Psychoanalytic psychotherapy for children with complex trauma: preliminary findings of a feasibility and pilot trial.

Complex trauma or adverse childhood experiences are known to have detrimental, long-lasting consequences for both the child's development and the caregiving environment. In recent decades, advances have been made in developing effective interventions for this vulnerable group of families. The presen...

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Publicado en:Psychoanalytic Psychotherapy Vol. 40; no. 2; pp. 87 - 109
Autores principales: Tang, Eileen, Taillefer, Marie Eva, Vliegen, Nicole
Formato: Artículo
Publicado: Taylor & Francis Ltd Jun2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2026
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      pub: Taylor & Francis Ltd
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        atl: Psychoanalytic psychotherapy for children with complex trauma: preliminary findings of a feasibility and pilot trial.
      aug:
        au:
          Tang, Eileen
          Taillefer, Marie Eva
          Vliegen, Nicole
        affil:
          Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium
          Faculty of Psychology and Educational Sciences, Vrije Universiteit Brussel, Brussels, Belgium
      su:
        Belgium
        Treatment of emotional trauma
        Parents
        Human research subjects
        Clinical trials
        Emotions
        Psychology of adopted children
        Foster home care
        Caregivers
        Social skills
        Adoptive parents
        Adverse childhood experiences
        Child behavior
        Psychology of foster children
        Children
        Patient selection
        Psychodynamic psychotherapy
        Academic medical centers
        Outpatient services in hospitals
        T-test (Statistics)
        Data analysis
        Pilot projects
        Questionnaires
        Treatment effectiveness
        Treatment duration
        Pre-tests & post-tests
        Longitudinal method
        Research
        Child Behavior Checklist
        Statistics
        Comparative studies
        Caregiver attitudes
      sug:
        subj:
          Treatment of emotional trauma
          Parents
          Human research subjects
          Clinical trials
          Emotions
          Psychology of adopted children
          Foster home care
          Caregivers
          Social skills
          Adoptive parents
          Adverse childhood experiences
          Child behavior
          Psychology of foster children
          Children
          Belgium
          Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology)
          Child and Youth Services
          All other residential care facilities
          Other Residential Care Facilities
          All Other Outpatient Care Centers
          Patient selection
          Psychodynamic psychotherapy
          Academic medical centers
          Outpatient services in hospitals
          T-test (Statistics)
          Data analysis
          Pilot projects
          Questionnaires
          Treatment effectiveness
          Treatment duration
          Pre-tests & post-tests
          Longitudinal method
          Research
          Child Behavior Checklist
          Statistics
          Comparative studies
          Caregiver attitudes
      keyword:
        adverse childhood experiences
        child psychotherapy
        complex trauma
        treatment effectiveness
        treatment feasibility
        adverse childhood experiences
        child psychotherapy
        complex trauma
        treatment effectiveness
        treatment feasibility
      ab: Complex trauma or adverse childhood experiences are known to have detrimental, long-lasting consequences for both the child's development and the caregiving environment. In recent decades, advances have been made in developing effective interventions for this vulnerable group of families. The present study reports on features of feasibility and preliminary effectiveness of a contemporary three-track psychoanalytic approach for complex trauma and explores patterns of symptomatic change pre- to post-treatment. Results suggest that real-world needs for a specialized approach are high and that primary caregivers find the approach highly credible and satisfactory. Moreover, findings indicate that the intervention was mode-rately effective, with just over half of the children exhibiting Clinically Significant Improvement (CSI) in socio-emotional and behavioral symptoms. The other children were mostly assessed by the therapists and primary caregivers to be in need of longer-term treatment and/or (semi-)residential care. Interestingly, regardless of CSI, exploration of symptom trajectories revealed two distinct patterns of change (with large or small fluctuations), evidencing non-linear and variable change across treatment. In sum, this feasibility and pilot trial provides preliminary support for the feasibility of implementing and further investigating contemporary psychoanalytic approaches to complex trauma that integrate traditional play-based methods with mentalizing- and trauma-informed frameworks.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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