Early therapeutic alliance and treatment outcome in individual and family therapy for adolescent behavior problems.

Abstract

The impact of early therapeutic alliance was examined in 100 clients receiving either individual cognitive- behavioral therapy (CBT) or family therapy for adolescent substance abuse. Observational ratings of adolescent alliance in CBT and adolescent and parent alliance in family therapy were used to predict treatment retention (in CBT only) and outcome (drug use, externalizing, and internalizing symptoms in both conditions) at post and 6-month follow-up. There were no alliance effects in CBT. In family therapy, stronger parent alliance predicted declines in drug use and externalizing. Adolescents with weak early alliances that subsequently improved by midtreatment showed significantly greater reductions in externalizing than adolescents whose alliances declined. Results underscore the need for ongoing developmental calibration of intervention theory and practice for adolescent clinical populations.

Examining Outpatient Treatment Dropout in Adolescents: A Literature Review

“…The therapeutic alliance is not static. Recent research indicates that adolescents who perceived their alliance was shifting from negative to positive over the course of treatment tended to have positive therapeutic outcomes whereas adolescents whose alliance was initially positive but declined over the course of treatment tended to show an increase in their symptomatology (Hogue et al 2006). In other words, an ''early'' therapeutic alliance did not predict treatment outcome.…”

Trajectoires déviantes et trajectoires de rétablissement à l’adolescence : typologie et leviers d’intervention

“…Les conséquences légales provoquent toutefois une opportunité d'intervention qui peut mener à un processus d'appropriation de la démarche au départ imposée ou non volontaire et ainsi faire passer la motivation externe à une motivation interne chez le jeune (Magrinelli Orsi et Brochu, 2009). L'établissement d'une bonne alliance thérapeutique avec ces jeunes à qui on a souvent imposé le traitement est nécessaire (Hogue et al, 2006 ;Cournoyer et al, 2007), mais il constitue un enjeu de taille. L'élaboration d'un plan d'intervention individualisé en collaboration avec le jeune et révisé périodiquement avec celui-ci constitue une étape importante de la création et du maintien de cette alliance (Fitzpatrick et Irannejad, 2008).…”

La eficacia de los protocolos de intervención con enfoque familiar para el tratamiento de los adolescentes consumidores de drogas: una revisión sistemática

“…Pesquisadores buscam desenvolver estratégias terapêuticas para lidar com esse público em tratamentos psicológicos e psiquiátri-cos ao longo das últimas décadas (Garner et al, 2009;Hogue, Dauber, Stambaugh, Cecero, & Liddle, 2006;Rounds-Bryant, Kristiansen, & Hubbard, 1999).…”