Bridging the Divide Between Psychodynamic and Behavioral Approaches for Children with Oppositional Defiant Disorder

Psychotherapy process in regulation focused psychotherapy for children.

“…Additionally, the finding that psychotherapy process differed with children who also had attentional problems demonstrates what most clinicians know and do in clinical practice; children who present with comorbid ODD and ADHD often benefit from more structured approaches, even within a psychodynamic framework (Eresund, 2007). With this particular population, integrative psychotherapy approaches may be best suited to serving the complex needs of children and families (Prout, Chacko, et al, 2018).…”

Regulation focused psychotherapy for children in clinical practice: Case vignettes from psychotherapy outcome studies.

“…Additionally, BPT approaches utilize explicit cognitive and behavioral techniques, thus addressing explicit emotion regulation, to manage maladaptive behavior, rather than addressing underlying disruptions in a child’s implicit emotion regulation system (Rice & Hoffman, 2014). However, current research indicates the importance of developing more adaptive implicit emotion regulation to decrease the presentation of externalizing symptoms (Hoffman, Rice, & Prout, 2016; Prout, Chacko, et al, 2018; Prout, Rice, et al, 2019). Even within cognitive–behavioral interventions for youth, the importance of emotion regulation, particularly within the context of a close relationship, has been highlighted (de Rubeis & Granic, 2012).…”

“…A recent study of psychotherapy process prototypes demonstrated that RFP-C shares some common principles with child-centered play therapy (CCPT; Muro, Ray, Schottelkorb, Smith, & Blanco, 2006) and other psychodynamic therapy approaches for children (Prout, Goodman, Hoffman, Rice, & Sherman, 2018). Unlike these approaches, however, RFP-C is specifically designed to target the constellation of symptoms around disruptive behavior and to attend to the underlying meaning behind a child’s behavior (Prout, Chacko, et al, 2018). In RFP-C, the clinician attends to play that evokes a disruption, the emotion behind the disruption, and the nature of the play during the disruption.…”

The Psychodynamic Approach During COVID-19 Emotional Crisis

“…The impact of a dynamic approach in psychotherapy is largely documented (Midgley et al, 2009 ; Perry and Bond, 2012 ; Hilsenroth and Pitman, 2019 ; Lo Coco et al, 2019a ; Gelo et al, 2020 ; Gennaro et al, 2020 ). Process-outcome research has highlighted the effectiveness of dynamic psychotherapy in treating various mental disorder such as depression (Meystre et al, 2017 ; Starrs and Perry, 2018 ; Perry et al, 2020 ), anxiety (Maffei et al, 1995 ; Babl et al, 2019 ; Solomonov et al, 2019 ) eating disorders (Gelo et al, 2015 ; Lo Coco et al, 2021 ), pathologic addictions (Terrone et al, 2018 ; Frisone et al, 2020 ; Lo Coco et al, 2020 ; Giordano et al, 2021 ), psychotic traits (Boldrini et al, 2019 , 2020 ), externalizing problems (Prout et al, 2018a ; Hoffman and Prout, 2020 ), and personality disfunction (Lingiardi and Giovanardi, 2017 ; Goldman et al, 2018 ; Aafjes-van Doorn et al, 2019 ; Kramer, 2019 ; Di Giuseppe et al, 2020b ; Solomonov et al, 2020 ). The role of therapeutic alliance as mediator on outcomes in psychotherapy has been demonstrated in several studies highlighting the need for an in-depth investigation of patient-therapist communicative exchange (Lingiardi et al, 2010 ; Perry, 2014 ; Bhatia et al, 2017 ; Salvatore et al, 2017 ; Rocco et al, 2018 ; Tanzilli et al, 2018 ; Lo Coco et al, 2019b ; Leibovich et al, 2020 ; Zilcha-Mano et al, 2020 ).…”