Background: Recently, some contributions have highlighted the negative effect of parental stress upon the efficacy of interventions oriented towards the child with an Autistic Spectrum Disorder (ASD), who shows increasingly more behavioural problems at the parents’ increase of stress level (Osborne et al., 2008). Our study is aimed to assess the efficacy of a psychological support to parents and their children in terms of observed and perceived improvements in the quality of relationships. Methods: 10 families of children with an ASD will be assessed before and after a supportive intervention through a standardized observational procedure adapted from the Lausanne Trilogue Play (LTP, Fivaz-Depeursinge, Corboz-Warnery, 1999): the Clinical Lausanne Trilogue Play (CLTP; Malagoli, Mazzoni, 2006), used as a measure of the change as regards the family’s affective and behavioural functioning. Individual, from 0 (not adequate) to 2 (fully adequate), and family codes, from 0 (fully dysfunctional) to 40 (fully functional) will be scored. Children’s behaviours will be evaluated through the Autistic Diagnostic Interview-Revised (ADI-R, ADI-R; Le Couteur, Lord, & Rutter, 2003; Rutter, Le Couteur & Lord, 2003) and the Autism Diagnostic Observation Schedule (ADOS: WPS Version; Lord, Rutter, DiLavore, & Risi, 1999). A portion of the parents will also be assessed both on their quality of attachment by means of Adult Attachment Interview (Main, Goldwyn, 1994-1998) and on their subjective level of stress as regards parenting through the administration of the Parenting Stress Index (Abidin, 1995). Expected results: Preliminary data (Vismara, Doneddu, 2009) have shown an improvement as regards family scores before and after intervention. It is expected that, at the beginning of intervention, the mean CLTP score will be within the dysfunctional alliances range; after intervention, we expect an improvement on family scores. Outcome will be analysed by 2-tailed paired t test. It is also expected that children’s problematic behaviours and parenting stress will decrease after intervention; whilst attachment representations should remain relatively stable, due to their nature. Conclusions: the study is aimed to give empirical evidence to the need to involve personally the parents and to consider their feelings and worries for their child in order to ameliorate the ability to share feelings and to develop inter-subjectivity processes.
THE CLINICAL LAUSANNE TRILOGUE PLAY: AN OBSERVATIONAL STANDARDIZED TOOL TO SUPPORT AUTISTIC FAMILY RELATIONSHIPS: AN ITALIAN PILOT STUDY
VISMARA, LAURA;
2011-01-01
Abstract
Background: Recently, some contributions have highlighted the negative effect of parental stress upon the efficacy of interventions oriented towards the child with an Autistic Spectrum Disorder (ASD), who shows increasingly more behavioural problems at the parents’ increase of stress level (Osborne et al., 2008). Our study is aimed to assess the efficacy of a psychological support to parents and their children in terms of observed and perceived improvements in the quality of relationships. Methods: 10 families of children with an ASD will be assessed before and after a supportive intervention through a standardized observational procedure adapted from the Lausanne Trilogue Play (LTP, Fivaz-Depeursinge, Corboz-Warnery, 1999): the Clinical Lausanne Trilogue Play (CLTP; Malagoli, Mazzoni, 2006), used as a measure of the change as regards the family’s affective and behavioural functioning. Individual, from 0 (not adequate) to 2 (fully adequate), and family codes, from 0 (fully dysfunctional) to 40 (fully functional) will be scored. Children’s behaviours will be evaluated through the Autistic Diagnostic Interview-Revised (ADI-R, ADI-R; Le Couteur, Lord, & Rutter, 2003; Rutter, Le Couteur & Lord, 2003) and the Autism Diagnostic Observation Schedule (ADOS: WPS Version; Lord, Rutter, DiLavore, & Risi, 1999). A portion of the parents will also be assessed both on their quality of attachment by means of Adult Attachment Interview (Main, Goldwyn, 1994-1998) and on their subjective level of stress as regards parenting through the administration of the Parenting Stress Index (Abidin, 1995). Expected results: Preliminary data (Vismara, Doneddu, 2009) have shown an improvement as regards family scores before and after intervention. It is expected that, at the beginning of intervention, the mean CLTP score will be within the dysfunctional alliances range; after intervention, we expect an improvement on family scores. Outcome will be analysed by 2-tailed paired t test. It is also expected that children’s problematic behaviours and parenting stress will decrease after intervention; whilst attachment representations should remain relatively stable, due to their nature. Conclusions: the study is aimed to give empirical evidence to the need to involve personally the parents and to consider their feelings and worries for their child in order to ameliorate the ability to share feelings and to develop inter-subjectivity processes.
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