Faculty of Philosophy, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Child Attachment and Psychological Therapies Research Unit, Anna Freud National Centre for Children & Families, London, UK.
Infant Ment Health J. 2020 Sep;41(5):589-602. doi: 10.1002/imhj.21888. Epub 2020 Sep 3.
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.
本文呈现了一项深入的混合方法案例研究的结果，该研究聚焦于一次精神分析型母婴心理治疗（PPIP）疗程，旨在揭示构成治疗性相遇的即时互动交流中所发生的多种交互过程。使用了不同的研究方法对母婴心理治疗的视频材料进行分析，包括成人与婴儿互动的微观分析、谈话的话语分析以及为研究母婴互动而开发的编码系统。这些不同的视角与临床叙述相结合，阐明了母婴-治疗师互动的复杂、动态过程。更具体地说，对一个互动片段的详细分析揭示了母亲和婴儿之间失调互动所反映的恐惧和迷失方向的心理状态的短暂行为表现，这也强烈影响了治疗师。治疗师逐步解决这种破裂的过程也被详细描述。通过这项初步研究，我们能够表明可以系统地研究母婴心理治疗的过程。该研究为越来越多的考虑治疗实践中言语领域和隐性交互过程的心理治疗研究文献做出了贡献，并强调了治疗师在治疗过程中的全面参与。
