Time-limited Psychodynamic Psychotherapy with Children and Adolescents At a time when there is increasing concern about the escalation of child and adolescent mental health problems, Time-limited Psychodynamic Psychotherapy with Children and Adolescents provides an innovative contextual model that engages the child or young person and their parents. The core of the model is the recognition of the dynamic capacity for growth in the child and how this, in itself, creates opportunities for effective treatment over a relatively short period of time. Based on evidence that the most enduring therapeutic outcomes involve a shift in the parents’ relational understanding of themselves, as well as a change in the child, the book uses case examples to show how this model can be applied in everyday therapeutic practice. Time-limited Psychodynamic Psychotherapy with Children and Adolescents is aimed at practitioners in the fi eld of child, adolescent, parent and family psychotherapy. It will interest psychologists, child psychotherapists, doctors, psychiatrists, social workers and mental health workers. Ruth Schmidt Neven, PhD is a child psychotherapist, clinical psychologist, educator and researcher. She trained at the Tavistock Clinic in London and over four decades has brought a pioneering approach to clinical work with children and young people, emphasising the essential nature of the meaning of behaviour. Page Intentionally Left Blank Time-limited Psychodynamic Psychotherapy with Children and Adolescents An interactive approach Ruth Schmidt Neven First published 2017 by Routledge 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN and by Routledge 711 Third Avenue, New York, NY 10017 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2017 Ruth Schmidt Neven The right of Ruth Schmidt Neven to be identifi ed as author of this work has been asserted by her in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identifi cation and explanation without intent to infringe. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data Names: Schmidt-Neven, Ruth, author. Title: Time-limited psychodynamic psychotherapy with children and adolescents : an interactive approach / Ruth Schmidt-Neven. Description: Milton Park, Abingdon, Oxon ; New York, NY : Routledge, 2016. | Includes bibliographical references and index. Identifi ers: LCCN 2016001727 | ISBN 9781138960930 (hbk) | ISBN 9781138960947 (pbk) | ISBN 9781315620404 (ebk) Subjects: LCSH: Child psychotherapy. | Brief psychotherapy for teenagers. | Psychodynamic psychotherapy for children. | Psychodynamic psychotherapy for teenagers. Classifi cation: LCC RJ504.3 .S36 2016 | DDC 618.92/8914--dc23 LC record available at http://lccn.loc.gov/2016001727 ISBN: 978-1-138-96093-0 (hbk) ISBN: 978-1-138-96094-7 (pbk) ISBN: 978-1-315-62040-4 (ebk) Typeset in Sabon by Saxon Graphics Ltd, Derby My thanks and gratitude to the many children, parents and young people I have worked with, from whom I have learned so much. Page Intentionally Left Blank Contents PART 1 A contextual analysis of time-limited psychodynamic psychotherapy with children, young people and parents 1 Introduction and overview – Psychodynamic therapy and the changing emotional and social landscape of childhood and parenthood 3 1 Current concerns about child and adolescent mental health – Challenging articles of faith 9 2 A short history of time-limited psychodynamic psychotherapy with adults 17 3 A critical assessment of research and outcome studies of time-limited psychodynamic psychotherapy with children and young people 24 PART 2 A conceptual and practice framework for time-limited psychodynamic psychotherapy with children, young people and parents 35 4 Reconfi guring a psychodynamic approach for current times – Refreshing and redefi ning the psychodynamic enterprise 37 viii Contents 5 The clinical method in time-limited psychodynamic psychotherapy with children, young people and parents 50 6 The clinical technique in time-limited psychodynamic psychotherapy with children, young people and parents 62 7 Placing the child and young person in the therapeutic frame 72 8 Clinical challenges – the potential of the time-limited model 86 9 Empowering parents in times of change 107 10 The clinical outcome – Implications for training and research 118 11 Shifting the paradigm towards positive mental health for children, parents and young people 123 Bibliography 130 Index 137 Part 1 A contextual analysis of time-limited psychodynamic psychotherapy with children, young people and parents
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