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(p. 189) Early Intervention with Resistance/Refusal Dynamics and Hybrid Cases 

(p. 189) Early Intervention with Resistance/Refusal Dynamics and Hybrid Cases
Chapter:
(p. 189) Early Intervention with Resistance/Refusal Dynamics and Hybrid Cases
Author(s):

Lyn R. Greenberg

, Robert Schnider

, and Julie Jackson

DOI:
10.1093/med-psych/9780190693237.003.0008
Page of

date: 25 May 2019

When parent–child relationships are disrupted, or a child appears to resist contact with a parent, prompt intervention may be necessary to avoid entrenched family dysfunction and deterioration in children’s functioning. Chronic exposure to unresolved parenting conflict places children at particular risk, particularly when parents or other adults are more focused on blaming one another than on resolving problems. This chapter describes application of the coping-focused, trauma-sensitive, multisystemic Child Centered Conjoint Therapy model to assist families, without compromising external investigations. Elements of this intervention include careful therapeutic assessment within a protective structure and specific therapeutic interventions to promote safety, encourage resilience and healthy coping behaviors, address parenting deficits, and promote healthy problem-solving. Structural elements include clear orders, attention to role boundaries, management of therapeutic information, and support from the court and independent children’s lawyers.

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