《arent-childinteractiontherapy-pennsylvania：家长和孩子的互动疗法-宾夕法尼亚》由会员分享，可在线阅读，更多相关《arent-childinteractiontherapy-pennsylvania：家长和孩子的互动疗法-宾夕法尼亚（37页珍藏版）》请在金锄头文库上搜索。
1、Parent-Child Interaction Therapy Gwen Burkholder, LCSW, CAADC burkholdergcsgonline.org October 9, 2013,A Network of Services. A World of Possibilities.,Welcome and Introductions!,Photos are courtesy of Amy Herschell, Ph.D.,Thank you to the following people:,Cheryl Bodiford McNeil, Ph.D., Department
2、of Psychology, West Virginia University, who provided my initial five-day training to become a PCIT clinician in November 2010 Amy D. Herschell, Ph. D., University of Pittsburg School of Medicine, who has provided ongoing supervision and consultation to me regarding providing PCIT in Lancaster, PA o
3、ver the past three years.,What is PCIT?,Work with the parent (birth, kin, foster, adoptive) and child together Designed to treat children age 2 to 7 years exhibiting disruptive behaviors Use of coaching with a bug-in-the-ear from a one-way mirror Consists of two phases of treatment: Relationship Enh
4、ancement Behavior Management Initially developed by Sheila Eyberg, University of Florida.,McNeil, C.B., & Hembree-Kigin, T. (2010). Parent-Child Interaction Therapy. Second edition. New York: Springer.,PCIT Set-up,Photos are courtesy of Amy Herschell, Ph.D.,What is PCIT?,Elements of family systems,
5、social learning theory, and traditional play therapy Emphasis on restructuring parent-child patterns, not modifying target behaviors Parents are not blamed, but are given responsibility for improving the childs behavior Program is completed in 12-20 sessions, depending on the needs of the family Emp
6、irically evaluated in over 30 controlled studies,McNeil, C.B., & Hembree-Kigin, T. (2010). Parent-Child Interaction Therapy. Second edition. New York: Springer.,Critical Components of PCIT,Parent and Child are seen together Relationship Focused Not Time Limited Coaching Model Active, Directive Asses
7、sment Driven Scientifically Based Empirically Supported Clinically Validated,Information provided by Amy Herschell, Ph. D.,Who is PCIT Appropriate For?,Young Children (Age 2-7) Children exhibiting externalizing behavior problems (e.g., verbal and physical aggression, defiance, noncompliance, temper
8、tantrums) Parents who could benefit from enhanced relationship and/or behavior management skills with young children,Information provided by Amy Herschell, Ph. D.,Who is PCIT Appropriate For?,Extensive contact with Primary Caregiver (or person completing PCIT with child) Families with young children
9、 and who have experienced violence Families with young children and relationship difficulties,Information provided by Amy Herschell, Ph. D.,Developmental Progression of Conduct Disordered Behaviors,Oppositional Argues Temper tantrums Bragging Stubborn Demands attention Teases Loud Disobeys at home I
10、mpulsive Offensive Cruelty Disobeys at School Fights Sulks Screams Lying/cheating Swears Poor peer relations Aggressive Destroys Bad friends Steals at home Attacks Threatens Others Delinquent Sets fires Steals Outside/Home Runs away Truancy Alcohol/drug use Vandalism,Information provided by Amy Hers
11、chell, Ph.D.,Sample Course of Treatment,Information provided by Amy Herschell, Ph. D.,Assessment of Appropriateness for PCIT Intake Process,Agency Intake Supplemental PCIT Questions Standardized, self-report measures Eyberg Child Behavior Inventory (ECBI) Sutter-Eyberg Student Behavior Inventory (SE
12、SBI-R) Child Behavior Checklist (CBCL) Parenting Stress Inventory Short Form (PSI-SF) Standardized, behavior observation measure Dyadic Parent-Child Interaction Coding System-IV (DPICS-IV),Information provided by Amy Herschell, Ph. D.,Eyberg Child Behavior Inventory (ECBI),Assesses behaviors associa
13、ted with the primary childhood disruptive behavior disorders (e.g., noncompliance, defiance, aggression) Appropriate for children aged 2-16 years Contains 36 items and two scales the Intensity and Problem Scales 10 Minutes for parents to complete, 2 minutes to score,Information provided by Amy Hersc
14、hell, Ph. D.,Child Behavior Checklist (CBCL),Survey social competencies and problem behaviors Complete by parent or regular caregiver Separate forms for two age groups (1.5 5 years & 6-18 years) Approximately 100 items, 15 to 25 minutes to administer Comprised of two broad band scales and a total pr
15、oblem scale Externalizing disruptive or under controlled behaviors Internalizing anxiety, depression, withdrawal Total problems scale,Information provided by Amy Herschell, Ph. D.,Parenting Stress Index (PSI)-Short Form,Composed of three subscales: Parental Distress Dysfunctional Parent-Child Intera
16、ction Difficult Child Characteristics Added together, these subscales yield a Total Stress Score,Information provided by Amy Herschell, Ph. D.,Dyadic Parent-Child Interaction Coding System (DPICS),Structured observational assessment Child-directed play Parent-directed play Clean-up Observing and coding parent-child interactions for PCIT specific Skills Labeled Praise, Behavioral Descriptions, Reflections Questions, Commands, Criticism,Information provided by Amy Hersche
