https://doi.org/10.4081/ripppo.2022.562
Assessing therapist and clinician competency in parent-infant psychotherapy: The REARING coding system (RCS) for the group attachment based intervention (GABI)
Submitted: July 2, 2021
Accepted: February 11, 2022
Published: March 1, 2022
Accepted: February 11, 2022
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
The development of fidelity and quality measures for the dissemination of evidence-based practices is an often-neglected, vital step in the implementation of psychological interventions, especially within parent-infant mental health. The current study aims to address this gap by developing a competency-based measure for clinicians delivering the Group Attachment Based Intervention (GABI). GABI is an intervention aimed at supporting family preservation in parents who have experienced disparities across multiple systems of care. After observing over 100 hours of clinical video, the research team, comprised of clinicians and academic researchers, developed a competency coding system to measure clinician efficacy titled the REARING coding system (RCS). This paper outlines the development and structure of the measure, including a detailed discussion of the model of therapeutic action (i.e., REARING: reflective functioning, emotional attunement, affect regulation, reticence, intergenerational transmission of attachment, nurturance, and group therapy context), as well as provides a clinical case study to illustrate the utility, flexibility, and depth of the measure. The case study details a family session consisting of a mother, father, and two children (one infant, one toddler), and how RCS can be used in supervision to foster clinical competency and effectiveness in the GABI model. RCS seeks to address the dissemination gap in Evidence Based Practices (EBPs) by contributing to the limited number of existing fidelity and competency measures in infant mental health and psychodynamic dyadic psychotherapy. RCS is an important tool for monitoring clinical competency in the dissemination of GABI and gives supervisors the ability to provide fidelity-focused supervisions.
Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. N. (1978). Patterns of attachment: A psychological study of the strange situation. Psychology Press.
DOI: https://doi.org/10.1037/t28248-000
Alexander, F. (1948). Fundamentals of Psychoanalysis. New York: WW Norton & Company.
Baker, A. (2001). Crossing the quality chasm: a new health system for the 21st century. BMJ, 323(7322), 1192.
DOI: https://doi.org/10.1136/bmj.323.7322.1192
Barber, J. P., Crits-Christoph, P., & Luborsky, L. (1996). Effects of therapist adherence and competence on patient outcome in brief dynamic therapy. Journal of Consulting and Clinical Psychology, 64(3), 619.
DOI: https://doi.org/10.1037/0022-006X.64.3.619
Barber, J. P., Gallop, R., Crits-Christoph, P., Frank, A., Thase, M. E., Weiss, R. D., & Beth Connolly Gibbons, M. (2006). The role of therapist adherence, therapist competence, and alliance in predicting outcome of individual drug counseling: Results from the National Institute Drug Abuse Collaborative Cocaine Treatment Study. Psychotherapy Research, 16(02), 229-240.
DOI: https://doi.org/10.1080/10503300500288951
Barber, J. P., Sharpless, B. A., Klostermann, S., & McCarthy, K. S. (2007). Assessing intervention competence and its relation to therapy outcome: A selected review derived from the outcome literature. Professional Psychology: Research and Practice, 38(5), 493.
DOI: https://doi.org/10.1037/0735-7028.38.5.493
Beebe, B. (2006). Co-constructing mother-infant distress in face-to-face interactions: Contributions of microanalysis. Infant Observation, 9(2), 151-164.
DOI: https://doi.org/10.1080/13698030600810409
Beebe, B., & Lachmann, F. (2020). Infant research and adult treatment revisited: Cocreating self- and interactive regulation. Psychoanalytic Psychology, 37(4), 313-323. doi:10.1037/pap0000305.
DOI: https://doi.org/10.1037/pap0000305
Beebe, B., Lachmann, F. M., Markese, S., Buck, K. A., Bahrick, L. E., Chen, H., & Jaffe, J. (2012). On the origins of disorganized attachment and internal working models: Paper II. An empirical microanalysis of 4-month mother–infant interaction. Psychoanalytic Dialogues, 22(3), 352-374.
