Insights from a Dual Case Study of Regulation Focused Psychotherapy for Children (RFP-C) with Externalizing Behaviors: The Cases of "Jack" and "Oliver"

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This dual case study involving "Jack" and "Oliver" provides critical insights into the efficacy and therapeutic processes of Regulation Focused Psychotherapy for Children (RFP-C), a manualized psychodynamic approach designed to address emotion regulation difficulties in school-age children. The study demonstrates both the strengths and limitations inherent in case study research within child therapy. Strengths include the extensive use of diverse measures and a thorough examination of the complexities involved in child therapy. Nevertheless, limitations arise from challenges in generalizing findings and the intricacies of the methodology. This commentary addresses these aspects, highlighting how case studies can enrich and complement randomized controlled trial results by offering a nuanced understanding of psychotherapy processes and outcomes. Such insights are essential for enhancing clinical practice. Future research should improve methodological rigor and investigate key psychotherapy variables, especially the dynamics of building and maintaining therapeutic alliances with children and parents. Additionally, rigorous qualitative analysis of interviews with children, parents, and therapists could offer valuable insights into the complexities of therapeutic interventions.