Session Adherence to Prototypical Psychotherapy Process as a Correlate of Outcome in a Naturalistic Study of Child Mentalization-Informed Psychodynamic Play Therapy

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dc.authoridGoodman, Geoff/0000-0001-8891-5958|Halfon, Sibel/0000-0001-6171-3010
dc.contributor.authorGoodman, Geoff
dc.contributor.authorHalfon, Sibel
dc.date.accessioned2024-07-18T20:56:56Z
dc.date.available2024-07-18T20:56:56Z
dc.date.issued2021
dc.departmentİstanbul Bilgi Üniversitesien_US
dc.description.abstractWhile the adult psychotherapy literature has made great strides to understand the relations between psychotherapy process and treatment outcome, the child psychotherapy literature lags far behind. The first aim of this study was to determine whether mentalization-informed psychodynamic play therapy (PDT) sessions adhered to therapeutic principles comprising this treatment model. The second aim was to assess whether session adherences to prototypical PDT and Reflective Function (RF) process using the Child Psychotherapy Q-Set (CPQ) were correlated with both problem behavior reduction and adaptive functioning after controlling for pretreatment scores. The third aim was to assess whether these correlations depended on problem behavior type (externalizing-only, internalizing-only, externalizing and internalizing), age, or gender. The sample included 95 children (56% male; M age = 6.80) categorized into these 3 types. Three-hundred seventy-nine sessions from different treatment phases were rated using the CPQ. Outcomes were assessed using the Child Behavior Checklist, Teacher Rating Form, Emotion Regulation Checklist, and Children's Global Assessment Scale. Sessions adhered to prototypical RF and PDT process. Session adherences to prototypical RF and cognitive-behavioral therapy (CBT) process were positively correlated with adaptive functioning. Among internalizers, session adherence to prototypical PDT process was negatively correlated with internalizing behavior, while among externalizers, session adherences to prototypical RF and CBT process were negatively correlated with externalizing behavior and emotion negativity. Session adherences to prototypical RF and CBT process were significantly higher for girls than for boys. Two different trajectories of success are proposed for children with externalizing problems. PDT is proposed for children with internalizing problems.en_US
dc.description.sponsorshipScientific and Technological Research Council of Turkey [215K180]en_US
dc.description.sponsorshipWe thank the children and therapists who participated in this study. This study was partially supported by the Scientific and Technological Research Council of Turkey Project 215K180. Participants were recruited from a university-sponsored outpatient clinic in Istanbul, Turkey. Children's problem behaviors were assessed from parent and teacher reports and not from independent observers. Geoff Goodman (Abstract, Introduction, Results, Discussion, statistical analysis, Tables 2-5); Sibel Halfon (patient recruitment, data collection, statistical analysis, Tables 1-2).en_US
dc.identifier.doi10.1037/int0000229
dc.identifier.endpage419en_US
dc.identifier.issn1053-0479
dc.identifier.issn1573-3696
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-85120877224en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage403en_US
dc.identifier.urihttps://doi.org/10.1037/int0000229
dc.identifier.urihttps://hdl.handle.net/11411/8915
dc.identifier.volume31en_US
dc.identifier.wosWOS:000755514800005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherEducational Publishing Foundation-American Psychological Assocen_US
dc.relation.ispartofJournal of Psychotherapy Integrationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPsychodynamic Play Therapy Processen_US
dc.subjectReflective Functioningen_US
dc.subjectMentalizationen_US
dc.subjectChild Treatment Outcomesen_US
dc.subjectSession Adherenceen_US
dc.subjectExpert Clinician Prototypesen_US
dc.subjectAdolescentsen_US
dc.subjectEmotionen_US
dc.subjectStateen_US
dc.titleSession Adherence to Prototypical Psychotherapy Process as a Correlate of Outcome in a Naturalistic Study of Child Mentalization-Informed Psychodynamic Play Therapy
dc.typeArticle

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