The relationship between youth involvement, alliance and outcome in trauma-focused cognitive behavioral therapy

Ovenstad, Kristianne S.; Ormhaug, Silje Mørup; Jensen, Tine K.

doi:10.1080/10503307.2022.2123719

Cited by 4 publications

(11 citation statements)

References 50 publications

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“…In contrast, Edman et al (2022) proposed that children’s involvement in child and family therapies is inevitable and identified six nonmethod-specific dimensions to children’s involvement: participatory, directive, positional, emotional, agentive, and narrative. In line with the other scholars (e.g., Ovenstad et al, 2023; Tambuyzer et al, 2014), Edman et al (2022) argued that children’s involvement behaviors are not innately positive and that practitioners need to be mindful of the implications that the various dimensions to children’s involvement may bring. For instance, at times, it may be more beneficial to accept that a child emotionally distances hirself from what is being addressed in a session rather than trying to upgrade the child’s emotional involvement.…”

Section: Children’s In-session Involvement In Child and Family Therapiesmentioning

confidence: 63%

“…On a similar note, both positive and negative involvement behaviors (B-C. Chu & Kendall, 2009) can facilitate involvement processes. For instance, by avoiding eye contact (negative involvement behavior, B-C. Chu & Kendall, 2009; Ovenstad et al, 2023), the child in Table 5 was able to self-disclose (positive involvement behavior, B-C. Chu & Kendall, 2009; Ovenstad et al, 2023). Adding to the complexity, the children did not report experiences of self-disclosure as exclusively positive.…”

Section: Discussionmentioning

confidence: 99%

“…Research indicating what practitioners can do to facilitate (or hinder) children’s in-session involvement in child and family therapies are scattered, though less contradicting. Among the identified facilitators are the following: attending to children’s experiences and exploring their motivation (Jungbluth & Shirk, 2009), properly explaining the treatment rationale (Ovenstad et al, 2023), using personal examples (B-C. Chu & Kendall, 2009), tailoring treatments (Stige et al, 2021), encouraging children to express themselves freely (Núñez et al, 2021), aligning with children and validating their challenges (O’Reilly & Kiyimba, 2013), integrating ones’ approach with colleagues in child services (Thompson et al, 2020), using feedback systems (Lambert & Ogles, 2014), addressing children at their level, and using play to access their realities (Villeneuve & LaRoche, 1993).…”

Section: Children’s In-session Involvement In Child and Family Therapiesmentioning

confidence: 99%

“…While Ovenstad et al (2023) recently proposed that children who report a strong alliance are more involved in their therapies, Morris et al (2016) concluded that an affective bond between children and practitioners is not required for involvement to exist. Furthermore, the extent of organizational support, such as training and supervision, may provide practitioners with the conditions they need to facilitate involvement, or not (Thompson et al, 2020).…”

Section: Children’s In-session Involvement In Child and Family Therapiesmentioning

confidence: 99%

“…Our study is based on observations of extant audiovisual recordings of practice and stimulated-recall interviews with the participants in these recordings. Thus, we aligned with Midgley (2004), B-C. Chu and Kendall (2009), and Ovenstad et al (2023) recommendations and attended to actual clinical work to amend practitioners’ tendency to dismiss psychotherapy research as irrelevant to practice (Midgley, 2004, Stricker & Goldfried, 2019). Further, by using extant audiovisual recordings, we had the opportunity to study involvement as it “interacts with the therapist techniques in an ongoing, cyclical, and facilitative process” (Morris et al, 2016, p. 75).…”

Section: Children’s In-session Involvement In Child and Family Therapiesmentioning

confidence: 99%

See 4 more Smart Citations

Facilitating children’s in-session involvement in child and family therapies: A dynamic framework of clinical practices.

Edman,

Gustafsson,

Cuadra

2024

Psychotherapy

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Children’s in-session involvement in child and family therapies correlates with both positive and negative treatment outcomes. Thus, it is important to gain a better understanding of the clinical practices that facilitate children’s involvement in therapy sessions so that practitioners can employ them with greater precision. To address this need, we conducted a study to answer the following question: What clinical practices facilitate children’s in-session involvement in child and family therapies? The data consisted of 16 extant audiovisual recordings of child and family therapy sessions and 24 stimulated-recall interviews with the participants in the recordings. Following constructivist grounded theory and incorporating storyline as an additional analytical technique, we have constructed a framework consisting of four involvement-enhancing practices: managing time, staying relevant, adjusting intensity, and facilitating inclusion. Furthermore, by detailing some of the complex processes that practitioners navigate when they facilitate children’s involvement, our study adds a multilayered and dynamic dimension to the list of already established involvement facilitators. It may be used to moderate an overstandardized work culture that continues to characterize services that address children’s needs. The results may be applied to other institutional encounters, providing resonance beyond the analyzed therapy sessions.

