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Psychotherapeutic training in an institutional setting.

W Bettschart1

  • 1University Psychiatric Service for Children and Adolescents, Lausanne, Switzerland.

Psychotherapy and Psychosomatics
|January 1, 1990
PubMed
Summary

Child and adolescent psychotherapists face challenges in institutional settings. Further training is crucial for therapists to navigate institutional dynamics and ensure treatment continuity for children with behavioral and learning issues.

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Area of Science:

  • Child and Adolescent Psychology
  • Clinical Psychology
  • Educational Psychology

Background:

  • Child and adolescent psychotherapists often work in specialized institutions with children facing behavioral problems, learning difficulties, or psychosocial challenges.
  • Therapeutic approaches include individual treatment, parent accompaniment, and conjoint therapy, but institutional settings complicate modalities and techniques.

Purpose of the Study:

  • To explore the complexities and challenges faced by psychotherapists working within specialized institutions for children and adolescents.
  • To identify strategies for managing inter-professional rivalries and ensuring the successful continuation of psychotherapeutic treatment.

Main Methods:

  • The study discusses the necessity for psychotherapists to possess a deep understanding of the child's institutional environment.
  • It emphasizes the importance of considering the perspectives of institutional administration and staff (teachers, specialized educators).

Main Results:

  • Rivalry between institutions and psychotherapists can arise concerning therapy length and the recognition of therapeutic merits.
  • Failure to acknowledge the psychotherapist's contributions can lead to treatment interruption and exclusion from the institution.

Conclusions:

  • Effective collaboration and mutual recognition between institutions and psychotherapists are vital for successful child and adolescent mental health treatment.
  • Providing specialized further training for psychotherapists is essential to equip them with the skills to navigate these complex environments and prevent treatment discontinuation.

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