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Updated: Jun 30, 2025

Assessing the Coherence of Parents' Short Narratives Regarding their Child Using the Five-Minute Speech Sample Procedure
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Within- and between-session changes of in-session reflective functioning of mothers in dyadic parent-infant

Anna Katharina Georg1, Lea Amelie Kasper1,2, Andreas B Neubauer3

  • 1Centre of Psychosocial Medicine, Institute for Psychosocial Prevention, University Hospital Heidelberg, Heidelberg, Germany.

Psychotherapy Research : Journal of the Society for Psychotherapy Research
|March 14, 2024
PubMed

This study investigated if in-session reflective functioning (RF) of mothers improved between and within sessions of brief dyadic focused parent-infant psychotherapy (fPIP) for the treatment of regulatory disorders in infants.

In-session RF was coded for 44 therapy sessions from N = 11 mothers randomly selected from a RCT on the efficacy of fPIP as part of secondary analyses. A new rating system distinguished self-focused and child-focused in-session RF. Cumulative ordinal regression models were applied to analyze the dynamics of in-session RF within and across sessions, controlling for word count of each statement.

While in-session RF improved significantly within sessions, between-session RF improved significantly only in the second session compared to the first with a significant decrease observed in the last session. Child-focused in-session RF was significantly lower than self-focused in-session RF at the beginning of the sessions but improved significantly stronger than self-focused in-session RF during sessions.

In-session RF (particularly in child-focused statements) can be regarded as a dynamic change process relevant within each session of dyadic fPIP. Improvements made on a session-by-session basis may not be maintained until the next session. Implications for practitioners and in-session RF research are discussed.

Keywords:
In-session reflective functioningchange processmentalizingparent–infant psychotherapyregulatory disorders

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