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The observation of the parent-child relationship in developmental psychotherapy: a clinical example of the use of the CARE-Index
Author/s: Riccardo Bertaccini 
Year:  2014 Issue: 34 Language: Italian 
Pages:  15 Pg. 41-55 FullText PDF:  108 KB
DOI:  10.3280/QPC2014-034004
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Inside the complex epistemological framework of psychotherapy in cognitive- developmental perspective, the direct observation of the interactive behavior of children with their parents is a central part of the diagnostic process and assessment in general. The most recent developments in theory, stimulate us to observe and understand the different configurations of attachment such as: specific interactive patterns observed on the behavioral level, specific strategies for protection from danger; specific modes of regulation of emotional states, but also as a specific mode of processing information about the self and the world, ways of using the mind that we learn tacitly in the relationship with our figures of attachment, learning to give relief and to rely on a few sources of information (cognitive or affective) rather than on others. The cognitive- developmental perspective, taught us long ago to seek health and mental illness of the child in the vicissitudes of his emotional ties, the ability to conserve the continuity and consistency of their self-organizing processes. So, Attachment Theory, becomes the framework for structuring a method of observation of dyadic interactions between adult and child to collect data useful for the definition of their relational functioning (and therefore the specific interactive patterns in place), but also important aspects of the functioning and organization of the self of the child and the caregiver. This paper will examine the instrument of the CARE-Index, realized by Patricia Crittenden, both from a theoretical point of view but also in its clinical applications and video-feedback intervention methodology.
Keywords: Attachment, observation, cognitive psychotherapy, CARE-Index

  1. Liotti G., Farina B. (2011). Sviluppi Traumatici. Eziopatogenesi, clinica e terapia della dimensione dissociativa. Milano: Raffaello Cortina.
  2. Crittenden P.M. (1981). Abusing, Neglecting, Problematic and Adequate Dyads, Differenciating by Patterns of Interaction. Merrill-Palmer Q., 27: 201-18. URL:
  3. Crittenden P.M. (1997). Pericolo, sviluppo e adattamento. Milano: Masson.
  4. Crittenden P.M. (1999). Attaccamento in età adulta: l’approccio dinamico maturativo all’Adult Attachment Interview. Milano: Raffaello Cortina.
  5. Crittenden P.M. (2008). Raising parents: Attachment, parenting, and child safety. Oregon: Willan Publishing.
  6. Crittenden P.M., Landini A. (2011). Assessing Adult Attachment: A Dynamic-Maturational Approach to Discourse Analysis. New York: Norton.
  7. Guidano V.F. (1988). La complessità del Sé. Torino: Bollati Boringhieri.
  8. Guidano V.F. (1992). Il Sé nel suo divenire: verso una terapia cognitiva post-razionalista. Torino: Bollati Boringhieri.
  9. Guidano V.F., Liotti G. (1983). Cognitive Processes and Emotional Disorders. New York: Guilford.
  10. Lambruschi F. (1996). Il bambino. In: Bara B., a cura di, Manuale di psicoterapia cognitiva. Torino: Bollati Boringhieri.
  11. Lambruschi F., a cura di (2014). Manuale di Psicoterapia Cognitiva dell’Età Evolutiva. Torino: Bollati Boringhieri.
  12. Liotti G. (1994). La dimensione Interpersonale della Coscienza. Roma: La Nuova Italia Scientifica.
  13. Liotti G. (2001). Le opere della coscienza. Milano: Raffaello Cortina.

Riccardo Bertaccini, The observation of the parent-child relationship in developmental psychotherapy: a clinical example of the use of the CARE-Index in "QUADERNI DI PSICOTERAPIA COGNITIVA" 34/2014, pp. 41-55, DOI:10.3280/QPC2014-034004


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