2011
DOI: 10.1007/s10560-011-0224-2
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Child Alliance Process Theory: A Qualitative Study of a Child Centred Therapeutic Alliance

Abstract: The therapeutic alliance has long been recognized as a central component of clinical work with adults, adolescents and children. Process research with adults has repeatedly demonstrated a robust association between measures of the alliance and outcomes in therapy, and research findings have coalesced around a central concept of an alliance. However, work with children and adolescents does not have the same breadth of investigation and its conceptual description has long relied upon adult models to guide clinic… Show more

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Cited by 16 publications
(14 citation statements)
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“…Furthermore, the counseling students noted ways in which their patience resulted in children showing them how capable they were of leading the therapeutic process. This finding is consistent with the descriptions found in other qualitative research (Baylis, Collins, & Coleman, 2011) that showed that children feel a strong therapeutic alliance when the therapist was patient with the process (e.g., attending, reflecting feelings) rather than directing the children (e.g., talking, questioning).…”
Section: Attitudes Toward Children and A Child-led Processsupporting
confidence: 92%
“…Furthermore, the counseling students noted ways in which their patience resulted in children showing them how capable they were of leading the therapeutic process. This finding is consistent with the descriptions found in other qualitative research (Baylis, Collins, & Coleman, 2011) that showed that children feel a strong therapeutic alliance when the therapist was patient with the process (e.g., attending, reflecting feelings) rather than directing the children (e.g., talking, questioning).…”
Section: Attitudes Toward Children and A Child-led Processsupporting
confidence: 92%
“…Most of the instruments used to assess the alliance are based on this theoretical construct, which, together with other definitions derived from it, reflect the implicit assumptions of its creators. However, as several studies have underscored, it is unclear how the theoretical assumptions underlying these measures fit the perspectives of therapy participants regarding the relevant features of the therapeutic alliance (Baylis, Collins, & Coleman, ; Bedi, Davis, & Williams, ; Krause, Altimir, & Horvath, ). Thus, due to being based on predefined scales and questions, the existing definitions encompass certain specific domains of experience regarding the alliance phenomenon, leaving others out; for example, they emphasize collaboration toward the attainment of therapeutic tasks and goals, thus focusing on more cognitive and behavioral aspects of therapy (Krause et al., ).…”
Section: Introductionmentioning
confidence: 99%
“…The existing research has shown that the therapeutic alliance is a relevant predictor of therapeutic outcomes in psychotherapy with children and adolescents (Shirk, Karver, & Brown, ). Even though the model advanced by Bordin () has served as a starting point for understanding alliance in this population, it is affected by major applicability issues (Baylis et al., ), given that it is the parents who often choose to seek help, according to their own therapeutic goals for the child, which usually differ from the minor's perspective and that of the therapist (Accurso & Garland, ; Shirk et al., ). Specifically, adolescents tend to disagree with their parents with respect to the nature of the problem and the need for treatment (Shirk & Karver, ).…”
Section: Introductionmentioning
confidence: 99%
“…Se ha documentado que la psicoterapia de adolescentes necesita mayor investigación, ya que descripciones de la alianza terapéutica, el clima terapéutico y auto-conocimiento del psicoterapeuta, se basan principalmente en estudios y en adaptaciones de intervenciones que han funcionado para los adultos (Baylis, Collins & Coleman, 2011;Vargas, Gumucio & González, 2015). Por lo tanto, es imprescindible proporcionar, desde la evidencia, estrategias psicoterapéuticas eficaces para este grupo etario, ya que de cómo se resuelvan los conflictos en este periodo de desarrollo, será la madurez y estabilidad del adulto (Forman, 2004).…”
Section: Psicoterapia De Adolescente En Contexto Hospitalariounclassified