RESUMO
The implications of attachment theory for clinical work with maltreated children are examined with particular emphasis upon the therapeutic relationship. Psychological and behavioral problems related to an insecure attachment often emerge in the relationship between the child and therapist. The clinician can intervene in the context of the relationship to enable the child to modify negative and pessimistic beliefs and expectations of others and of the self. The article describes a number of therapeutic strategies, as well as other issues relevant to therapists who utilize this theoretical and clinical orientation in their work with this population. A focus upon the therapeutic relationship is just one component of an overall plan to help abused children remediate some of their significant problems.
Assuntos
Maus-Tratos Infantis/psicologia , Apego ao Objeto , Psicoterapia/métodos , Adaptação Psicológica , Criança , Humanos , Desenvolvimento da Personalidade , Relações Médico-Paciente , Autoimagem , Percepção SocialRESUMO
The diverse psychological and emotional problems of foster children are reviewed, and an explanatory, interactional model based upon the key concepts of developmental psychopathology is described. The constructs of the internal working model and interpersonal schema, derived from attachment theory, are pathogenic mechanisms that contribute to the emergence of psychopathology in this population. The paper presents a general orientation to therapeutic work with foster children and describes some specific interventions based upon this interactional model. While attachment theory has much to offer clinicians, insecure attachment is just one of a number of risk factors; a comprehensive approach, both in terms of conceptualizing foster childrens' problems and treating them, is essential.