Skip to main content
SpringerLink
Log in

Multifamily Therapy met vluchtelingengezinnen: van oorlog naar veiligheid

  • Artikelen
  • Published:
Kind & Adolescent

Samenvatting

Recente studies tonen steeds sterkere evidentie voor de relatie tussen ouderlijk trauma, de ouder-kindinteractie en de ontwikkeling van het kind. In dit artikel wordt de behandelmethodiek Multifamily Therapy (mft) voor multi-probleemgezinnen gepresenteerd en de toepassing in de populatie ernstig getraumatiseerde asielzoeker- en vluchtelingengezinnen met jonge kinderen beschreven. Bij deze doelgroep worden relatieproblemen en ontwikkelingsproblematiek geconstateerd. De behandeling is dan ook gericht op het versterken van ouderlijke competenties en hechtingsrelaties. Een eerste evaluatie van deze behandelmethode wordt beschreven middels dossierstudie en een klinische indruk van de evaluatiegesprekken met de deelnemers. Deze indrukken laten een positief beeld zien: bij afsluiting van de behandeling is de kwaliteit van de ouder-kindinteractie subjectief verbeterd en is de psychopathologie bij kinderen verminderd. Behandeling met mft bij vluchtelingen- en asielzoekersgezinnen met complexe problematiek na traumatisering is goed uitvoerbaar en veelbelovend, maar verdient verder onderzoek.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literatuur

  • Allen, J. G., & Fonagy, P. (2006). Handbook of mentalization-based treatment. Chichester, uk: John Wiley

    Book  Google Scholar 

  • Allen, J. G., Fonagy, P., & Bateman, A. W. (2008). Mentalizing in clinical practice. Arlington, usa: American Psychiatric Publishing

    Google Scholar 

  • Asen, E., Dawson, N., & McHugh, B. (2001). Multiple family therapy. The Marlborough Model and its wider applications. London/New York: Karnac.

    Google Scholar 

  • Asen, E. & Scholz, M. (2010). Multi-family therapy. Concepts and techniques. Londen: Routledge.

    Google Scholar 

  • Bakermans-Kranenburg M. J., Van IJzendoorn M. H., & Juffer, F. (2003). Less is more: Meta-analyses of sensitivity and attachment interventions in early childhood. Psychological Bulletin, 129, 195–215.

    Article  PubMed  Google Scholar 

  • Bowlby, J. (1973). Separation: Anxiety and anger, Vol. 2. London: The Hogarth Press and the Institute of Psycho-Analysis.

    Google Scholar 

  • Bowlby, J. (1951). Maternal care and mental health. Bulletin of the World Health Organization, 3, 355–534.

    CAS  PubMed  Google Scholar 

  • Bradley, G. M., Couchman, G. M., Perlesz, A., Nguyen, A. T., Singh, B. & Riess, C. (2006). Multiple-family group treatment for English-speaking and Vietnamese-speaking families living with schizophrenia. Psychiatric Services, 57, 521–530.

    Article  PubMed  Google Scholar 

  • Centraal Bureau voor de Statistiek (2011). Asielverzoeken; vanaf 1980 naar nationaliteit, Retrieved from: www.statline.cbs.nl.

  • Cohen, N. J, Muir, E., Lojkasek, M., Muir, R., Parker, C. J., Barwick, M., & Brown, M. (1999). Watch, Wait, and Wonder. Testing the effectiveness of a new approach to mother-infant psychotherapy. Infant Mental Health Journal, 20, 429–451.

    Article  Google Scholar 

  • Coppola, G., Vaughn, B. E., Cassibba, R., & Costantini, A. (2006). The attachment script representation procedure in an Italian sample: Associations with adult attachment interview scales and with maternal sensitivity. Attachment & Human Development, 8, 209–219.

    Article  Google Scholar 

  • Davies, J., Slade, P., Wright, I., & Stewart, P. (2008). Posttraumatic stress symptoms following childbirth and mothers’ perceptions of their infants. Infant Mental Health Journal, 29, 537–554.

    Article  Google Scholar 

  • Doughty, C. (2007). Effective strategies for promoting attachment between young children and their parents. Christchurch, New Zealand: New Zealand Health Technology Assessment (nzhta).

    Google Scholar 

  • Eyberg, S. M., & Robinson, E. A. (1982). Parent-child interaction training: Effects on family functioning. Journal of Clinical Psychology, 11, 130–137.

    Google Scholar 

  • Fals-Stewart, W., Klostermann, K., Yates, B. T., O’Farrell, T. J., & Birchler, G. R. (2005). Brief relationship therapy for alcoholism: A randomized clinical trial examining clinical efficacy and cost-effectiveness. Psychology of Addictive Behaviors, 19, 363–371.

    Article  PubMed  Google Scholar 

  • Fazel, M., Wheeler, J., & Danesh, J. (2005). Prevalence of serious mental disorder in 7000 refugees resettled in western countries: A systematic review. The Lancet, 365, 1309–1314.