DOI: https://doi.org/10.1080/10481885.2012.679606
Beebe, B., & Sloate, P. (1982). Assessment and treatment of difficulties in mother‐infant attunement in the first three years of life: A case history. Psychoanalytic Inquiry, 1(4), 601-623.
DOI: https://doi.org/10.1080/07351698209533422
Beebe, B., & Steele, M. (2013). How does microanalysis of mother–infant communication inform maternal sensitivity and infant attachment?. Attachment & Human Development, 15(5-6), 583-602.
DOI: https://doi.org/10.1080/14616734.2013.841050
Benbassat, N., & Priel, B. (2012). Parenting and adolescent adjustment : the role of parental reflective function. Journal of Adolescence, 35, 163-174. doi:10.1016/j.adolescence.2011.03.004.
DOI: https://doi.org/10.1016/j.adolescence.2011.03.004
Bernard, K., Meade, E. B., & Dozier, M. (2013). Parental synchrony and nurturance as targets in an attachment based intervention: Building upon Mary Ainsworth’s insights about mother–infant interaction. Attachment & Human Development, 15(5-6), 507-523.
DOI: https://doi.org/10.1080/14616734.2013.820920
Bick, E. (1964). Notes on infant observation in psycho-analytic training. International Journal of Psycho-Analysis, 45, 558-566.
Bickman, L. (1996). A continuum of care: more is not always better. American Psychologist, 51(7), 689.
DOI: https://doi.org/10.1037/0003-066X.51.7.689
Bickman, L., Summerfelt, W. M., Firth, J. M., & Douglas, S. M. (1997). The Stark County Evaluation Project: Baseline results of a randomized experiment. In C. T. Nixon & D. A. Northrup (Eds.), Children’s mental health services, Vol. 3. Evaluating mental health services: How do programs for children ‘work’ in the real world? (p. 231-258). Sage Publications, Inc.
Bion, W.R. (1962). Learning from experience. London: Heinemann.
Bizzi, F., Ensink, K., Borelli, J. L., Mora, S. C., & Cavanna, D. (2019). Attachment and reflective functioning in children with somatic symptom disorders and disruptive behaviour disorders. European Child & Adolescent Psychiatry, 28(5), 705-717.
DOI: https://doi.org/10.1007/s00787-018-1238-5
Bowlby, J. (1988). Developmental psychiatry comes of age. The American Journal of Psychiatry, 145(1), 1.
DOI: https://doi.org/10.1176/ajp.145.1.1
Bowlby, J. (1969). Attachment and loss, Vol. I: Attachment. New York: Basic Book.
Boyer, B., MacKay, K. J., McLeod, B. D., & van der Oord, S. (2018). Comparing alliance in two cognitive-behavioural therapies for adolescents with ADHD using a randomized controlled trial. Behavior Therapy, 49(5), 781-795.
DOI: https://doi.org/10.1016/j.beth.2018.01.003
Bruns, E. J., Burchard, J. D., Suter, J. C., Leverentz-Brady, K., & Force, M. (2004). Assessing fidelity to a community-based treatment for youth: The Wraparound Fidelity Index. Journal of Emotional and Behavioral Disorders, 12(2), 79-89.
DOI: https://doi.org/10.1177/10634266040120020201
Caron, E. B., Weston-Lee, P., Haggerty, D., & Dozier, M. (2016). Community implementation outcomes of Attachment and Biobehavioural Catch-up. Child Abuse & Neglect, 53, 128-137.
DOI: https://doi.org/10.1016/j.chiabu.2015.11.010
Cuttler, E., Hill, C. E., King, S., & Kivlighan Jr, D. M. (2019). Productive silence is golden: Predicting changes in client collaboration from process during silence and client attachment style in psychodynamic psychotherapy. Psychotherapy, 56(4), 568.
DOI: https://doi.org/10.1037/pst0000260
Dozier, M., Bernard, K., & Roben, C. K. (2017). Attachment and biobehavioral catch-up. The handbook of attachment-based interventions, 27-49.
Dozier, M., Roben, C. K., Caron, E. B., Hoye, J., & Bernard, K. (2018). Attachment and Biobehavioural Catch-up: An evidence-based intervention for vulnerable infants and their families. Psychotherapy Research, 28(1), 18-29.
