ABSTRACT

Objective:

Gaining a deeper understanding of how focused parent–infant psychotherapy (fPIP) works by asking mothers about their experiences.

Method:

Purposeful sampling was used to select participants who before had participated in an RCT on fPIP. Nine mothers of infants with early regulatory disorders who had received fPIP were interviewed. Eight cases received full-protocol treatment, one case was a treatment drop-out. Semi-structured interviews were audio-recorded, transcribed verbatim and analyzed applying grounded theory methodology.

Results:

Seven major categories evolved: (1) engaging in therapy while maintaining autonomy, (2) relating to an emotionally responsive therapist and resolving ruptures, (3) involvement of partners in therapy facilitates multiple perspectives, (4) understanding the meaning of the child’s signals and increasing acceptance of difficult behaviors, (5) feeling supported by advice that is attuned to the families’ needs, (6) insight into parental contributions to the child’s problems and (7) feeling strengthened as a mother and recognizing one’s own needs.

Conclusion:

Findings highlight which aspects of fPIP mothers find most helpful and most challenging. Aspects that compromised the change process seemed related to the specific needs of this population and therapeutic setting. The results may guide therapists and inspire future development in interventions for treating infant regulatory disorders.

中文翻译：

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向接受专注的亲子心理治疗以治疗孩子的调节障碍的母亲学习

摘要

客观的：

通过询问母亲的经历，更深入地了解专注的亲子心理治疗 (fPIP) 的工作原理。

方法：

有目的的抽样用于选择以前参加过 fPIP 随机对照试验的参与者。采访了接受 fPIP 的 9 名患有早期调节障碍婴儿的母亲。8例接受全方案治疗，1例治疗退出。半结构化访谈被录音，逐字转录并应用扎实的理论方法进行分析。

结果：

七个主要类别演变：（1）在保持自主权的同时参与治疗，（2）与情绪反应治疗师相关并解决破裂，（3）合作伙伴参与治疗有助于多视角，（4）理解孩子信号的含义以及越来越多地接受困难行为，(5) 感觉得到了符合家庭需求的建议的支持，(6) 洞察父母对孩子问题的贡献，以及 (7) 作为母亲的感觉得到加强，并认识到自己的需要。

结论：

调查结果强调了 fPIP 母亲的哪些方面最有帮助和最具挑战性。影响改变过程的方面似乎与该人群的特定需求和治疗环境有关。该结果可能会指导治疗师并激发未来治疗婴儿调节障碍的干预措施的发展。