Tyke Parent Psychotherapy: A relationship-based treatment for damaged youthful kids .


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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
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Youngster Parent Psychotherapy: A relationship-based treatment for damaged youthful kids Alicia F. Lieberman, Ph.D. alicia.lieberman@ucsf.edu Chandra Ghosh Ippen, Ph.D. chandra.ghosh@ucsf.edu

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A Developmental Approach to Treatment Young kids create seeing someone Young youngsters utilize associations with guardians to Regulate physiological reaction Form inside working models of connections Provide secure base for investigation and learning Model acknowledged practices

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Impact of Trauma on Caregiver-Child Relationship Either accomplice may grow new negative attributions in view of injury experience Changes in the way they see each other Traumatic desires Caregiver and kid may serve as traumatic updates for each other (Pynoos, 1997)

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

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Child-Parent Psychotherapy Goals Encouraging ordinary advancement: engagement with present exercises and future objectives Maintaining standard levels of full of feeling excitement Establishing trust in substantial sensations Achieving correspondence in cozy connections

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Child-Parent Psychotherapy Trauma-related objectives Increased ability to react sensibly to risk Differentiation amongst remembering and recollecting Normalization of the traumatic reaction Placing the traumatic involvement in context

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Multi-Theoretical Approach to Treatment Developmentally Informed Attachment Trauma Psychoanalytic Social Learning Cognitive–Behavioral Culturally educated

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Child-parent Psychotherapy Intervention Modalities 1. Promote formative advance through play, physical contact, and dialect 2. Unstructured/intelligent formative direction 3. Modeling defensive practices 4. Interpretation: connecting at various times 5. Emotional bolster 6. Concrete help, case administration, emergency mediation

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Randomized Trial Treatment kids demonstrate more prominent upgrades than correlation amass kids Traumatic push symptomatology Diagnosis of Traumatic Stress Disorder Behavior issues Treatment moms indicate more prominent change Avoidant symptomatology Total PTSD symptomatology General symptomatology (Lieberman, Van Horn, & Ghosh Ippen, 2005; Lieberman, Ghosh Ippen, & Van Horn, in press)

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Maternal Symptomatology: PTSD (CAPS) P<.001

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

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

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Child Traumatic Stress Disorder p <.001

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Child Diagnosis: Traumatic Stress Disorder

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