Ana Calderon1,2, Celeste Schneider3, Mary Target1,2, Nick Midgley1,2. 1. 1 Department of Clinical, Educational and Health Psychology, University College London, London, UK. 2. 2 Anna Freud National Centre for Children and Families, London, UK. 3. 3 San Francisco Center for Psychoanalysis, San Francisco, USA.
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.
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.
Authors: Madison Aitken; John D Haltigan; Peter Szatmari; Bernadka Dubicka; Peter Fonagy; Raphael Kelvin; Nick Midgley; Shirley Reynolds; Paul O Wilkinson; Ian M Goodyer Journal: J Child Psychol Psychiatry Date: 2020-01-12 Impact factor: 8.982