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Clinical Child Psychology and Psychiatry

Sigal Zilcha-Mano
Many therapists regard alliance ruptures as one of the greatest challenges therapists face in the therapy room. Alliance ruptures has been previously defined as breakdowns in the process of negotiation of treatment tasks and goals and a deterioration in the affective bond between patient and therapist. Alliance ruptures have been found to predict premature termination of treatment and poor treatment outcomes. But ruptures can also present important opportunities for gaining insight and awareness and for facilitating therapeutic change...
October 17, 2016: Clinical Child Psychology and Psychiatry
Keren Bachi, Nancy Parish-Plass
No abstract text is available yet for this article.
October 14, 2016: Clinical Child Psychology and Psychiatry
Liat Shani
Animal-assisted psychotherapy (AAP) inherently incorporates standpoints, interventions, and ways of action promoting the development of the reflective function and mentalization, and thus has special value for parent-child psychotherapy. Two central tools in AAP contribute to this process. The first is the ethical stance of the therapist, who sees the animals as full partners in the therapy situation, respecting them as subjects with needs, desires, and thoughts of their own. The second tool combines nonverbal communication with animals together with the relating, in the here and now, to the understanding and decoding of body language of everyone in the setting...
October 14, 2016: Clinical Child Psychology and Psychiatry
Anna K Taylor, Maria Loades, Amberly Lc Brigden, Simon M Collin, Esther Crawley
BACKGROUND: Paediatric chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) has a prevalence of 0.4-2.4% and is defined as 'generalised disabling fatigue persisting after routine tests and investigations have failed to identify an obvious underlying cause'. One-third of young people with CFS/ME have probable depression. Little is known about why depression develops, the relationship between depression and CFS/ME, or what treatment might be helpful. METHODS: We conducted nine semi-structured interviews with young people with CFS/ME (aged 13-17 years, 8/9 female) and probable depression, covering perceived causes of depression, the relationship between CFS/ME and depression, and treatment strategies...
October 14, 2016: Clinical Child Psychology and Psychiatry
Michael Tarren-Sweeney
No abstract text is available yet for this article.
September 20, 2016: Clinical Child Psychology and Psychiatry
Emily A McTate, Jarrod M Leffler
The newest iteration of the Diagnostic and Statistical Manual-fifth edition (DSM-5), is the first to include the diagnosis of disruptive mood dysregulation disorder (DMDD). The assessment and diagnosis of psychopathology in children are complicated, particularly for mood disorders. Practice can be guided by the use of well-validated instruments. However, as this is a new diagnosis existing instruments have not yet been evaluated for the diagnosis of DMDD. This study seeks to provide a method for using existing structured interview instruments to assess for this contemporary diagnosis...
September 15, 2016: Clinical Child Psychology and Psychiatry
Alan Rushton
No abstract text is available yet for this article.
September 15, 2016: Clinical Child Psychology and Psychiatry
Aliya Mubarak, Chantal Cyr, Martin St-André, Daniel Paquette, Mutsuko Emond-Nakamura, Louise Boisjoly, Sylvain Palardy, Stéphanie Adin, Iréna Stikarovska
BACKGROUND: Individuals with sensory regulation disorders present with many difficulties in terms of managing emotions, behavior, and motor control. Children with such difficulties are often referred to psychiatric clinics for assessment of their behavioral and emotional problems. Few studies have investigated the role of environmental factors on sensory dysfunctions, and none have specifically studied its association with child attachment in a clinical sample. OBJECTIVE: In this cross-sectional study, we examined the association between sensory regulation and child attachment among preschoolers referred to a psychiatric clinic...
September 15, 2016: Clinical Child Psychology and Psychiatry
Cristal Oxley, Jane E Roberts, Sebastian Kraemer, Giles Armstrong
Punch injuries are a form of self-harm characterised by the intentional act of striking an object with a closed fist. We aimed to describe the characteristics and trends in young people presenting with injuries sustained via the punch mechanism. A comprehensive retrospective review of medical records was completed of all young people aged 10-18 years presenting to our Central London Emergency Department over a 12-month period. A subset of the total group was identified as the punch injury subgroup. A total of 78 punch injury presentations were identified...
August 17, 2016: Clinical Child Psychology and Psychiatry
Anita D'Urso, Kiki Mastroyannopoulou, Angela Kirby
As survival rates continue to improve for children diagnosed with cancer, strides in achieving better psychosocial outcomes for both children with cancer and their families have been accentuated. The current study aimed to explore the experiences of siblings of children diagnosed with cancer and attempted to overcome some of the limitations described in previous research. Primarily, the study considered the theoretical framework of posttraumatic growth (PTG) in the project design and analysis. Semi-structured interviews were completed with six siblings...
