[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-459494-105":59,"doc-detail-459494-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","regulation-focused-psychotherapy-for-children-with-emotion-dysregulation","Regulation-Focused Psychotherapy for Children With Emotion Dysregulation","","Emotion dysregulation (ED) is a transdiagnostic risk factor in childhood psychopathology, contributing to externalizing behaviors. Regulation-focused psychotherapy for children (RFP-C) is presented as a manualized, short-term psychodynamic intervention for ages 5–12, addressing externalizing problems rooted in affective conflict. The structured protocol combines 16 child play sessions and 4 parent sessions using symbolic play, defense-based disruption identification, affect labeling, and the “triangle of conflict” to reframe defensive behavior and support reflective functioning. Pilot data and a randomized controlled trial support feasibility, high adherence, and reductions in oppositional defiant symptoms with follow-up maintenance, while noting limitations and future research needs.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/regulation-focused-psychotherapy-for-children-with-emotion-dysregulation/459494/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/regulation-focused-psychotherapy-for-children-with-emotion-dysregulation/459494.png","ImageObject",300,407,{"name":92,"@type":93},"Rhys","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-07","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",16,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is regulation-focused psychotherapy for children (RFP-C) designed to address?","Question",{"text":113,"@type":114},"RFP-C targets emotion dysregulation that underlies externalizing behaviors in children aged 5–12, focusing on affective conflict and regulatory processes rather than symptom categories alone.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What does the RFP-C treatment protocol include?",{"text":118,"@type":114},"The protocol includes 16 child play therapy sessions and 4 parent sessions, using symbolic play, identification of defense-based play disruptions, affect labeling, and parent work via the “triangle of conflict.”",{"name":120,"@type":111,"acceptedAnswer":121},"How effective was RFP-C in the pilot and randomized controlled trial?",{"text":122,"@type":114},"Pilot data (n=3) and a randomized controlled trial (n=43) indicated feasibility, high adherence, and statistically significant reductions in oppositional defiant symptoms, with symptom maintenance at three- and six-month follow-ups.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},459494,1790926311,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":52,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},687207024643,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","SPECIAL ARTICLE: Evidence-Based Psychotherapy in Child and Adolescent Psychiatry  \nJ Korean Acad Child Adolesc Psychiatry 2026;37(1):4-13 [https://doi.org/10.5765/jkacap.250059](https://doi.org/10.5765/jkacap.250059)  \neISSN 2233-9183  \nRegulation-Focused Psychotherapy for Children With Emotion Dysregulation  \nSeri Maeng1, Yang Suk Kim2, and Duk-Soo Moon3,4 1Department of Psychiatry, Inha University Hospital, Incheon, Korea  \n2Daechi Mind Clinic, Seoul, Korea  \n3Department of Psychiatry, Jeju National University Hospital, Jeju, Korea 4Department of Psychiatry, Jeju National University School of Medicine, Jeju, Korea  \nEmotion dysregulation is a transdiagnostic risk factor in childhood psychopathology that contributes to externalizing behaviors. To address this, regulation-focused psychotherapy for children (RFP-C) has been developed as a manualized, short-term psychodynamic intervention for 5-to 12-year-olds with externalizing behaviors rooted in underlying emotion dysregulation and affective conflict. The therapy follows a structured protocol comprising 16 child play therapy sessions and 4 parent sessions. Therapists use symbolic play, identify defense-based play disruptions, and adopt affect labeling to enhance implicit emotion regulation. In parent sessions, the “triangle of conflict” was deployed to reframe behavior as defensive, strengthen reflective functioning, and scaffold regulatory growth. Pilot data (n=3) and a randomized controlled trial (n=43) demonstrated feasibility, high adherence, and statistically significant reductionsin oppositional defiant symptoms, with maintenance at the three-and six-month follow-ups. The limitations included a small sample size, reliance on waitlist controls, and scarce long-term durability data. Future research is needed to conduct multisite trials with active comparators, assess applicability across diverse conditions, and examine changes in defense mechanisms. To implement RFP-C across broader clinical settings, it is crucial to train specialized clinicians, identify children who are well suited for RFP-C, and integrate appropriate interventions tailored to each child’s unique challenges.  \nKeywords: Emotion reuglation; Externalizing behavior; Defense mechanisms; Child psychotherapy;  \nRegulation-focused psychotherapy for children.  \nReceived: October 2, 2025 / Revised: December 10, 2025 / Accepted: December 15, 2025  \nAddress for correspondence: Duk-Soo Moon, Department of Psychiatry, Jeju National University School of Medicine, 15 Aran 13-gil, Jeju 63241, Korea  \nTel: +82-64-717-1850, Fax: +82-64-717-1849, E-mail: [dr.moon@jejunu.ac.kr](dr.moon@jejunu.ac.kr)  \nINTRODUCTION  \nEmotion dysregulation (ED) is a transdiagnostic construct characterized by difficulties in modulating the intensity and quality of emotions (e.g., fear, anger, and sadness). These difficulties may generate challenges in producing appropriate emotional responses, managing excitability and mood instability, and returning to an emotional baseline [1]. Clinically, such dysregulation can manifest as disproportionate anger or prolonged emotional reactivity to minor stressors, with difficulties in returning to baseline. These difficulties are strongly linked to various forms of psychopathology during development. Child developmental studies emphasize how interpersonal experiences and self-regulatory capacity growth are central to emotion regulation during childhood and adolescence [1,2]. Early interpersonal experiences are key in shaping emotion regulation abilities [3], and their development is  \nThis is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ([https://creativecommons.org/licenses/by-nc/4.0](https://creativecommons.org/licenses/by-nc/4.0)) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.  \nclosely tied to the development of self-control [4]. ED can simultane","cbCaifW2JOCXLlsW","https://ap.wps.com/l/cbCaifW2JOCXLlsW","pdf",477640,"English","# Introduction\n## Emotion dysregulation (ED) as a transdiagnostic construct\n## ED as a transdiagnostic psychopathology","[{\"question\":\"What is regulation-focused psychotherapy for children (RFP-C) designed to address?\",\"answer\":\"RFP-C targets emotion dysregulation that underlies externalizing behaviors in children aged 5–12, focusing on affective conflict and regulatory processes rather than symptom categories alone.\"},{\"question\":\"What does the RFP-C treatment protocol include?\",\"answer\":\"The protocol includes 16 child play therapy sessions and 4 parent sessions, using symbolic play, identification of defense-based play disruptions, affect labeling, and parent work via the “triangle of conflict.”\"},{\"question\":\"How effective was RFP-C in the pilot and randomized controlled trial?\",\"answer\":\"Pilot data (n=3) and a randomized controlled trial (n=43) indicated feasibility, high adherence, and statistically significant reductions in oppositional defiant symptoms, with symptom maintenance at three- and six-month follow-ups.\"}]","Regulation-Focused Psychotherapy for Children With Emotion Dysregulation | PDF",1790756040,25]