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Parent–Child Interaction Therapy for Families with a History of Child Maltreatment

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Handbook of Parent-Child Interaction Therapy

Abstract

Child maltreatment involves actions or omissions resulting in actual harm or the potential for harm to a child’s health, survival, and development that is perpetrated by a person with power or responsibility, such as a child’s caregiver, family member, or teacher. Child maltreatment has been linked to numerous adverse outcomes in childhood and adulthood, including mental health problems. Given that parent–child interaction therapy (PCIT) has been offered as a possible treatment for young children who have experienced maltreatment, the current chapter provides updated information about the use of PCIT with this population. Specifically, this book chapter reviews common characteristics of maltreating families as they apply to the treatment model along with appropriate assessment techniques. It also provides a brief overview of case studies and research using PCIT to highlight support for its use within this population along with findings relevant for clinical application. Tailoring techniques and clinical adaptations for the PCIT treatment protocol are described. A case study is also presented to illustrate the assessment procedures, course of treatment, and challenges associated with conducting PCIT with a maltreated child. Finally, recommendations for future areas of research are offered.

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References

  • Abidin, R. (2012). Parenting stress index (4th ed.). Lutz, FL: PAR.

    Google Scholar 

  • Azar, S. T., Robinson, D. R., Hekimian, E., & Twentyman, C. T. (1984). Unrealistic expectations and problem-solving ability in maltreating and comparison mothers. Journal of Consulting and Clinical Psychology, 52(4), 687.

    Article  Google Scholar 

  • Azar, S. T., & Wolfe, D. A. (1998). Child physical abuse and neglect. Retrieved from http://psycnet.apa.org/psycinfo/1998-07928-010

  • Barkley, R. A. (1997). Defiant children: A clinician s manual for assessment and parent training (2nd ed.). New York: Guilford.

    Google Scholar 

  • Barth, J., Bermetz, L., Heim, E., Trelle, S., & Tonia, T. (2013). The current prevalence of child sexual abuse worldwide: A systematic review and meta-analysis. International Journal of Public Health, 58(3), 469–483.

    Article  Google Scholar 

  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II (2nd ed.). San Antonio, TX: Psychological Corporation.

    Google Scholar 

  • Bentovim, A. (2014). Burdens and consequences of child maltreatment. In A. Bentovim & J. Gray (Eds.), Eradicating child maltreatment: Evidence-based approaches to prevention and intervention across services (pp. 17–50). London, UK: Jessica Kingsley Publishers.

    Google Scholar 

  • Borrego, J., Timmer, S. G., Urquiza, A. J., & Follette, W. C. (2004). Physically abusive mothers’ responses following episodes of child noncompliance and compliance. Journal of Consulting and Clinical Psychology, 72(5), 897.

    Article  Google Scholar 

  • Borrego, J., Urquiza, A. J., Rasmussen, R. A., & Zebell, N. (1999). Parent-child interaction therapy with a family at high risk for physical abuse. Child Maltreatment, 4(4), 331–342.

    Article  Google Scholar 

  • Briere, J. (2005). Trauma symptoms checklist for young children: Professional manual. Lutz, FL: Psychological Assessment Resources.

    Google Scholar 

  • Carpenter, A. L., Puliafico, A. C., Kurtz, S. M. S., Pincus, D. B., & Comer, J. S. (2014). Extending parent–child interaction therapy for early childhood internalizing problems: New advances for an overlooked population. Clinical Child and Family Psychology Review, 17(4), 340–356. https://doi.org/10.1007/s10567-014-0172-4

    Article  PubMed  PubMed Central  Google Scholar 

  • Cerezo, M. A., D’Ocon, A., & Dolz, L. (1996). Mother-child interactive patterns in abusive families versus nonabusive families: An observational study. Child Abuse & Neglect, 20(7), 573–587. https://doi.org/10.1016/0145-2134(96)00045-2

    Article  Google Scholar 

  • Chaffin, M., Funderburk, B., Bard, D., Valle, L. A., & Gurwitch, R. (2011). A combined motivation and parent–child interaction therapy package reduces child welfare recidivism in a randomized dismantling field trial. Journal of Consulting and Clinical Psychology, 79(1), 84–95. https://doi.org/10.1037/a0021227

    Article  PubMed  Google Scholar 

  • Chaffin, M., Silovsky, J. F., Funderburk, B., Valle, L. A., Brestan, E. V., Balachova, T., … Bonner, B. L. (2004). Parent-child interaction therapy with physically abusive parents: Efficacy for reducing future abuse reports. Journal of Consulting and Clinical Psychology, 72(3), 500–510. https://doi.org/10.1037/0022-006X.72.3.500

    Article  PubMed  Google Scholar 

  • Chaffin, M., Valle, L. A., Funderburk, B., Gurwitch, R., Silovsky, J., Bard, D., … Kees, M. (2009). A motivational intervention can improve retention in PCIT for low-motivation child welfare clients. Child Maltreatment, 14(4), 356–368. https://doi.org/10.1177/1077559509332263

    Article  PubMed  Google Scholar 

  • Cicchetti, D., & Toth, S. L. (2005). Child maltreatment. Annual Review of Clinical Psychology, 1, 409–438.

