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Yıl:2017; Cilt: 3; Sayı: 2>> Özet
Türkiye Klinikleri Çocuk Psikiyatrisi Özel Dergisi; 2017;3(2):99-105
Ebeveyn-Çocuk Etkileşimi Terapisi: Sistematik ve Deneyimsel Bir Yaklaşım
AS Taşkıran, I Necef
Koç Üniversitesi, İstanbul
Ebeveyn-Çocuk Etkileşimi Terapisi (EÇET) interaktif yöntemlerle çocuklar ve aileleriyle beraber uygulanan, ortalama 10-15 seanstan oluşan, ebeveyn-çocuk etkileşimini merkeze koyarak davranışsal iyileştirme sağlamayı hedefleyen bir terapi biçimidir. Ebeveynlerin çocuklarına nasıl etkin yaklaşacakları, aynalı odada kulaklık sistemi aracılığıyla gözlem odasındaki terapist tarafından anlık yönlendirmelerle aileye bildirilerek doğrudan öğrenme imkânı verdiği için hem sistematik hem deneyimsel bir terapidir. EÇET, ebeveynlerin tutumlarını terapist süpervizyonu eşliğinde etkin bir şekilde yeniden gözden geçirmesini sağladığından ve ailelere etkili ebeveyn tutumlarını öğrettiğinden, uygulamalarda aile içi fiziksel ve sözlü şiddet oranını düşürdüğü gösterilmiştir. EÇET'in, Türkiye'de ve dünyada yaygınlığı hızla artan Dikkat Eksikliği ve Aşırı Hareketlilik Bozukluğu, Davranım Bozukluğu, Karşı Olma Karşıt Gelme Bozukluğu gibi Yıkıcı Davranış Bozuklukları ve aile içi şiddete bağlı travma gibi farklı tanı gruplarında etkinliğini gösteren bilimsel çalışmalar bulunmaktadır. EÇET'in teorik alt yapısı, uygulanışı ve sonuçları bu bölümde özetlenmiştir.
Parent-Child Interaction Therapy: A Systematic and Experiential Approach
Parent Child Interaction Therapy (PCIT) is both a systematic and an experiential therapy orientation which consists of 10 to 15 sessions that last an hour long. Parents are guided by therapists directly through a wireless ear bug about how they can approach their children effectively. As PCIT incorporates parents' contribution to the therapy, parents acquire the skills simultaneously and directly by the therapist as they interact with their children in a room setup with a one-way mirror. Scientific evidence suggests that as parents acquire effective parental skills under the coaching of their therapist, the rates of physical and verbal abuse in the family is significantly reduced. PCIT is found to be clinically effective in treating widely expanding externalizing disorders such as Attention Deficit and Hyperactivity Disorder, Conduct Disorder, Oppositional Defiant Disorder as well as family-based inter-relational traumas. This chapter reviews the theoretical background, application and the treatment outcome measures of PCIT.

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