DOI: https://doi.org/10.1080/10503307.2016.1229873
Ellis, L. (1997). The meaning of difference: Race, culture and context in infant observation. Developments in infant observation: The Tavistock model, 56-82.
Ensink, K., Bégin, M., Normanding, L., & Fonagy, P. (2016). Maternal and child reflective functioning in the context of child sexual abuse: pathways to depression and externalizing difficulties. European Journal of Psychotraumatology, 7, 30611. doi:10.3402/ejpt.v7.30611.
DOI: https://doi.org/10.3402/ejpt.v7.30611
Ensink, K., Normandin, L., Target, M., Fonagy, P., Sabourin, S., & Berthelot, N. (2015). Mentalization in children and mothers in the context of trauma: An initial study of the validity of the Child Reflective Functioning Scale. The British Journal of Developmental Psychology, 33, 203-217. doi:10.1111/bjdp.12074.
DOI: https://doi.org/10.1111/bjdp.12074
Ericsson, K. A., & Lehmann, A. C. (1996). Expert and exceptional performance: Evidence of maximal adaptation to task constraints. Annual Review of Psychology, 47(1), 273-305.
DOI: https://doi.org/10.1146/annurev.psych.47.1.273
Feldman, R. (2007). Parent-infant synchrony and the construction of shared timing; physiological precursors, developmental outcomes, and risk conditions. Journal of Child psychology and Psychiatry, 48(3‐4), 329-354.
DOI: https://doi.org/10.1111/j.1469-7610.2006.01701.x
Feldman, R. (2003). Infant-mother and infant-father synchrony: The coregulation of positive arousal. Infant Mental Health Journal, 24(1), 1-23.
DOI: https://doi.org/10.1002/imhj.10041
Fischer-Kern, M., Buchheim, A., Hörz, S., Schuster, P., Doering, S., Kapusta, N. D., & Fonagy, P. (2010). The relationship between personality organization, reflective functioning, and psychiatric classification in borderline personality disorder. Psychoanalytic Psychology, 27(4), 395.
DOI: https://doi.org/10.1037/a0020862
Fischer-Kern, M., Tmej, A., Kapusta, N. D., Naderer, A., Leithner-Dziubas, K., Löffler-Stastka, H., & Springer-Kremser, M. (2008). The capacity for mentalization in depressive patients: A pilot study. Zeitschrift fu¨r Psychosomatische Medizin und Psychotherapie, 54, 368-380.
DOI: https://doi.org/10.13109/zptm.2008.54.4.368
Fixsen, D. L., Naoom, S. F., Blase, K. A., & Friedman, R. M. (2005). Implementation research: a synthesis of the literature. National Implementation Research Network, 125.
Fogel, A. (1993). Developing through relationships. Chicago, IL: University of Chicago Press.
Fonagy, P., Gergely, G., Jurist, E. J., & Target, M. (2002). Affect regulation, mentalization, and the development of the self. New York: Other Press.
Fonagy, P., Steele, M., Steele, H., Higgitt, A. and Target, M. (1994), The Emanuel Miller Memorial Lecture 1992 The Theory and Practice of Resilience. Journal of Child Psychology and Psychiatry, 35, 231-257. doi:10.1111/j.1469-7610.1994.tb01160.x.
DOI: https://doi.org/10.1111/j.1469-7610.1994.tb01160.x
Fonagy, P., Steele, M., Steele, H., Moran, G. S., & Higgitt, A. C. (1991). The capacity for understanding mental states: The reflective self in parent and child and its significance for security of attachment. Infant Mental Health Journal, 12(3), 201-218.
DOI: https://doi.org/10.1002/1097-0355(199123)12:3<201::AID-IMHJ2280120307>3.0.CO;2-7
Fonagy, P., & Target, M. (2002). Early intervention and the development of self-regulation. Psychoanalytic Inquiry, 22(3), 307-335.
DOI: https://doi.org/10.1080/07351692209348990
Fraiberg, S., Adelson, E., & Shapiro, V. (1975). Ghosts in the nursery: A psychoanalytic approach to the problems of impaired infant-mother relationships. Journal of the American Academy of Child & Adolescent Psychiatry, 14(3), 387-421.
