Comparing COSP and COS-Intensive – Circle of Security International

Comparing COSP and COS-Intensive

From Parent Reflection to Intensive Therapy


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e're often asked by various providers about the Circle of Security-Intensive model. While the Circle of Security Parenting program can be conducted by anyone who has completed the 4-day COSP™ training, only licensed clinicians are able to be trained in the Circle of Security-Intensive model. The Figure below summarizes the differences between the COSP program and COS-Intensive model.


Comparing the COSP™ Program with the COS-Intensive protocol

Circle of Security Parenting Program

Non-licensed Facilitator
Four days of training
No exam
Coaching available

1

Facilitate video review using COSP™ manual (8+ weekly sessions)

2

Use the COSP™ Fidelity Journal to reflect on your experience as a Facilitator

Circle of Security-Intensive Model

Licensed Clinician
Ten days of training
Exam required
Supervision required (min 1 year)

1

Conduct and videotape pre-group assessment using Strange Situation Procedure (SSP) and Circle of Security Interview (COSI)

2

Review and analyze SSP and COSI to create treatment plan

3

Evaluate each group member's Core Sensitivity

4

Select and assemble individualized video clips for review in group

5

Use manual to assist in facilitating multiple individualized video reviews with each client over the course of the 20+ week intervention



In many ways, Circle of Security Parenting is built on the same "platform" as the Circle of Security Intensive model. Both use video to introduce to parents what the science of attachment has shown professionals: namely, that the elements of secure attachment can be understood by anyone. Our goal is to engage each parent's wisdom by introducing the map of attachment and by reviewing interactions between caregivers that illustrate how attachment needs are expressed (or sometimes hidden) by young children.

This cartoon makes light of how a young child's signals might be "missed" by their parent.

We've found that the key to engaging caregivers' wisdom is to get them reflecting on both the meaning of what they see on screen and how what they see on screen makes them feel. Each moment of caregiver-child interaction is packed with information about attachment. At the same time, how caregivers think about attachment is often connected to their own relationship history. We might wonder about the mother in this cartoon: what's her story? How did it come to be that she sees her son's plea for connection to be about "wanting attention?"

One key difference between the Circle of Security Parenting program and the Circle of Security-Intensive intervention has to do with intensity: COSP is generally an 8-10 week program, while COS-Intensive is conducted in groups that meet weekly for about half a year. That time difference, in the hands of an experienced clinician who has been supervised in the COS-Intensive model, means that parents can "go deeper" into their histories. For some parents or caregivers COSP is enough to promote security in their relationships; for others, a more intensive therapy model is required.



There's one more difference that sets the Circle of Security-Intensive model apart from COSP. Clinicians who are trained in COS-Intensive learn about what we call Core Sensitivities. All of us struggle in relationships—that's simply part of being human. But, for most of us, even if we're aware that we struggle, sorting out what aspects of intimate connection are most challenging for us is really hard. It turns out there are three patterns of struggle around intimate connection—whether for us as parents or partners. These patterns of struggle are what we call the Core Sensitivity and learning about each Core Sensitivity allows the clinician to deepen their client's understanding of the Circle of Security.

Check out this video in which a number of clinicians talk about Core Sensitivities:

In this brief video, a variety of clinicians talk about Core Sensitivities— what they are and why they matter.

Recently, something interesting has been happening around the world. Providers who have been trained in both COSP and COS-Intensive have been exploring what might be called a "hybrid model." They're relying on selected portions of the video content from COSP to help parents or caregivers learn about and reflect on key elements of the Circle. But they're also using standardized videotaped assessments of each caregiver-child dyad and reviewing key moments from those interactions to "personalize" the view of each attachment relationship. At Circle of Security International, we see this as a natural evolution: the two main Circle of Security interventions are being combined to create a new way to support parents and caregivers!