DEFINING RELATIONAL PATHOLOGY IN EARLY CHILDHOOD: THE DIAGNOSTIC CLASSIFICATION OF MENTAL HEALTH AND DEVELOPMENTAL DISORDERS OF INFANCY AND EARLY CHILDHOOD DC:0–5 APPROACH. Issue 5 (30th August 2016)

• Record Type: Journal Article
• Authors: Zeanah, Charles H.; Lieberman, Alicia
• Other Names: Guedney Antoine guestEditor.; Zeanah Charles guestEditor.
• Is Part Of: Infant mental health journal. Volume 37:Issue 5(2016:Sep./Oct.)
• Page Start: 509
• Page End: 520
• Publication Date: 2016-08-30
• Subjects: parent–child relationship -- relationship disorders -- relationship psychopathology -- infant mental health -- relación progenitor niño -- trastornos en la relación -- sicopatología de la relación -- salud mental infantil -- relation parent enfant -- trouble de la relation -- psychopathologie de la relation -- santé mentale du nourrisson -- Eltern‐Kind‐Beziehung -- Beziehungsstörungen -- Beziehungspsychopathologie -- psychische Gesundheit von Säuglingen -- 親子関係性 -- 関係性障害 -- 関係性精神病理 -- 乳幼児精神保健 -- 親子關係 -- 關係障礙 -- 關係病理學 -- 幼兒心理健康; Infant psychiatry -- Periodicals; Infant psychology -- Periodicals; 618.9289
• DOI: 10.1002/imhj.21590
• Languages: English
• ISSNs: 0163-9641

Abstract

ABSTRACT: Infant mental health is explicitly relational in its focus, and therefore a diagnostic classification system for early childhood disorders should include attention not only to within‐the‐child psychopathology but also between child and caregiver psychopathology. In this article, we begin by providing a review of previous efforts to introduce this approach that date back more than 30 years. Next, we introduce changes proposed in the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood DC:0–5 (ZERO TO THREE, in press). In a major change from previous attempts, the DC:0–5 includes an Axis I "Relationship Specific Disorder of Early Childhood." This disorder intends to capture disordered behavior that is limited to one caregiver relationship rather than cross contextually. An axial characterization is continued from the Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood DC:0–3R (ZERO TO THREE, 2005), but two major changes are introduced. First, the DC:0–5 proposes to simplify ratings of relationship adaptation/maladaptation, and to expand what is rated so that in addition to characterizing the child's relationship with his or her primary caregiver, there also is a characterization of the network of family relationships in which the child develops. This includes coparenting relationships and the entire network of close relationships that impinge on the young child's development and adaptation.