Adolescents’ reflections on successful outpatient treatment and how they may inform therapeutic decision making—A holistic approach.

Henriksen, Arne Kristian

doi:10.1037/a0038132

Cited by 13 publications

(19 citation statements)

References 49 publications

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“…There appeared to be some suggestion that the therapist could act as a secure base for attachment processes of change (Mikulincer, Shaver, & Berant, ), as noted in themes around the importance of relational connection and responsiveness in therapy. Together these findings were consistent with previous research highlighting the importance of developmental and relational factors on the mental health of young people (Henriksen, ; Simonds et al., ), as well as for adults (Friedlander et al., ; Klein & Elliott, ).…”

Section: Discussionsupporting

confidence: 92%

“…Participants’ reports certainly suggested that they experienced some partial changes and the presence of multiple coexisting selves consistent with other research (Dimaggio & Stiles, ). Our findings also supported previous research noting that both common and specific factors co‐create change when utilised responsively in therapy (Barkham et al., ; Henriksen, ). Importantly, these therapeutic changes followed a variable course until a good‐enough level of recovery was reached (Barkham et al., ).…”

Section: Discussionsupporting

confidence: 90%

“…Responsiveness in therapy and therapeutic change resulting in shifts in selfhood has also been noted by Henriksen (2014). His interpretative phenomenological analysis of 21 adolescents and their therapists' experiences of outpatient treatment suggested that outcomes emerged as clients' beliefs and behaviours were challenged through a co-creative process.…”

Section: What Is Known About Therapeutic Changementioning

confidence: 90%

“…While some previous research has incorporated both clients’ and therapists’ views into the same analysis (cf. Henriksen, ; Higginson & Mansell, ), we analysed clients’ and therapists’ transcripts separately. The primary researcher's analytical work was repeatedly reviewed by his supervisor.…”

Section: Methodsmentioning

confidence: 99%

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Therapeutic change in young people—A qualitative investigation of client and therapist perspectives

Donald

Carey

Rickwood

2018

Couns and Psychother Res

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Background Young people's vulnerability to developing mental illness makes it important to understand therapeutic change, integrating the views of both young people and their therapists, to improve treatment effectiveness. To date, qualitative research aiming to triangulate experiences of therapeutic change in young people has not clearly differentiated the unique perspectives of clients and therapists. Instead both groups’ perspectives have been analysed together, which may be phenomenologically problematic considering clients are the site of change, while therapists observe it. Aims This study explored experiences of therapeutic change from the perspectives of young people and their therapists. Three clients aged 17–19 years, and their two therapists, participated in semi‐structured interviews post‐therapy. Methods Six themes were identified for clients: facing problems alone; how the therapeutic space was used; change characteristics; partial changes; the role of context in change; and growing into the new self. Four themes were identified for therapists: problematic experiences; change processes; therapist‐related change process; and change qualities. Results Six themes were identified for clients: facing problems alone; how the therapeutic space was used; change characteristics; partial changes; the role of context in change; and growing into the new self. Four themes were identified for therapists: problematic experiences; change processes; therapist‐related change process; and change qualities. Conclusions Congruent with adult research, common and specific factors was important to change. Contextual and relational factors were particularly important for young people, who described that isolation caused by their problems caused distress beyond the impact of symptoms. Therapeutic change was facilitated through responsive therapy practices that led to developmentally normal levels of activity and changes in selfhood. Participants accepted a good‐enough level of recovery which was anticipated to continue post‐therapy.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 90%

Section: What Is Known About Therapeutic Changementioning

confidence: 90%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Therapeutic change in young people—A qualitative investigation of client and therapist perspectives

Donald

Carey

Rickwood

2018

Couns and Psychother Res

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“…Within child psychotherapy research, recent literature notes the paucity of research on children's perspectives on their experience of therapy (Dittmann & Jensen, 2014;Henriksen, 2014). Aslam (2012) reports that research which includes looked after children's views of mental health services in evaluating provision, is very limited.…”

Section: Developments Regarding How Children Are Seen and Treated In mentioning

confidence: 99%

Use of a reference group in researching children’s views of psychotherapy in Malta

Mercieca

Jones

2018

Journal of Child Psychotherapy

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This paper explores the process and outcomes of a children's reference group within the context of child psychotherapy research in out of home, residential care. The reference group was setup to consult children about the design of a research project which seeks to evoke, represent and understand children's views of psychotherapy. No work to date has explored the experience of reference groups in the context of child psychotherapy in residential out of home care in Malta. The paper contextualises the research within the literature on reference groups in child research, which identifies the potential of reference groups as a participative and co-reflexive activity which can inform research design. The paper critically examines the nature and conduct of the reference group by acknowledging the specific context of this work rather than essentialising it as a given 'good'. It does so by specifying and evaluating the outcomes of the reference group in line with its aims. The paper draws on the recordings of the reference group meetings and reference group field notes taken by the researcher as key data which were thematically analysed. The main outcomes of the reference group include children's contribution to the design of data collection methods especially in terms of not relying only on words during data collection. Children also identified key ethical issues from the point of view of young psychotherapy service users, especially in relation to issues of 2 trust within an out of home care context. Children also reviewed and appraised research information material.

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Young people's experience of the therapeutic alliance: A systematic review

Dimic

Farrell

Ahern

et al. 2023

Clin Psychology and Psychoth

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ObjectiveThe aim of this systematic review was to synthesise qualitative evidence on young people's conceptualisation, utilisation and experiences of the therapeutic alliance in individual psychotherapy or counselling and its role in bringing about change.MethodThe thematic synthesis method was used to synthesise data. The methodological quality of included studies was assessed using the CASP checklist for qualitative research.ResultsFour superordinate analytical themes were generated: (1) valuable therapist qualities, (2) conditions for the development and maintenance of the therapeutic alliance, (3) therapeutic processes and (4) barriers to the development of the therapeutic alliance. Findings indicate that young people appreciated the uniqueness of the therapeutic relationship that provided a sense of safety, choice and autonomy. Flexibility and accessibility were noted as important elements of therapeutic alliance building as they elicited a sense of agency. Young people emphasised the non‐linear nature of therapy and prioritised process variables such as improvement in self‐understanding, self‐efficacy and self‐worth.ConclusionThe current systematic review is a comprehensive overview of qualitative studies of experiences of therapy from young people's perspectives. Important practical implications derived from this review as the role of autonomy in the change process and the formation and maintenance of the therapeutic relationship were outlined as important elements in youth therapy.

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Adolescents’ reflections on successful outpatient treatment and how they may inform therapeutic decision making—A holistic approach.

Cited by 13 publications

References 49 publications

Therapeutic change in young people—A qualitative investigation of client and therapist perspectives

Therapeutic change in young people—A qualitative investigation of client and therapist perspectives

Use of a reference group in researching children’s views of psychotherapy in Malta

Young people's experience of the therapeutic alliance: A systematic review

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