TY  - JOUR
PY  - 2022//
TI  - Connecting over the internet: establishing the therapeutic alliance in an internet-based treatment for depressed adolescents
JO  - Clinical child psychology and psychiatry
A1  - Mortimer, Rose
A1  - Somerville, Matt
A1  - Mechler, Jakob
A1  - Lindqvist, Karin
A1  - Leibovich, Liat
A1  - Guerrero-Tates, Brenda
A1  - Edbrooke-Childs, Julian
A1  - Martin, Peter
A1  - Midgley, Nick
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Internet-based treatments have been developed for youth mental health difficulties, with promising results. However, little is known about the features of therapeutic alliance, and how it is established and maintained, in text-based interactions between adolescents and therapists in internet-based treatments. This study uses data collected during a pilot evaluation of a psychodynamic internet-based therapy for depressed adolescents. The adolescents had instant-messaging chats with their therapists once a week, over 10 weeks. The adolescents also rated the therapeutic alliance each week, using the Session Alliance Inventory. The present study uses qualitative methods to analyse transcripts of text-based communication between the young people and their therapists. The aim is to identify and describe the key features of therapeutic alliance, and reflect upon the implications for theory and clinical practice. Analysis identified three 'values' that may underpin a strong therapeutic alliance: togetherness, agency and hope. A number of therapist techniques were also found, which seemed to create a sense of these values during text-chat sessions. These findings are discussed, alongside implications for future research.<p />  <p>Language: en</p>
LA  - en
SN  - 1359-1045
UR  - http://dx.doi.org/10.1177/13591045221081193
ID  - ref1
ER  -