Proposal for the analysis of parents-infant psychotherapy: evidence of two cases

Authors

  • Evanisa Helena Maio de Brum Universidade Federal do Rio Grande do Sul e Centro Universitário Cesmac
  • Aline Grill Gomes Universidade Federal do Rio Grande do Sul e Sociedade Psicanalítica de Porto Alegre
  • Cesar Augusto Piccinini Universidade Federal do Rio Grande do Sul

DOI:

https://doi.org/10.15448/1980-8623.2018.3.28329

Keywords:

Parent-infant psychotherapy, Psychotherapy process, Therapeutic interventions, Insights.

Abstract

Parent-Infant Psychotherapy (PIP) represents an intervention used in the treatment of initial parent-infant relationships. Thus, the present study aimed to present a proposal for the evaluation of the psychotherapeutic process in PIP, with emphasis on the mechanisms of changing throughout psychotherapy. It was investigated the therapist’s interventions (1) to collect information, (2) to inform the patient, (3) to give the support, (4) of staging and (5) transgenerational interpretation; e, the insights (1) cognitive, (2) affective, and (3) pragmatic associated with interventions. Each of these categories was illustrated through verbalizations of two
father-mother-infant consultations, in which the mothers presented postpartum depression. Evidences suggest that the proposal for analysis of parent-infant psychotherapy presented in this study may contribute to analyze the therapeutic process.

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Author Biographies

Evanisa Helena Maio de Brum, Universidade Federal do Rio Grande do Sul e Centro Universitário Cesmac

Psicóloga, Doutora e Pós-Doutora em Psicologia

Aline Grill Gomes, Universidade Federal do Rio Grande do Sul e Sociedade Psicanalítica de Porto Alegre

Psicóloga, Psicanalista e Doutora em Psicologia

Cesar Augusto Piccinini, Universidade Federal do Rio Grande do Sul

Psicólogo e Pós-Doutor em Psicologia

References

Alfaya, C (2006). O comportamento exploratório de bebês e o comportamento de mães com indicadores de depressão durante uma psicoterapia breve mãe-bebê. Tese, PPG Psicologia, UFRGS.

Barrows, P. (2003). Change in parent-infant psychotherapy. Journal of Child Psychotherapy, 29(3), 283-300.

https://doi.org/10.1080/00754170310001625396

Beutler, Larry (2013). Common, specific, and cross-cutting psychotherapy interventions. Psychotherapy: theory, research and practice, 50(3), 298-301.

https://doi.org/10.1037/a0032405

Bion (1962). Aprendendo com a experiência. Rio de janeiro: Imago.

Björnsson, A. (2015) Experimenting with Psychotherapy. Nordicum-Mediterraneum, 9(2), 1-8.

Brum, E. (2010). Psicoterapia Pais-Bebê no Contexto da Depressão Pós-Parto: Investigando o processo psicoterápico. Tese, PPG Psicologia, UFRGS.

Cassel, P., Sanchez, L., Campezatto, P., & Tiellet-Nunes, M. (2015). Processo psicoterapêutico: compreensão de momentos de mudança psicológica em uma sessão de psicoterapia psicanalítica. Contextos Clínicos, 8(1), 27-37.

https://doi.org/10.4013/ctc.2015.81.03

Chinitz, et al. (2017) Improving outcomes for babies and toddlers in child welfare: A model for infant mental health intervention and collaboration. Child Abuse & Neglect, 70, 190-198.

https://doi.org/10.1016/j.chiabu.2017.05.015

Cramer, B. & Stern, D. (1988). Evaluation of chances in mother-Infant brief psychotherapy: a single case study. Infant Mental health, 9(1), 20-45.

https://doi.org/10.1002/1097-0355(198821)9:1<20::AID-IMHJ2280090105>3.0.CO;2-E

Cramer, B., Robert-Tissot, C., Stern, D., Serpa-Rusconi, S., Mural, B., Besson, G., Palacio-Espasa, F., Bachmann J., Knauer, D., & D’arcis, U. (1990). Outcome evaluation in brief mother-infant psychotherapy: A preliminary report. Infant Mental Health Journal, 11(3), 278-300.

https://doi.org/10.1002/1097-0355(199023)11:3<278::aidimhj2280

>3.0.co;2-h

Cramer, B. & Palácio-Espasa (1993). Técnicas psicoterápicas mãe-bebê. POA: Artmed.

