Reflective Interpersonal Therapy for Children and Parents: Mind That Child! A New Way of Helping Parents and Children with Extreme Conduct Disorder

313 Pages·2008·16.65 MB·English

by  Hermione Roff(auth.)

Refl ective Interpersonal Therapy
for Children and Parents
ReflectiveInterpersonalTherapyforChildrenandParents:MindThatChild!ANewWayofHelping
ParentsandChildrenwithExtremeConductDisorder. HermioneRoff
2008JohnWiley&Sons,Ltd.ISBN:978-0-470-98648-6
Refl ective Interpersonal
Therapy for Children
and Parents
Mind That Child!
A new way of helping parents and
children with extreme conduct disorder
Hermione Roff
Copyright © 2008 John Wiley & Sons Ltd, The Atrium, Southern Gate, Chichester,
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Library of Congress Cataloging-in-Publication Data
Roff, Hermione.
Refl ective interpersonal therapy for children and parents (RICAP) / Hermione Roff.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-470-98648-6 (cloth : alk. paper) 1. Behavior disorders in children–Treatment.
2. Conduct disorders in children–Treatment. 3. Aggressiveness in children–Treatment.
4. Interpersonal psychotherapy. 5. Critical thinking. 6. Child psychotherapy–Parent
participation. 7. Parent and child. I. Title.
[DNLM: 1. Child Behavior Disorders–therapy. 2. Aggression–psychology.
3. Child Behavior Disorders–psychology. 4. Child Psychology. 5. Family Therapy.
WS 350.6 R719r 2008]
RJ506.B44R64 2008
618.92′89–dc22
2008002745
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
ISBN 9780470986486 (hbk)
Typeset in 10/13pt Scala and Scala Sans by SNP Best-set Typesetter Ltd., Hong Kong
Printed and bound in Great Britain by TJ International
For John
S
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Contents E
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C
About the author ix
List of illustrations xi
Acknowledgements xv
An old Jewish tale xvi
Mind that child! 1
1 RICAP: a description of the intervention 5
2 RICAP and aggression: sometimes it
helps to be bad 23
3 RICAP and refl ection: are these children
mindless? 41
4 RICAP and attachment: fi ghting to
feel safe 69
5 RICAP and avoidance: a useful defence
or a habitual ploy? 95
6 RICAP and emotions: why does everything
have to be reduced to anger? 119
7 RICAP and memory: what I remember
tells me who I am 145
vii
S 8 RICAP and problem solving: do
T
N solutions matter? 165
E
T
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O 9 RICAP and metaphor: the use and
C
usefulness of metaphor 197
10 Marc: a case study 219
Appendices 281
References 293
Index 297
viii
R
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About the author
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B
Hermione Roff has worked for the last 15 years as a Senior Research A
Therapist in Academic Child Mental Health within the NHS. She is
a registered Systemic Child and Family Psychotherapist. Her M.Ed.
(special needs: behaviour) and her M. Phil (in the management of
innovation and change), refl ect a growing progression of interest
that led to her developing RICAP as an intervention for parents and
children with extreme conduct disorder.
The use of children’s drawings to help them interpret and refl ect
is possibly an echo from her original training as a music graduate,
and underlines a conviction that words are not the only means of
communicating and making sense of the world.
She is passionately committed to raising the profi le of this client
group and runs training courses in RICAP to encourage professionals
and clinicians to keep on thinking creatively about the links between
current research fi ndings and their own clinical practice.
Her own refl ection is often done on high mountains, or while
engaging with her grandchildren. She writes poetry to capture the
spirit of the many children whom she has had the privilege to work
with over the years.
ix
S
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O
List of illustrations
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Figure 1.1 Moving closer 7
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Figure 1.2 David to the rescue 15 S
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*Figure 2.1 The problem 27 L
*Figure 2.2 The eruption 29
*Figure 2.3 Tempers 30
Figure 2.4 Repmet 33
Figure 2.5 Repmet 33
*Figure 2.6 The worst thing 34
Figure 2.7 Playing baseball 36
Figure 3.1 Diagram 43
Figure 3.2 The drill 45
Figure 3.3 The bad and good ship attacking 46
*Figure 3.4 The best part of the week 47
Figure 3.5 The decision 48
*Figure 3.6 Colin self 50
Figure 4.1 Susan’s Mum 72
Figure 4.2 Susan’s Mum 72
Figure 4.3 Susan’s Mum 73
Figure 4.4 Kieran and Mum playing football 74
Figure 4.5 Cheryl: diagram 77
*Figure 4.6 Jed punching himself 78
Figure 4.7 Gemma and Mum 83
Figure 4.8 Gemma’s Mum 84
Figure 4.9 Parent and Child: Mismatch of Actions and
Emotions 89
Figure 4.10 Gemma spiders 90
Figure 4.11 Gemma spiders 90
Figure 4.12 Gemma: diagram 91
Figure 4.13 Gemma: diagram 92
Figure 4.14 Gemma: diagram 92
Figure 4.15 Gemma and Dad: diagram 93
Figure 5.1 Harry self 106
Figure 5.2 The problem 107
xi
S Figure 5.3 David real/pretend 109
N
Figure 5.4 Andrew don’t know 112
O
I *Figure 6.1 Marc family 123
T
A *Figure 6.2 The end of Bobby 126
R
T *Figure 6.3 Punch in the face 127
S
*Figure 6.4 Yuck 129
U
L Figure 6.5 Calm waters 130
L
I *Figure 6.6 Faceless fi ghting 131

