be unusually challenging for the therapist because of vicarious traumatization
Vicarious traumatization
Vicarious traumatization is a transformation in the self of a trauma worker or helper that results from empathic engagement with traumatized clients and their reports of traumatic experiences. Its hallmark is disrupted spirituality, or meaning and hope...

. Access to reflective supervision is needed to prevent a sense of helplessness and a "self-protective tendency to view complex clinical cases as intractable"

See also

  • Clinical psychology
    Clinical psychology
    Clinical psychology is an integration of science, theory and clinical knowledge for the purpose of understanding, preventing, and relieving psychologically-based distress or dysfunction and to promote subjective well-being and personal development...

  • Psychoanalysis
    Psychoanalysis
    Psychoanalysis is a psychological theory developed in the late 19th and early 20th centuries by Austrian neurologist Sigmund Freud. Psychoanalysis has expanded, been criticized and developed in different directions, mostly by some of Freud's former students, such as Alfred Adler and Carl Gustav...

  • Psychiatry
    Psychiatry
    Psychiatry is the medical specialty devoted to the study and treatment of mental disorders. These mental disorders include various affective, behavioural, cognitive and perceptual abnormalities...

  • Psychology
    Psychology
    Psychology is the study of the mind and behavior. Its immediate goal is to understand individuals and groups by both establishing general principles and researching specific cases. For many, the ultimate goal of psychology is to benefit society...

  • Psychotherapy
    Psychotherapy
    Psychotherapy is a general term referring to any form of therapeutic interaction or treatment contracted between a trained professional and a client or patient; family, couple or group...

  • Play therapy
    Play therapy
    Play therapy is generally employed with children aged 3 through 11 and provides a way for them to express their experiences and feelings through a natural, self-guided, self-healing process...

  • Mental health
    Mental health
    Mental health describes either a level of cognitive or emotional well-being or an absence of a mental disorder. From perspectives of the discipline of positive psychology or holism mental health may include an individual's ability to enjoy life and procure a balance between life activities and...

  • Attachment-based therapy (children)
    Attachment-based therapy (children)
    Attachment-based therapy is a phrase intended to apply to interventions or approaches based on attachment theory, originated by John Bowlby. These range from individual therapeutic approaches to public health programs to interventions specifically designed for foster carers...

  • Parent-Child Interaction Therapy (PCIT)
  • Parent-Child Interaction Assessment-II (PCIA-II)
    Parent-Child Interaction Assessment-II (PCIA-II)
    The Parent-Child Interaction Assessment-II is a direct observation procedure. Parents and 3- to 10-year-old children are videotaped as they play at a make-believe zoo...

  • PCIA-II/MAP Modifying Attributions of Parents Intervention
    PCIA-II/MAP Modifying Attributions of Parents Intervention
    The Parent-Child Interaction Assessment-II Modifying Attributions of Parents intervention is a brief cognitive-behavioral manualized treatment for parents in high-risk families...

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