Mentalization, Session-to-Session Negative Emotion Expression, Symbolic Play, and Affect Regulation in Psychodynamic Child Psychotherapy

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dc.authoridCavdar, Alev/0000-0002-2899-4727|YILMAZ, MELTEM/0000-0002-5618-270X
dc.authorwosidCavdar, Alev/JLL-8856-2023
dc.authorwosidYILMAZ, MELTEM/HTQ-6633-2023
dc.contributor.authorHalfon, Sibel
dc.contributor.authorYilmaz, Meltem
dc.contributor.authorCavdar, Alev
dc.date.accessioned2024-07-18T20:56:57Z
dc.date.available2024-07-18T20:56:57Z
dc.date.issued2019
dc.departmentİstanbul Bilgi Üniversitesien_US
dc.description.abstractInternalizing and externalizing problems have been related to negative emotionality, and affect regulation deficits in several studies. Certain psychodynamic models of treatment use children's symbolic play activity as a medium to mentalize negative emotions in order to develop children's affect regulation. However, the complex associations among these constructs and their associations with outcome have not been examined. This study aimed to investigate, first. whether average mentalization practices in treatment, as well as session-to-session expression of negative emotions and symbolic play predict gains in affect regulation and. second, whether changes in these variables are associated with clinically significant change in symptoms and global function. The sample included 40 outpatient children, who underwent long-term psychodynamic treatment. Nine hundred seventy-five sessions were coded for children's symbolic play, affect expression (anger and dysphoric affect). and affect regulation characteristics, and each treatment was scored for average adherence to mentalizing principles. Time Series Panel Analyses (TSPA) indicated session-to session use of symbolic play predicted gains in affect regulation. A significant 2-way interaction indicated that dysphoric affect expression in high mentalization adherent treatments was associated with higher affect regulation than in low adherent treatments. Partial correlation analyses indicated that mentalization adherence in treatment was associated with symptomatic improvement at trend level of significance, and changes in affect regulation and symbolic play were significantly associated with gains in global function. Findings point to the importance of use of symbolic play, and dysphoric affect expression in the context of mentalization practices for gains in affect regulation and outcome.en_US
dc.identifier.doi10.1037/pst0000201
dc.identifier.endpage567en_US
dc.identifier.issn0033-3204
dc.identifier.issn1939-1536
dc.identifier.issue4en_US
dc.identifier.pmid30667247en_US
dc.identifier.scopus2-s2.0-85060283196en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage555en_US
dc.identifier.urihttps://doi.org/10.1037/pst0000201
dc.identifier.urihttps://hdl.handle.net/11411/8920
dc.identifier.volume56en_US
dc.identifier.wosWOS:000501536700013en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAmer Psychological Assoc, Div Psychotherapyen_US
dc.relation.ispartofPsychotherapyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMentalizationen_US
dc.subjectPsychodynamic Child Psychotherapyen_US
dc.subjectAffect Regulationen_US
dc.subjectTime Series Panel Analysis (Tspa)en_US
dc.subjectExperiential Treatmenten_US
dc.subjectSelf-Regulationen_US
dc.subjectPretend Playen_US
dc.subjectBehavioren_US
dc.subjectTherapyen_US
dc.subjectAssociationsen_US
dc.subjectFantasyen_US
dc.subjectTemperamenten_US
dc.subjectCreativityen_US
dc.subjectPredictionen_US
dc.titleMentalization, Session-to-Session Negative Emotion Expression, Symbolic Play, and Affect Regulation in Psychodynamic Child Psychotherapy
dc.typeArticle

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