Reparenting

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Reparenting is a form of psychotherapy in which the therapist actively assumes the role of a new or surrogate parental figure for the client, in order to treat psychological disturbances caused by defective, even abusive, parenting. The underlying assumption is that all mental illness results principally from such parenting, even including schizophrenia and bipolar disorder.[citation needed]

In the late 1960s, Jacqui Lee Schiff developed a form of therapy based on transactional analysis theory. She would dub this form of therapy as total regression reparenting. Schiff and her followers claimed success with curing clients with schizophrenia using reparenting, which resulted in the expansion of its practice. The promising findings of reparenting by Schiff led other therapists to develop their own application and forms of re-parenting. The other most notable forms of reparenting that later came include time-limited, spot, and self-re-parenting. Some people consider reparenting to be one of the many forms of New Age psychotherapy.[1][2]

Mechanism

Deriving from transactional analysis theory, reparenting seeks to treat problems associated with defective parenting. The theory of reparenting states that psychological problems due to defective parenting can be overcome by reforming the parent ego state of the client. This is achieved by regressing the client to a state of mind that is vulnerable to new experiences, called the child ego state in transactional analysis theory. Once the client is in the child ego state, the therapist adopts the role of the client's parent and attempts to correctly reparent the client. The nature of reparenting by the therapist should be more positive and influence the client into developing a healthier parent ego state, which ultimately negates the psychological problems the client may have experienced before reparenting therapy.[3][4]

Methods

Due to the wide varying forms of reparenting, each therapist may adopt different methods when treating clients. However, the mechanism that underlie the theory of reparenting is generally agreed upon. Typically, reparenting starts with the regression of the client to the child ego state. The therapist accomplishes this by partaking in child-rearing acts such as bottle feeding, lap pillows, and other techniques wherein the client consciously adopts physical positions and behaviors of a small child. These actions will also gain the client's trust in the therapist as his or her new parent. Once the ideal level of closeness is achieved, the therapist can finally proceed to providing the messages that reform the client's negative way of thinking by lecturing, entering discussions, or other forms of communication appropriate in a parent-child relationship.[3][5]

Forms of reparenting

Total regression

Developed by Jaqui Lee Schiff, this form of reparenting was the first form of therapy built upon transactional analysis theory. Typically, the patient lives with the therapist for up to several years at an institution. During this time, the patient is totally immersed in the reliving of his or her childhood. The therapist provides all the care and nurturing with the goal of totally reforming the client's parent ego state. Total regression reparenting is famously associated with the Cathexis Institution, which was founded by Jaqui Lee Schiff.[1]

Time-limited regression

Thomas Wilson developed time-limited regression reparenting for the purpose of treating patients with schizophrenia. But unlike Schiff's therapy, the patient is only required to attend five two-hour sessions with the therapist instead of living with the therapist. Nurturing is also more intensive and more structured than total regression reparenting.[1]

Spot reparenting

Spot reparenting was developed by Russell Osnes. In addition to also being less time intensive than Schiff's total regression reparenting, Osnes's form of reparenting focuses more on patients traumatized by specific experiences and incidents rather than by general disturbances in childhood.[1][6]

Self-reparenting

Self-reparenting was developed by Muriel James. Unlike prior forms of reparenting, James's form of reparenting did not attempt to totally replace the parent ego state of the client. Instead, the therapy confirms the positive aspects already apparent in the client's ego. The client is also the primary agent in therapy instead of the therapist.[1][7]

Del Casale's method

Developed by Del Casale, this form of reparenting, like Wilson's time-limited regression reparenting, focused primarily on treatment for schizophrenic patients. But unlike both Schiff and Wilson, Del Casale proposes that the therapist does not play the role of the parent for the client. Instead, Del Casale had the client's actual parents become an active participator in the therapy. Del Casale bases this model on the belief that some parts of the client's parent ego state is still healthy, and that defective parenting is not at the fault of the parents, but of the weak communication between the parent and child.[1]

Efficacy

Controversies

References

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