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Parent–Child Interaction Therapy as an attachment-based intervention: Theoretical rationale and pilot data with adopted children

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  • Allen, Brian
  • Timmer, Susan G.
  • Urquiza, Anthony J.

Abstract

Children with histories of child abuse and neglect, particularly children residing in foster or adoptive homes, are commonly considered by many professionals to need “attachment therapy” in order to address emotional and behavioral needs. However, evidence-based treatments rarely utilize an attachment-based justification outside of the infancy through preschooler age range. In actuality, many evidence-based treatments can be understood through the lens of attachment theory. This paper reviews the tenets of an attachment-based approach to treatment and describes how one evidence-based treatment, Parent–Child Interaction Therapy (PCIT), conforms to all expectations and requirements prescribed by attachment theory and research. Next, pilot data from an open trial of PCIT with a sample of adopted children and their adoptive caregivers (n=85) are provided. Results demonstrate significant improvements in positive parenting techniques, reductions in parenting stress, and reductions in externalizing and internalizing concerns among the children. These results are discussed in the context of improving the quality of care for children often described as in need of “attachment therapy.”

Suggested Citation

  • Allen, Brian & Timmer, Susan G. & Urquiza, Anthony J., 2014. "Parent–Child Interaction Therapy as an attachment-based intervention: Theoretical rationale and pilot data with adopted children," Children and Youth Services Review, Elsevier, vol. 47(P3), pages 334-341.
  • Handle: RePEc:eee:cysrev:v:47:y:2014:i:p3:p:334-341
    DOI: 10.1016/j.childyouth.2014.10.009
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    References listed on IDEAS

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    1. Hussey, David L. & Falletta, Lynn & Eng, Abbey, 2012. "Risk factors for mental health diagnoses among children adopted from the public child welfare system," Children and Youth Services Review, Elsevier, vol. 34(10), pages 2072-2080.
    2. Timmer, Susan G. & Urquiza, Anthony J. & Zebell, Nancy, 2006. "Challenging foster caregiver-maltreated child relationships: The effectiveness of parent-child interaction therapy," Children and Youth Services Review, Elsevier, vol. 28(1), pages 1-19, January.
    3. Leathers, Sonya J. & Spielfogel, Jill E. & Gleeson, James P. & Rolock, Nancy, 2012. "Behavior problems, foster home integration, and evidence-based behavioral interventions: What predicts adoption of foster children?," Children and Youth Services Review, Elsevier, vol. 34(5), pages 891-899.
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    1. Onovbiona, Harlee & Mapes, Ayla R. & Quetsch, Lauren B. & Theodorou, Laurie L. & McNeil, Cheryl B., 2023. "Parent-child interaction therapy for children in foster care and children with posttraumatic stress: Exploring behavioral outcomes and graduation rates in a large state-wide sample," Children and Youth Services Review, Elsevier, vol. 145(C).
    2. Cañas, María & Ibabe, Izaskun & Arruabarrena, Ignacia & De Paúl, Joaquín, 2022. "The dyadic parent-child interaction coding system (DPICS): Negative talk as an indicator of dysfunctional mother-child interaction," Children and Youth Services Review, Elsevier, vol. 143(C).
    3. Woodfield, M.J. & Cargo, T. & Barnett, D. & Lambie, I., 2020. "Understanding New Zealand therapist experiences of Parent-Child Interaction Therapy (PCIT) training and implementation, and how these compare internationally," Children and Youth Services Review, Elsevier, vol. 119(C).
    4. Nina Thorup Dalgaard & Maiken Pontoppidan & Morten Kjær Thomsen & Bjørn Christian Arleth Viinholt & Trine Filges, 2020. "PROTOCOL: Parenting interventions to support parent/child attachment and psychosocial adjustment in foster and adoptive parents and children: A systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 16(1), March.
    5. Nina T. Dalgaard & Trine Filges & Bjørn C. A. Viinholt & Maiken Pontoppidan, 2022. "Parenting interventions to support parent/child attachment and psychosocial adjustment in foster and adoptive parents and children: A systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 18(1), March.
    6. Krishnamoorthy, Govind & Hessing, Paula & Middeldorp, Christel & Branjerdporn, Melissa, 2020. "Effects of the ‘Circle of Security’ group parenting program (COS-P) with foster carers: An observational study," Children and Youth Services Review, Elsevier, vol. 115(C).

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