    Article  Google Scholar 

  • Figley, C. R. & Kiser, L. J. (2013). Helping traumatized families (2nd ed.). New York: Routledge.

    Google Scholar 

  • Fraley, R. C., & Shaver, P. R. (2008). Attachment theory and its place in contemporary personality research. In O. John, R. W. Robins, & L. A. Pervin (Eds.), Handbook of Personality: Theory and Research, 3rd edition (pp. 518–541). New York: Guilford Press.

    Google Scholar 

  • Gerritsen, A. A. M., Bramsen, I., Deville, W., Van Willigen, L. H. M., Hovens, J. E., & Van der Ploeg, H. M. (2006). Physical and mental health of Afghan, Iranian and Somali asylum seekers and refugees living in the Netherlands. Social Psychiatry & Psychiatric Epidemiology, 41, 18–26.

    Article  Google Scholar 

  • Gold, J. I., Taft, C. T., Keehn, M. G., King, D. W., King, L. A., & Samper, R. E. (2007). ptsd symptom severity and family adjustment among female Vietnam veterans. Military Psychology, 19, 71–81.

    Article  Google Scholar 

  • Juffer, F., Bakermans-Kranenburg, M. J., & Van IJzendoorn, M. H. (Eds.) (2007). Promoting positive parenting: An attachment-based intervention. New York/London: Taylor & Francis Group.

    Google Scholar 

  • Kalebic´ Jakupcevic´, K., & Ajdukovic´, M. (2011). Risk factors of child physical abuse by parents with mixed anxiety-depressive disorder or posttraumatic stress disorder, Croatian Medical Journal, 52, 25–34.

    Article  PubMed Central  PubMed  Google Scholar 

  • Laban, C. J., Gernaat, H. B., Komproe, I. H., Schreuders, B. A., & De Jong, J. T. (2004). Impact of a long asylum procedure on the prevalence of psychiatric disorders in Iraqi asylum seekers in The Netherlands. The Journal of Nervous and Mental Disorders, 192, 843–851.

    Article  Google Scholar 

  • Leen-Feldner, E. W., Feldner, M. T., Bunaciu, L., & Blumenthal, H. (2011). Associations between parental posttraumatic stress disorder and both offspring internalizing problems and parental aggression within the national comorbidity survey-replication. Journal of Anxiety Disorders, 25, 169–175.

    Article  PubMed  Google Scholar 

  • Leifer, M., Kilbane, T., Jacobsen, T., & Grossman, G. (2004). A Three-Generational Study of Transmission of Risk for Sexual Abuse. Journal of Clinical Child and Adolescent Psychology, 33, 662–672.

    Article  PubMed  Google Scholar 

  • Lemmens, G., Eisler, I., Migerode, L, Heireman, M., & Demyttenaere, K. (2007). Family discussion group therapy for depression: A brief systemic multi-family group intervention for hospitalized parents and their family members. Journal of Family Therapy, 29, 49–68.

    Article  Google Scholar 

  • Lester, P., Peterson, K., Reeves, J., Knauss, L., Glover, D., Mogil, C., … & Beardslee, W. (2010). The long war and parental combat deployment: Effects on military children and at-home spouses. Journal of the American Academy of Child & Adolescent Psychiatry, 49, 310–320.

    Google Scholar 

  • Lyons-Ruth, K. & Block, D. (1996). The disturbed caregiving system: Relations among childhood trauma, maternal caregiving, and infant affect and attachment. Infant Mental Health Journal, 17, 257–275.

    Article  Google Scholar 

  • McDonell, M.G., Short, R.A., Berry, C.M., & Dyck, D.G. (2006). Multiple-family group treatment of outpatients with schizophrenia: Impact on service utilization. Family Process, 45, 359–373.

    Article  PubMed  Google Scholar 

  • McFarlane, W.R. (2002). Multifamily groups in the treatment of severe psychiatric disorders. New York: Guilford Press.

    Google Scholar 

  • Nickerson, A., Bryant, R. A., Brooks, R., Steel, Z., Silove, D., & Chen, J. (2011). The familial influence of loss and trauma on refugee mental health: A multilevel path analysis. Journal of Traumatic Stress, 24, 25–33.

    Article  PubMed  Google Scholar 

  • Ogden, P & Minton, K. (2000) Sensorimotor Psychotherapy: One Method for Processing Traumatic Memory. Traumatology, 6, 3, 149–173.

    Article  Google Scholar 

  • Perlick, D. A., Straits-Troster, K., Strauss, J. L., Norell, D., Tupler, L. A., Levine, B., Luo, X., Holman, C., Marcus, T., Dixon, L. B., & Dyck, D. G. (2013). Implementation of multifamily group treatment for veterans with traumatic brain injury. Psychiatric Services, 64, 534–540.

    Article  PubMed  Google Scholar 

  • Rhodes, P., Baillee, A., Brown, J., & Madden, S. (2008). Can parent-to-parent consultation improve the effectiveness of the Maudsley model of family-based treatment for anorexia nervosa? A randomized control trial. Journal of Family Therapy, 30, 96–108.

