Abstract
This chapter describes the Group Attachment-Based Intervention (GABI) specifically designed for clinical work with marginalized, socially isolated parents and their children, aged zero to three years. GABI aims to prevent child maltreatment by developing secure parent/child attachment relationships, promoting infant mental health, and reducing parental stress and social isolation. The theoretical and research background to GABI, an illustration of how it is delivered, and how it is taught to trainees, are the focus of this chapter. Reflective functioning is a central feature of the approach, serving both as a therapeutic goal and an organizing feature of the supervision of trainee clinicians. A unique feature of the chapter is the presentation of two clinical vignettes abstracted from over 50 h of video footage of the clinical work that forms the basis of the GABI manual.
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Notes
- 1.
The manual has been developed over the last few years with many New School graduate students including Kiara Schlesinger, Ellie Figelman Neuman and more recently Jordan Bate, Kerri Chladnicek, Sarah Jackson, Hannah Knafo, Adella Nikitiades, Michael Kinsey, Carmen LaLonde, Jessica Retan, Sophia Hoffman, and Rie von Wowern.
References
Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., & Juffer, F. (2003). Less is more: Meta-analyses of sensitivity and attachment interventions in early childhood. Psychological Bulletin, 129, 195–215.
Bateman, A., & Fonagy, P. (2003). The development of an attachment-based treatment program for borderline personality disorder. Bulletin of the Menninger Clinic, 67(3), 187–211.
Bateman, A. W., & Fonagy, P. (2006). Mentalization-based treatment for borderline personality disorder: A practical guide, Oxford: Oxford University Press.
Bion, W. R. (1961). Experiences in groups. London: Tavistock.
Bowlby, J. (1944). Forty-four juvenile thieves: Their characters and home-life. The International Journal of Psychoanalysis, 25, 19–53.
Bowlby, J. (1951). Maternal care and mental health. Bulletin of the World Health Organization, 3, 355–533.
Bowlby, J. (1960). Separation anxiety. The International Journal of Psychoanalysis, 41, 89–113.
Bowlby, J. (1969). Attachment and loss: Vol. I. Attachment. London: Hogarth Press and the Institute of Psycho-Analysis.
Bowlby, J. (1973). Attachment and loss: Vol. II. Separation. London: Hogarth.
Bowlby, J. (1980). Attachment and loss. New York: Basic Books.
Bowlby, J. (1982). Attachment and loss: retrospect and prospect. American Journal of Orthopsychiatry, 52, 664–678.
Cassidy, J., & Shaver, P. (2010). Handbook of attachment. New York: Guilford.
Cicchetti, D., Toth, S. L., & Rogosch, F. A. (1999). The efficacy of toddler-parent psychotherapy to increase attachment security in offspring of depressed mothers. Attachment and Human Development, 1, 34–66.
Cicchetti, D., Toth, S., & Rogosch, F. (2000a). The development of psychological wellness in maltreated children. Washington, DC: Child Welfare League of America.
Cicchetti, D., Rogosch, F., & Toth, S L. (2000b). The efficacy of toddler-parent psychotherapy for fostering cognitive development in offspring of depressed mothers. Journal of Abnormal Child Psychology, 28, 135–148.
Cicchetti, D., Rogosch, F., & Toth, S. L. (2006). Fostering secure attachment in infants in maltreating families through preventive interventions. Development and Psychopathology, 18, 623–649.
Diamond, D., Levy, K., Clarkin, J., & Stovall-McClough, C. (2003). Patient-therapist attachment in the treatment of borderline personality disorder. Bulletin of the Menninger Clinic, 67, 227–259.
Diamond, D., Yeomans, F., Clarkin, J., & Levy, K. (2008). The reciprocal impact of attachment and transference-focused psychotherapy with borderline patients. In H. Steele & M. Steele (Eds.), Clinical applications of the adult-attachment interview (pp. 339–385). New York: Guilford.
Dozier, M., Peloso, E., Lewis, E., Laurenceau, J-P., Levine, S. (2008). Effects of an attachment-based intervention on the cortisol production of infants and toddlers in foster care. Development and Psychopathology, 20, 845–859.
