RESUMO
This paper describes the treatment of a mother and child who demonstrated disorganized attachment behaviors in their interactions with one another. The mother, who was diagnosed with Borderline Personality Disorder, felt incapable of managing her aggressive toddler and his emotional needs. The dyad was referred for therapy due to concerns about his developmental progress, evident delays having been mainly attributed to the problems observed within the parent-child relationship. The primary intervention applied to working with the dyad was the Group Attachment-Based Intervention (GABI©), developed by Anne Murphy in collaboration with Miriam Steele and Howard Steele. The mother also received individual psychotherapy as a supplement to the dyadic and group work of GABI©. The process and outcome of this comprehensive approach to treating a vulnerable dyad is explored in this case study.
Assuntos
Relações Mãe-Filho/psicologia , Psicoterapia de Grupo/métodos , Transtorno Reativo de Vinculação na Infância/terapia , Adulto , Transtorno da Personalidade Borderline/psicologia , Transtorno da Personalidade Borderline/terapia , Filho de Pais com Deficiência/psicologia , Pré-Escolar , Terapia Combinada , Deficiências do Desenvolvimento/psicologia , Deficiências do Desenvolvimento/terapia , Violência Doméstica/psicologia , Feminino , Processos Grupais , Humanos , Masculino , Mães/psicologia , Apego ao Objeto , Pais Solteiros/psicologia , Maus-Tratos Conjugais/psicologiaRESUMO
This paper provides an account of multiple potential benefits of using video in clinical interventions designed to promote change in parent-child attachment relationships. The power of video to provide a unique perspective on parents' ways of thinking and feeling about their own behavior and that of their child will be discussed in terms of current attachment-based interventions using video either as the main component of the treatment or in addition to a more comprehensive treatment protocol. Interventions also range from those that use micro-analytic as compared to more global units of analyses, and there are potential bridges to be made with neuro-scientific research findings. In addition, this paper provides a clinical illustration of the utility of showing parents vignettes of video-filmed observations of parent-child interactions from the Group Attachment Based Intervention (GABI) for vulnerable families. Emphasis is placed on the motivational force arising from seeing (and hearing) oneself in interaction with one's child on video, thus serving as a powerful catalyst for reflective functioning and updating one's frame of reference for how to think, feel and behave with one's child.
