Parent-Child Interaction Assessment-II (PCIA-II)
Encyclopedia
The Parent-Child Interaction Assessment-II (PCIA-II; Holigrocki, Kaminski, & Frieswyk, 1999, 2002) is a direct observation procedure. Parents and 3- to 10-year-old children are videotaped as they play at a make-believe zoo. They are presented with a series of story stems and are asked to "Play out what happens together." Once the story creation part has finished, they complete the PCIA-II Inquiry video-recall procedure where they are shown selections from their videotape. The videotape is paused; and they are individually interviewed regarding what is happening and what each and the other are doing, thinking, feeling, and wanting. The PCIA-II takes approximately 45 minutes to administer (30 minutes for the videotaped interaction and 15 minutes for the Inquiry)

This measure is employed in research and clinical interventions with parent-child dyads. As a research tool, the PCIA-II is used to test hypotheses relevant to clinical psychology
Clinical psychology
Clinical psychology is an integration of science, theory and clinical knowledge for the purpose of understanding, preventing, and relieving psychologically-based distress or dysfunction and to promote subjective well-being and personal development...

, psychiatry
Psychiatry
Psychiatry is the medical specialty devoted to the study and treatment of mental disorders. These mental disorders include various affective, behavioural, cognitive and perceptual abnormalities...

, and child development
Child development
Child development stages describe theoretical milestones of child development. Many stage models of development have been proposed, used as working concepts and in some cases asserted as nativist theories....

. Clinically, the PCIA-II is used in assessment and treatment. As a psychological assessment measure, information is obtained about parent-child relational functioning and each person's behaviors and cognitions. Videorecordings are analyzed qualitatively and/or quantitatively using a set of parent, child, or relational codes that have demonstrated good psychometric properties (see Holigrocki, 2008). As a treatment, the PCIA-II is a core part of the Modifying Attributions of Parents (PCIA-II/MAP)
PCIA-II/MAP Modifying Attributions of Parents Intervention
The Parent-Child Interaction Assessment-II Modifying Attributions of Parents intervention is a brief cognitive-behavioral manualized treatment for parents in high-risk families...

 cognitive-behavioral therapy intervention (Bohr, 2005; Bohr & Holigrocki, 2005). The PCIA-II/MAP begins with the therapist reviewing a PCIA-II pre-treatment recording of the parent and child to identify competency areas as well as areas of parenting difficulties such inaccurate, dysfunctional, or negative attributions. During the intervention sessions, the clinician and parent work together to enhance strengths and recognize and change the parent’s attributions. The PCIA-II/MAP is currently being used in treatment and treatment outcome research in Ontario, Canada. A randomized controlled trial
Randomized controlled trial
A randomized controlled trial is a type of scientific experiment - a form of clinical trial - most commonly used in testing the safety and efficacy or effectiveness of healthcare services or health technologies A randomized controlled trial (RCT) is a type of scientific experiment - a form of...

 of the PCIA-II/MAP is underway with women victims of domestic violence in the USA.

Richard Holigrocki, Patricia Kaminski, Siebolt Frieswyk, George Hough, and Karen Shectman developed the PCIA between 1995 and 1997 at The Menninger Clinic
Menninger Foundation
The Menninger Foundation was founded in 1919 by the Menninger family in Topeka, Kansas, and consists of a clinic, a sanatorium, and a school of psychiatry, all of which bear the Menninger name. In 2003, the Menninger Clinic moved to Houston. The foundation was started by Drs. Karl, Will, and...

 and the measure was updated and revised in 2002 by the first three authors. Peter Fonagy
Peter Fonagy
Peter Fonagy, born in 1952, at Budapest, Hungary, currently residing in London with his family; he has two children, Carolina and Francisco. Fonagy is a prominent contemporary psychoanalyst and clinical psychologist. He studied clinical psychology at University College London...

, director of the Menninger Child and Family Center, provided consultation for the project.

Questions under investigation involve studying the influence of psychopathology
Psychopathology
Psychopathology is the study of mental illness, mental distress, and abnormal/maladaptive behavior. The term is most commonly used within psychiatry where pathology refers to disease processes...

 of the parent or child on the other member of the dyad; child attachment
Attachment theory
Attachment theory describes the dynamics of long-term relationships between humans. Its most important tenet is that an infant needs to develop a relationship with at least one primary caregiver for social and emotional development to occur normally. Attachment theory is an interdisciplinary study...

; parental attunement; the relationship between defense mechanisms, internal representations, and aggression; parenting styles; the efficacy of the PCIA-II/MAP intervention; and cross cultural comparisons between samples collected in Hong Kong and the United States.
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