8#2*D0!Y2%$23<06!$*!(#0!1647#)2*2<4($7!(%02(90*(!):!7#$<&%0*!2*&! 2&)<0670*(6?!=!%0602%7#!%01)%(!
7($[&/.! This empirical study was designed to investigate the effectiveness and the variables of change in psychoanalytic treatment of children and adolescents. The survey was conducted collecting information from therapists with regard to a defined number of cases on the development of treatment, and the changes observed. The basic hypothesis was that the change, to be effective, must address the aspects of functioning, the relational (Fonagy, 2002), and the organization of the inner world, as follows from the thought of Sandler (1994). Consequently, were used for the survey questionnaires aimed to collect information about the phenomenal aspects, the relational, the expressions of the inner world, then crossing them. We expected significant results from research as to the therapeutic process and associated variables. The research described is the first stage of a larger project aimed to investigate also the point of view of young patients. The project, funded by the RAB of IPA, was launched in 2006, after discussion in London at 2005 RTP of IPA. Partial presentation of the results, concerning a comparison between cases concluded and discontinued (drop-outs), took place in Rome, 2008, at ISAPP Conference "New Frontiers of the clinical Research in Adolescence" , organized by M. Ammaniti, under the title Variables of change in the therapeutic process of children and adolescents , published in the Conference Proceedings. Additional articles are under completion. >10%5&! The research was carried out by asking each of the therapists to answer extensively about a given number of cases, some ongoing, some who had completed therapy, some who had discontinued. Questionnaires were administrated to 125 experienced child psychoanalysts and psychodynamic psychotherapists belonging to Italian Psychoanalytic Society and to accredited Schools in different parts of the country. 24 valid questionnaires were returned, with an average of 19,2%. Overall responses covered 165 treated cases (average 6.79 cases for each psychoanalyst), 87 males and 78 females, distributed in three age groups (0-6, 7-12, 13-18). Of the 165 cases on which we have been answered, 63 cases were completed, 52 still in progress, 50 discontinued; 33 cases had started treatment in early childhood, 60 latency, 67 adolescence, 5 missing. ?(&1.0&#.! Treatments where therapists were asked to express were conducted with the psychoanalytic method, based on a proper setting and timing, performed by playing, drawings, dreams, in addition to the verbal expression. The duration of the cases discontinued had to be at least six months. No specific forms of pathology were selected for the survey, all forms of distress were included. During the processing of the data, we grouped the pathological forms into six groups relying on the severity and the quality of functioning of the subject. =&12-(&2! Questionnnaires were aimed at highlighting the methodology, the process and the outcomes. We started from the assumption that the quality of development and consequently therapeutic transformation are involving the following areas: the modes of functioning, the quality of the inner world and the characteristics of the relationship or relationality; accordingly, we have formulated
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