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Section: Children’s In-session Involvement In Child and Family Therapiesmentioning

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Section: Children’s In-session Involvement In Child and Family Therapiesmentioning

confidence: 99%

Section: Children’s In-session Involvement In Child and Family Therapiesmentioning

confidence: 99%

Section: Children’s In-session Involvement In Child and Family Therapiesmentioning

confidence: 99%

See 3 more Smart Citations

Facilitating children’s in-session involvement in child and family therapies: A dynamic framework of clinical practices.

Edman,

Gustafsson,

Cuadra

2024

Psychotherapy

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MDMA-assisted psychotherapy for PTSD in adolescents: rationale, potential, risks, and considerations

Kangaslampi,

Zijlmans

2023

Eur Child Adolesc Psychiatry

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Abstract3,4-Methylenedioxymetamphetamine(MDMA)-assisted psychotherapy (MDMA-AP) is a proposed treatment for posttraumatic stress disorder (PTSD) that may be approved for adults soon. PTSD is also common among trauma-exposed adolescents, and current treatments leave much room for improvement. We present a rationale for considering MDMA-AP for treating PTSD among adolescents. Evidence suggests that as an adjunct to therapy, MDMA may reduce avoidance and enable trauma processing, strengthen therapeutic alliance, enhance extinction learning and trauma-related reappraisal, and hold potential beyond PTSD symptoms. Drawing on existing trauma-focused treatments, we suggest possible adaptations to MDMA-AP for use with adolescents, focusing on (1) reinforcing motivation, (2) the development of a strong therapeutic alliance, (3) additional emotion and behavior management techniques, (4) more directive exposure-based methods during MDMA sessions, (5) more support for concomitant challenges and integrating treatment benefits, and (6) involving family in treatment. We then discuss potential risks particular to adolescents, including physical and psychological side effects, toxicity, misuse potential, and ethical issues. We argue that MDMA-AP holds potential for adolescents suffering from PTSD. Instead of off-label use or extrapolating from adult studies, clinical trials should be carried out to determine whether MDMA-AP is safe and effective for PTSD among adolescents.

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Treatment Engagement as a Predictor of Therapy Outcome Following Cognitive Behaviour Therapy for Autistic Children

Albaum,

Sellitto,

Vashi

et al. 2023

J Autism Dev Disord

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Purpose Active engagement in one’s therapy is a key contributor to successful outcomes. Research on child engagement in cognitive behaviour therapy (CBT) has largely focused on youth without autism. This longitudinal study examined multiple indicators of child engagement in relation to outcomes for autistic children who took part in CBT for emotion regulation. Method: Data were collected from 60 autistic children who were between 8 and 13 years of age (86.7% male; Mage = 9.58 years, SD = 1.44 years; 75% White). Indicators of child engagement included independent observer ratings of in-session involvement, as measured by the Child Involvement Rating Scale, and therapist ratings of the therapeutic relationship and homework completion using single-item measures. Indicators of engagement were measured at early (i.e., first third), middle (i.e., mid third), and late (i.e., final third) stages of treatment. Parent-reported emotion regulation was the primary treatment outcome, as measured by the Emotion Regulation Checklist. Results: After controlling for pre-treatment scores, in-session involvement significantly predicted some aspects of post-treatment emotion regulation, whereas therapeutic relationship and homework completion did not. Conclusions: Child in-session involvement throughout therapy may be particularly relevant for treatment change. Addressing issues related to in-session involvement early in treatment may help to promote therapeutic success for autistic children.

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The relationship between youth involvement, alliance and outcome in trauma-focused cognitive behavioral therapy

Cited by 4 publications

References 50 publications

Facilitating children’s in-session involvement in child and family therapies: A dynamic framework of clinical practices.

Facilitating children’s in-session involvement in child and family therapies: A dynamic framework of clinical practices.

MDMA-assisted psychotherapy for PTSD in adolescents: rationale, potential, risks, and considerations

Treatment Engagement as a Predictor of Therapy Outcome Following Cognitive Behaviour Therapy for Autistic Children

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