Starting Treatment With Children and Adolescents

Tuber, Steven; Caflisch, Jane

doi:10.4324/9780203839409

Cited by 14 publications

(5 citation statements)

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“…Unlike the Philips et al (2007) study, our aim was not to link expectations with treatment uptake. Instead, we wanted to investigate the ideas that young people have going into therapy, a sense of the otherwise unspoken feelings of young people, and thus help clinicians negotiate the delicate early phases of treatment, which can often be especially challenging with adolescents, as demonstrated by the very high levels (40-60%) of early drop-out from therapy in this age group (Oetzel & Scherer, 2003;Tuber & Caflisch, 2011).…”

Section: Implications Of Previous Studiesmentioning

confidence: 99%

“Just like talking to someone about like shit in your life and stuff, and they help you”: Hopes and expectations for therapy among depressed adolescents

Midgley

Holmes

Parkinson

et al. 2014

Psychotherapy Research

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Objective: To explore hopes and expectations for therapy among a clinical population of depressed adolescents. Method: As part of a randomised clinical trial, 77 adolescents aged 11 to 17, with moderate to severe depression, were interviewed using a semi-structured interview schedule.The interviews were analysed qualitatively, using Framework Analysis. Results: The findings are reported around five themes: "The difficulty of imagining what will happen in therapy", "the 'talking cure'"; "the therapist as doctor", "therapy as a relationship" and "regaining the old self or developing new capacities". Conclusions: Differing expectations are likely to have implications for the way young people engage with treatment, and failure to identify these expectations may lead to a risk of treatment breakdown.

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Section: Implications Of Previous Studiesmentioning

confidence: 99%

“Just like talking to someone about like shit in your life and stuff, and they help you”: Hopes and expectations for therapy among depressed adolescents

Midgley

Holmes

Parkinson

et al. 2014

Psychotherapy Research

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“…Derived from both a Piagetian and a Winnicottian perspective, action-oriented language is how language is first experienced (Tuber & Caflisch, 2011). In Piagetian terms, the child is first and foremost a sensorimotor being, experiencing the world as a series of actions and reactions, from which cognition evolves.…”

Section: Verbs As a Unit Of Analysis In Psychoanalytic Therapiesmentioning

confidence: 99%

“…They represent concrete, bodily, sensory knowledge about what we want or need from others, how we expect others to act toward us, and how we feel and act in response (Bucci, 1997a;Edelman, 1989). In child therapy, it is important to listen most carefully to the verbs, as this language is closest to the way the child experiences feelings in an actiondominated manner (Blake, 2011;Tuber & Caflisch, 2011). The transition from action language toward symbolic thought occurs with the emergence of self-recognition (Stern, 1985), leading to the capacity to differentiate experienced state from behavior and gradually symbolic thinking takes up hegemony (Wilson & Malatesta, 1989).…”

Section: Verbs As a Unit Of Analysis In Psychoanalytic Therapiesmentioning

confidence: 99%

An empirical study of verb use as indicator of emotional access in therapeutic discourse.

Halfon¹,

Fişek²,

Çavdar³

2017

Psychoanalytic Psychology

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Verbs are the primary linguistic vehicles connecting one to his or her affective bodily core. Previous studies have shown that an increase in patient's verb repetitions in psychoanalysis is indicative of sensory affective arousal that cannot be narrated in words. If the treatment is operating effectively, the patient can use the therapeutic medium to transform the raw affect into a coherent emotional narrative. Using this premise, this study empirically investigated the effectiveness of a psychoanalytic treatment, whose success has been controversial in the past. Using a single-case design with primarily quantitative linguistic methods, measures of verb repetitions, affect dictionaries, and a computerized measure of Referential Activity (a measure of imagistic emotional language) were applied to verbatim recordings of 30 psychoanalytic sessions representing different years of treatment. Results showed that the verb repetition measure was able to differentiate significantly the sessions in terms of level of affective arousal, and there was a significant decrease in mean verb repetitions across the year. Further quantitative and clinical analyses supported that an increase in the repetition of action verbs and affective verbs was associated with intense affective sensory arousal that disrupts the patient's ability to think where as an increase in stative verb repetitions helped the patient organize a meaningful emotional narrative. Results suggest that a systematic study of verbs can reveal crucial information about patient's affective states and provide pointers for the clinicians in terms the kinds of interventions needed according to the patient's linguistic choices.

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“…Patients bring challenges and great variability to the treatment process, and their experiences of therapy do not always match their expectations. The client may anticipate different actions at the beginning of treatment, including the client’s participation in treatment, the therapist’s approach, and the client’s expected behavior during therapy (Dew & Bickman, 2005; Tuber & Caflisch, 2011). Additional knowledge is needed regarding the way clients react with pleasant surprise to good outcomes or with disappointment to poor outcomes (Westra, Aviram, Barnes, & Angus, 2010).…”

mentioning

confidence: 99%

“…Given that clients desire their perspectives to be known, but they generally have difficulty sharing their perspectives with their therapists, research is needed to build our knowledge regarding the transactions during therapy that establish a positive atmosphere early in treatment and that make it possible for patients to explore their own strengths and vulnerability and to accept new, corrective experiences. A better understanding of young people’s expectations of therapy, their motivations for treatment and their ideas about pathogenesis and cures may lead to improvement in the way therapists engage with adolescents in therapy (Buston, 2002; Midgley et al, 2014; Tuber & Caflisch, 2011).…”

mentioning

confidence: 99%

Helpful aspects at the beginning of successful outpatient treatment: Retrospective views of adolescents and their therapists.

Henriksen

2017

Journal of Psychotherapy Integration

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The current study aimed to provide information about the experiences of therapists and their former adolescent clients during the initial sessions of successful outpatient treatment. Twenty-one adolescents and their therapists were invited to share their experiences at the beginning of successful outpatient treatment. We collected data during semistructured interviews 6 -12 months following treatment. The data were analyzed using a combined hermeneutical and phenomenological approach. Our coding of the clients' reports indicated that former clients' understandings of their own problems and their expectations about therapy have implications for the way young people engage with treatment. Young adults often need extensive information about therapeutic work and modalities in treatment before making treatment decisions. The coding of the therapists reports indicated that psychotherapists' experiences with their clients' agency are an important factor in their contribution to helpful therapies. The review of the transcripts in dyads indicated that different factors may interact differently in treatment, and clients' feedback about potential options can allow therapists to explore the benefits of these interactions. Identifying helpful issues from dyads at the beginning of successful outpatient treatment may aid in detecting powerful elements of therapy and may challenge therapists as effective providers of change.

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Starting Treatment With Children and Adolescents

Cited by 14 publications

References 0 publications

“Just like talking to someone about like shit in your life and stuff, and they help you”: Hopes and expectations for therapy among depressed adolescents

“Just like talking to someone about like shit in your life and stuff, and they help you”: Hopes and expectations for therapy among depressed adolescents

An empirical study of verb use as indicator of emotional access in therapeutic discourse.

Helpful aspects at the beginning of successful outpatient treatment: Retrospective views of adolescents and their therapists.

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