    Article  Google Scholar 

  • Eyberg, S. M. (2005). Tailoring and adapting parent-child interaction therapy to new populations. Education & Treatment of Children, 28(2), 197–201.

    Google Scholar 

  • Eyberg, S. M., & Funderburk, B. (2011). Parent–child interaction therapy protocol. Gainesville, FL: PCIT International.

    Google Scholar 

  • Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child & Adolescent Psychology, 37(1), 215–237.

    Article  Google Scholar 

  • Fang, X., Brown, D. S., Florence, C. S., & Mercy, J. A. (2012). The economic burden of child maltreatment in the United States and implications for prevention. Child Abuse & Neglect, 36(2), 156–165. https://doi.org/10.1016/j.chiabu.2011.10.006

    Article  Google Scholar 

  • Fergusson, D. M., Boden, J. M., & Horwood, L. J. (2008). Exposure to childhood sexual and physical abuse and adjustment in early adulthood. Child Abuse & Neglect, 32(6), 607–619.

    Article  Google Scholar 

  • Foote, R. C., Schuhmann, E. M., Jones, M. L., & Eyberg, S. M. (1998). Parent-child interaction therapy: A guide for clinicians. Clinical Child Psychology and Psychiatry, 3(3), 361–373. https://doi.org/10.1177/1359104598033003

    Article  Google Scholar 

  • Fricker-Elhai, A. E., Ruggiero, K. J., & Smith, D. W. (2005). Parent-child interaction therapy with two maltreated siblings in foster care. Clinical Case Studies, 4(1), 13–39.

    Article  Google Scholar 

  • Gilbert, R., Fluke, J., O’Donnell, M., Gonzalez-Izquierdo, A., Brownell, M., Gulliver, P., … Sidebotham, P. (2012). Child maltreatment: Variation in trends and policies in six developed countries. The Lancet, 379(9817), 758–772.

    Article  Google Scholar 

  • Gilbert, R., Widom, C. S., Browne, K., Fergusson, D., Webb, E., & Janson, S. (2009). Burden and consequences of child maltreatment in high-income countries. The Lancet, 373(9657), 68–81.

    Article  Google Scholar 

  • Hakman, M., Chaffin, M., Funderburk, B., & Silovsky, J. F. (2009). Change trajectories for parent-child interaction sequences during parent-child interaction therapy for child physical abuse. Child Abuse & Neglect, 33(7), 461–470. https://doi.org/10.1016/j.chiabu.2008.08.003

    Article  Google Scholar 

  • Harwood, M. D., & Eyberg, S. M. (2004). Therapist verbal behavior early in treatment: Relation to successful completion of parent-child interaction therapy. Journal of Clinical Child and Adolescent Psychology, 33(3), 601–612. https://doi.org/10.1207/s15374424jccp3303_17

    Article  PubMed  Google Scholar 

  • Herman-Smith, R., Pearson, B., Cordiano, T. S., & Aguirre-McLaughlin, A. (2008). Addressing individual client needs in manualized treatment: Case comparisons. Clinical Case Studies, 7(5), 377–396. https://doi.org/10.1177/1534650108315867

    Article  Google Scholar 

  • Herschell, A. D., & McNeil, C. B. (2005). Theoretical and empirical underpinnings of parent-child interaction therapy with child physical abuse populations. Education & Treatment of Children, 28(2), 142–162.

    Google Scholar 

  • Hughes, M., & Cossar, J. (2016). The relationship between maternal childhood emotional abuse/neglect and parenting outcomes: A systematic review. Child Abuse Review, 25(1), 31–45. https://doi.org/10.1002/car.2393

    Article  Google Scholar 

  • Jud, A., Fegert, J. M., & Finkelhor, D. (2016). On the incidence and prevalence of child maltreatment: A research agenda. Child and Adolescent Psychiatry and Mental Health, 10(1), 17.

