Study of the Parent's Subjective Experience of Parent-child Psychotherapy.

Study Overview
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Brief Summary
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The child psychiatric care of children under age of 5 years involves taking care of the child, the parent and their interaction. The investigators know that the parent-child relationship plays a key role in attachment and the mental and cerebral development of the child and many studies have shown that the interaction based psychotherapy allows an improvement in the symptoms of the child. The aim of this qualitative and exploratory study is to evaluate the parent's subjective experience of the parent-child psychotherapeutic treatment, i.e., evaluate their experience of the psychotherapy, their relationship with the therapist and a possible change occurring during the psychotherapy. The analysis will be based on semi-structured interviews that will be carried out with the parents.

Detailed Description
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Parent-child psychotherapy is the first-line treatment in the context of a dysfunctional parent-child interaction and takes into account both the parent's skills/fragilities, the child's modes of expression of suffering, and their relational modalities. The care of the parent-child interaction has been the subject of many studies, but has rarely been evaluated from the point of view of the parent, even if the latter is one of the main actors in this interaction. In France, about 50% of the parent-child psychotherapeutic treatments lead to clinical improvement. They are mainly based on the use of integrative psychodynamic psychotherapies (PPI). PPIs, based on speech, allow the therapist to identify conflicts or anxieties related to the past or present history of the parents and to relate the current troubles of the child to these conflicts of the past. This requires sufficiently significant capacities of narration and mentalization (which consists in the capacity to intellectualize one's own psychic conflicts). The literature shows that for 50% of the population, this treatment does not seem to allow engagement in care. It is important to also explore the relationship between therapist and subject, central element in psychotherapies, and the notion of therapeutic alliance from the subject's point of view. This study aims to evaluate the subjective experience of the parents, following parent-child psychotherapy. The investigaotors consider that the parents are experts in their experience and that the interviews can help them better understand the therapeutic process of the parent-child psychotherapies.

Official Title
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Study of the Parent's Subjective Experience Following a Parent-child Psychotherapy by Interactive Guidance or Integrative Psychodynamic Psychotherapy.

Conditions
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Subjective Experience of Parent-child Psychotherapy

Intervention / Treatment
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* Other: interview


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Parent having carried out and completed parent-child psychotherapy with a child in the CHU Minjoz (child under 5 years old) Fluent in French. Not having expressed his opposition to participate. Affiliation to a French social security scheme or beneficiary of such affiliation. Exclusion Criteria: Parent suffering from a severe and untreated psychiatric illness. Parent and/or dyad benefiting from psychiatric care in a day hospital and/or in full hospitalization Parent whose child has autism or neurodevelopmental disorders. Legal incapacity or limited legal capacity Subject unlikely to cooperate in the study and/or low cooperation anticipated by the investigator Subject without health insurance Pregnant woman Subject being in the period of exclusion from another study or declared in the national volunteer file.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Parents<br>Parent having carried out and completed parent-child psychotherapy with a child in CHU Minjoz (child under 5 years old). | Other: interview<br>* semi-directive interview<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| perception of change | Evaluate perception of change using a semi-structured interviews | 6 months | 
| Different ability to mentalize and understand the difficulties that had led to a request for psychotherapy | Evaluate ability to mentalize and understand the difficulties that had led to a request for psychotherapy using a semi-structured interviews | 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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parent-child psychotherapy, semi-structured interview