David, P. & Schiff, M. (2015). Learning from bottom-up dissemination: Importing an evidence-based trauma intervention for infants and young children to Israel. Evaluation and Program Planning, 53, 18-24.

https://doi.org/10.1016/j.evalprogplan.2015.07.012

Despland, J., Roten, Y., Despers, J., Stigler, M., & Perry, J. (2001). Contribution of patient defense mechanism and therapist intervention to the development of early therapeutic alliance in a brief psychodynamic investigation. Journal of Psychopherapy Practice and Research, 10: 155-164.

Etchegoyen, H. (1987). Fundamentos da técnica psicanalítica. Porto Alegre: Artes Médicas.

Ferreira, J. et al. (2015). Exploring Phase Progression Throughout the Therapeutic process: The Case of Eva. Clinical Psychology and Psychotherapy, 23(5), 407-424.

https://doi.org/10.1002/cpp.1970

Fiorini, H. (2004). Teoria e Técnica de Psicoterapias. São Paulo: Martins Fontes.

Fishman, D. (2000). Transcending the efficacy X effectiveness research debate: proposal for a new, electronic “Journal of Pragmatical Case Studies”. Prevent & Treatment, 3(8), 1-25.

https://doi.org/10.1037//1522-3736.3.1.38a

Fonagy, P., Sleed, M., & Baradon, T. (2016). Randomized controlled trial of parent-infant psychotherapy for parents with mental health problems and young infant. Infant Mental Health Journal, 37(2), 97-114.

https://doi.org/10.1002/imhj.21553

Fraiberg, S., Adelson, E., & Shapiro, V. (1994). Fantasmas no quarto do bebê: uma abordagem psicanalítica dos problemas que entravam a relação mãe-bebê. Revista do CEAPIA, 7(7), 12-35.

Freud. (1937). Construções em análise. In Obras psicológicas completas de Sigmund Freud (Vol. XIII). Rio de Janeiro: Imago, 1980.

Frizzo, G. (2008). Contribuições da psicoterapia breve pais-bebê para a conjugalidade e para a parentalidade em contexto de depressão pós-parto. Tese, PPG Psicologia, UFRGS.

Gomes, A. (2007). Malformação do bebê e maternidade : impacto de uma psicoterapia breve pais-bebê para as representações da mãe. Tese PPG, UFRGS.

Goldfried, M. & Wolfe, B. E. (1996). Psychotherapy practice and research: repairing a strained alliance. American Psychologist, 51(10), 1007-1016.

https://doi.org/10.1037//0003-066X.51.10.1007

Goodman, Jh., Prager, J., Goldstein, R., & Freeman, M. (2015). Perinatal Dyadic Psychotherapy for postpartum depression: a randomized controlled pilot trial. Archives Of Womens Mental Health, 18(3): 493-506.

https://doi.org/10.1007/s00737-014-0483-y

Guedeney, A. (2016). Treatment – Mother–infant relationship psychotherapy. Best Practice & Research Clinical Obstetrics and Gynaecology, 28, 135-145.

https://doi.org/10.1016/j.bpobgyn.2013.08.011

King, K., Priddis, L., & Kane, R. (2014). Enhancing Maternal Sensitivity and Emotional Wellbeing Through a Preventative Parent – Child Relationship Intervention in a Community Setting. Journal of Child and Family Studies, Springer.

https://doi.org/10.1080/00754170310001625404

Lebovici, S. (1993). On intergenerational transmission: from filiation to affiliation. Infant Mental Health Journal, 14(4), 260-272.

https://doi.org/10.1002/1097-0355(199324)14:4%3C260::aid-imhj2280140402%3E3.0.co;2-z

Lebovici, S., Solis-Ponton, L. & Menendez, J. (2004). A árbore da vida ou a empatia metaforizante, o enactment. In L. Solis-Ponton. Ser pai e ser mãe parentalidade: um desafio para o terceiro milênio – uma homenagem internacional a Serge Lebovici (pp. 41-46). São Paulo: Casa do Psicólogo. (Original published in 1995).

