Expert clinicians’ prototypes of an adolescent treatment: Common and unique factors among four treatment models

Goodman, Geoff; Calderón, Ana; Midgley, Nick

doi:10.1080/10503307.2021.2001603

Cited by 3 publications

(1 citation statement)

References 40 publications

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“…The objective of PIH-Pegasus is to improve emotion regulation in adolescents with ASD by strengthening their mentalization abilities and parental insight. Improving mentalization can be considered as the core of all treatment models [ 22 ]. PIH-Pegasus combines the most important elements of PIH and mentalization-based therapy, being a focus on currently felt affect, careful adjustment to the patient’s level of mentalization and arousal, a ‘not-knowing’ therapeutic stance and unassuming interventions [ 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Study Protocol: Pegasus: psychotherapy incorporating horses for ‘therapy-resistant’ adolescents with autism spectrum disorders, a study with series of randomised, baseline controlled n-of-1 trials

den Boer,

Klip,

Blonk

et al. 2024

BMC Psychiatry

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Background For people with autism spectrum disorder (ASD), daily life can be highly stressful with many unpredictable events that can evoke emotion dysregulation (ED): a strong difficulty with appropriately negative affect regulation. For some of the patients with ASD, treatment as usual does not prove to be effective for ED. They may be at risk of life-long impairment, development of other disorders and loss of motivation for most regular forms of therapy. A highly promising method that may prove effective for therapy-resistant individuals with ASD is Psychotherapy incorporating horses (PIH). PIH uses the interactions of the horse and the patients on the ground and does not include horseriding. While often met with prejudgment and scepticism, reports from parents and therapists as well as a recent systematic review suggest that PIH may have beneficial effects on youths with ASD. Therefore, we examine clinical outcomes both in the short and in the long terms of PIH offered to adolescents with ASD and severe ED despite regular therapy. Methods A total of 35 adolescents aged 11–18 years with ASD will receive PIH during 15 sessions once a week with randomization to five different groups differentiating in baseline phase from 2 to 6 weeks. PIH uses horses to promote social awareness and self-awareness as well as relationship management and self-management. The primary outcome is the response to treatment on the Emotion Dysregulation Index (EDI). The secondary outcome measures include ASD symptom severity, quality of life, self-esteem, global and family functioning, and goal attainment. Assessments take place at the baseline (T0), at the end of baseline phase A (T1), after completion of intervention phase B (T2), after the end of post-measurement phase C (T3) and after one year (T4). Qualitative interviews of participants, parents and therapists will be held to reveal facilitators and barriers of PIH and a cost-effectiveness study will be performed. Discussion This study aims at contributing to clinical practice for adolescents with ASD and persistent emotion regulation problems despite 1.5 year of treatment by offering Psychotherapy incorporating horses in a study with series of randomised, baseline controlled n-of-1 trials. Trial registration www.ClinicalTrials.gov NCT05200351, December 10th 2021.

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Section: Introductionmentioning

confidence: 99%

Study Protocol: Pegasus: psychotherapy incorporating horses for ‘therapy-resistant’ adolescents with autism spectrum disorders, a study with series of randomised, baseline controlled n-of-1 trials

den Boer,

Klip,

Blonk

et al. 2024

BMC Psychiatry

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Positive events in psychotherapy: What do adolescents and young adults say is helpful?

Cassera,

Calabrò,

Filippo

2024

F1000Res

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Background The significant challenge in adolescent and young adult therapy lies in the fact that research in this field does not provide many clinical indications. This study addresses domains contributing to the establishment and sustenance of engagement, satisfaction, and progress among adolescents and young adults in their treatment by delving into the impact of events that, from the perspective of clients, have positively influenced their therapeutic process. Methods Employing a qualitative research approach, we conducted semi-structured interviews with 13 adolescents and young adults undergoing therapy, recounting positive and constructive events during their treatment. Results A structured thematic analysis revealed six primary domains of positive events: events linked to the management of the setting, events shaping the definition of therapy goals, occurrences tied to the therapist’s active role, collaborative events between therapists and clients, and events associated with both clients’ external and internal worlds. Conclusions The findings suggest that working with adolescents shares similarities with psychotherapy involving adult clients but demands specific attention to adolescents and young adults’ families, surrounding environment, and rapidly changing needs.

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2024

Relationale Psychotherapie Mit Kindern, Jugendlichen Und Familien

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Expert clinicians’ prototypes of an adolescent treatment: Common and unique factors among four treatment models

Cited by 3 publications

References 40 publications

Study Protocol: Pegasus: psychotherapy incorporating horses for ‘therapy-resistant’ adolescents with autism spectrum disorders, a study with series of randomised, baseline controlled n-of-1 trials

Study Protocol: Pegasus: psychotherapy incorporating horses for ‘therapy-resistant’ adolescents with autism spectrum disorders, a study with series of randomised, baseline controlled n-of-1 trials

Positive events in psychotherapy: What do adolescents and young adults say is helpful?

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