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Clinical Child Psychology and Psychiatry

Geoff Goodman, Hyewon Chung, Leah Fischel, Laura Athey-Lloyd
This study examined the sequential relations among three pertinent variables in child psychotherapy: therapeutic alliance (TA) (including ruptures and repairs), autism symptoms, and adherence to child-centered play therapy (CCPT) process. A 2-year CCPT of a 6-year-old Caucasian boy diagnosed with autism spectrum disorder was conducted weekly with two doctoral-student therapists, working consecutively for 1 year each, in a university-based community mental-health clinic. Sessions were video-recorded and coded using the Child Psychotherapy Process Q-Set (CPQ), a measure of the TA, and an autism symptom measure...
February 1, 2017: Clinical Child Psychology and Psychiatry
Emily M Becker-Haimes, Amanda Jensen-Doss, Boris Birmaher, Philip C Kendall, Golda S Ginsburg
Greater parent-youth disagreement on youth symptomatology is associated with a host of factors (e.g., parental psychopathology, family functioning) that might impede treatment. Parent-youth disagreement may represent an indicator of treatment prognosis. Using data from the Child/Adolescent Anxiety Multimodal Study, this study used polynomial regression and longitudinal growth modeling to examine whether parent-youth agreement prior to and throughout treatment predicted treatment outcomes (anxiety severity, youth functioning, responder status, and diagnostic remission, rated by an independent evaluator)...
February 1, 2017: Clinical Child Psychology and Psychiatry
Kate Allen, Ruth Marlow, Vanessa Edwards, Claire Parker, Lauren Rodgers, Obioha C Ukoumunne, Edward Chan Seem, Rachel Hayes, Anna Price, Tamsin Ford
There is a growing focus on child wellbeing and happiness in schools, but we lack self-report measures for very young children. Three samples ( N = 2345) were combined to assess the psychometric properties of the How I Feel About My School (HIFAMS) questionnaire, which was designed for children aged 4-8 years. Test-retest reliability was moderate (intraclass correlation coefficient = .62). HIFAMS assessed a single concept and had moderate internal consistency (Cronbach's alpha values from .62 to ...
January 1, 2017: Clinical Child Psychology and Psychiatry
Dan R Johnson, Kirstin Ferguson, Jennifer Copley
Adolescent self-harm is prevalent in residential and secure care and is the cause of distress to those harming themselves, to the staff caring for them and for other young people living with them. This article sought service user views on what staff supports were effective and what were counter-productive in order to improve the care offered to young people. Seven young people living in residential or secure care were interviewed. Thematic analysis was used to elicit key themes. Global themes of safety and care were elicited...
January 1, 2017: Clinical Child Psychology and Psychiatry
Aubrey H Fine
Having the opportunity to re-read Pet-Oriented Child Psychotherapy was like visiting an old friend and reminiscing about times gone by all too fast. The re-read allowed me an opportunity to conceptualize how many of Levinson's early tenets continue to be relevant today. As a trailblazer, Levinson made a discovery that drastically changed the way we view and understand the power of the human animal bond.
January 2017: 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...
January 2017: Clinical Child Psychology and Psychiatry
Keren Bachi, Nancy Parish-Plass
No abstract text is available yet for this article.
January 2017: 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...
January 2017: 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...
January 2017: Clinical Child Psychology and Psychiatry
Shira Diamond, Rachel Lev-Wiesel
The complexity of children's entrance into mental health treatment has been the growing focus of much recent research. However, little attention has been given to the exploration of this phenomenon from the clients' point of view. This study aimed to gain understanding of the experience of entering therapy as a child through examination of the recollections of adult former clients who had participated as children in expressive arts group therapy (EAGT). Semi-structured open-ended interviews were conducted with 20 adult former child therapy clients who had participated in EAGT for at least 1year...
January 2017: Clinical Child Psychology and Psychiatry
Sarah Harris, Matthew Gilbert, Lucy Beasant, Catherine Linney, Jessica Broughton, Esther Crawley
BACKGROUND: An estimated 10% of children and adolescents with chronic fatigue syndrome/myalgic encephalomyelitis (CFS/ME) experience eating difficulties; however, little is known about why these difficulties develop, what the impact is or how to manage them. METHODS: Semi-structured interviews were conducted with adolescents (aged 12-17 years) attending a specialist service who have a primary diagnosis of CFS/ME and experience nausea, abdominal pain and/or eating difficulties...
