'Interaction structures' between depressed adolescents and their therapists in short-term psychoanalytic psychotherapy and cognitive behavioural therapy. (July 2019)

• Record Type: Journal Article
• Authors: Calderon, Ana; Schneider, Celeste; Target, Mary; Midgley, Nick
• Other Names: Goodyer Ian M. non-byline-author.; Reynolds Shirley non-byline-author.; Barrett Barbara non-byline-author.; Byford Sarah non-byline-author.; Dubicka Bernadka non-byline-author.; Hill Jonathan non-byline-author.; Holland Fiona non-byline-author.; Kelvin Raphael non-byline-author.; Roberts Chris non-byline-author.; Senior Rob non-byline-author.; Widmer Barry non-byline-author.; Wilkinson Paul non-byline-author.; Fonagy Peter non-byline-author.
• Is Part Of: Clinical child psychology and psychiatry. Volume 24:Number 3(2019)
• Page Start: 446
• Page End: 461
• Publication Date: 2019-07
• Subjects: Adolescents -- youth -- psychotherapy process research -- Q-set -- psychoanalytic psychotherapy -- cognitive-behavioural therapy; Clinical child psychology -- Periodicals; Child psychiatry -- Periodicals; 618.9289
• DOI: 10.1177/1359104518807734
• Languages: English
• ISSNs: 1359-1045

Abstract

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.