DuMont, K., Mitchell-Herzfeld, S., Greene, R., Lee, E., Lowenfels, A., Rodriguez, M., & Dorabawila, V. (2008). Healthy Families New York (HFNY) randomized trial: Effects on early child abuse and neglect. Child Abuse & Neglect, 32, 295–315.
Felitti, V. J. , Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P. & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many leading causes of death in adults: The adverse childhood experiences (ACE) study. American Journal of Preventive Medicine, 14, 245–258.
Fenichel. (Ed.). (1992). Learning through supervision and mentorship to support the development of infants, toddlers, and their families: A source book. Washington, DC: Zero to Three Press.
Fonagy, P., Leigh, T., Steele, M., Steele, H., Kennedy, R., Matoon, G., Target, M., & Gerber, A. (1996). The relation of attachment status, psychiatric classification, and response to psychotherapy. Journal of Consulting and Clinical Psychology, 64, 22–31.
Fonagy, P., Steele, M., Steele, H., Moran, G., & Higgitt, A. (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, 201–218.
Fonagy, P., Steele, M., Steele, H., Higgitt, A., & Target, M. (1994). The Emmanuel Miller memorial lecture 1992. The theory and practice of resilience. Journal of Child Psychology and Psychiatry, 35, 231–257.
Fonagy, P., Target, M., Steele, H., & Steele, M. (1998). Reflective-functioning manual, version 5.2, for application to adult attachment interviews. Unpublished document, University College London and New School for Social Research.
George, C., Kaplan, N., & Main, M. (1996). Adult attachment interview (3rd ed.). Unpublished manuscript, University of California at Berkeley.
Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38, 581–586.
Heinicke, C. M., Fineman, N. R., Ruth, G., Recchia, S. L., Guthrie, D., & Rodning, C. (1999). Relationship-based intervention with at-risk mothers: Outcome in the first year of life. Infant Mental Health Journal, 20, 349–374.
Heinicke, C. M., & Levine, M. S. (2008). The AAI anticipates the outcome of a relation-based early intervention. In H. Steele & M. Steele (Eds.), Clinical Applications of the Adult Attachment Interview (99–125). New York: Guilford.
Hesse, E., & van IJzendoorn, M. H. (1999). Propensities towards absorption are related to lapses in the monitoring of reasoning or discourse during the adult attachment interview: A preliminary investigation. Attachment & Human Development, 1, 67–91.
Hoffman, K. T., Marvin, R. S., Cooper, G., & Powell, B. (2006). Changing toddlers’ and preschoolers’ attachment classifications: The circle of security intervention. Journal of Consulting and Clinical Psychology, 74, 1017–1026.
Lieberman, A. F., & Van Horn, P. (2005). “Don’t hit my mommy!” A manual for child-parent psychotherapy for young witnesses of family violence. Washington, DC: Zero to Three.
Lieberman, A.F., Ghosh Ippen, C., & Van Horn, P. (2006). Child-Parent Psychotherapy: 6-Month Follow-up of a Randomized Controlled Trial. Journal of the American Academy of Child & Adolescent Psychiatry. 45(8), 913–918.
Lieberman, A. F., Weston, D. R. and Pawl, J. H. (1991). Preventive Intervention and Outcome with Anxiously Attached Dyads. Child Development, 62, 199–209.
Lieberman, A. & Van Horn, P. (2008). Psychotherapy with infants and young children: Repairing the effects of stress and trauma on early attachment. New York: The Guilford.
Lieberman, A., 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 and Adolescent Psychiatry, 44, 1241–1248.
Lyons-Ruth, K., & Jacobvitz, D. (2008). Attachment disorganization: Genetic factors, parenting contexts, and developmental transformation from infancy to adulthood. New York: Guilford.
Main, M., Hesse, E., & Goldwyn, R. (2008). Studying differences in language use in recounting attachment history. In H. Steele & M. Steele (Eds.), Clinical Applications of the Adult Attachment Interview (pp. 31–68). New York: Guilford.
