Assessing Family Coordination in Divorced Families

Lavadera, Anna Lubrano; Laghi, Fiorenzo; Togliatti, Marisa Malagoli

doi:10.1080/01926187.2010.539479

Cited by 13 publications

(5 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The LTP paradigm (Fivaz-Depeursinge and Corboz-Warnery, 1999) was modified to be applied to adolescents up to 18 years (Malagoli Togliatti and Mazzoni, 2006; Lavadera et al, 2011) The coding scheme of the LTP (Malagoli Togliatti and Mazzoni, 2006) used herein was adopted and explained in other international works (Lavadera et al, 2011; Mazzoni and Lubrano Lavadera, 2013; Mazzoni et al, 2015). Fivaz-Depeursinge supervised the modifications of the task and the coding system proposed and manualized by Malagoli Togliatti and Mazzoni (2006).…”

Section: Methodsmentioning

confidence: 99%

“…Despite the increasing number of studies using this innovative observational tool in different family contexts (Frascarolo et al, 2005; Lavadera et al, 2011; Simonelli et al, 2012; Mazzoni et al, 2015), data regarding families with adolescent offspring are still very limited. Nevertheless a recent study (Gatta et al, 2016b), aiming to examine the usefulness of the LTP as an outcome measure, found that the LTP assessment of the family interactions might help clinicians to focus on the dysfunctional familial dynamics, thus improving the effectiveness of a video-feedback intervention with the families of children and adolescents with psychiatric disorders (i.e., significantly reducing internalizing symptoms).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Triadic Interactions in Families of Adolescents with Anorexia Nervosa and Families of Adolescents with Internalizing Disorders

et al. 2017

View full text Add to dashboard Cite

The latest studies and practice guidelines for the treatment of adolescent patients with anorexia nervosa agree in pointing out the key role played by parents in determining the young patients’ therapeutic possibilities and outcomes. Still family functioning has usually been studied using only self-reported instruments. The aim of the present study is therefore to investigate the triadic interactions within the families of adolescents with anorexia nervosa using a semi-standardized observational tool based on a recorded play session, the Lausanne Trilogue Play (LTP). Parents and adolescent daughters, consecutively referred to adolescent neuropsychiatric services, participated in the study and underwent the observational procedure (LTP). The 20 families of adolescent girls with anorexia nervosa (restricting type) were compared with 20 families of patients with internalizing disorders (anxiety and depression). The results showed different interactive patterns in the families of adolescents with anorexia nervosa: they had greater difficulties in respecting roles during the play, maintaining the joint attention and in sharing positive affect, especially in the three-together phase (third phase). The majority of these families (12) exhibited collusive alliances. The parental subsystem appeared frequently unable to maintain a structuring role, i.e., providing help, support and guidance to the daughters, while the girls in turn often found it hard to show independent ideas and develop personal projects. Parents experienced difficulty in carving out a couple-specific relational space, from which the ill daughter was at least temporarily excluded also when they were asked to continue to interact with each other, letting the daughter be simply present in a third-part position (fourth phase). The study of the triadic interactions in the families of adolescents with anorexia nervosa may help to shift the attention from the exclusive mother–daughter relation to the involvement of the father, and of the parental couple as a whole. The family functioning is in fact well established as a maintaining factor of anorexia nervosa or vice versa as a facilitating factor in the therapeutic process.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Triadic Interactions in Families of Adolescents with Anorexia Nervosa and Families of Adolescents with Internalizing Disorders

et al. 2017

View full text Add to dashboard Cite

show abstract

“…The LTPc coding system used in this study has been explained in previous publications (14,52,54,55). Essentially, it considers four aspects of interaction (i.e., participation, organization, focal attention, affective contact), which are rated, in each phase, on a three-point Likert scale (0 = dysfunctional; 1 = partially functional; 2 = functional).…”

Section: The Ltpc: Procedures and Codingmentioning

confidence: 99%

Assessing Family Functioning Before and After an Integrated Multidisciplinary Family Treatment for Adolescents With Restrictive Eating Disorders

et al. 2021

View full text Add to dashboard Cite

The present study presents an investigation of family functioning in the families of adolescents with severe restrictive eating disorders (REDs) assessed before and 6 months after a multidisciplinary family treatment program that combined psychodynamic psychotherapy, parental role intervention, and triadic or family-centered interventions. Nutritional counseling and neuropsychiatric monitoring of the overall treatment and care process were also provided. Family functioning was assessed using the clinical version of the Lausanne Trilogue Play (LTPc), a semi-structured procedure for observing family dynamics, previously validated for this patient population. The LTPc is divided into four phases. In phase 1, the mother interacts with the patient while the father assumes the role of observer. In phase 2, the father plans an activity with the patient while the mother observes. In phase 3, all the family members interact. Finally, in phase 4, the parents talk while the adolescent observes. A significant change emerged in family functioning after the treatment, but only for the interactive phase 2, when the father is required to interact with the daughter while the mother silently observes. The results of this study suggest that a relatively brief multidisciplinary treatment program may significantly improve family functioning in the families of patients diagnosed with severe REDs. Although appropriate clinical trials are needed to further test the efficacy of this treatment, the results also reinforce the concept that treatment programs targeting the individual patient and both the parents should be a first-line approach in adolescents with severe REDs.

show abstract

“…In a related study, Lavadera, Laghi, and Togliatti ( 2011 ) developed an observational method of family relationships and interactions-the Lausanne trilogue play (LTP)-and adapted it to typical observed clinical situations. The major objective of their study was to assess whether this procedure is useful in distinguishing among the levels of complexity and characteristics of divorced families who are being followed by a court expert in child custody cases.…”

Section: Alliancementioning

confidence: 99%