The use of LTP in parental difficulties: When, Why, Where by Whom?

The following experiences summarize indications and counter-indications about introducing Lausanne tilogue play in clinical practice: 1.use of LTP in short treatments for families coming for difficulties with a child up to 5-6 years, following the strategy we have successfully used in applying. Interaction guidance (McDonough). 2. A follow up of 40 couples with LTPs from pregnancy to 12 months, which confronted us with some difficult situations. 3. Advice required by the Tribunal about the care of the child in judicial separations of parents. In clinical situations: WHEN: The LTP cannot be used as a routine test and only after a confident relationship has been established. WHY: 1.the high level of understanding of child-parents interactions in different situations indicates precise targets for intervention and better prognosis. 2. In judicial separations, confrontation between triadic and dyadic play is particularly revealing and often indicating practical solutions for visiting. WHERE and by WHOM : other people then the clinicians should present the test, in a different place from the clinical setting. Videoreviewing and the following discussion has a meaning only if it is done with the clinician. High skill is required for creating a positive present moment .