    Article  Google Scholar 

  • Kim, J. (2009). Type-specific intergenerational transmission of neglectful and physically abusive parenting behaviors among young parents. Children and Youth Services Review, 31(7), 761–767. https://doi.org/10.1016/j.childyouth.2009.02.002

    Article  Google Scholar 

  • Lanier, P., Kohl, P. L., Benz, J., Swinger, D., & Drake, B. (2014). Preventing maltreatment with a community-based implementation of parent–child interaction therapy. Journal of Child and Family Studies, 23(2), 449–460. https://doi.org/10.1007/s10826-012-9708-8

    Article  PubMed  Google Scholar 

  • Lau, A. S., Valeri, S. M., McCarty, C. A., & Weisz, J. R. (2006). Abusive parents’ reports of child behavior problems: Relationship to observed parent-child interactions. Child Abuse & Neglect, 30(6), 639–655. https://doi.org/10.1016/j.chiabu.2005.11.009

    Article  Google Scholar 

  • Lee, S., Aos, S., & Miller, M. G. (2008). Evidence-based programs to prevent children from entering and remaining in the child welfare system: Benefits and costs for Washington. Olympia, WA: Washington State Institute for Public Policy.

    Google Scholar 

  • Lorber, R., Felton, D. K., & Reid, J. B. (1984). A social learning approach to the reduction of coercive processes in child abusive families: A molecular analysis. Advances in Behaviour Research and Therapy, 6(1), 29–45. https://doi.org/10.1016/0146-6402(84)90011-0

    Article  Google Scholar 

  • Maguire-Jack, K., & Negash, T. (2016). Parenting stress and child maltreatment: The buffering effect of neighborhood social service availability and accessibility. Children and Youth Services Review, 60, 27–33. https://doi.org/10.1016/j.childyouth.2015.11.016

    Article  Google Scholar 

  • Masse, J. J., McNeil, C. B., Wagner, S., & Quetsch, L. B. (2016). Examining the efficacy of parent–child interaction therapy with children on the autism spectrum. Journal of Child and Family Studies, 25(8), 2508–2525. https://doi.org/10.1007/s10826-016-0424-7

    Article  Google Scholar 

  • McCabe, K., Yeh, M., Lau, A., & Argote, C. B. (2012). Parent-child interaction therapy for Mexican Americans: Results of a pilot randomized clinical trial at follow-up. Behavior Therapy, 43(3), 606–618.

    Article  Google Scholar 

  • McNeil, C., & Hembree-Kigin, T. L. (2010). Parent-child interaction therapy. New York, NY: Springer Science & Business Media.

    Book  Google Scholar 

  • Mersky, J. P., Topitzes, J., Grant-Savela, S. D., Brondino, M. J., & McNeil, C. B. (2016). Adapting Parent–Child Interaction Therapy to foster care: Outcomes from a randomized trial. Research on Social Work Practice, 26(2), 157–167.

    Article  Google Scholar 

  • Mersky, J. P., Topitzes, J., Janczewski, C. E., & McNeil, C. B. (2015). Enhancing foster parent training with parent-child interaction therapy: Evidence from a randomized field experiment. Journal of the Society for Social Work and Research, 6(4), 591–616.

    Article  Google Scholar 

  • Milner, J. S. (1986). The child abuse potential inventory: Manual. DeKalb, IL: Psytec.

    Google Scholar 

  • Milner, J. S. (2006). An interpretive manual for the child abuse potential inventory. DeKalb, IL: Psytec.

    Google Scholar 

  • Milot, T., St-Laurent, D., & Éthier, L. S. (2015). Intervening with severely and chronically neglected children and their families: The contribution of trauma-informed approaches. Child Abuse Review, 25, 89–101.

    Article  Google Scholar 

  • N’zi, A. M., & Eyberg, S. M. (2013). Tailoring parent-child interaction therapy for oppositional defiant disorder in a case of child maltreatment. In W. O’Donohue & S. O. Lilienfeld (Eds.), Case studies in clinical psychological science: Bridging the gap from science to practice (p. 3). Oxford, NY: Oxford University Press.

    Google Scholar 

  • N’zi, A. M., Lucash, R. E., Clionsky, L. N., & Eyberg, S. M. (2017). Enhancing parent–child interaction therapy with motivational interviewing techniques. Cognitive and Behavioral Practice, 24(2), 131–141.

    Article  Google Scholar 

  • Niec, L. N., Barnett, M. L., Gering, C. L., Triemstra, K., & Solomon, D. T. (2015). Differences in mothers’ and fathers’ readiness for change in parent training. Child & Family Behavior Therapy, 37(3), 224–235.

