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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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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
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
impact of trauma on caregiver child relationship
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)

child parent psychotherapy goals
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
child parent psychotherapy trauma related goals
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
multi theoretical approach to treatment
Multi-Theoretical Approach to Treatment
  • Developmentally Informed
  • Attachment
  • Trauma
  • Psychoanalytic
  • Social Learning
  • Cognitive–Behavioral
  • Culturally informed
child parent psychotherapy intervention modalities
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

randomized trial
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)