Child-Parent Psychotherapy with Infants and Very Young Children

  • Patricia Van Horn
  • Vilma Reyes
Part of the Child Maltreatment book series (MALT, volume 3)


Child-parent Psychotherapy (CPP) for traumatized infants and young children is based on the principles that relationships are central to healthy development, and that children organize their responses to threat and danger, and therefore to trauma, around their attachment relationships. These earliest relational experiences also provide templates from which the developing young child predicts how others will behave, shaping the child’s earliest understanding of relationships. Secure relationships lay the foundations for resilience by shaping young children’s capacities in three critical domains: (1) regulating strong emotions, (2) forming sustaining relationships, and (3) developing the ability to process information about the world, using that information to solve problems. This chapter provides an overview of CPP, examples of the process of treatment and a description of progress toward treatment success. A case is presented that documents the progression of a maltreated child in CPP, and describes its value as a mental health treatment.


Traumatic Experience Trauma Reminder Preverbal Child Developmental Guidance Trauma Material 
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  1. Bowlby, J. (1969/1982). Attachment and loss: Vol. 1, Attachment. New York: Basic Books.Google Scholar
  2. Cicchetti, D., Rogosch, F. A., & Toth, S. L. (2006). Fostering secure attachment in infants in maltreating families through preventive interventions. Development and Psychopathology, 18, 623–650.PubMedGoogle Scholar
  3. 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, 34–36.PubMedCrossRefGoogle Scholar
  4. Fraiberg, S. (1980). Clinical studies in infant mental health. New York: Basic Books.Google Scholar
  5. Freud, S. (1955). Beyond the pleasure principle. In J. Strachey (Ed. & Trans.), The standard edition of the complete psychological works of Sigmund Freud (Vol. 18). London: Hogarth Press. (Original work published 1920)Google Scholar
  6. Ghosh Ippen, C., Harris, W. W., Van Horn, P., & Lieberman, A. F. (2011). Traumatic and stressful life events in early childhood: Can treatment help those at highest risk? Child Abuse and Neglect, 35, 504–513.PubMedCrossRefGoogle Scholar
  7. Janoff-Bulman, R. (1992). Shattered assumptions: Toward a new psychology of trauma. New York: Free Press.Google Scholar
  8. Klatzkin, A., Lieberman, A. F., & Van Horn, P. (2013). Child-parent psychotherapy and the intergenerational transmission of historical trauma. In J. Ford & C. Courtois (Eds.), Treating complex traumatic stress disorders in children and adolescents (pp. 295–315). New York: Guilford Press.Google Scholar
  9. Lieberman, A. F. (1992). Infant-parent psychotherapy with toddlers. Development and Psychopathology, 4, 559–574.CrossRefGoogle Scholar
  10. 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.Google Scholar
  11. 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 and Adolescent Psychiatry, 45, 913–918.PubMedCrossRefGoogle Scholar
  12. Lieberman, A. F., Padrón, E., Van Horn, P., & Harris, W. (2004). Angels in the nursery: The intergenerational transmission of benevolent parental influences. Infant Mental Health Journal, 26, 504–520.CrossRefGoogle Scholar
  13. Lieberman, A. F., Silverman, R., & Pawl, J. H. (2000). Infant-parent psychotherapy: Core concepts and current approaches. In C. H. Zeanah (Ed.), Handbook of infant mental health (2nd ed., pp. 472–484). New York: Guilford.Google Scholar
  14. Lieberman, A. F., & Van Horn, P. (2005). “Don’t hit my mommy!”: A manual for child-parent psychotherapy with young witnesses of family violence. Washington, DC: ZERO TO THREE Press.Google Scholar
  15. Lieberman, A. F., & Van Horn, P. (2008). Psychotherapy with infants and young children: Repairing the effects of stress and trauma on early attachment. New York: Guilford Press.Google Scholar
  16. Lieberman, A. F., & Van Horn, P. (2009). Child-parent psychotherapy: A developmental approach to mental health treatment in infancy and early childhood. In C. H. Zeanah (Ed.), Handbook of infant mental health (3rd ed., pp. 439–449). New York: Guilford.Google Scholar
  17. Lieberman, A. F., Van Horn, P., & Ghosh Ippen, C. (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.PubMedCrossRefGoogle Scholar
  18. Lieberman, A. F., Weston, D., & Pawl, J. H. (1991). Preventive intervention and outcome with anxiously attached dyads. Child Development, 62, 199–209.PubMedCrossRefGoogle Scholar
  19. Marans, S., & Adelman, A. (1997). Experiencing violence in a developmental context. In J. D. Osofsky (Ed.), Children in a violent society (pp. 202–222). New York: Guilford Press.Google Scholar
  20. Marmar, C., Foy, D., Kagan, B., & Pynoos, R. (1993). In J. M. Oldham, M. B. Riba, & A. Talman (Eds.), American psychiatry press review of psychiatry (Vol. 12). Washington, DC: American Psychiatric Press.Google Scholar
  21. Pynoos, R. S., Steinberg, A. M., & Piacentini, J. C. (1999). A developmental model of childhood traumatic stress and intersection with anxiety disorders. Biological Psychiatry, 46, 1542–1554.PubMedCrossRefGoogle Scholar
  22. Toth, S. L., Maughan, A., Manly, J. T., Spagnola, M., & Cicchetti, D. (2002). The relative efficacy of two interventions in altering maltreated preschool children’s representation models: Implications for attachment theory. Development and Psychopathology, 14, 877–908.PubMedCrossRefGoogle Scholar
  23. 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 prevention trial. Journal of Consulting and Clinical Psychology, 74(6), 1006–1016.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2014

Authors and Affiliations

  1. 1.Department of PsychiatryUniversity of CaliforniaSan FranciscoUSA

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