Meta-analysis of therapeutic relationship variables in youth and family therapy: The evidence for different relationship variables in the child and adolescent treatment outcome literature

Conceptualising ‘The Relationship’ in Intensive Key Worker Support as a Therapeutic Medium

“…It is claimed that not only does the process inherent in the relationship help contain anxieties but it binds people into a social fabric helping those individuals feel supported, accepted and valued, in turn, providing confidence and promoting growth (Howe, 1995;Trevithick, 2003). Alternatively or additionally, it might be that the positive feeling toward the therapist makes the client more willing to participate in treatment (Karver et al, 2006).…”

A Common Factors Approach to Improving the Mental Health Capacity of Pediatric Primary Care

“…There are two reasons, however, why this might not be the case. First, in psychotherapy, therapeutic alliance, one of the more frequently measured aspects of patient-provider relationship (Karver et al 2006), is felt to be established in the first few visits and changes relatively little afterward (Horvath 2000). Second, studies of smoking cessation counseling in primary care suggest providers can have an influence on patient behavior one or a few visits (Cornuz et al 2002).…”

“…While common factors have been most carefully studied in adult psychotherapy, recent reviews and meta-analyses have proposed a range of possible factors for child and adolescent treatment and examined the evidence for their relationship to clinical outcomes (Karver et al 2006;Dew and Bickman 2005) (Table 3). In Karver and colleagues' review (2006), two groups of therapist skills had the strongest relationship with outcomes: what they called "therapists' direct influence skills" (e.g., explaining processes, focusing discussion on practical concerns, addressing barriers to treatment), and "relationship factors" (e.g., the ability to build a therapeutic relationship with the child).…”

Modèle de l’engagement et de l’abandon de traitement de l’adolescent avec trouble de personnalité limite

“…Indeed, numerous factors associated with treatment continuation difficulties have been pointed out (Karver, Handelsman, Fields, & Bickman, 2005;SommersFlanagan et al, 2011). Even though accessibility and treatment preparation have been identified as significant dimensions in the successful treatment of adolescents (Anderson & Collier, 1999;Karver, Handelsman, Fields, & Bickman, 2006;Woodberry & Popenoe, 2008), it seems that this knowledge has little impact on the practice of clinicians. Many studies have stressed the importance of three aspects of the therapeutic alliance in adolescent treatment success: agreement on goals, agreement on tasks and relation development (Karver et al, 2006;Zack, Castonguay, & Boswell, 2007).…”

“…Les problèmes psychosociaux, plus nombreux chez les jeunes suicidaires que chez les non-suicidaires (Mandell, Walrath, & Goldston, 2006;Pillay & Wassenaar, 1997) (Anderson & Collier, 1999;Karver et al, 2006;Owens et al, 2002;Woodberry & Popenoe, 2008 Osler, un des pères de la médecine moderne, il rapporte qu'il est beaucoup plus important de savoir quel type de patient est atteint de la maladie que de savoir quel type de maladie a le patient.…”