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Sections

Reenactment Revisited | Ghosts in the Nursery | Infant-Parent Psychotherapy | Child-Parent Psychotherapy | Mentalization-Based Family Therapy (MBFT) | Recapitulation

Excerpt

The importance of developing increasingly effective mental health interventions for children cannot be overstated. Plainly, the most obvious reason for enhancing interventions is the sheer prevalence of psychiatric disorders among children—current estimates of which range from 12–15% to 20–30%, depending on the level of severity (Fonagy et al. 2002b). Yet early interventions also have a potentially crucial preventive role as well, inasmuch as psychopathology in childhood and adolescence is the foundation on which the bulk of adulthood psychopathology develops. In a landmark prospective longitudinal study, Kim-Cohen and colleagues (2003) found that roughly 75% of adults with psychiatric disorders had a diagnosable disorder prior to age 18, and 50% had a disorder prior to age 15; accordingly, they concluded: “Most adult disorders should be reframed as extensions of juvenile disorders” (p. 709).

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