L’alliance thérapeutique triadique dans une psychothérapie avec un interprète : un concept en quête de validation

Qualitative assessment of transcultural psychotherapy by adolescents and their migrant families: Subjective experience and perceived effectiveness

“…There are three key components in the alliance: 1) the affective relationship between the patient and the therapist, 2) the consensus between the patient and the therapist on the global objectives of the treatment, and 3) the consensus between the patient and the therapist on the way to conduct the treatment and on the specific tasks related to the accomplishment of the treatment [ 63 ]. It is thus a transtheoretical factor identified as a predictor of the effectiveness of treatment, independently of the approach and the therapeutic technique [ 64 ].…”

“…Adolescent patients in general may show a poor alliance which may be characteristic of this specific phase of development [ 65 ]. Furthermore, the construction of a therapeutic alliance presents a difficult challenge and an important issue in clinical care for migrants [ 64 ], as shown by the high prevalence of early termination of care in this population [ 27 ]. Our results support this observation: families consult us in a context of ruptures and vulnerability (Theme 1.1), disappointment about previous treatments (Theme 1.1), and with numerous expectations of TPT (Theme 1.2).…”

“…These difficulties are enhanced by the families' lack of understanding of the initial referral and of the objectives of the TPT. An understanding between the therapist and patient about the general objective of the treatment is one of the three essential components of any therapeutic alliance [ 58 , 63 , 64 ]. Eckshtain et al have thus proposed to transmit the basic principles of therapy to depressed adolescents to limit their early termination of care [ 66 ].…”

“…Eckshtain et al have thus proposed to transmit the basic principles of therapy to depressed adolescents to limit their early termination of care [ 66 ]. In TPT, this initial co-construction of a shared treatment project is all the more crucial because the involvement of individuals from different cultures [ 51 , 64 , 67 ] means that it must also deal with different representations of the disease and its care [ 28 , 68 ]. In the absence of clear information and the joint construction of treatment objectives, there is a risk that the working alliance will be poor, which in turn could compromise adherence to treatment [ 64 ].…”

Contextual Factors Influencing the MAMAACT Intervention: A Qualitative Study of Non-Western Immigrant Women’s Response to Potential Pregnancy Complications in Everyday Life

“…Hence, further efforts are needed to increase immigrant women's trust in maternity care providers and maternity care systems. Studies outside the field of maternity care point to the importance of professionally trained interpreters knowledgeable of the particular language as well as the cultural practices in the area of origin to enhance alliances between care providers and immigrant patients [48]. These studies also point to the importance of continuity of interpreters in care in order to build trusting relationships between the patients and care providers but also between the patients and interpreters [48].…”