Mentalizing in Child Therapy 1st edition by Annelies 9780429916250, 0429916256

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ISBN-10 ‏ : ‎ 0429916256

ISBN-13 ‏ : ‎ 9780429916250

Author:  Annelies J. E. Verheugt-Pleiter

Mentalization-based child therapy, previously known as developmental therapy, is the latest branch on the psychoanalytic tree of knowledge. It comprises a number of techniques that address deficiencies in specific areas of psychological development. It aims to treat children whose development has come to a standstill. A combination of data from psychoanalysis, infant research, attachment research, and neurobiology was of decisive significance in reaching this point. It is becoming clear that neurobiological processes can be understood very well on the basis of psychoanalytic frameworks. These new insights into peoples mental functioning also serve to foster collaboration, resulting in an integration of the more relationship-oriented and the more competence oriented treatments. This book aims to fill a growing need in mental health care for children and young people to recieve an integrated treatment.

 

Mentalizing in Child Therapy 1st Table of contents:

Chapter One Introduction

Chapter Two Theoretical concepts

Introduction

Developmental tasks of the infant

Gergely and Watson’s social biofeedback theory of parental affect mirroring: the representation loop

Limitations in the capacity to mentalize

Actual mode, pretend mode, and integrative mode

Manifestations of the inability to mentalize

In conclusion

Chapter Three Assessment of mentalizing problems in children

Target population

Theoretical and psychiatric description of the target population

Indicator criteria for mentalization-based child therapy

Standardized diagnostics

Introduction

Attachment representation

Personality dynamics

Cognitive function

Questionnaires for anxiety and depression

Behavioural problems according to parents and teacher

In conclusion

Chapter Four Treatment strategy

Introduction

Backgrounds

Framework of the treatment

Working with the adults in the child’s life

The representational mismatch

Setting of child therapy

The therapist as development object

Working “in” the transference

Principles behind the technique of mentalization-based child therapy

Working in the here and now of the relationship

Recognizing the child’s level of mental functioning and meeting at the same level

Giving reality value to inner experiences

Playing with reality

The process is more important than the technique

Ending the treatment

Notes

Chapter Five Helping parents to promote mentalization

Introduction

General aspects of guidance for parents

Helping parents to promote mentalization

The parent guidance framework

Mentalizing techniques

Giving reality value to the inner experience of the parents with their child

Learning to observe and read the child’s inner world

Working in the here and now

Repairing misattunement

Parent guidance: one, two, or more parents

Collaboration with other therapists

In conclusion

Chapter Six Observation method

Identifying intervention techniques: a brief history

Working method for the observation of interventions in mentalization-based child therapy

Introduction

Selection of suitable cases

Agreements prior to data collection

Reactions of children to the observer and the video recorder

Systematic collection of the observations

Discussing interventions in peer review meetings

In conclusion

Note

Chapter Seven Intervention techniques: attention regulation

Introduction

What is attention regulation?

Accepting the child’s regulation profile and attuning to the same level

Attention to the content of the child’s play or activity/introducing structure in play or story

Naming/describing physical states

Naming/describing behaviour aimed at the naming of mental content (cognitions and feelings)

Naming/describing anxiety and feeling threatened

Naming/describing a state of animosity

Working on the ability to make contact

Maintaining contact and introducing continuity in contact

Creating a safe environment

Naming/describing explicit interactions

Working on the basis for intentional behaviour

Joining in with the child’s activities visually and/or in gestures

Giving reality value to preverbal interactions by taking the child’s own style seriously

Directing attention at describing behaviour

Focusing on the child’s qualities

In conclusion

Chapter Eight Intervention techniques: affect regulation

Introduction

Playing within boundaries

Introduction of fantasy to facilitate the pretend mode

Focus on separating fantasy and reality

Setting boundaries

Joining in the pretend mode

Giving reality value to affect states

Giving reality value to an affect state of a play figure

Giving reality value to an affect state of a child

Deducing second-order affect representations

Guiding and differentiating affect

Looking for your own share in enactments

In conclusion

Chapter Nine Intervention techniques: mentalization

Introduction

Comments on mental contents

Making comments on mental content in pretend mode

Discussing thoughts and feelings with respect to attachment figures

Comments on mental content of the child

Additions of positive content

Comments on mental processes of the child

Making comments on mental processes of the child such as remembering, asking, wanting, fantasizing, and making connections

Verbalization of wish and/or intention in the pretend mode

Verbalization of wish and/or intention of the child

Verbalization of thoughts about the mental life of others/objects

Stressing the individual character of the child’s mental world

Comments on interactive mental processes

In conclusion

Chapter Ten Treatment in practice

Introduction

The setting

Frequency

Therapy room, toys

Playing

The first therapy session

The initial stages

The therapeutic relationship

 

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