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Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads
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| Zeitschriftentitel: | Infant Mental Health Journal |
|---|---|
| Personen und Körperschaften: | , , , |
| In: | Infant Mental Health Journal, 41, 2020, 6, S. 743-756 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Wiley
|
| Schlagwörter: |
| author_facet |
Simhan, Indra Veseth, Marius Vik, Kari Hjeltnes, Aslak Simhan, Indra Veseth, Marius Vik, Kari Hjeltnes, Aslak |
|---|---|
| author |
Simhan, Indra Veseth, Marius Vik, Kari Hjeltnes, Aslak |
| spellingShingle |
Simhan, Indra Veseth, Marius Vik, Kari Hjeltnes, Aslak Infant Mental Health Journal Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads Psychiatry and Mental health Developmental and Educational Psychology Pediatrics, Perinatology and Child Health |
| author_sort |
simhan, indra |
| spelling |
Simhan, Indra Veseth, Marius Vik, Kari Hjeltnes, Aslak 0163-9641 1097-0355 Wiley Psychiatry and Mental health Developmental and Educational Psychology Pediatrics, Perinatology and Child Health http://dx.doi.org/10.1002/imhj.21884 <jats:title>ABSTRACT</jats:title><jats:p>Marte Meo video guidance uses filmed interaction of the actual parent–infant dyad in the guidance of caregivers. Exploring the challenges that therapists meet in the guidance of parent–infant dyads may illuminate important aspects of the method itself as well as the therapists’ role and requirements. This could lead to method development and improved practice, but is hitherto little addressed. In this paper, we explore how skilled therapists experience and handle challenging or failing guidance processes with parent–infant dyads. We analyzed interviews with 13 Marte Meo therapists/supervisors using team‐based reflexive thematic analysis. Four main themes were identified: promoting relational growth in a coercive context, building an alliance that feels safe for the parents, looking at positive moments in difficult lives, and handling intense feelings as a therapist. Our findings show that therapists experience specific therapeutic and ethical challenges with a vulnerable subgroup of parent–infant dyads where child protective issues arise, where caregivers’ insecurities impede the therapeutic relationship, and where caregivers have unsolved relational or mental health problems. The therapists’ role becomes pivotal and demanding with regard to the therapeutic alliance, the therapeutic interventions in the guidance process, and their own need for regulation, supervision, and structure. Identification of these vulnerable dyads early in the process could facilitate a better adaptation and practice of video guidance. Our findings suggest a need for supporting structures, clinical supervision, and training that address these challenges.</jats:p> Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads Infant Mental Health Journal |
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Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads |
| title_unstemmed |
Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads |
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Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads |
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Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads |
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Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads |
| title_short |
Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads |
| title_sort |
finding focus in a difficult landscape: therapists’ experiences with challenging video guidance processes for parent–infant dyads |
| topic |
Psychiatry and Mental health Developmental and Educational Psychology Pediatrics, Perinatology and Child Health |
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http://dx.doi.org/10.1002/imhj.21884 |
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2020 |
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743-756 |
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<jats:title>ABSTRACT</jats:title><jats:p>Marte Meo video guidance uses filmed interaction of the actual parent–infant dyad in the guidance of caregivers. Exploring the challenges that therapists meet in the guidance of parent–infant dyads may illuminate important aspects of the method itself as well as the therapists’ role and requirements. This could lead to method development and improved practice, but is hitherto little addressed. In this paper, we explore how skilled therapists experience and handle challenging or failing guidance processes with parent–infant dyads. We analyzed interviews with 13 Marte Meo therapists/supervisors using team‐based reflexive thematic analysis. Four main themes were identified: promoting relational growth in a coercive context, building an alliance that feels safe for the parents, looking at positive moments in difficult lives, and handling intense feelings as a therapist. Our findings show that therapists experience specific therapeutic and ethical challenges with a vulnerable subgroup of parent–infant dyads where child protective issues arise, where caregivers’ insecurities impede the therapeutic relationship, and where caregivers have unsolved relational or mental health problems. The therapists’ role becomes pivotal and demanding with regard to the therapeutic alliance, the therapeutic interventions in the guidance process, and their own need for regulation, supervision, and structure. Identification of these vulnerable dyads early in the process could facilitate a better adaptation and practice of video guidance. Our findings suggest a need for supporting structures, clinical supervision, and training that address these challenges.</jats:p> |