August 4, 2016: Clinical Child Psychology and Psychiatry
Lucia Giombini, Robert Turton, Matteo Turco, Sophie Nesbitt, Bryan Lask
Cognitive remediation therapy (CRT) is an intervention for anorexia nervosa (AN) that focuses on ameliorating the neuropsychological inefficiencies that underlie the illness. The current literature has reported promising results regarding its efficacy as an intervention for AN. However, there is a scarcity of studies considering the implementation of CRT in a child and adolescent population. This article describes an individual CRT therapy programme for children and adolescents with AN delivered on an inpatient unit for eating disorders...
July 18, 2016: Clinical Child Psychology and Psychiatry
Mark Rivett
This short essay explores some of the assumptions enbedded within 'Family therapy and fundamentalism' from the perspective of a person of faith. It questions the usefulness of the term 'fundamentalist families' and highlights the systemic interaction between the secular and religious worlds.
July 2016: Clinical Child Psychology and Psychiatry
Philip Messent, Reenee Singh
No abstract text is available yet for this article.
July 2016: Clinical Child Psychology and Psychiatry
Stefan Persson, Curt Hagquist, Daniel Michelson
The development of 'youth-friendly' services has become a priority across a wide range of health-care contexts. However, relatively few studies have specifically examined users' experiences of, and preferences for, child and adolescent mental health care. The current study investigated young service users' views of outpatient and community mental health clinics in Sweden, based on two data sources. First, focus group interviews were conducted with seven children and adolescents (aged 10-18 years) to explore both positive and negative experiences of mental health care...
July 1, 2016: Clinical Child Psychology and Psychiatry
Taiwo Afuape
Who I am as a working-class black African woman cannot be disconnected from how I work. It shapes my lens with regard to power, difference and liberation. It is not surprising that I have been drawn to social justice approaches to psychological intervention, such as Narrative Therapy, Coordinated Management of Meaning (CMM), social constructionist systemic therapy and liberation psychology. These practices involve taking up the cause of the oppressed in ways that respect them as agents of their own liberation...
July 2016: Clinical Child Psychology and Psychiatry
Mina Fazel, Jo Garcia, Alan Stein
Access to needed mental health services can be particularly difficult for newly arrived refugee and asylum-seeking adolescents, although many attend school. This study examined young refugees' impressions and experience of mental health services integrated within the school system. Semi-structured interviews were conducted with 40 adolescent refugees discharged by three school-based mental health services across the United Kingdom. Two-thirds preferred to be seen at school. Rumination and worry about insecurity in the asylum process had a negative impact particularly on the adolescents' social functioning and ability to focus at school...
July 2016: Clinical Child Psychology and Psychiatry
Karen Zilberstein
Class and income level influence parenting styles and values, yet are rarely discussed in treatment approaches and parenting interventions with families. In this soapbox article, I argue that discrepancies in outcome, retention, and participation could be fruitfully addressed through a fuller understanding of the needs, realities, and parenting goals of families struggling with financial disadvantage. I compare and contrast ethnographic studies of parenting in low socioeconomic environments with the types of strategies and interventions commonly advanced in parent training programs and suggest that clinicians must become more aware of the cultural and socioeconomic overtones of those interventions in determining whether, how, and when to use them with families...
July 2016: Clinical Child Psychology and Psychiatry
Hannah Sherbersky
What are the therapeutic limitations of systemic psychotherapy when working with families who hold religious fundamentalist beliefs? At a time of debate about religious fundamentalism, terrorism and radicalisation, where do family therapists position themselves when confronted by extreme beliefs in the therapy room? Research suggests that the increase in modernity within our society equates not just with an increase in secularisation, but rather an increase in pluralism. Contemporary models of family therapy pay explicit attention to issues of gender, culture, ethnicity, discrimination and societal contexts...
July 2016: Clinical Child Psychology and Psychiatry
Rudi Dallos, Katarzyna Lakus, Marie-Stephanie Cahart, Rebecca McKenzie
The study explored children's experience of triangulation in their families. In all, 15 children aged 11-16 years, who were attending an early intervention family therapy service, participated in the study. The children's understandings and emotional experience of triangulation were explored by comparing their responses to pictures from the Separation Anxiety Test (SAT) and a set of pictures designed for the study depicting a variety of triangulation conflicts in families. An interview regarding the children's personal family experiences of triangulation was also undertaken and clinical information about the children's family contexts was also utilised...
July 2016: Clinical Child Psychology and Psychiatry
Irene Lundkvist-Houndoumadi, Mikael Thastum, Klaus Nielsen
No increased effect has been associated with parent involvement in cognitive behavioral therapy (CBT) for youths with anxiety disorders. The purpose of this study was to explore parent and therapist experiences of CBT among non-responding youths with anxiety disorders, with a primary focus on parent involvement in therapy. Interpretative phenomenological analysis was applied to 24 sets of semi-structured interviews with families and therapists of anxiety-disordered youths who had not profited from CBT with parental inclusion...
July 2016: Clinical Child Psychology and Psychiatry
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