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Related Experiment Videos

Consultation in adolescence: hurried, terminable, interminable.

Irene Ruggiero1

  • 1irenerug@libero.it

The International Journal of Psycho-Analysis
|April 4, 2006
PubMed
Summary

Adolescent ambivalence towards adult dependence initially hinders psychotherapy. Effective initial consultations are crucial for engaging teenagers in therapy, overcoming obstacles to mental health treatment.

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Area of Science:

  • Psychology
  • Adolescent Psychiatry
  • Psychotherapy

Background:

  • Adolescent ambivalence towards adult dependence presents initial challenges to psychotherapy.
  • Initial consultations are essential for engaging teenagers in therapy, even those who ultimately benefit from analysis.
  • The handling of the initial consultation is critical for successful therapeutic engagement.

Observation:

  • The author explores the difficulties and paradoxes inherent in initial consultations with adolescents.
  • Key aspects examined include the unique 'time' of consultation versus therapy and the required internal attitude of the analyst.
  • Two problematic consultation configurations are identified: 'hurried' and 'interminable' consultations.

Findings:

  • Failed initial consultations can lead to 'hurried' or 'interminable' sessions, often linked to adolescent anxiety and potential professional collusion.
  • A case study illustrates a 14-year-old's journey from symptom-focused distress to self-curiosity and acceptance of therapy.
  • The consultation process facilitates a shift from seeking symptom relief to developing self-awareness and readiness for treatment.

Implications:

  • Optimizing initial consultations is vital for overcoming adolescent resistance to psychotherapy.
  • Understanding the dynamics of adolescent consultation can improve therapeutic outcomes.
  • Addressing adolescent angst and potential professional collusion is key to successful therapeutic engagement.

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