Patricia McKinsey Crittenden - Raising Parents : Attachment, Representation, and Treatment

Raising Parents

Helping troubled parents to raise their children adequately is of crucial importance for parents, their children, and society at large. Distressed parents have themselves often been endangered and, as a consequence, sometimes endanger their children either through maltreatment or through the effects of parental psychiatric disorder.

Raising Parents explains how that happens and clusters parents in terms of the psychological processes that result in maladaptive childrearing. This edition introduces DMM Integrative Treatment and demonstrates how to use it with vulnerable families in terms of assessment, formulation, and treatment. New formulations are offered for problems that have resisted treatment, and cases demonstrate how the ideas can be applied in real treatment settings. The book closes with ten suggestions for improving professionals responses to troubled families and endangered children.

Raising Parents will be essential reading for clinicians from all disciplines, including psychiatry and psychology, social work, nursing, and all types of psychotherapy.

Patricia McKinsey Crittenden works cross-culturally as a developmental psychopathologist at the Family Relations Institute, Miami, USA. She is founding Chair of the International Association for the Study of Attachment and Adjunct Associate Professor in Dalhousie Universitys Department of Psychiatry, Canada. She has held university appointments in Finland, Italy, and Australia, as well as in the USA. She received a career achievement award for Outstanding Contributions to the Field of Child and Family Development from the European Family Therapy Association in 2004. Dr Crittenden has published widely in the field, with her most recent book being Attachment and Family Therapy, and she has a forthcoming book entitled Loving and Learning: Promoting attachment through baby play.

The DMM is the most clinically sophisticated model that attachment theory has to offer at the present time. This book is the best introduction to the DMM that there is. It could hardly be anything other than a brilliant crystallisation of the model, given that the author is its originator. Crittenden is one of the great writers on the clinical applications of attachment theory. Almost all clinicians working with children and young people, or with their parents, will benefit from studying this text carefully. Peter Fonagy, Freud Memorial Professor of Psychoanalysis; Head of the Research

Department of Clinical, Educational and Health Psychology,
University College London, UK; Chief Executive, Anna Freud Centre

Patricia Crittendens Raising Parents: Attachment, Representation and Treatment, Second Edition, is a book with a bold aim. It explains and illustrates applications of a new underpinning theory (the Dynamic Maturational Model or DMM) that sets out to enhance our understanding of child development , refine our attempts to help parents whose behaviour harms their children, and assist in testing new hypotheses in both child development and treatment. The author draws on her vast clinical experience to guide the reader through each of these complex topics and offers us genuinely new insights on the way. Her compassion and sheer intellectual curiosity shine through, making this a book not only to enlighten but also to inspire.

Ruth Gardner, Advisor on Child Neglect at the National Society for the Prevention of Cruelty to Children (NSPCC), UK

The first edition of Raising Parents by Patricia Crittenden has been an essential text in an interdisciplinary graduate course I teach on development and psychopathology. Students relatively unfamiliar with attachment theory as well as those who felt they knew quite a bit were deeply engaged in learning about the Dynamic Maturational Model of attachment and adaptation, discussing the rich case material provided in Raising Parents, and wrestling with the clinical implications and applications of the theory. It is not an exaggeration to say that this book frequently changed how we all thought about, empathized with, and worked with troubled families. These students were hungry for more and I am pleased to say that the second edition has addressed many of their questions, even while it poses others for all of us to ponder. This is a brilliant piece of work and one that should be studied and debated by all who believe in the enormous utility of attachment theory to improve our understanding of adaptation, suffering, and the healing power of relationships.

Susan J. Spieker, Professor of Family and Child Nursing; Director of the Barnard Center for Infant Mental Health and Development, University of Washington, USA

Once we recognize that we (ordinary parents and professionals) arent different in kind from parents who harm their children, then wondering why they did what they did can elicit inquiry, not accusation. Pat Crittenden in this book offers a richness of ideas to help comprehend the actions of parents who struggle and may inflict harm on their children. This quote above illustrates how her perspective is not only non-blaming but dares to hold a mirror to us all regarding our own actions as parents. All too frequently it is very tempting to adopt a position of them and us in relation to parents who appear to harm their children. Inviting us into this less than comfortable self reflection she also shows great compassion and also incisive insight into how parents own childhood experiences may intrude into their relationships with their children. To help children, she argues, we must understand and offer help to their parents. This is not to make excuses on their behalf but to develop a sophisticated understanding of the complex mental processes that shape their feelings, thoughts, and actions. The second edition of this book offers new treasures, including expansion of the processes of intervention and in particular the complexities of the therapeutic relationship. The therapist is described as becoming a transitional attachment figure and the subtle processes of how this is achieved are systematically detailed. This is an invaluable contribution to what has repeatedly been found to be the cornerstone of successful intervention in families. This book is essential reading for all therapists not just those working with children. It also offers a massive step towards a genuine psychological formulation of a whole range of complex and severe problems in families.

Rudi Dallos, Professor and Research Director, Doctorate in Clinical Psychology, University of Plymouth, UK

Dr Crittenden has done it again! With her updated version of the classic Raising Parents, Dr Crittenden offers her vast wisdom and powerful clinical experiences to explain the importance and challenges of early experiences to human development. What sets Dr Crittenden, and her book, apart is her treatment of attachment as inter-generational. Essentially, when we raise children, we raise them to be parents of the next generation. Healthy caring societies ensure that children are raised well, because we all benefit from more healthy adults, raising evermore healthy children. This book should be required reading for anyone who cares about family health and human capital, who cares about how attachment strategies affect mental health and development over generations, and who cares enough to want to help improve the health of children, families, and societies.

Nicole Letourneau, Norlien & Alberta Childrens Hospital Foundation Chair in Parent-Infant Mental Health, Professor, Faculty of Nursing & Cumming School of Medicine (Pediatrics & Psychiatry),

University of Calgary, Canada

Raising Parents