T he CARE - Inde x use in the fore nsic e va lua tion for the - - PowerPoint PPT Presentation

T he CARE

• Inde x

use in the fore nsic e va lua tion for the c hild prote c tive proje c t

L uc ia Di F ilippo Ph.D., c og nitive psyc hote ra pist a nd psyc holog ist for Child Prote c tion Se rvic e - Ce ntro di T e ra pia de ll’Adole sc e nza (CT A) in Mila n

Aim of the pre se nta tion

• One o f thre e c a se s, bro ug ht to Child Pro te c tio n

Se rvic e ’ s a tte ntio n by the Co urt fo r Mino rs in Mila n

• Ho w the func tio na l info rma tio ns c o ming fro m

CARE

• I

nde x a re use ful with o the r info rma tio ns o f fo re nsic e va lua tio ns fo r de c isio n ma king in suppo rting pro je c t to the fa milie s a nd c hild pro te c tio n.

• Othe r info rma tio ns a re :
• pe rso na l histo ry;
• Psyc ho dia g no stic o r psyc ho so c ia l e va lua tio n fo r the

a dults;

• c o uple histo ry;
• psyc ho fisic infa nt we ll-be ing , e tc .

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Common c ha ra c te ristic s of the c a se s

• All o f c a se s c o me to the a tte ntio n o f

judic ia l a utho rity fo r a hig h c o uple c o nflic t;

• 2 c a se s a re c ha ra c te rize d by a n

unre so lve d c o uple re la tio nship;

• I

n the 3 c a se s I ma de the infa nt psyc ho lo g ic a l e va lua tio n inste a d

• the r c o lle g ue s ma de the a dult o ne s.

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Mic ha e la ’s Ca se : how it a rrive d a t the Soc ia l Se rvic e ’s a tte ntion

• the mo the r ha d de ma nde d the inte rve ntio n o f the

judic ia l a utho rity in re que sting e xc lusive c usto dy be c a use the fa the r is a g g re ssive to wa rds he r;

• T

he judic ia l a utho rity issue d a pro visio na l de c re e a rra ng ing : 1. Jo int c usto dy; 2. pla c e me nt o f the c hild with the mo the r 3. A c a le nda r o f da ily visits be twe e n M a nd he r fa the r; 4. A psyc ho so c ia l inve stig a tio n thro ug h o ur se rvic e .

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Psyc hosoc ia l Inve stig a tion: the mothe r’s pe rsona l story

• M a nd the mo the r live s in ma te rna l fa mily’ s ho me .
• Mo the r wo rke s with he r fa mily in a fa rm.
• She ha s a limit: a n e c o no mic a nd ho using de pe nde nc y.
• Sinc e she wa s a c hild she ha d be e n o be die nt to he r pa re nts,

a g o o d stude nt a nd in the rule s.

• She ha d a c o mplic a te d c hildho o d due to a se nse o f

ina de qua c y to wa rds pe e rs fo r a slim bo dy ima g e . T he the me

• f judg me nt is ve ry impo rta nt to he r

.

• she ha d a na rc issistic fra g ility linke d to he r mo the r pe rc e ive d

a s mo re be a utiful a nd a ttra c tive tha n he r .

• She ha s a g o o d re so urse s to fa c e he r pro ble ms: she is a

c le ve r g irl; she is a wa re o f the intra psyc hic a nd re la tio na l c o nflic ts.

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Psyc hosoc ia l Inve stig a tion: the fa the r’s pe rsona l story

• M’ s fa the r live s in his fa mily ho me ;
• He wo rks o c c a sio na lly a s a ma so n witho ut a re g ula r

c o ntra c t;

• He ta lks a bo ut his sto ry with diffic ulty, quic kly a nd

minimizing the situa tio ns tha t c a n g ive a ne g a tive ima g e o f himse lf a nd his fa mily;

• By this wa y, the re is a little po ssibility re fle c ting o f o wn

sto ry.

• He ha s a na rc issistic fra g ility linke d to a c ha rita ble a nd

tra uma tic e xpe rie nc e s to wa rds whic h he de ve lo pe d impo rta nt re a c tive fo rma tio ns: a stro ng a nd a uto no mo us se lf-ima g e with re a c tive a g g re ssio n tra its.