DOI: https://doi.org/10.1016/S0002-7138(09)61442-4
Freud, S. (1912). Recommendations to Physicians on Practicing Psycho-analysis. London: Hogarth Press, pp. 111-120.
Gagliardini, G., Gullo, S., Caverzasi, E., Boldrini, A., Blasi, S., & Colli, A. (2018). Assessing mentalization in psychotherapy: First validation of the Mentalization Imbalances Scale. Research in Psychotherapy: Psychopathology, Process, and Outcome, 21(3). https://doi.org/10.4081/ripppo.2018.339
DOI: https://doi.org/10.4081/ripppo.2018.339
Garland, A. F., Bickman, L., & Chorpita, B. F. (2010). Change what? Identifying quality improvement targets by investigating usual mental health care. Administration and Policy in Mental Health and Mental Health Services Research, 37(1-2), 15-26.
DOI: https://doi.org/10.1007/s10488-010-0279-y
Gaston, L., & Marmar, C. R. (1993). Manual of private California Psychotherapy alliance Scales. McGill University Montreal, Canada (Gaston) and University of California, San Francisco (Marmar).
George, C., Kaplan, N., & Main, M. (1985). The adult attachment interview. Unpublished manuscript, Department of Psychology, University of California, Berkeley.
DOI: https://doi.org/10.1037/t02879-000
Ginsburg, G. S., Becker, K. D., Drazdowski, T. K., & Tein, J. Y. (2012). Treating anxiety disorders in inner city schools: Results from a pilot randomized controlled trial comparing CBT and usual care. Child & Youth Care Forum, 41(1), 1-19. Springer US.
DOI: https://doi.org/10.1007/s10566-011-9156-4
Goldberg, S. B., Babins-Wagner, R., Rousmaniere, T., Berzins, S., Hoyt, W. T., Whipple, J. L., & Wampold, B. E. (2016). Creating a climate for therapist improvement: A case study of an agency focused on outcomes and deliberate practice. Psychotherapy, 53(3), 367.
DOI: https://doi.org/10.1037/pst0000060
Gottlieb, G. (1976). Conceptions of prenatal development: behavioral embryology. Psychological Review, 83(3), 215.
DOI: https://doi.org/10.1037/0033-295X.83.3.215
Grier, A. (2002) Some factors affecting feeding difficulties in two Asian children. International Journal of Infant Observation, 5(1) 93-118.
DOI: https://doi.org/10.1080/13698030208401651
Gunnar, M. R., Mangelsdorf, S., Larson, M., & Hertsgaard, L. (1989). Attachment, temperament, and adrenocortical activity in infancy: A study of psychoendocrine regulation. Developmental Psychology, 25(3), 355.
DOI: https://doi.org/10.1037/0012-1649.25.3.355
Haggerty, G., & Hilsenroth, M. J. (2011). The use of video in psychotherapy supervision. British Journal of Psychotherapy, 27, 193-210. doi:10.1111/j .1752-0118.2011.01232.x.
DOI: https://doi.org/10.1111/j.1752-0118.2011.01232.x
Hogue, A., Henderson, C. E., Dauber, S., Barajas, P. C., Fried, A., & Liddle, H. A. (2008). Treatment adherence, competence, and outcome in individual and family therapy for adolescent behaviour problems. Journal of Consulting and Clinical Psychology, 76(4), 544.
DOI: https://doi.org/10.1037/0022-006X.76.4.544
Kaslow, N. J., Borden, K. A., Collins Jr, F. L., Forrest, L., Illfelder‐Kaye, J., Nelson, P. D., & Willmuth, M. E. (2004). Competencies conference: Future directions in education and credentialing in professional psychology. Journal of Clinical psychology, 60(7), 699-712.
DOI: https://doi.org/10.1002/jclp.20016
Knight, Z. G. (2020). Empathy as core to the development of holding and recognition: the case of Garret. Research in Psychotherapy: Psychopathology, Process, and Outcome, 23(2).
