关键词: Adoption Attachment Processes Case Study Evidence-based Treatment HSCED Lifespan Integration Middle Childhood Psychotherapy Outcome Research

来  源:   DOI:10.1007/s40653-021-00395-5   PDF(Pubmed)

Abstract:
OBJECTIVE: Adopted children are at heightened risk for developing attachment insecurity due to relational disruptions experienced early in life. A newly developed therapy, Lifespan Integration (LI; Pace in Lifespan Integration: Connecting ego states through time (5th ed.), 2012), shows promise in reducing psychopathology and other detrimental outcomes with individuals exhibiting disrupted attachment. In this study, the efficacy of LI for addressing attachment processes with adopted children in middle childhood was investigated.
METHODS: A Hermeneutic Single Case Efficacy Design (Elliott in Psychotherapy Research, 12(1), 1-21, 2002 & The handbook of humanistic psychology: Theory, research and practice (2nd ed., pp. 351-360), 2015) was used to gather quantitative and qualitative data from an adoptive parent-child dyad experiencing LI therapy for the first time. The research participant, a 12-year-old male, received 10 sessions of LI therapy with his adoptive mother present to facilitate a more secure attachment.
RESULTS: Client change and the contribution of LI to this change was advocated by expert case developers, and adjudicated by three experts, who concluded that change occurred and that this change was due to LI therapy. Changes in internal attachment processes, and the attachment bond between the parent and child of this dyad, was observed.
CONCLUSIONS: This case provides evidence that attachment disruptions can potentially be repaired in middle childhood and ought to be targeted for intervention in early childhood and beyond to prevent later socio-emotional and psychological issues.
摘要:
目的:由于早期经历的关系中断,领养的儿童有更高的发展依恋不安全感的风险。一种新开发的疗法,寿命整合(LI;寿命整合的步伐:通过时间连接自我状态(第5版。),2012),显示了减少精神病理学和其他有害结果的希望,个体表现出中断的依恋。在这项研究中,研究了LI在解决中年儿童收养儿童的依恋过程中的功效。
方法:阐释性单例疗效设计(Elliott在心理治疗研究中,12(1)、1-21,2002&人本主义心理学手册:理论,研究与实践(第2版。,pp.351-360),2015年)用于收集首次接受LI治疗的收养亲子双子的定量和定性数据。研究参与者,一个12岁的男性,在他的养母在场的情况下接受了10次LI治疗,以促进更安全的依恋。
结果:客户变更和LI对这一变更的贡献是由专家案例开发人员倡导的,并由三位专家裁决,谁得出结论,发生了变化,这种变化是由于LI治疗。内部依恋流程的变化,以及这个二元体的父母和孩子之间的依恋纽带,被观察到。
结论:这个案例提供了证据,表明依恋中断可能在儿童中期得到修复,应该有针对性地在儿童早期及以后进行干预,以防止以后的社会情绪和心理问题。
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