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Psyc hosoc ia l Inve stig a tion: Couple History a nd Dyna mic

• T

he pa re nts we re ve ry yo ung whe n the y me t the mse lve s;

• T

he mo the r c ho o se d M’ s fa the r to e ma nc ipa te he rse lf a nd o ppo sing he r pa re nts.

• With he r he sa w a stro ng ima g e in c o mpe nsa tio n to the fra g ile

na rc issistic ima g e .

• T

he re la tio nship we nt o n fo r 2 ye a rs a nd e nde d a lmo st imme dia te ly whe n the y trie d to live to g e the r .

• Sinc e the n the y c yc lic a lly a lte rna te mo me nts o f stro ng c o nflic t a t time s

whe n the y c a n ta lk a nd c o lla bo ra te . All c o nflic ts a re in fro nt o f M.

• She c o mpla ins o f be ing judg e d a s a ba d mo the r

, c o ntro lle d a nd

• ppre sse d by him a nd his rig id re pre se nta tio n o f pa re nting .
• He fe lt e xc lude d fro m the ma na g e me nt o f the c hild a nd c la ime d mo re

a nd mo re spa c e .

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

An importa nt e ve nt:

• During the infa nt psyc ho lo g ic a l e va lua tio n M

do e sn’ t wa nt to g o ho me to he r mo the r a fte r a we e k-e nd spe nt by he r fa the r .

• M sho ws a big c risis o f a ng uish.
• the a ng uish re so unds fro m fa the r to da ug hte r

in a vic io us c irc le ;

• T

he mo the r is still a nd una ble to c o nfo rt the c hild; she re a c ts a g g re ssive to the fa the r .

• T

he fa the r is a fra id his da ug hte r ha d be e n mistre a de d by M’ s mo the r a nd he r fa mily è Utr (dpl) o r Utr (i)?

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

An importa nt e ve nt:

• I

n this pe rio d the mo the r is ve ry e ng a g e d with jo b;

• M spe nds a lo t o f time with his fa the r

, be ne fiting fro m his c a re a nd a ffe c tio n;

• M is e xpe rie nc ing this se pa ra tio n a s a

ma te rna l a ba ndo nme nt, fo me nte d mo re o r le ss c o nsc io usly by his fa the r .

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Infa nt psyc holog ic a l e va lua tion: the me thod

• So me psyc ho lo g ic a l inte rvie ws with M, the

pa re nts, the g ra ndpa re nts a nd the kinde rg a rtne r te a c he r;

• T

he c hild is o bse rve d with o r witho ut he r pa re nts/ o the r me mbe rs o f the ma te rna l fa mily in so me g a me ma tc he s by the psyc ho lo g ist;

• T

he vide o s be twe e n M a nd he r pa re nts/ o the r me mbe rs o f the ma te rna l fa mily wa s e va lua te d by T CI (Critte nde n, 2005) (witho ut frustra tio n ta sk)a nd c o de d with the supe rvisio n o f a blind c o de r .

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Infa nt psyc holog ic a l e va lua tion: Infa nt de ve lopme nt

• M is we ll a ddre sse d;
• She is fe a rful to wa rds the unkno wn

se tting ;

• She is pa ssive in the g a me ;
• She is a bit c lumsy in the mo ve me nts;
• She ha s so me pro ble ms in the ling uistic

de ve lo pme nt: limite d vo c a bula ry a nd use o f sing le wo rds fo r se nte nc e s

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Infa nt psyc holog ic a l e va lua tion: the sc ore s of the T CI sc a le s

• SSD = 3-4;
• T

he sc o re s o f mo the r sc a le s: S = 3, C= 1, UR = 10 è Pa tte rn: UR(a )

• T

he sc o re s o f infa nt sc a le s : C = 3, CC = 0, T = 3, D = 8 è Pa tte rn: T / D a s C4

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Infa nt psyc holog ic a l e va lua tion: the re la tionship be twe e n M a nd he r mothe r

T he mo the r:

• is a c tive in the g a me but do e sn’ t

re fle c te he r c hild ve ry e mo tio na lly;

• inte ra c te s in a pe da g o g ic a l wa y a s

if she is no t de a ling with the "re a l c hild" but with a n "ima g ine d c hild"

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Infa nt psyc holog ic a l e va lua tion: the re la tionship be twe e n M a nd he r mothe r

T he c hild:

• the c o e rc ive be ha vio rs a ttra c te mo the r’ s a tte ntio n

whe n she le a ve s the re la tio nship;