Lenze, Sn., Rodgers, J., & Luby, J. (2015). A pilot, exploratory report on dyadic interpersonal psychotherapy for perinatal depression. Archives Womens Mental Health, 18(3), 485-491.

https://doi.org/10.1007/s00737-015-0503-6

Mander, J. et al. (2017). The therapeutic alliance in different mental disorders: A comparison of patients with depression, somatoform, and eating disorders. Psychology and Psychotherapy: Theory, Research and Practice, 90(4), 649-667.

https://doi.org/10.1111/papt.12131

Pollak-Cornillot, M. (2003). Thérapie brève mere-nourrisson et utilization psychanalytique d’enregistrements video. In C. Auzieu-Premmereur & M. Pollak-Cornillot. Les pratiques psychanalytique auprès des bebés (pp. 237-271). Paris: Dunod.

Prout, T. et al. (2017). A Expert Clinicians’ Prototype of an Ideal Treatment in Regulation-Focused Psychotherapy for Children (RFP-C). Journal of Psychotherapy Integration.

https://doi.org/10.1037/int0000102

Puura K, Kaukonen P. (2010). Parent infant psychotherapies and indications for inpatient versus outpatient treatments. In S. Tyano, M. Keren, H. Herrman et al., editors. Parenthood and mental health. A bridge between infant and adult psychiatry (pp. 401-414). Oxford: Wiley-Blackwell.

https://doi.org/10.1002/9780470660683.ch35

Sandell, R. (2015). Rating the outcomes of psychotherapy or psychoanalysis using the Change After Psychotherapy (CHAP) scales. Manual and commentary. Research in Psychotherapy: Psychopathology, Process and Outcome, 18(2), 32-49.

https://doi.org/10.7411/RP.2015.111

Salomonsson, M. W., Sorjonen, K., Salomonsson, B. (2015). A long-term follow-up study of a randomized controlled trial of mother-infant psychoanalytic treatment: outcomes on mothers and interactions. Infant Mental Health Journal, 36(6), 542-55.

https://doi.org/10.1002/imhj.21536

Salomonsson, B (2017). The function of language in parent-infant psychotherapy. Int J Psychoanal, 98(6), 1597-1618.

https://doi.org/10.1111/1745-8315.12666

Silva, M. (2007). Paternidade e Depressão Pós-parto Materna no Contexto de Uma Psicoterapia Breve Pais-Bebê. Tese, PPG Psicologia, UFRGS.

Stake, R. E. (2006). Multiple case study analysis. The Guilford Press, New York.

Toth, S., Sturge-Apple, M., Rogosch, F., & Cicchetti, D. (2015). Mechanisms of change: Testing how preventative interventions impact psychological and physiological stress functioning in mothers in neglectful families. Dev Psychopathol, 27(4), 1661-1674.

https://doi.org/10.1017/S0954579415001017

Tschuschke, V. et al. (2015). The role of therapists’ treatment adherence, professional experience, therapeutic alliance, and clients’ severity of psychological problems: Prediction of treatment outcome in eight diferente psychotherapy approaches. Psychotherapy Research, 25:4, 420-434,

https://doi.org/10.1080/10503307.2014.896055

Valdés, N., Krause, M., Vilches, O., Dagnino, P., Echavarri, O., Bem-Dov, P., & Arístegui, R. (2005). Proceso de cambio psicoterapéutico: análisis of relevant episodes in a group therapy with addict patients. PSYKHE, 14(2), 3-18.

https://doi.org/10.4067/S0718-22282005000200001

Zimernan, D. (2001). Vocabulário contemporâneo de psicanálise. Porto Alegre: Artes Médicas.

Waldron, S. et al. (2015). Do the Processes of Psychoanalytic Work Lead to Benefit? Studies by the APS Research Group and the Psychoanalytic Research Consortium, Psychoanalytic Inquiry: A Topical. Journal for Mental Health Professionals, 35(1), 169-184,

https://doi.org/10.1080/07351690.2015.987602

Winnicott, D. (2000). Preocupação materna Primária In D. Winnicott. Da pediatria à psicanálise: obras escolhidas (pp. 399-405). Rio de Janeiro: Imago (Original Published in 1956).

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Published

2018-10-16

How to Cite

de Brum, E. H. M., Gomes, A. G., & Piccinini, C. A. (2018). Proposal for the analysis of parents-infant psychotherapy: evidence of two cases. Psico, 49(3), 304–316. https://doi.org/10.15448/1980-8623.2018.3.28329

Issue

Vol. 49 No. 3 (2018)

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