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Treat Childhood Trauma by Building on Parental Memories of Loving Care

g children,” Lieberman says. Yet research shows that traumatized mothers often draw on inner stores of resilience to help their children cope with difficult circumstances. The CPP program supports parents in a range of situations by taking advantage of the natural attachment between parents and infants, and the infant’s reliance on that attachment to develop effective responses to danger and safety.

CPP treatment typically lasts between 6 months and a year. A psychotherapist works with parent and child, often in their homes. Parents may also have treatment sessions on their own as needed.

In a study published in 2005, Lieberman and colleagues treated 75 children aged 3 to 5 and their mothers, who were randomized to receive a year’s course of CPP treatment or to receive care from a case manager who arranged individual psychotherapy and social services in the community. Children who received CPP showed significantly better results than the controls in behavior problems, traumatic stress symptoms and other measures, while mothers showed significant improvement in PTSD-related avoidance symptoms and a trend towards improvement in other measures of mental health.

A follow-up study published in 2006 showed that mothers continued to improve after the termination of treatment, showing significantly better scores in overall symptoms than mothers in the control group. Children's improvements were maintained six months after the end of treatment.

“We interpret these findings to mean that help for mothers improved their pleasure and competence in raising their children, and was beneficial to their own mental health," Lieberman says. "Our results support the notion that healthy relationships are the building blocks for individuals' mental health.”

At UCSF, Lieberman holds the Irving B. Harris Endowed Chair in Infant Mental Health and is vice chair for academic affairs in the UCSF Department of Psychiatry.


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