• fre que nt disa rme d be ha vio urs a re re que sts fo r

"c a re " tha t re info rc e the ne e d to sta y in re la tio n to the de trime nt o f e xplo ra tio n;

• At the e nd o f the vide o she sho ws diffic ulty in

le a ving the ro o m with e xa g g e ra te d be ha vio rs tha t the mo the r c a n’ t sto p: te a ring o wn ha ir , thro wing he rse lf o n the flo o r , thro wing the o bje c ts;

• C4

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Infa nt psyc holog ic a l e va lua tion: the sc ore s of the T CI sc a le s

• SSD = 5-6;
• T

he sc o re s o f fa the r sc a le s: S = 5, C= 0, UR = 8 è Pa tte rn: I ne pt

• T

he sc o re s o f infa nt sc a le s : C = 5, CC = 0, T = 6, D = 3 è Pa tte rn: T / D a s C2(4)

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Infa nt psyc holog ic a l e va lua tion: the re la tionship be twe e n M a nd he r fa the r

• le ss c ritic a l in lo w-stre ss situa tio ns tha n o ne

be twe e n M a nd he r mo the r;

• mo re inte ra c tive e xc ha ng e s with e mo tio na l

sha ring ;

• the fa the r is in tro uble to suppo rt his

da ug hte r's e xplo ra tio n, e xpa nding its c o nte nts a nd ta king his turn;

• T

he fa the r is le ss no rma tive a nd the c hild ha s mo re thre a te ning be ha vo iur

• C2(4)

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Infa nt psyc holog ic a l e va lua tion: the re la tionship be twe e n M a nd the othe r me mbe rs of the ma te rna l fa mily

• T

he re a re n’ t re la tio na l e vide nc e tha t M c o uld ha ve e xpe rie nc e d a re a l da ng e r with his ma te rna l g ra ndpa re nts;

• M ha s a n a de qua te re la tio nship with

his unc le ;

• M se e ms to be struc turing a pa tte rn o f

a tta c hme nt A1 to his g ra ndfa the r

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

Infa nt psyc holog ic a l e va lua tion: psyc hopa tholog ic a l disorde rs

Diso rde rs o f a ffe c tive re g ula tio n mo re fre que nt in time s o f c risis :

• e piso de s o f no c turna l e nure sis;
• stutte r;
• a ng e r c risis;
• diffic ulty in fe e ding ;
• diffic ulty in se pa ra tio n to g o to

kinde rg a rte n.

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

In c onc lusion

Pa re nts ha ve a g o o d pa re nting skills:

• 1. Bo th o f the m lo ve the ir c hild;
• 2. Mo the r is mo re inte llig e nt a nd

no rma tive tha n fa the r;

• 3. F

a the r is mo re e mpa the tic tha n mo the r .

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

In c onc lusion

1. unre so lve d c o uple pro ble ms; 2. c ritic a lity in pe rso na l sto rie s (fo r e x. Utr fo r the fa the r , na rc issistic wo unds, de pe nde nc e o n the fa mily) c re a te pro ble ms in pa re nta l skills. I nfa c t, the pa re nts:

• c a n’ t c o ntro l the ir a ng e r a nd a rg ue in fro nt o f M;
• pe rc e ive M a s “vulne ra ble c hild” be c a use o f the
• the r pa re nt’ s be ha vio r;
• the y re info rc e the M’ s vulne ra bility be ha vio rs in a n

unpre dic ta ble wa y.

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

In c onc lusion

M ha s g o o d re so urse s:

• Go o d a bility in a da pting to

diffe re nt style s o f c a re ;

• She do e sn’ t ha ve e xpe rie nc e o f

impo rta nt da ng e r . But she is a t psyc ho pa tho lo g ic a l risk if the situa tio n do e sn’ t c ha ng e

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

T he Child Prote c tion Se rvic e ’s proje c t

• Child’ s c usto dy to the Munic ipa lity o f

re side nc e in pla c ing he r with the mo the r a nd o rg a nizing M's visits with he r fa the r;

• I

nitia lly a n individua l psyc ho the ra py fo r e a c h pa re nt;

• Subse que ntly a pa th o f fa mily

ma dia tio n;

• A mo nito ring o f the infa nt we ll-be ing .

the inte rna tio na l a sso c ia tio n fo r the study o f a tta c hme nt

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