DOI: https://doi.org/10.4081/ripppo.2020.457
Levine, S. (2002). Regulation of the hypothalamic-pituitary-adrenal axis in the neonatal rat: the role of maternal behaviour. Neurotoxicity Research, 4(5-6), 557.
DOI: https://doi.org/10.1080/10298420290030569
Kriss, A., Steele, H., & Steele, M. (2012). Measuring attachment and reflective functioning in early adolescence: An introduction to the friends and family interview. Research in Psychotherapy: Psychopathology, Process and Outcome, 15(2), 87-95.
DOI: https://doi.org/10.4081/ripppo.2012.106
Lieberman, A. F. (2004). Child-parent psychotherapy. A relationship-based approach to the treatment of mental health disorders in infancy and early childhood. In A. J. Sameroff, S. C. McDonough, & K. L. Rosenblum (Eds.), Treating parent-infant relationship problems (pp. 97-122). New York: Guilford Press.
Lieberman, A. F., Van Horn, P., & Ippen, C. G. (2005). Toward evidence-based treatment: Child-parent psychotherapy with preschoolers exposed to marital violence. Journal of the American Academy of Child & Adolescent Psychiatry, 44(12), 1241-1248.
DOI: https://doi.org/10.1097/01.chi.0000181047.59702.58
Lin, C. Y. H. (1997). Female babies and the development of the woman’s psyche: A case study in infant observation. Infant Observation, 1(1), 140-161.
DOI: https://doi.org/10.1080/13698039708400830
Maiello, S. (2000). The cultural dimension in early mother-infant interaction and psychic development: An infant observation in South Africa. Infant observation, 3(2), 80-92.
DOI: https://doi.org/10.1080/13698030008406149
Main, M., Kaplan, N., & Cassidy, J. (1985). Security in infancy, childhood, and adulthood: A move to the level of representation. Monographs of the society for research in child development.
DOI: https://doi.org/10.2307/3333827
Mikulincer, M., & Florian, V. (1998). The relationship between adult attachment styles and emotional and cognitive reactions to stressful events. In Attachment Theory and Close Relationships, pp. 143-65. New York: Guilford.
Murphy, A., Steele, M., & Steele, H. (2013). From out of sight, out of mind to in sight and in mind: Enhancing reflective capacities in a group attachment-based intervention. In Attachment-based clinical work with children and adolescents(pp. 237-257). New York, NY: Springer.
DOI: https://doi.org/10.1007/978-1-4614-4848-8_11
Noroña, C. R., & Acker, M. L. (2016). Implementation and sustainability of child‐parent psychotherapy: The role of reflective consultation in the learning collaborative model. Infant Mental Health Journal, 37(6), 701-716.
DOI: https://doi.org/10.1002/imhj.21607
Owen, J., & Hilsenroth, M. J. (2014). Treatment adherence: The importance of therapist flexibility in relation to therapy outcomes. Journal of Counseling Psychology, 61(2), 280. doi:10.1037/a0035753.
DOI: https://doi.org/10.1037/a0035753
Perepletchikova, F., & Kazdin, A. E. (2005). Treatment integrity and therapeutic change: Issues and research recommendations. Clinical Psychology: Science and Practice, 12(4), 365-383.
DOI: https://doi.org/10.1093/clipsy.bpi045
Pickens, J., Field, T., Nawrocki, T., Martinez, A., Soutullo, D., & Gonzalez, J. (1994). Full-term and preterm infants’ perception of face-voice synchrony. Infant Behavior and Development, 17(4), 447-455.
DOI: https://doi.org/10.1016/0163-6383(94)90036-1
Reik, T. (1983). Listening with the third ear. New York: Macmillan.
Richter, L. M. (1995). Are early adult-infant interactions universal? A South African view. Southern-African Journal of Child and Adolescent Psychiatry, 7, 2-18.
DOI: https://doi.org/10.1080/16826108.1995.9632452
Robson, K. S. (1967). The role of eye‐to‐eye contact in maternal‐infant attachment. Journal of Child Psychology and Psychiatry, 8(1), 13-25.
DOI: https://doi.org/10.1111/j.1469-7610.1967.tb02176.x
Rousmaniere, T. (2016). Deliberate practice for psychotherapists: A guide to improving clinical effectiveness. Routledge.
