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Family-Oriented Treatment of Childhood Chronic Medical Illness
Published in Lawrence C. Rubin, Handbook of Medical Play Therapy and Child Life, 2017
Because the entire family system is impacted in multiple ways by childhood chronic illness, it seems that the core intervention needs to involve the entire family. Because the most developmentally appropriate way to work with children, including those with illnesses and their siblings, is to use the language of play, it seems that a play-based approach is also indicated. Filial Therapy (FT), which is a theoretically integrative approach that combines family therapy with play therapy, offers considerable assistance to these families. FT can also be used as a preventive approach for families before they experience significant problems, or it can be used to intervene in highly complex and multifaceted problems. I have had experience conducting FT groups with families who seem to be coping well, or who have just recently been diagnosed, as well as with families who have extremely challenging problems triggered by or surrounding the child’s illness. Family feedback has been universally very positive, and some parents have even returned to graduate school to learn to conduct it and assist other families. The sections that follow describe FT briefly, discuss its relevance to this population, highlight research and required training, and offer a case study to illustrate.
Child-Parent Relationship Therapy for Externalizing Problems: A Meta-analysis and Methodological Critique
Published in Evidence-Based Practice in Child and Adolescent Mental Health, 2020
Prior to discussing the classificatory scheme for discerning the level of support for an intervention, a few definitional issues must be considered. First, consideration of the evidence for an intervention focuses on a defined protocol, not broad theoretical tenets. Play therapy researchers often cite meta-analyses suggesting that filial therapy and/or play therapy are effective treatments (Bratton et al., 2005; LeBlanc & Ritchie, 2001); however, “play therapy” and “filial therapy” are broad terms, not defined protocols. Within these expansive terms a number of deliverable techniques, protocols, and theoretical ideas are considered together. In addition, various forms of delivery (e.g., individual, group) by diverse personnel (e.g., clinicians, teachers) are aggregated together for analysis. This does not allow for a consideration of which specific techniques in clinical practice (i.e., by clinicians) may be effective. Second, these same meta-analyses typically consider a wide multitude of outcomes, such as clinical syndromes, the parent-child relationship, personality characteristics, and academic issues. As such, while these meta-analyses provide a broad overview of a field or theoretical perspective, meta-analyses of more specific treatment protocols are necessary for precision in treatment delivery (Weisz et al., 2017). Being able to answer the more restricted question of what specific interventions are effective for a specific presenting concern is vital for identifying an intervention as an EBT.
Child-Parent Relationship Therapy with Extra-Familial Abused Children
Published in Journal of Child Sexual Abuse, 2018
Roy Tal, Kineret Tal, Ohad Green
Child Parent Relationship Therapy (CPRT) is a method for intervention with parents and children that seek to combine a response to the parents’ distress with reinforcement of the parental role in the process of treating children. CPRT, which was initially called “filial therapy”, is a research-based therapeutic intervention developed by Bernard and Louise Guerney. This method teaches parents how to implement nondirective play therapy techniques in supervised weekly play sessions with their children (Cornet & Bratton, 2015; Hill, 2005; Landreth, 2002; Sweeney, Homeyer, & Pavlishina, 2000). Clinical experiences with implementing and adapting CPRT to diverse therapeutic settings, in addition to theoretical developments have led to a change in the therapeutic emphasis of CPRT. This change has mainly been manifested in a transition from an approach that focuses on the child and on the parents as therapeutic agents to an approach that focuses on the parent-child relationship. Concomitantly, the name of the approach was changed from “parental therapy” or “filial therapy” to “child-parent relationship therapy”, as it is called today (Hill, 2005; Landreth & Braton, 2006).