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'Interaction structures' between depressed adolescents and their therapists in short-term psychoanalytic
Ana Calderon1,2, Celeste Schneider3, Mary Target1,2
11 Department of Clinical, Educational and Health Psychology, University College London, London, UK.
Objective:
Identify the core 'interaction structures' between therapists and depressed adolescents within and across two common forms of psychotherapy.
Method:
A total of 70 audio-recorded psychotherapy sessions representing short-term psychoanalytic psychotherapy (STPP) and cognitive behavioural therapy (CBT) with youth aged 12-18 years old were coded with the Adolescent Psychotherapy Q-set (APQ), a newly developed instrument. Data included different therapist-patient dyads and stages in treatment and were analysed with cluster analysis.
Results:
Three distinct interaction structures between therapists and depressed adolescents: two influenced by the therapists' techniques and one more influenced by the young people's attitude to therapy.
Conclusion:
When there is a collaborative working relationship between therapists and depressed young people, the therapy process is influenced by the therapists' techniques; while when there is a poor working relationship, the techniques used by therapists of different theoretical orientation become more similar with the aim of engaging the young person in the process.
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