DOI: https://doi.org/10.4324/9781315472256
Rustin, M. (2006). Infant observation research: What have we learned so far? Infant Observation, 9(1), 35-52.
DOI: https://doi.org/10.1080/13698030600593856
Safran, J. D., & Muran, J. C. (2003). Negotiating the therapeutic alliance: A relational treatment guide. Guilford Press.
Sanders, M. R., Bor, B., & Dadds, M. (1984). Modifying bedtime disruptions in children using stimulus control and contingency management techniques. Behavioural and Cognitive Psychotherapy, 12(2), 130-141.
DOI: https://doi.org/10.1017/S0141347300009800
Schoenwald, S. K., Henggeler, S. W., Brondino, M. J., & Rowland, M. D. (2000). Multisystemic therapy: Monitoring treatment fidelity. Family Process, 39(1), 83-103.
DOI: https://doi.org/10.1111/j.1545-5300.2000.39109.x
Schon, D. A. (1984). The reflective practitioner: How professionals think in action (Vol. 5126). Basic books.
Schore, A. N. (2001). Effects of a secure attachment relationship on right brain development, a affect regulation, and infant mental health. Infant Mental Health Journal, 22(1‐2), 7-66.
DOI: https://doi.org/10.1002/1097-0355(200101/04)22:1<7::AID-IMHJ2>3.0.CO;2-N
Schore, J. R., & Schore, A. N. (2008). Modern attachment theory: The central role of affect regulation in development and treatment. Clinical Social Work Journal, 36(1), 9-20.
DOI: https://doi.org/10.1007/s10615-007-0111-7
Slade, A. (2005). Parental reflective functioning: An introduction. Attachment & Human Development, 7(3), 269-281.
DOI: https://doi.org/10.1080/14616730500245906
Spangler, G., & Grossmann, K. (1997). Individual and physiological correlates of attachment disorganization in infancy. In Attachment Disorganization, pp. 95-126. New York: Guilford Press.
Sroufe, L. A., & Waters, E. (1977). Attachment as an organizational construct. Child Development, 1184-1199.
DOI: https://doi.org/10.2307/1128475
Steele, H., Murphy, A., Bonuck, K., Meissner, P., & Steele, M. (2019). Randomized control trial report on the effectiveness of Group Attachment-Based Intervention (GABI©): Improvements in the parent-child relationship not seen in the control group. Development and Psychopathology, 31(1), 203-217.
DOI: https://doi.org/10.1017/S0954579418001621
Steele, M., Murphy, A., & Steele, H. (2010). Identifying therapeutic action in an attachment centered intervention with high risk families. Clinical Social Work Journal, 38(1), 61-72.
DOI: https://doi.org/10.1007/s10615-009-0257-6
Steele, H., Steele, M., & Fonagy, P. (1996). Associations among attachment classifications of mothers, fathers, and their infants. Child Development, 67(2), 541-555.
DOI: https://doi.org/10.1111/j.1467-8624.1996.tb01750.x
Stern, D. (1971). A micro-analysis of mother-infant interaction: behaviour regulating social contact between a mother and her 3 1/2-month-old twins. Journal of the American Academy of Child Psychiatry, 10(3), 501-517.
DOI: https://doi.org/10.1016/S0002-7138(09)61752-0
Tasca, G. A. (2014). Attachment and group psychotherapy: Introduction to a special section. Psychotherapy, 51(1), 53.
DOI: https://doi.org/10.1037/a0033015
Tasca, G. A., Balfour, L., Ritchie, K., & Bissada, H. (2007). The relationship between attachment scales and group therapy alliance growth differs by treatment type for women with binge-eating disorder. Group Dynamics: Theory, Research, and Practice, 11(1), 1.
DOI: https://doi.org/10.1037/1089-2699.11.1.1
Tasca, G. A., & Maxwell, H. (2021). Attachment and group psychotherapy: Applications to work groups and teams. In C. D. Parks & G. A. Tasca (Eds.), The psychology of groups: The intersection of social psychology and psychotherapy research (pp. 149-167). American Psychological Association. doi:10.1037/0000201-009.
