Fiskum Charlotte, Andersen Tonje G, Johns Unni T, Jacobsen Karl
Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
Child and Adolescent Mental Health Services, Akershus University Hospital, Oslo, Norway.
Front Psychol. 2022 Jul 8;13:906416. doi: 10.3389/fpsyg.2022.906416. eCollection 2022.
Time-limited intersubjective child-psychotherapy (TIC) is an intensive, structured right-brain oriented therapeutic approach for children and caregivers aimed at both symptom reduction and strengthening core developmental processes such as affect integration. This is the first study to investigate changes in internalizing symptoms and affect integration after TIC. Thirty-three children between 9 and 13 years with internalizing difficulties were assessed after 10 h of TIC. Internalizing symptoms were assessed through the child behavior checklist and affect integration with the affect consciousness interview (ACI). Scores from the children with internalizing difficulties were modeled in a mixed linear model along with data from a control group without internalizing difficulties ( = 24) to control for effects of time and learning. Affect integration increased significantly from time 1 to time 2 in the children with internalizing problems, but not in the control children. Internalizing symptoms were also significantly reduced in the children with internalizing difficulties from time 1 to time 2. The results indicate that TIC may contribute to a decrease in symptoms along with an increase in affect integration in children with internalizing difficulties, making the children better able to notice, tolerate and communicate affective states. This can, in turn, aid development and day-to-day regulation and interactions. The article explores key elements of TIC, such as affective attunement, relational repair, and work with caregivers using one of the individual therapies in the study as an example. The article argues that TIC represents a right-hemisphere to right-hemisphere therapeutic approach to healing that can both enhance important common therapeutic factors such a relation and alliance and bring about growth-promoting change.
限时主体间儿童心理治疗（TIC）是一种针对儿童及其照顾者的强化、结构化的右脑导向治疗方法，旨在减轻症状并加强诸如情感整合等核心发展过程。这是第一项调查TIC后内化症状和情感整合变化的研究。对33名9至13岁有内化困难的儿童在接受10小时的TIC治疗后进行了评估。通过儿童行为清单评估内化症状，并通过情感意识访谈（ACI）评估情感整合。将有内化困难儿童的得分与来自无内化困难对照组（n = 24）的数据一起纳入混合线性模型，以控制时间和学习的影响。有内化问题的儿童从时间1到时间2情感整合显著增加，而对照组儿童则没有。有内化困难的儿童从时间1到时间2内化症状也显著减少。结果表明，TIC可能有助于减少有内化困难儿童的症状，同时增加情感整合，使儿童更有能力注意、容忍和交流情感状态。这反过来又有助于发展以及日常调节和互动。本文以该研究中的一种个体治疗为例，探讨了TIC的关键要素，如情感协调、关系修复以及与照顾者的合作。本文认为，TIC代表了一种右脑对右脑的治疗方法，既能增强诸如关系和联盟等重要的共同治疗因素，又能带来促进成长的改变。
