Open Door Review

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Sl((M0*_!">_!K#$(0_!A>!N>_!I<0$*_!=>!@>_!G!Y)*!I<$(C$*D_!I>![+,-]^>!Q#)%(E(0%9!1647#)2*2<4($7!7#$<&!(#0%214!:)%! 2*c$)B6!7#$<&%0*?!=!1$<)(!6(B&4>! '(A?-",-%#@:A _! JI [-^_!-]bE!-.b>! Sl((M0*_!">_!G!Y)*!I<$(C$*D_!I>![+,-]^>! Z@+>@B&!"#&6-"#,V,%#$&'(A?-"@+@BA,)?&8-)B*&1-%#@:A&p'@81m >!A)*&)*?! I2%*27>! @T<<0%ESl((M0*_!">_!K#$(0_!A>!N>_!Y)*!I<$(C$*D_!I>_!G!I<0$*_!=>!@>![+,-]^>!50:<0c$Y0!I)910(0*C!&0%!@T((0%!2<6! /%J&$M()%!&06!"#0%21$00%:)! '#@P)(&*%#&K)+*%#:(A?-"B"L)%&>+*&K)+*%#:(A?-)@,#)%O&gk _!d\gEb-]>!! W(*&,!>-001(3 The Psychoanalytic Child Therapy (PaCT; Göttken & von Klitzing, 2014).) for childen aged 4 to 10 is conceptualised and manualized to treat emotional and affective symptoms. Consisting of 20-25 psychotherapy sessions, PaCT is held in a variety of settings (parent-child, child alone, parents alone), in which a relational theme that has led to the development of a symptom is uncovered and worked through. This relational theme constitutes the focus of treatment, in terms of a psychodynamic hypothesis of the current predominant conflict. Starting from psychoanalytical treatment concepts, PaCT aims for two effects: first, the treatment seeks to alter the child’s mental representations and, by extension, his or her cognitive-emotional style. Second, it attempts to improve the parents’ own insight into the inner psychic states of their child by regular psychoanalytically oriented parental work. A recent study (Göttken, White, Klein, & von Klitzing, 2014) aimed to investigate the effectiveness of PaCT for 4- to 10-year-olds with anxiety disorders in an outpatient setting. Therefore, a quasi- experimental wait-list controlled study was conducted. Outcomes were assessed with standardized diagnostic interviews and parent as well as teacher reports of internalizing and total problems at three time points. After treatment, over half of the children of the treatment group no longer met the criteria for anxiety disorder while no children of the wait-list group remitted across the wait-list interval. In addition, parent and teacher reports showed significant symptom reduction on internalizing and total problems. @)15-1.*$# There is a lack of well-evaluated treatment programs for anxiety disorders in early childhood. PaCT may close this gap as it shows that psychodynamic therapy offers an effective line of treatment for childhood internalizing symptoms and disorders in the eyes of clinicians, children, parents, and teachers. It would be worthwhile to extend the evaluation of PaCT by using randomization procedures and larger sample sizes. G$#.1/.\!

Prof. Dr. Kai von Klitzing, Department of Child and Adolescent Psychiatry, Psychosomatics, University of Leipzig, Germany; Email: Kai.Klitzing@medizin.uni-leipzig.de

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