F *Figure 6.7 Toxic monster 132
O
Figure 7.1 Dad’s visit 148
T
S Figure 7.2 The laugh 151
I
L Figure 7.3 Sadness 153
Figure 7.4 Miles family 154
Figure 7.5 Unsafe 156
Figure 8.1 Kristy: the problem 167
Figure 8.2 The main problem 168
Figure 8.3 Loads of problems 169
*Figure 8.4 Milly: the problem 170
*Figure 8.5 The special woods 171
Figure 8.6 Douglas kicking 172
Figure 8.7 Wanting to get close 173
Figure 8.8 The bus 173
Figure 8.9 The hug 174
Figure 8.10 The problem is me 175
Figure 8.11 Invisible me 177
Figure 8.12 Ali in bed 179
Figure 8.13 Not taking my tablit 180
*Figure 8.14 Lips of sorrow 182
Figure 8.15 The push 183
Figure 8.16 Turning points (after the push) 184
Figure 8.17 Off home 184
Figure 8.18 Turning away 185
Figure 8.19 No 185
Figure 8.20 Anger in house 193
*Figure 9.1 The bisy road 199
Figure 9.2 Lefd out 200
Figure 9.3 The happy elephant 201
Figure 9.4 The ordinary city 202
Figure 9.5 The boat 204
*Figure 9.6 The island 205
*Figure 9.7 Inside-out love 206
*Figure 10.1 Self 1 221
xii
*Figure 10.2 Self 2 221 S
N
Figure 10.3 Self 3 222
O
Figure 10.4 Self 4 223 I
T
Figure 10.5 Self 5 224 A
R
*Figure 10.6 Self 6 224 T
S
Figure 10.7 Spiky drawing 225
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Figure 10.8 Monsters 226 L
L
Figure 10.9 Monsters 227 I

Figure 10.10 Family 2 230 F
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*Figure 10.11 At the grave 232
T
Figure 10.12 Mum 2 233 S
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Figure 10.13 Dad 1 233 L
*Figure 10.14 The problem 235
*Figure 10.15 The angry germ 236
Figure 10.16 Watching TV 238
Figure 10.17 No one 238
Figure 10.18 Devil 239
Figure 10.19 Ghost 239
Figure 10.20 Escape 241
Figure 10.21 Little man with gun 242
Figure 10.22 School 243
Figure 10.23 Scarey house 244
Figure 10.24 Spiderman 245
Figure 10.25 Ninja fi ghter 246
Figure 10.26 Loch Ness monster 248
*Figure 10.27 Integrated self 249
*These fi gures also appear in the colour plate section
xiii