    Article  Google Scholar 

  • Nock, M. K., & Photos, V. (2006). Parent motivation to participate in treatment: Assessment and prediction of subsequent participation. Journal of Child and Family Studies, 15(3), 333–346. https://doi.org/10.1007/s10826-006-9022-4

    Article  Google Scholar 

  • Patterson, G. R. (1982). Coercive family process (Vol. 3). Eugene, OR: Castalia Publishing Company.

    Google Scholar 

  • Pollio, E. S., Glover-Orr, L. E., & Wherry, J. N. (2008). Assessing posttraumatic stress disorder using the trauma symptom checklist for young children. Journal of Child Sexual Abuse, 17(1), 89–100.

    Article  Google Scholar 

  • Proctor, K. B. (2016). Assessing parental readiness to change: A psychometric evaluation of the READI-SF in a community sample. Retrieved from https://etd.auburn.edu/handle/10415/5233

  • Puliafico, A. C., Comer, J. S., & Pincus, D. B. (2012). Adapting parent-child interaction therapy to treat anxiety disorders in young children. Child and Adolescent Psychiatric Clinics of North America, 21(3), 607–619. https://doi.org/10.1016/j.chc.2012.05.005

    Article  PubMed  Google Scholar 

  • Reid, J. B., Taplin, P. S., & Lorber, R. (1981). A social interactional approach to the treatment of abusive families. In R. Stuart (Ed.), Violent behavior: Social learning approaches to prediction, management, and treatment (pp. 83–101). New York, NY: Bruner-Mazel.

    Google Scholar 

  • Reijman, S., Bakermans-Kranenburg, M. J., Hiraoka, R., Crouch, J. L., Milner, J. S., Alink, L. R. A., & van IJzendoorn, M. H. (2016). Baseline functioning and stress reactivity in maltreating parents and at-risk adults: Review and meta-analyses of autonomic nervous system studies. Child Maltreatment, 21(4), 327–342. https://doi.org/10.1177/1077559516659937

    Article  PubMed  PubMed Central  Google Scholar 

  • Rodriguez, C. M. (2015). Parental discipline reactions to child noncompliance and compliance: Association with parent–child aggression indicators. Journal of Child and Family Studies. https://doi.org/10.1007/s10826-015-0308-2

    Article  Google Scholar 

  • Ryan, K., Lane, S. J., & Powers, D. (2017). A multidisciplinary model for treating complex trauma in early childhood. International Journal of Play Therapy, 26(2), 111.

    Article  Google Scholar 

  • Sansbury, L. L., & Wahler, R. G. (1992). Pathways to maladaptive parenting with mothers and their conduct disordered children. Behavior Modification, 16(4), 574–592. https://doi.org/10.1177/01454455920164008

    Article  PubMed  Google Scholar 

  • Stith, S. M., Liu, T., Davies, L. C., Boykin, E. L., Alder, M. C., Harris, J. M., … Dees, J. E. M. E. G. (2009). Risk factors in child maltreatment: A meta-analytic review of the literature. Aggression and Violent Behavior, 14(1), 13–29. https://doi.org/10.1016/j.avb.2006.03.006

    Article  Google Scholar 

  • Stoltenborgh, M., Bakermans-Kranenburg, M. J., IJzendoorn, M. H., & Alink, L. R. (2013). Cultural–geographical differences in the occurrence of child physical abuse? A meta-analysis of global prevalence. International Journal of Psychology, 48(2), 81–94.

    Article  Google Scholar 

  • Stoltenborgh, M., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2013). The neglect of child neglect: A meta-analytic review of the prevalence of neglect. Social Psychiatry and Psychiatric Epidemiology, 48(3), 345–355.

    Article  Google Scholar 

  • Straus, M. A., Hamby, S. L., Finkelhor, D., Moore, D. W., & Runyan, D. (1998). Identification of child maltreatment with the parent-child conflict tactics scales: Development and psychometric data for a national sample of American parents. Child Abuse & Neglect, 22(4), 249–270. https://doi.org/10.1016/S0145-2134(97)00174-9

    Article  Google Scholar 

  • Susman, E. J., Trickett, P. K., Iannotti, R. J., Hollenbeck, B. E., & Zahn-Waxler, C. (1985). Child-rearing patterns in depressed, abusive, and normal mothers. American Journal of Orthopsychiatry, 55(2), 237.

    Article  Google Scholar 

  • Thomas, R., & Herschell, A. D. (2013). Parent–child interaction therapy: A manualized intervention for the therapeutic child welfare sector. Child Abuse & Neglect, 37(8), 578–584.

    Article  Google Scholar 

  • Thomas, R., & Zimmer-Gembeck, M. J. (2011). Accumulating evidence for parent–child interaction therapy in the prevention of child maltreatment. Child Development, 82(1), 177–192.

