Manual of Regulation-Focused Psychotherapy for Children (RFP-C) with Externalizing Behaviors: A Psychodynamic Approachoffers a new, short term psychotherapeutic approach to working dynamically with children who suffer from irritability, oppositional defiance and disruptiveness.RFP-Cenables clinicians to help by addressing and detailing how the child's externalizing behaviors have meaning which they can convey to the child. Using clinical examples throughout, Hoffman, Rice and Prout demonstrate that in many dysregulated children,RFP-Ccan: Achieve symptomatic improvement and developmental maturation as a result of gains in the ability to tolerate and metabolize painful emotions, by addressing the crucial underlying emotional component. Diminish the child's use of aggression as the main coping device by allowing painful emotions to be mastered more effectively. Help to systematically address avoidance mechanisms, talking to the child about how their disruptive behavior helps them avoid painful emotions. Facilitate development of an awareness that painful emotions do not have to be so vigorously warded off, allowing the child to reach this implicit awareness within the relationship with the clinician, which can then be expanded to life situations at home and at school. This handbook is the first to provide a manualized, short-term dynamic approach to the externalizing behaviors of childhood, offering organizing framework and detailed descriptions of the processes involved inRFP-C. Supplying clinicians with a systematic individual psychotherapy as an alternative or complement to PMT, CBT and psychotropic medication, it also shifts focus away from simply helping parents manage their children's misbehaviors. Significantly, the approach shows that clinical work with these children is compatible with understanding the children's brain functioning, and posits that contemporary affect-oriented conceptualizations of defense mechanisms are theoretically similar to the neuroscience construct of implicit emotion regulation, promoting an interface between psychodynamics and contemporary academic psychiatry and psychology. Manual of Regulation-Focused Psychotherapy for Children (RFP-C) with Externalizing Behaviors: A Psychodynamic Approachis a comprehensive tool capable of application at all levels of professional training, offering a new approach for psychoanalysts, child and adolescent counselors, psychotherapists and mental health clinicians in fields including social work, psychology and psychiatry. About the Authors: Leon Hoffman, MDis a child and adolescent psychiatrist and psychoanalyst and is currently the director of the Pacella Parent Child Center at the New York Psychoanalytic Society and Institute and Chief Psychiatrist at West End Day School. Timothy Rice, MDis a clinical fellow in child and adolescent psychiatry at the Icahn School of Medicine at Mount Sinai, New York City. Tracy A. Prout, PhDis assistant professor of psychology in the combined school-child clinical doctoral program at the Ferkauf Graduate School of Psychology at Yeshiva University. She is also in private practice working with children, adolescents, adults, and families. | 
