ABSTRACT

In underserved communities with limited resources and disproportionately high morbidity and mortality rates, attachment-based, short-term, group interventions that are effective yet simple to disseminate can have a profound public health impact. This paper describes the implementation of a mentalizing-focused group parenting intervention. The Connecting and Reflecting Experience (CARE) serves primary caregivers of children from birth to 18 years within a diverse and impoverished community setting. Families living in communities facing health disparities are at heightened risk for intergenerational cycles of trauma which give rise to myriad public health crises at high societal cost. CARE’s mission is to facilitate the intergenerational transmission of secure attachment which can profoundly reduce rates of psychiatric illness for future generations. The theoretical and empirical bases for the intervention and the evidence base for existing mentalizing-focused parenting interventions are reviewed. The program’s structure and treatment goals are presented in the context of clinical case material.

摘要

在资源有限且发病率和死亡率高得不成比例的服务不足的社区中，有效但易于传播的基于依恋的短期群体干预措施可以产生深远的公共卫生影响。本文描述了以心理化为重点的小组育儿干预的实施。连接和反思体验 (CARE) 在多元化和贫困的社区环境中为从出生到 18 岁儿童的主要照顾者提供服务。生活在面临健康差异的社区的家庭面临代际创伤循环的风险更高，这会以高昂的社会成本引发无数公共卫生危机。CARE 的使命是促进安全依恋的代际传递，从而大大降低后代的精神疾病发病率。回顾了干预的理论和经验基础以及现有的以心智化为中心的育儿干预的证据基础。该计划的结构和治疗目标在临床病例材料的背景下呈现。