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| author | Simhan, Indra, Veseth, Marius, Vik, Kari, Hjeltnes, Aslak |
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| description | <jats:title>ABSTRACT</jats:title><jats:p>Marte Meo video guidance uses filmed interaction of the actual parent–infant dyad in the guidance of caregivers. Exploring the challenges that therapists meet in the guidance of parent–infant dyads may illuminate important aspects of the method itself as well as the therapists’ role and requirements. This could lead to method development and improved practice, but is hitherto little addressed. In this paper, we explore how skilled therapists experience and handle challenging or failing guidance processes with parent–infant dyads. We analyzed interviews with 13 Marte Meo therapists/supervisors using team‐based reflexive thematic analysis. Four main themes were identified: promoting relational growth in a coercive context, building an alliance that feels safe for the parents, looking at positive moments in difficult lives, and handling intense feelings as a therapist. Our findings show that therapists experience specific therapeutic and ethical challenges with a vulnerable subgroup of parent–infant dyads where child protective issues arise, where caregivers’ insecurities impede the therapeutic relationship, and where caregivers have unsolved relational or mental health problems. The therapists’ role becomes pivotal and demanding with regard to the therapeutic alliance, the therapeutic interventions in the guidance process, and their own need for regulation, supervision, and structure. Identification of these vulnerable dyads early in the process could facilitate a better adaptation and practice of video guidance. Our findings suggest a need for supporting structures, clinical supervision, and training that address these challenges.</jats:p> |
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| spelling | Simhan, Indra Veseth, Marius Vik, Kari Hjeltnes, Aslak 0163-9641 1097-0355 Wiley Psychiatry and Mental health Developmental and Educational Psychology Pediatrics, Perinatology and Child Health http://dx.doi.org/10.1002/imhj.21884 <jats:title>ABSTRACT</jats:title><jats:p>Marte Meo video guidance uses filmed interaction of the actual parent–infant dyad in the guidance of caregivers. Exploring the challenges that therapists meet in the guidance of parent–infant dyads may illuminate important aspects of the method itself as well as the therapists’ role and requirements. This could lead to method development and improved practice, but is hitherto little addressed. In this paper, we explore how skilled therapists experience and handle challenging or failing guidance processes with parent–infant dyads. We analyzed interviews with 13 Marte Meo therapists/supervisors using team‐based reflexive thematic analysis. Four main themes were identified: promoting relational growth in a coercive context, building an alliance that feels safe for the parents, looking at positive moments in difficult lives, and handling intense feelings as a therapist. Our findings show that therapists experience specific therapeutic and ethical challenges with a vulnerable subgroup of parent–infant dyads where child protective issues arise, where caregivers’ insecurities impede the therapeutic relationship, and where caregivers have unsolved relational or mental health problems. The therapists’ role becomes pivotal and demanding with regard to the therapeutic alliance, the therapeutic interventions in the guidance process, and their own need for regulation, supervision, and structure. Identification of these vulnerable dyads early in the process could facilitate a better adaptation and practice of video guidance. Our findings suggest a need for supporting structures, clinical supervision, and training that address these challenges.</jats:p> Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads Infant Mental Health Journal |
| spellingShingle | Simhan, Indra, Veseth, Marius, Vik, Kari, Hjeltnes, Aslak, Infant Mental Health Journal, Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads, Psychiatry and Mental health, Developmental and Educational Psychology, Pediatrics, Perinatology and Child Health |
| title | Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads |
| title_full | Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads |
| title_fullStr | Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads |
| title_full_unstemmed | Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads |
| title_short | Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads |
| title_sort | finding focus in a difficult landscape: therapists’ experiences with challenging video guidance processes for parent–infant dyads |
| title_unstemmed | Finding focus in a difficult landscape: Therapists’ experiences with challenging video guidance processes for parent–infant dyads |
| topic | Psychiatry and Mental health, Developmental and Educational Psychology, Pediatrics, Perinatology and Child Health |
| url | http://dx.doi.org/10.1002/imhj.21884 |