DOI: https://doi.org/10.1037/0000201-009
Tanner, K. (1999). Observation: A Counter Culture Offensive Observation’s contribution to the development of reflective social work practice. Infant Observation, 2(2), 12-32.
DOI: https://doi.org/10.1080/13698039908400545
Tanzilli, A., Di Giuseppe, M., Giovanardi, G., Boldrini, T., Caviglia, G., Conversano, C., & Lingiardi, V. (2021). Mentalization, attachment, and defense mechanisms: a Psychodynamic Diagnostic Manual-2-oriented empirical investigation. Research in Psychotherapy: Psychopathology, Process, and Outcome, 24(1). https://doi.org/10.4081/ripppo.2021.531
DOI: https://doi.org/10.4081/ripppo.2021.531
Thompson, R. A. (2000). The legacy of early attachments. Child Development, 71, 145-152.
DOI: https://doi.org/10.1111/1467-8624.00128
Trevarthen, C. (1979). Communication and cooperation in early infancy: A description of primary intersubjectivity. Before speech: The beginning of interpersonal communication, 1, 530-571.
Tronick, E. D. (1989). Emotions and emotional communication in infants. American Psychologist, 44(2), 112.
DOI: https://doi.org/10.1037/0003-066X.44.2.112
Tronick, E. D., Als, H., & Adamson, L. (1979). Structure of early face-to-face communicative interactions. Before speech: The beginning of interpersonal communication, 349-370.
Van IJzendoorn, M. H. (1995). Adult attachment representations, parental responsiveness, and infant attachment: a meta-analysis on the predictive validity of the Adult Attachment Interview. Psychological Bulletin, 117(3), 387.
DOI: https://doi.org/10.1037/0033-2909.117.3.387
van IJzendoorn, M. H., & Bakermans-Kranenburg, M. J. (2019). Bridges across the intergenerational transmission of attachment gap. Current Opinion in Psychology, 25, 31-36.
DOI: https://doi.org/10.1016/j.copsyc.2018.02.014
Waltz, J., Addis, M. E., Koerner, K., & Jacobson, N. S. (1993). Testing the integrity of a psychotherapy protocol: assessment of adherence and competence. Journal of Consulting and Clinical Psychology, 61(4), 620.
DOI: https://doi.org/10.1037/0022-006X.61.4.620
Wampold, B. E., & Imel, Z. E. (2015). The great psychotherapy debate: The evidence for what makes psychotherapy work. Routledge.
DOI: https://doi.org/10.4324/9780203582015
Ward, A., Ramsay, R., Turnbull, S., Steele, M., Steele, H., & Treasure, J. (2001). Attachment in anorexia nervosa: A transgenerational perspective. British Journal of Medical Psychology, 74, 497-505.
DOI: https://doi.org/10.1348/000711201161145
Weisz, J. R., Donenberg, G. R., Han, S. S., & Kauneckis, D. (1995). Child and adolescent psychotherapy outcomes in experiments versus clinics: Why the disparity?. Journal of Abnormal Child Psychology, 23(1), 83-106.
DOI: https://doi.org/10.1007/BF01447046
Weisz, J. R., Donenberg, G. R., Han, S. S., & Weiss, B. (1995). Bridging the gap between laboratory and clinic in child and adolescent psychotherapy. Journal of Consulting and Clinical Psychology, 63(5), 688.
DOI: https://doi.org/10.1037/0022-006X.63.5.688
Winnicott, D. W. (1974). Playing and reality. London: Tavistock Publications.
Winnicott, D. W. (1965). The relationship of a mother to her baby at the beginning. The Family and Individual Development, 16.
Yalom, I. D. (1995). The theory and practice of group psychotherapy. New York: Basic Books.
How to Cite
Armusewicz, K., Steele, M., Steele, H., & Murphy, A. (2022). Assessing therapist and clinician competency in parent-infant psychotherapy: The REARING coding system (RCS) for the group attachment based intervention (GABI). Research in Psychotherapy: Psychopathology, Process and Outcome, 25(1). https://doi.org/10.4081/ripppo.2022.562
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