January 2017: Clinical Child Psychology and Psychiatry
Jane Em Callaghan, Lisa Chiara Fellin, Fiona Warner-Gale
Policy on Child and Adolescent Mental Health Services (CAMHS) in England has undergone radical changes in the last 15 years, with far reaching implications for funding models, access to services and service delivery. Using corpus analysis and critical discourse analysis, we explore how childhood, mental health and CAMHS are constituted in 15 policy documents, 9 pre-2010 and 6 post-2010. We trace how these constructions have changed over time and consider the practice implications of these changes. We identify how children's distress is individualised, through medicalising discourses and shifting understandings of the relationship between socio-economic context and mental health...
January 2017: Clinical Child Psychology and Psychiatry
Evelyn R Klein, Sharon Lee Armstrong, Kathryn Skira, Janice Gordon
This research assessed the feasibility of Social Communication Anxiety Treatment (S-CAT) developed by Elisa Shipon-Blum, a brief multimodal approach, to increase social communication in 40 children aged 5-12 years with selective mutism (SM). SM is a disorder in which children consistently fail to speak in specific situations although they have the ability to do so. Key features of this approach are the SM-Social Communication Comfort Scale (SCCS), transfer of control (ToC), a nonchalant therapeutic style, and cognitive-behavioral strategies over a brief time frame...
January 2017: Clinical Child Psychology and Psychiatry
Gunnar Bjørnebekk, John Kjøbli
BACKGROUND: The goal of this study was to examine how observed Callous-Unemotional (CU) behavior influenced change in externalized and internalized problems, hyperactivity, social competence, and treatment satisfaction following parent management training. METHODS: Three hundred twenty-three children and their families received Parent Management Training-the Oregon model (PMTO). They were compared at intake and after treatment in order to examine differences in 14 treatment outcomes using hierarchical regression analyses...
January 2017: Clinical Child Psychology and Psychiatry
Alexandra Jones, Arlene Vetere
A narrative analysis explored the accounts of eight mothers, each of whom had left an abusive relationship at least 12 months previously. Existing research investigating the strategies used by women to cope with domestic violence rarely considers women in their capacity as mothers. Furthermore, women's lives after leaving an abusive relationship have received limited research attention. Thus, this study aimed to understand how women described coping with domestic violence and mothering their children, both during an abusive relationship and after leaving...
January 2017: Clinical Child Psychology and Psychiatry
Kaitlyn Wilson, Melissa Buultjens, Melissa Monfries, Leila Karimi
Animal-Assisted Interventions (AAIs) are thought to overcome some of the limitations of traditional therapies as they do not rely exclusively on language as a medium for change. One such Animal-Assisted Therapy (AAT) approach involves horses as a therapeutic medium. Equine-Assisted Psychotherapy (EAP) comprises a collaborative effort between a licensed therapist and a horse professional working with clients to address treatment goals. The purpose of the present Australian-based qualitative study was to examine EAP facilitators' perspectives on the biospychosocial benefits and therapeutic outcomes of EAP for adolescents experiencing depression and/or anxiety...
January 2017: Clinical Child Psychology and Psychiatry
Susan Dickerson Mayes, Susan L Calhoun, Daniel A Waschbusch, Raman Baweja
DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th edition) Reactive Attachment Disorder (RAD) and Disinhibited Social Engagement Disorder (DSED) are rare disorders sharing social difficulties with autism. The DSM-5 and ICD-10 (International Classification of Diseases, 10th revsion) state that RAD/DSED should not be diagnosed in children with autism. The purpose of our study is to determine whether children can meet criteria for both autism and RAD/DSED and to identify specific symptoms discriminating the disorders...
November 28, 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.
October 2016: Clinical Child Psychology and Psychiatry
Alan Rushton
No abstract text is available yet for this article.
October 2016: Clinical Child Psychology and Psychiatry
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