Integrated Attachment Family Therapy (IAFT) is a powerful intervention that heals many common problems for which parents bring their children to therapy, including lying, controlling and manipulative behaviors, defiance, arguing, frequent tantrums, and seemingly pointless disobedience, as well as more internalizing symptoms such as indifference, disconnection, boredom, and depression. This approach addresses such a wide array of behaviors and symptoms because it treats the underlying cause: a basic problem in the parent-child relationship where the child does not feel deeply understood or accepted.
IAFT helps clinicians uncover the reasons for the misalignment between parent and child so they can guide families toward looking at the source of the issues rather than the superficial behaviors. More importantly, this approach provides concrete tools and interventions that actually address and correct the issues so families can transform into happy and well-functioning environments in which children can grow.
At the core of the IAFT approach is the notion that the parent-child relationship is the key to creating the platform for the child’s healthy emotional development. Treatment must start with the parent, as the parent is the main source of the child’s guidance and comfort, the lens through which they interpret the world. Too often, clinicians shy away from working directly with parents because they come with a host of defenses and dysfunctions that are off-putting and complex. However, creating a strong alliance with the parents and then doing the deep therapeutic work throughout the therapy process is the crucial, and often missing, piece of therapeutic work with children.
IAFT strengthens the attachment relationship through play, parent work, and deliberate dialogue. It involves four phases, each focusing on a different person or dyad within the family structure. Here’s an overview:
Dyadic sessions are repeated in cycles of four: three dyadic sessions followed by one parent-only session, or a pause for two to five parent-only sessions, until the IAFT therapist and clients feel that some or most of the therapeutic goals have been achieved or that the opportunity for optimal progress has been met.
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