This paper presents findings from an intensive, mixed methods case study of one session of psychoanalytic parent–infant psychotherapy (PPIP) addressing early relational trauma, and aims to shed light on the multimodal interactive processes that take place in the moment‐to‐moment exchanges comprising the therapeutic encounter. Different research methods were used on video material from PPIP sessions, including microanalysis of adult–infant interactions, discourse analysis of talk, and coding systems developed to study parent–infant interaction. These different perspectives were brought together with the clinical narrative to illuminate the complex, dynamic processes of parent–infant–therapist interaction. More specifically, the detailed analysis of one interactive episode revealed brief behavioral manifestations of fearful and disoriented states of mind, reflecting dysregulated interaction between mother and infant, which also powerfully affected the therapist. The processes through which the therapist gradually resolves this rupture are also described in detail. Through this pilot study, we were able to show that it is possible to systematically study the process of PPIP. The study contributes to the growing psychotherapy research literature that takes into account both the verbal domain and implicit, interactional processes in therapeutic practice, and underscores the therapist's comprehensive engagement in the therapeutic process.

中文翻译：

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研究心理分析父母婴儿心理治疗的过程：体现和话语方面。

本文介绍了一项密集的，混合方法的案例研究的发现，该案例研究涉及一期针对早期关系创伤的精神分析父母-婴儿心理治疗（PPIP），旨在阐明在瞬间交流中发生的多模式互动过程。包括治疗遭遇。PPIP会议的视频材料采用了不同的研究方法，包括对成人与婴儿互动的微观分析，谈话的话语分析以及为研究父母与婴儿互动而开发的编码系统。这些不同的观点与临床叙述相结合，以阐明父母-婴儿-治疗师相互作用的复杂，动态过程。进一步来说，对一个互动事件的详细分析揭示了恐惧和迷失的心理状态的简短行为表现，反映了母婴互动失调，这也对治疗师产生了强烈影响。还详细介绍了治疗师逐步解决此破裂的过程。通过这项初步研究，我们能够证明有可能系统地研究PPIP的过程。该研究为不断增长的心理治疗研究文献做出了贡献，该文献考虑了言语领域和治疗实践中的隐性相互作用过程，并强调了治疗师对治疗过程的全面参与。还详细介绍了治疗师逐步解决此破裂的过程。通过这项初步研究，我们能够证明有可能系统地研究PPIP的过程。该研究为不断增长的心理治疗研究文献做出了贡献，该文献考虑了言语领域和治疗实践中的隐性相互作用过程，并强调了治疗师对治疗过程的全面参与。还详细介绍了治疗师逐步解决此破裂的过程。通过这项初步研究，我们能够证明有可能系统地研究PPIP的过程。该研究为不断增长的心理治疗研究文献做出了贡献，该文献考虑了言语领域和治疗实践中的隐性相互作用过程，并强调了治疗师对治疗过程的全面参与。