    Article  Google Scholar 

  • Schechter, D. S., Willheim, E., Hinojosa, C., Scholfield-Kleinman, K., Turner, J. B., McCaw, J., & Myers, M. M. (2010). Subjective and objective measures of parent-child relationship dysfunction, child separation distress, and joint attention. Psychiatry: Interpersonal and Biological Processes, 73, 130–144.

    Google Scholar 

  • Scheeringa, M. S., & Zeanah, C. H. (2001). A relational perspective on ptsd in early childhood. Journal of Traumatic Stress, 14, 799–815.

    Article  Google Scholar 

  • Schore, A. N. (2003). Affect Regulation and the Repair of the Self. London: W.W. Norton.

    Google Scholar 

  • Stovall-McClough, K. C., & Cloitre, M. (2006). Unresolved attachment, ptsd, and dissociation in women with childhood abuse histories. Journal of Consulting and Clinical Psychology, 74, 219–228.

    Article  PubMed  Google Scholar 

  • Straits-Troster, K., Gierisch, J. M., Strauss, J. L., Dyck, D. G., Dixon, L. B., Norell, D., & Perlick, D. A. (2013). Multifamily group treatment for veterans with traumatic brain injury: What is the value to participants? Psychiatric Services, 64, 541–546.

    Article  PubMed  Google Scholar 

  • Tees, M. T., Harville, E. W., Xiong, X., Buekens, P., Pridjian, G., & Elkind-Hirsch, K. (2010). Hurricane Katrina-related maternal stress, maternal mental health, and early infant temperament. Maternal and Child Health Journal, 14, 511–518.

    Article  PubMed Central  PubMed  Google Scholar 

  • United Nations High Commissioner for Refugees (2012). A year of crises, unhcr global trends 2011. Geneva: unhcr.

    Google Scholar 

  • Van Ee, E. (2013). A new generation: How refugee trauma affects parenting and child development. Diemen: Arq. (Een deel van de inleiding werd eerder in dit proefschrift gepubliceerd)

  • Van Ee, E., & Kleber, R. J. (2012). Child in the shadowlands. The Lancet, 380, 4–5.

    Article  Google Scholar 

  • Van Ee, E., Kleber, R. J., & Mooren, T. M. (2012). War trauma lingers on.. . Associations between maternal ptsd, parent-child interaction and child development. Infant Mental Health Journal, 33(5), 459–468.

    Article  Google Scholar 

  • Van Ee, E., Sleijpen, M., Kleber, R. J., & Jongmans, M. J. (2013). Father involvement in a refugee sample. Relations between posttraumatic stress and caregiving. Family Process, 52, 723–735.

    Article  PubMed  Google Scholar 

  • Weine, S., Kulauzovic, Y., Klebic, A., Besic, S., Mujagic, A., Muzurovic, J., Spahovic, J., Sclove, S., & Pavkovic, I. (2008). Evaluating a multiple-family group access intervention for refugees with ptsd. Journal of Marital and Family Therapy, 34, 2, 149–164.

    Article  PubMed  Google Scholar 

Links naar relevante websites

Download references

Author information

Authors and Affiliations

  1. Psychotraumacentrum Zuid-Nederland, Reinier van Arkel, Bethaniestraat 10, 5211 LJ, Den Bosch, The Netherlands

    Elisa van Ee

  2. Centrum ’45, Diemen, The Netherlands

    Irma M. Hein,  Julia Bala &  Trudy Mooren

  3. afdeling Kinder- en Jeugdpsychiatrie, Academisch Medisch Centrum Amsterdam, Amsterdam, The Netherlands

    Irma M. Hein

Authors
  1. Elisa van Ee
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Irma M. Hein
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Julia Bala
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Trudy Mooren
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Elisa van Ee.

Additional information

Dr. Mr. E. van Ee is klinisch psycholoog/psychotherapeut en senior onderzoeker bij Psychotraumacentrum Zuid-Nederland, Reinier van Arkel, Bethaniestraat 10, 5211 LJ Den Bosch. E-mail: e.van.ee@rvagroep.nl.

Drs. I. M. Hein is kinder- en jeugdpsychiater bij Centrum ’45 en promovenda bij Academisch Medisch Centrum Amsterdam afdeling Kinder- en Jeugdpsychiatrie.

Dr. J. Bala is klinisch psycholoog/kinder- en jeugdpsycholoog specialist/psychotherapeut bij Centrum ’45.

Dr. T. Mooren is klinisch psycholoog/psychotherapeut en senior onderzoeker bij Centrum ’45.

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

van Ee, E., Hein, I., Bala, J. et al. Multifamily Therapy met vluchtelingengezinnen: van oorlog naar veiligheid. KIND ADOLESC. 35, 205–215 (2014). https://doi.org/10.1007/s12453-014-0026-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12453-014-0026-3

Search

Navigation