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What support would you find helpful?” The relationship between treatment expectations, therapeutic engagement, and clinical outcomes in parent–infant psychotherapy

Bibliographic Data

ID11276638
AuthorsRachel Ransley (Research Department of Clinical Educational and Health Psychology University College London London United Kingdom, corresponding author), Michelle Sleed (0000-0002-2321-2116, Research Department of Clinical Educational and Health Psychology University College London London United Kingdom), Tessa Baradon (0000-0001-9763-3194, The Anna Freud National Centre for Children and Families London United Kingdom), P Fonagy (0000-0003-0229-0091, Research Department of Clinical Educational and Health Psychology University College London London United Kingdom)
Year2019
Volume40
Issue4
Pages557-572
Publication date2019-07-01
Open AccessYes
TypeARTICLE
VenueInfant Mental Health Journal (JOURNAL)
Journal identifiersISSN: 0163-9641 • E-ISSN: 1097-0355
PublisherWiley (PUBLISHER • GB)
DOI10.1002/imhj.21787
PMID31087685
OpenAlexW2945597088
LanguageEN
Citations received1
References cited50

The aim of this study was to investigate the impact of pretreatment expectations on clinical outcomes and engagement in Parent–Infant Psychotherapy (PIP). Sixty‐one mothers who were experiencing mental health difficulties and who were receiving PIP with their young infants participated in the study. A mixed‐methodology was used to examine participants’ expectations through transformation content analysis of pretreatment interviews; recurring themes were classified and quantified. Further statistical analyses explored relationships between the quantified themes of parental expectations and clinical outcomes and engagement in treatment. No significant correlation was found between expectations and engagement. One of the six clinical outcomes significantly correlated with parental expectations. Improved reflective functioning (RF) was predicted by participants describing expectations of wanting to improve their parent–infant relationship through the treatment, and expressing concerns about discussing their past experiences. These two expectations predicted improvements in RF independently and when combined. These results indicate that PIP may be more effective for some mothers than others and that assessing future clients’ expectations before beginning PIP may be beneficial

Developmental psychology · Mental health · Psychotherapist · Attachment and Relationship Dynamics · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Psychology · Psychotherapy Techniques and Applications

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Citations per year0.33
Citation span2023 - 2023 (1)
Highly citedNo

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