Psychologist, Specialist, and Supervisor, Center for Mentalising, Århus, Denmark.
Psychologist at the Center for Mentalising, Frederiksberg, Denmark.
Bull Menninger Clin. 2023 Winter;87(1):83-103. doi: 10.1521/bumc.2023.87.1.83.
It is well documented how adverse childhood experiences can inhibit child development and mentalizing ability and lead to high risk of developmental psychopathology. Mentalization-based treatment (MBT) has been established as an effective approach to treatment for a long range of psychopathologies with both in- and outpatient treatment, yet the evidence base for effective clinical interventions that can help guide professionals working in residential care on how to support the development of neglected and traumatized children is underdeveloped. This article demonstrates a mentalization-based approach to understanding and working with children in residential care, and offers practical models and tools as well as considerations on implementation that are beneficial and easy to apply, demonstrated through cases. The STORM model and "Obtaining Skills" screening tool may be helpful models for professionals addressing mentalization in children while working in challenging environments such as with traumatized and neglected children.
大量文献资料表明,不良的童年经历会阻碍儿童的发展和心理理论能力,增加发展性精神病理学的风险。基于心理化的治疗(MBT)已经被确立为一种有效的治疗方法,适用于各种精神病理学,包括门诊和住院治疗,然而,对于能够帮助指导在住宿护理环境中工作的专业人员如何支持被忽视和受创伤的儿童发展的有效临床干预措施的证据基础还不够发达。本文展示了一种基于心理化的方法来理解和照顾住宿护理中的儿童,并提供了实用的模型和工具,以及在实施过程中的注意事项,这些都是有益的且易于应用的,通过案例进行了演示。STORM 模型和“获得技能”筛查工具可能对专业人员在处理创伤和被忽视儿童等具有挑战性的环境中的儿童心理化问题时有所帮助。