Brief mother-infant treatment: Psychoanalytically informed video feedback
Brief mother-infant treatment: Psychoanalytically informed video feedback
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DOI：
10.1002/imhj.10042
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发表时间：
2003-01-01
影响因子：
2.4
通讯作者：
Beebe, B
中科院分区：
文献类型：
--
作者：
Beebe, B
婴儿研究的微分析方法记录的交互调节的特定模式可以应用于母亲和婴儿的临床干预。描述了一种简短的治疗模式，包括面对面的分屏录像（每个伴侣一个摄像头）以及与父母一起对录像带进行治疗观察。该干预措施使用由精神分析方法提供的“视频反馈”，包括在观看录像带时积极强化、建模、信息提供以及解释。评估注意力、唤醒、情感和时间调节领域的具体相互作用。精神分析干预将所提出的抱怨的“故事”、录像带中看到的“故事”以及父母自己的成长过程的“故事”联系起来。我们试图找出婴儿的特定表征，这些表征可能会干扰父母观察和处理非语言互动的能力。母亲观察自己和婴儿互动的强烈体验。我们共同尝试将动作序列转化为文字，促进了母亲“看到”和“记忆”的能力，刺激了母亲信息处理的程序性和陈述性模式的快速整合。一个涉及六名接触者的治疗案例来说明这一方法。通过将录像带微观分析所确定的交互调节的特异性应用于其他婴儿对的心理动力学治疗中，基础研究可以转化为临床实践。
Specific patterns of interactive regulation documented by microanalytic methods of infant research can be applied to clinical interventions with mothers and infants. A brief treatment model is described that includes face-to-face split-screen videotaping (one camera on each partner) and therapeutic observation of the videotape with the parent. The intervention uses "video feedback" informed by a psychoanalytic approach, including positive reinforcement, modeling, and information giving, as well as interpretation, while watching the videotape. Specific interactions in the areas of attention, arousal, affect, and timing regulation are evaluated. The psychoanalytic intervention links the "story" of the presenting complaints, the "story" seen in the videotape, and the "story" of the parent's own upbringing. An attempt is made to identify specific representations of the baby that may interfere with the parents's ability to observe and process the nonverbal interaction. The mother's powerful experience of watching herself and tier baby interact. and our joint attempts to translate the action-sequences into words, facilitates the mother's ability to "see" and to "remember," stimulating a rapid integration of the mother's procedural and declarative modes of inforniation-processing. One treatment case, involving six contacts, is presented to illustrate the approach. By applying the specificity of interactive regulation identified by microanalysis of videotape into the psychodynamic treatment of inother-infant pairs, basic research can be translated into clinical practice.