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Journal Article

Citation

Calderon A, Schneider C, Target M, Midgley N. Clin. Child Psychol. Psychiatry 2019; 24(3): 446-461.

Affiliation

Anna Freud National Centre for Children and Families, London, UK.

Copyright

(Copyright © 2019, SAGE Publishing)

DOI

10.1177/1359104518807734

PMID

30400758

Abstract

OBJECTIVE:: Identify the core 'interaction structures' between therapists and depressed adolescents within and across two common forms of psychotherapy.

METHOD:: A total of 70 audio-recorded psychotherapy sessions representing short-term psychoanalytic psychotherapy (STPP) and cognitive behavioural therapy (CBT) with youth aged 12-18 years old were coded with the Adolescent Psychotherapy Q-set (APQ), a newly developed instrument. Data included different therapist-patient dyads and stages in treatment and were analysed with cluster analysis.

RESULTS:: Three distinct interaction structures between therapists and depressed adolescents: two influenced by the therapists' techniques and one more influenced by the young people's attitude to therapy.

CONCLUSION:: When there is a collaborative working relationship between therapists and depressed young people, the therapy process is influenced by the therapists' techniques; while when there is a poor working relationship, the techniques used by therapists of different theoretical orientation become more similar with the aim of engaging the young person in the process.


Language: en

Keywords

Adolescents; Q-set; cognitive-behavioural therapy; psychoanalytic psychotherapy; psychotherapy process research; youth

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