2007
DOI: 10.1080/10673220701803867
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Youth Working Alliance: A Core Clinical Construct in Need of Empirical Maturity

Abstract: The therapeutic alliance has long been recognized as an important component of successful psychotherapy for adults; research has established robust links to outcome. Until recently, however, research on the alliance between youth and their therapists has been sparse. The present review synthesizes the existing findings regarding the youth alliance and utilizes the adult alliance literature and the child and adolescent developmental literatures to suggest future avenues of research. Weak alliance was found to p… Show more

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Cited by 80 publications
(106 citation statements)
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References 51 publications
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“…The Child Alliance Process Theory provides beginning counsellors with a crosstheoretical template to promote and facilitate the development of a therapeutic alliance with children, through the purposeful implementation of common therapy processes (Andrews 2001;Zack et al 2007). Unfortunately, such common interpersonal processes may be neglected as training facilities focus more on therapeutic systems, theoretical techniques, or ideological positions expected to impact interpersonal exchanges (Andrews 2001).…”
Section: Discussionmentioning
confidence: 98%
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“…The Child Alliance Process Theory provides beginning counsellors with a crosstheoretical template to promote and facilitate the development of a therapeutic alliance with children, through the purposeful implementation of common therapy processes (Andrews 2001;Zack et al 2007). Unfortunately, such common interpersonal processes may be neglected as training facilities focus more on therapeutic systems, theoretical techniques, or ideological positions expected to impact interpersonal exchanges (Andrews 2001).…”
Section: Discussionmentioning
confidence: 98%
“…A greater sense of confidentiality and trust in the relationship leads to a strengthened alliance with children (Zack et al 2007). This may be of particular relevance to children given their status as minors vis-à-vis their guardians, school staff, and other adults in their lives.…”
Section: Layer IVmentioning
confidence: 99%
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“…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). Our results show that treatment orientation and agreement on tasks were overlooked in the case of adolescents who dropped out of treatment.…”
Section: Discussionmentioning
confidence: 51%
“…It should be noted that present research supports these three factors with adult patients but has not supported these components as making up elements of the alliance with youth patients (Zack, Castonguay, & Boswell, 2007 ) . Karver, Handelsman, Fields, and Bickman ( 2005 ) suggested that the therapeutic alliance in youth therapy consists of an emotional/affective connection (e.g., bond, trust), a cognitive connection (e.g., agreement on goals, hopefulness), and a behavioral connection (e.g., collaboration on tasks and other forms of patient participation).…”
Section: Therapeutic Alliancementioning
confidence: 93%