February 4, 2017
Presenters: Leon Hoffman, Timothy Rice, Tracy Prout
There is a certain amount of therapeutic hopelessness in both parents and mental health clinicians when treating children with externalizing behaviors. These children include those diagnosed with oppositional defiant disorder (ODD), conduct disorder (CD), and, more recently, Disruptive Mood Dysregulation Disorder (DMDD), for which there is currently no broadly accepted psychosocial or pharmacotherapeutic interventions. This hopelessness may be because of the limited therapeutic options and the problematic outcomes when these children grow into adolescence and beyond. This manual is designed for the utilization by mental health clinicians who work with children and their families. In our initial clinical trial, we are targeting children with ODD.
In this presentation we will describe the essence of our treatment manual (https://www.routledge.com/products/9781138823747) which includes the clinician trying to understand the meaning of the child's maladaptive disruptive behavior. The treatment does not focus on teaching the child proper behavior or teaching the parents management techniques. Instead the therapist communicates to the child that there is meaning to the behavior and that it is safer to act up than feel painful emotions, such as sadness, shame, guilt, or loss. Addressing the child’s defensive maneuvers to avoid painful affects and addressing transference and countertransference issues are emphasized. Any child treatment has to include an active parenting component. In our manual we help parents understand the meaning of their children's behavior and how to approach their children in a more effective way, understanding the working of their child as his/her own individual with needs, worries, and responses to stress in their lives.
The work of Berta Bornstein (addressing defenses against painful affects), Leigh McCullough (development of a manual targeting what she called affect phobia), and Phebe Cramer (empirical exploration of defenses) were central in the development of this manual.
2 CME/CE hours offered
New York Psychoanalytic Society & Institute
247 East 82nd Street (between 2nd and 3rd Avenues)
The Marianne & Nicholas Young Auditorium