Prax. Kinderpsychol. Kinderpsychiat. 63: 795 – 811 (2014), ISSN: 0032-7034 (print), 2196-8225 (online)
© Vandenhoeck & Ruprecht GmbH & Co. KG, Göttingen 2014
Relexive Kompetenz der Mütter als Prädiktor
des Therapieerfolgs mit Psychoanalytischer Kurzzeittherapie
im Alter von 4 bis 10 Jahren
1
Tanja Müller-Göttken*, Lars O. White*, Kai von Klitzing und Annette M. Klein
Summary
Maternal Relective Functioning as a Predictor of herapeutic Success of Psychoanalytic Short-
term herapy for Children Aged 4 to 10 Years
Recent work implicates the capacity to mentalize as a predictor of therapeutic success of psy-
chodynamically oriented psychotherapy for adults. However, little, if any, research focuses on
similar associations in childhood. In the current study, we investigated the role of maternal
relective functioning (RF) in the treatment of 25 children with clinically diagnosed anxiety
disorders and a high level of externalizing comorbidity in an outpatient setting. Before and af-
ter treatment of their children with short-term Psychoanalytic Child herapy (PaCT), we as-
sessed maternal RF using the Parent Development Interview and requested parents to report
on symptoms of their 4-10-year-old children using the Child Behavior Checklist (CBCL).
RF proved highly stable and showed no signiicant change from pre- to post-treatment over
an average treatment interval of 41 weeks. While remission in internalizing symptoms was
unrelated to pretreatment maternal RF, children with high-RF mothers showed signiicant
remission of externalizing comorbidity in comparison to children with low-RF mothers both
immediately ater treatment as well as at six-month follow-up. hese preliminary results sup-
port parental RF as a valuable prognostic criterion for successful treatment of externalizing
symptoms with PaCT. hese indings call for replication in large-scale follow-up studies with
children diagnosed with externalizing disorders.
Prax. Kinderpsychol. Kinderpsychiat. 63/2014, 795-811
Keywords
psychoanalytic child therapy – mentalization – maternal relective functioning – developmental
psychopathology – externalizing behavior
ORIGINALARBEITEN
1 Diese Studie wurde von der Heidehof Stitung GmbH gefördert. Die Autoren danken allen teil-
nehmenden Eltern und Kindern.
* geteilte Erstautorenschat