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Infant-parent psychotherapy with toddlers

Published online by Cambridge University Press:  31 October 2008

Alicia F. Lieberman*
Affiliation:
University of California, San Francisco
*
Address correspondence and reprint requests to: Alicia Lieberman, PhD, Department of Psychiatry, Infant-Parent Program, San Francisco General Hospital, 2550 23rd Street, Building 9, Room 130, San Francisco, CA 94110.

Abstract

Infant-parent psychotherapy in the second year of life presents specific challenges related to the child's developmental characteristics. The concept of projective identification is discussed as a mechanism for understanding the toddler's specific contribution to attachment disorders with the parent. A versatile clinical format is recommended including joint parent-child sessions, individual work with the toddler and the parents, and the use of therapeutic modes of communication specifically geared to the toddler's needs (“toddlerese”). Clinical examples and research applications are given to illustrate these points.

Type
Articles
Copyright
Copyright © Cambridge University Press 1992

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References

Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A psychological study of the strange situation. Hillsdale, NJ: Erlbaum.Google Scholar
Bowlby, J. (1969). Attachment and loss. Vol. 1: Attachment. New York: Basic Books.Google Scholar
Bowlby, J. (1973). Attachment and loss. Vol. 2: Separation, anxiety and anger. New York: Basic Books.Google Scholar
Bowlby, J. (1980). Attachment and loss. Vol. 3: Loss, sadness and depression. New York: Basic Books.Google Scholar
Brazelton, T. B. (1973). Neonatal behavioral assessment scale. London: Heinemann.Google Scholar
Bretherton, I. (1990). Open communication and internal working models: Their role in attachment relationships. In Thompson, R. (Ed.), Nebraska Symposium on Motivation, Vol. 36. Socioemotional development. Lincoln: University of Nebraska Press.Google Scholar
Campos, J., & Stenberg, C. (1980). Perception of appraisal and emotion: The onset of social referencing. In Lamb, M. E. & Sherrod, L. (Eds.), Infant social cognition. Hillsdale, NJ: Erlbaum.Google Scholar
Cicchetti, D. (1990). An historical perspective on the discipline of developmental psychopathology. In Rolf, J., Master, A., Cicchetti, D., Neuchterlein, K., & Weintraub, S. (Eds.), Risk and protective factors in the development of psychopathology (pp. 228). New York: Cambridge University Press.CrossRefGoogle Scholar
Cicchetti, D., & Sroufe, A. (1978). An organizational view of affect: Illustration from the study of Down's syndrome infants. In Lewis, M. & Rosenblum, L. (Eds.), The development of affect (pp. 309350). New York: Plenum.CrossRefGoogle Scholar
Cicchetti, D., Toth, S., Bush, M. A., & Gillespie, J. F. (1988). Stage-salient issues: A transactional model of intervention. New Directions for Child Development, 39, 123145.CrossRefGoogle Scholar
Egeland, B., Deinard, A., & Brunquell, D. (1979). A prospective study of the antecedents of child abuse. Final report to the National Center on Child Abuse and Neglect. Unpublished.CrossRefGoogle Scholar
Escalona, S. (1968). The roots of individuality. Chicago: Aldin.Google Scholar
Fraiberg, S. (Ed.), (1980). Clinical studies in infant mental health. New York: Basic Books.Google Scholar
Fraiberg, S., Adelson, E., & Shapiro, V. (1975). Ghosts in the nursery: A psychoanalytic approach to impaired infant-mother relationships. Journal of the American Academy of Child Psychiatry, 14, 387421.CrossRefGoogle ScholarPubMed
Greenspan, S. (1989). The development of the ego. Madison, CT: International Universities Press.Google ScholarPubMed
Greenspan, S., & Wieder, S. (1987). Dimensions and levels of the therapeutic process. In Greenspan, S. et al. (Eds.), Infants in multirisk families (pp. 391430). Madison: International Universities Press.Google Scholar
Klein, M. (1946). Notes on some schizoid mechanisms. In Envy and gratitude and other works, 1946–1963 (pp. 124). New York: Basic Books, 1975.Google Scholar
Lieberman, A. F. (1991). Attachment theory and infant-parent psychotherapy: Some conceptual, clinical and research considerations. In Cicchetti, D. & Toth, S. (Eds.), Rochester Symposium on Developmental Psychopathology (Vol. 3, pp. 375398). Hillsdale, NJ: Erlbaum.Google Scholar
Lieberman, A. F., & Pawl, J. H. (1990). Disorders of attachment and secure base behavior in the second year of life: Conceptual issues and clinical intervention. In Greenberg, M. T., Cicchetti, D., & Cummings, E. M. (Eds.), Attachment in the preschool years (pp. 375398). Chicago: The University of Chicago Press.Google Scholar
Lieberman, A. F., & Pawl, J. H. (in press). Infant-parent psychotherapy. In Zeanah, C. (Ed.), Hand-book of infant mental health. New York: Guilford.Google Scholar
Lieberman, A. F., Weston, D., & Pawl, J. H. (1991). Preventive intervention and outcome with anxiously attached dyads. Child Development, 62, 199209.Google Scholar
Mahler, M. S., Pine, F., & Bergman, A. (1975). The psychological birth of the human infant: Symbiosis and individuation. New York: Basic Books.Google Scholar
Main, M., Kaplan, N., & Cassidy, J. (1985). Security in infancy, childhood, and adulthood: A move to the level of representation. In Bretherton, I. & Waters, E. (Eds.), Growing points of attachment theory and research. Monographs of the Society for Research in Child Development, 50 (1–2, Serial No. 209), 66–104.CrossRefGoogle Scholar
Malin, A., & Grotstein, J. (1966). Protective identification in the therapeutic process. International Journal of Psychoanalysis, 47, 2631.Google Scholar
Miller, A. (1981). Prisoners of childhood: The drama of the gifted child and the search for the true self. New York: Basic Books.Google Scholar
Ogden, T. H. (1982). Projective identification and psychotherapeutic technique. New York: Academic.Google Scholar
Sameroff, A. J., & Chandler, M. J. (1975). Reproductive risk and the continuum of caretaking casualty. In Horowitz, F. D. (Ed.), Review of Child Development Research (Vol. 4, pp. 187244). Chicago: University of Chicago Press.Google Scholar
Sameroff, A. J., & Emde, R. N. (1989). Relationship disturbances in early childhood. New York: Basic Books.Google Scholar
Sroufe, A. (1979). Socioemotional development, In Osofsky, J. (Ed.), Handbook of infant development (pp. 462516). New York: Wiley.Google Scholar
Sroufe, A., & Rutter, M. (1984). The domain of developmental psychopathology. Child Development, 55, 11841199.Google Scholar
Stern, D. (1985). The interpersonal world of the infant. New York: Basic Books.Google Scholar
Thomas, A., Chess, S., & Birch, H. (1968). Temperament and behavior disorders in children. New York: Brunner/Mazel.Google Scholar
Winnicott, D. W. (1947). Hate in the countertransference. In Through paediatrics to psychoanalysis (pp. 194203). New York: Basic Books, 1975.Google Scholar
Winnicott, D. W. (1952). Psychoses and child care. In Through paediatrics to psychoanalysis (pp. 229242). New York: Basic Books, 1975.Google Scholar
Winnicott, D. W. (1960). Ego distortion in terms of the true and false self. In Maturational process and the facilitating environment (pp. 140152). New York: International Universities Press, 1965.Google Scholar