    Article  Google Scholar 

  • Thomas, R., & Zimmer-Gembeck, M. J. (2012). Parent–child interaction therapy: An evidence-based treatment for child maltreatment. Child Maltreatment, 17(3), 253–266.

    Article  Google Scholar 

  • Timmer, S. G., Borrego, J., & Urquiza, A. J. (2002). Antecedents of coercive interactions in physically abusive mother-child dyads. Journal of Interpersonal Violence, 17(8), 836–853.

    Article  Google Scholar 

  • Timmer, S. G., Urquiza, A. J., Herschell, A. D., McGrath, J. M., Zebell, N. M., Porter, A. L., & Vargas, E. C. (2006). Parent-child interaction therapy: Application of an empirically supported treatment to maltreated children in foster care. Child Welfare: Journal of Policy, Practice, and Program, 85(6), 919–939.

    Google Scholar 

  • Timmer, S. G., Urquiza, A. J., & Zebell, N. (2006). Challenging foster caregiver-maltreated child relationships: The effectiveness of parent-child interaction therapy. Children and Youth Services Review, 28(1), 1–19. https://doi.org/10.1016/j.childyouth.2005.01.006

    Article  Google Scholar 

  • Timmer, S. G., Urquiza, A. J., Zebell, N. M., & McGrath, J. M. (2005). Parent-child interaction therapy: Application to maltreating parent-child dyads. Child Abuse & Neglect, 29(7), 825–842. https://doi.org/10.1016/j.chiabu.2005.01.003

    Article  Google Scholar 

  • Topitzes, J., Mersky, J. P., & McNeil, C. B. (2015). Implementation of parent–child interaction therapy within foster care: An attempt to translate an evidence-based program within a local child welfare agency. Journal of Public Child Welfare, 9(1), 22–41.

    Article  Google Scholar 

  • Urquiza, A., & Timmer, S. (2014). Parent-child interaction therapy for maltreated children. In S. Timmer & A. Urquiza (Eds.), Evidence-based approaches for the treatment of maltreated children: Considering core components and treatment effectiveness (Vol. 3, pp. 123–144). New York, NY, US: Springer Science + Business Media.

    Chapter  Google Scholar 

  • Urquiza, A. J., & McNeil, C. B. (1996). Parent-child interaction therapy: An intensive dyadic intervention for physically abusive families. Child Maltreatment, 1(2), 134–144. https://doi.org/10.1177/1077559596001002005

    Article  Google Scholar 

  • US Department of Health and Human Services. (2017). Child maltreatment 2015. Retrieved from https://www.acf.hhs.gov/cb/research-data-technology/statistics-research/child-maltreatment

  • Ware, L. M., Fortson, B. L., & McNeil, C. B. (2003). Parent-child interaction therapy: A promising intervention for abusive families. The Behavior Analyst Today, 3(4), 375–382. https://doi.org/10.1037/h0099993

    Article  Google Scholar 

  • Wilsie, C., Campbell, C., Chaffin, M., & Funderburk, B. (2017). Parent-child interaction therapy in child welfare. In D. M. Teti (Ed.), Parenting and family processes in child maltreatment and intervention (pp. 107–125). Cham, Switzerland: Springer International Publishing.

    Chapter  Google Scholar 

  • Wilson, S. R., Rack, J. J., Shi, X., & Norris, A. M. (2008). Comparing physically abusive, neglectful, and non-maltreating parents during interactions with their children: A meta-analysis of observational studies. Child Abuse & Neglect, 32(9), 897–911. https://doi.org/10.1016/j.chiabu.2008.01.003

    Article  Google Scholar 

  • World Health Organization. (2006). Preventing child maltreatment: A guide to taking action and generating evidence. Geneva, Switzerland: Author.

    Google Scholar 

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Authors and Affiliations

  1. Auburn University, Auburn, AL, USA

    Allison Cotter & Elizabeth Brestan-Knight

  2. University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA

    Carisa Wilsie

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  1. Allison Cotter
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  2. Carisa Wilsie
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Correspondence to Elizabeth Brestan-Knight .

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  1. Center for Children, Families, and Communities, Department of Psychology, Central Michigan University, Mount Pleasant, MI, USA

    Larissa N. Niec

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Cotter, A., Wilsie, C., Brestan-Knight, E. (2018). Parent–Child Interaction Therapy for Families with a History of Child Maltreatment. In: Niec, L. (eds) Handbook of Parent-Child Interaction Therapy. Springer, Cham. https://doi.org/10.1007/978-3-319-97698-3_4

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