Marvin, R., Cooper, G., Hoffman, K., & Powell, B. (2002). The Circle of Security project: Attachment-based intervention with caregiver-pre-school dyads. Attachment & Human Development, 4, 107–124.
Moran G., Neufeld Bailey H., Gleason K., Deoliveira C., Pederson D. (2008). Exploring the mind behind unresolved attachment: Lessons from and for attachment-based interventions with infants and their traumatized mothers. In: Steele H, Steele M, eds. Clinical applications of the adult attachment interview. NY: Guilford Publications; 371–398.
Niccols, A. (2008). Right from the start: Randomized trial comparing an attachment group intervention to supportive home visiting. Journal of Child Psychology and Psychiatry, 49, 754–764.
Olds, D., Henderson, C., Kitzman, H., Eckenrode, J., Cole, R., & Tarelbaum, R. (1998). The promise of home visitation: Results of two randomized trials. Journal of Community Psychology, 26, 5–21.
Shamoon-Shanok, R. (2006). Reflective supervision for an integrated model: What, why, and how? In G.M. Foley & J.D. Hochman (Eds.), Mental health in early intervention: Achieving unity of principles and practice (pp 343-379). San Francisco: Jossey–Bass.
Shanok, R.S., Gilkerson, L, Eggbeer, L, & Fenichel, E. (1995). Reflective supervision: A relationship for learning. A guidebook and videotape. ZERO TO THREE: National Center for Infants, Toddlers and Families.
Shamoon-Shanok, R., Lapidus, C., Grant, M., Halpern, E., & Lamb-Parker, F. (2005). Apprenticeship, transformational enterprise, and the ripple effect: Transferring knowledge to improve programs serving young children and their families. In K. Moran Finello (Ed.), The handbook of training and practice in infant and preschool mental health (pp. 453–486). San Francisco: Jossey-Bass.
Shonkoff, J., & Phillips, D. (2000). From neurons to neighborhoods: The science of early childhood development. Washington: National Academies Press.
Slade, A., Sadler, L., Dios-Kenn, C. D., Webb, D., Currier-Ezepchick, J., Mayes, L. (2005). Minding the baby: A reflective parenting program. The Psychoanalytic Study of the Child, 60, 74–100.
Steele, H., & Steele, M. (2008a). Clinical applications of the Adult Attachment Interview. New York: Guilford.
Steele, H., & Steele, M. (2008b). On the origins of reflective functioning. In F. Busch (Ed.), Mentalization: Theoretical considerations, research findings, and clinical implications (pp. 133–158). New York: The Analytic Press.
Steele, M., Murphy, A., & Steele, H. (2010). Identifying therapeutic action in an attachment based intervention. Journal of Clinical Social Work, 38, 61–72.
Toth, S. L., Rogosch, F. A., Manly, J. T., & Cicchetti, D. (2006). The efficacy of toddler-parent psychotherapy to reorganize attachment in the young offspring of mothers with major depressive disorder: A randomized clinical trial. Journal of Consulting and Clinical Psychology, 74, 1006–1016.
Trevarthen, C. (1979). Communication and cooperation in early infancy: A description of primary intersubjectivity. In M. Bullowa (Ed.), Before speech: The beginning of human communication (pp. 321–347). London: Cambridge University Press.
Weatherston, D., Weigand, R., & Weigand, B. (2010). Reflective supervision: Supporting reflective supervision as a cornerstone for competency. Zero to Three, 31(2), 22–30.
Winnicott, D. W. (1965). The maturational processes and the facilitating environment. International Psycho-Analytic Library, 64, 1–276. London: The Hogarth Press and the Institute of Psycho-Analysis.
Winnicott, D. W. (1971). Playing and Reality, London: Tavistock.
Yerushalmi, H. (1999). The roles of group supervision of supervision. Psychoanalytic Psychology, 16, 426–447.
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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: Bettmann, J., Demetri Friedman, D. (eds) Attachment-Based Clinical Work with Children and Adolescents. Essential Clinical Social Work Series. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4848-8_11
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