A Multi-Theoretical, Evidence-Based Approach for Understanding and Managing Adolescent Resistance to Psychotherapy

Sommers‐Flanagan, John; Richardson, Brent; Sommers-Flanagan, Rita

doi:10.1007/s10879-010-9164-y

Cited by 17 publications

(7 citation statements)

References 16 publications

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“…There is a similar phenomenon in psychotherapy, where the (often unconscious) will of persons to resist therapy is reduced or eliminated (c.f. Sommers-Flanagan, Richardson, & Sommers-Flanagan, 2011). Some scales or dimensions seem to be more vulnerable to intentional response distortions than others.…”

Section: Discussionmentioning

confidence: 99%

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The influence of item order on intentional response distortion in the assessment of high potentials: Assessing pilot applicants

2013

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An experiment was conducted to investigate the effects of item order and questionnaire content on faking good or intentional response distortion. It was hypothesized that intentional response distortion would either increase towards the end of a long questionnaire, as learning effects might make it easier to adjust responses to a faking good schema, or decrease because applicants' will to distort responses is reduced if the questionnaire lasts long enough. Furthermore, it was hypothesized that certain types of questionnaire content are especially vulnerable to response distortion. Eighty-four pre-selected pilot applicants filled out a questionnaire consisting of 516 items including items from the NEO five factor inventory (NEO FFI), NEO personality inventory revised (NEO PI-R) and business-focused inventory of personality (BIP). The positions of the items were varied within the applicant sample to test if responses are affected by item order, and applicants' response behaviour was additionally compared to that of volunteers. Applicants reported significantly higher mean scores than volunteers, and results provide some evidence of decreased faking tendencies towards the end of the questionnaire. Furthermore, it could be demonstrated that lower variances or standard deviations in combination with appropriate (often higher) mean scores can serve as an indicator for faking tendencies in group comparisons, even if effects are not significant.

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Section: Discussionmentioning

confidence: 99%

“…There is a similar phenomenon in psychotherapy, where the (often unconscious) will of persons to resist therapy is reduced or eliminated (c.f. Sommers‐Flanagan, Richardson, & Sommers‐Flanagan, ).…”

Section: Discussionmentioning

confidence: 99%

The influence of item order on intentional response distortion in the assessment of high potentials: Assessing pilot applicants

2013

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“…Furthermore, despite the linear decrease in resistance, this decrease was not significant, thus suggesting a somewhat steady level of resistance. Studies have shown that adolescents, especially when they are referred to therapy by adults (as was the case here by school counsellors and psychologists) often express resistance to therapy (Meeks & Bernet, 2001;Sommers-Flanagan, Richardson, & Sommers-Flanagan, 2011).…”

Section: Cognitivementioning

confidence: 98%

In‐session behaviours and adolescents' self‐concept and loneliness: A psychodrama process–outcome study

Orkibi

Azoulay

Snir

et al. 2017

Clin Psychology and Psychoth

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As adolescents spend many hours a day in school, it is crucial to examine the ways in which therapeutic practices in schools promote their well-being. This longitudinal pilot study examined the contribution of school-based psychodrama group therapy to the self-concept dimensions and perceived loneliness of 40 Israeli adolescents (aged 13-16, 60% boys) in public middle schools. From a process-outcome perspective, we also examined the understudied trajectory of adolescents' in-session behaviours (process variables) and its associations with changes in their self-concepts and loneliness (outcome variables). Psychodrama participants reported increases in global, social, and behavioural self-concepts and a decrease in loneliness compared to the control group. In-session productive behaviours increased and resistance decreased throughout the therapy, but varied process-outcome relationships were found. The study suggests that conducting further research into the process-outcome relationships in psychodrama group therapy is warranted to pinpoint specific mechanisms of change. Suggestions for future studies are provided.

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“…The impact of developmental issues on commitment to psychotherapeutic Sommers-Flanagan, Richardson, & Sommers-Flanagan, 2011) and pharmacological treatment (Hack & Chow, 2001) is well documented; these issues appear to constitute an obstacle for adolescents with BPD as well. Our results show that certain psychological traits of BPD reported in adult studies (Rusch, Schiel, Corrigan, Leihener, Jacob, Olschewski, Lieb et al, 2008), such as hostility and distress intolerance, can also deflect the course of treatment for adolescents.…”

Section: Discussionmentioning

confidence: 99%

Modèle de l’engagement et de l’abandon de traitement de l’adolescent avec trouble de personnalité limite

Desrosiers

Saint-Jean

Laporte

2016

smq

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Malgré une vaste littérature sur l’abandon de traitement en pédopsychiatrie, les connaissances sur cette problématique chez l’adolescent avec trouble de personnalité limite (TPL) demeurent peu développées. Les conséquences d’un arrêt prématuré du traitement sont sérieuses considérant la récurrence de leurs conduites suicidaires. Afin de comprendre les processus associés à l’instabilité du mode de consultation de ces adolescents, une méthode de théorisation ancrée constructiviste avec un devis de cas multiples a été utilisée. Trente-quatre entrevues auprès de trois groupes d’informateurs (adolescent, parent et clinicien) ont été réalisées. Un modèle explicatif des facteurs de risque d’abandon, mais aussi des conditions susceptibles de favoriser la poursuite du traitement a été élaboré. Il identifie les déterminants de l’abandon qui sont spécifiques aux adolescents avec TPL et décrit les processus par lesquels ceux-ci interfèrent avec la poursuite du traitement. Deux moments critiques ont été mis en évidence. Le premier survient au moment de l’offre de traitement. Il est déterminé par les capacités du dispositif de soins à profiter de l’impulsion de la demande d’aide pour engager l’adolescent et le parent en tenant compte de leurs vulnérabilités à l’abandon. Le deuxième moment critique survient en cours de traitement. Il est marqué par les capacités du dispositif de soins à adopter des mesures correctives lorsqu’apparaissent des complications d’engagement. Ces résultats mettent en évidence l’importance des réponses du dispositif de soins et suggèrent que l’engagement des adolescents avec TPL devrait constituer un objectif thérapeutique au même titre que la réduction de la symptomatologie et des problèmes de vie.

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A Multi-Theoretical, Evidence-Based Approach for Understanding and Managing Adolescent Resistance to Psychotherapy

Cited by 17 publications

References 16 publications

The influence of item order on intentional response distortion in the assessment of high potentials: Assessing pilot applicants

The influence of item order on intentional response distortion in the assessment of high potentials: Assessing pilot applicants

In‐session behaviours and adolescents' self‐concept and loneliness: A psychodrama process–outcome study

Modèle de l’engagement et de l’abandon de traitement de l’adolescent avec trouble de personnalité limite

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