اتحاد فراری: استراتژی‌های درگیر کردن درمان با نوجوانان پرخطر

For some time now, the therapeutic alliance has served as a clinically significant "common factor" in positive outcomes for adult clients in almost all types of psychotherapy. Yet for adolescents, the alliance has garnered interest among clinicians and researchers only relatively recently, particularly in cases of "high-risk" adolescents. This book examines strategies for engaging adolescents in treatment and describes specific programs of research supported by evidence. "For some time now, the therapeutic alliance has served as a clinically significant "common factor" in positive outcomes for adult clients in most all types of psychotherapy. Yet among adolescents, the alliance has garnered interest among clinicians and researchers only relatively recently, particularly in cases of "high-risk" adolescents-- teens who need mental health treatment services for a variety of disorders peculiar to this age group (e.g., anxiety disorders, depression, externalizing/disruptive behavioral disorders, etc.) but do not have access to these services or drop out of treatment prematurely. The more recent interest in the alliance with adolescents appears to be driven by myriad forces: interested researchers, frustrated clinicians, concerned parents, and policymakers engaged in healthcare reform. Elusive alliance examines the conceptual, theoretical, and empirical bases of these myriad forces, presenting some of the highly promising work that has been accomplished over the past two decades on engaging high-risk adolescents in psychotherapy. By getting a picture of the current state of the field while also getting an in-depth analysis of a few specific programs of research supported by evidence examining adolescent engagement, researchers and clinicians alike will be able to establish a more robust knowledge base that serves to advance future treatment process research on how to engage the challenging and underserved population of high-risk adolescents. Beyond the practical appeal to researchers and clinicians, this book will be of vital interest to scholars, practitioners, and policymakers at all levels who are involved in making mental health service delivery for youth more accessible and more cost-effective"--Publicity materials. (PsycINFO Database Record (c) 2010 APA, all rights reserved) Engagement in psychotherapy : factors contributing to the facilitation, demise, and restoration of the therapeutic alliance -- Michael H. Constantino, Louis G. Castonguay, Sanno E. Zack...[et. al.] -- The alliance in adolescent therapy : conceptual, operational, and predictive issues -- Stephen R. Shirk, Nicole E. Caporino, and Marc S. Karver Involvement shifts, alliance ruptures, and managing engagement over therapy -- Brian C. Chu, Cynthia Suveg, Torrey A. Creed...[et. al.] TEEN : techniques for enhancing engagement through negotiation -- David Castro-Blanco Engaging adolescents with disruptive behavior disorders in therapeutic change -- Richard Gallagher, Steven Kurtz, and Sasha Collins Blackwell Engagement of adolescents in cognitive-behavioral therapy for obsessive-compulsive disorder -- Annalise Caron and Joanna Robin Engaging suicidal multiproblem adolescents with dialectical behavior therapy -- Alec L. Miller, Julie S. Nathan, and Elizabeth E. Wagner Treatment engagement with adolescent suicide attempters -- Deidre Donaldson, Anthony Spirito, and Julie Boergers. Engagement in psychotherapy : factors contributing to the facilitation, demise, and restoration of the therapeutic alliance Michael H. Constantino, Louis G. Castonguay, Sanno E. Zack [und weitere] -- The alliance in adolescent therapy : conceptual, operational, and predictive issues Stephen R. Shirk, Nicole E. Caporino, and Marc S. Karver -- Involvement shifts, alliance ruptures, and managing engagement over therapy Brian C. Chu, Cynthia Suveg, Torrey A. Creed [und weitere] -- TEEN : techniques for enhancing engagement through negotiation David Castro-Blanco -- Engaging adolescents with disruptive behavior disorders in therapeutic change Richard Gallagher, Steven Kurtz, and Sasha Collins Blackwell -- Engagement of adolescents in cognitive-behavioral therapy for obsessive-compulsive disorder Annalise Caron and Joanna Robin -- Engaging suicidal multiproblem adolescents with dialectical behavior therapy Alec L. Miller, Julie S. Nathan, and Elizabeth E. Wagner -- Treatment engagement with adolescent suicide attempters Deidre Donaldson, Anthony Spirito, and Julie Boergers The more recent interest in the alliance with adolescents has been driven by myriad forces: interested researchers, frustrated clinicians, concerned parents, and policymakers engaged in health care reform. Elusive Alliance examines the conceptual, theoretical, and empirical bases of these forces, providing a picture of the current state of the field as well as an in-depth analysis of some specific programs of research supported by evidence examining adolescent engagement. Researchers and clinicians will be able to establish a more robust knowledge base that will advance our knowledge on how to engage the challenging and underserved population of high-risk adolescents. Beyond the practical appeal to researchers and clinicians, this book will be of vital interest to scholars, practitioners, and policymakers at all levels who are involved in making mental health services delivery for youth more accessible and more cost-effective. --Book Jacket Contents Contributors Preface Introduction: The Problem of Engaging High-Risk Adolescents in Treatment Chapter 1 Engagement in Psychotherapy: Factors Contributing to the Facilitation, Demise, and Restoration of the Therapeutic Alliance Chapter 2 The Alliance in Adolescent Therapy: Conceptual, Operational, and Predictive Issues Chapter 3 Involvement Shifts, Alliance Ruptures, and Managing Engagement Over Therapy Chapter 4 Teen: Techniques for Enhancing Engagement Through Negotiation Chapter 5 Engaging Adolescents With Disruptive Behavior Disorders in Therapeutic Change Chapter 6 Engagement of Adolescents in Cognitive–Behavioral Therapy for Obsessive–Compulsive Disorder Chapter 7 Engaging Suicidal Multiproblem Adolescents With Dialectical Behavior Therapy Chapter 8 Treatment Engagement with Adolescent Suicide Attempters Conclusions: Looking Ahead—Future Directions in Treatment Engagement with High-Risk Adolescents Index About the Editors Chaos refers to physical and social settings characterized by crowding, noise, unpredictability or a lack of routines, and instability or unplanned changes. This book explores how, why, and at what level chaos at the familial and societal level affects children. Contributions honor the work of Urie Bronfenbrenner, whose bioecological theory of human development permits study both at the microsystem level and at higher order levels that include parents work environments, the child's local neighborhood, and his or her cultural milieu For some time now, the therapeutic alliance has served as a clinically significant common factor in positive outcomes for adult clients in most types of psychotherapy. Yet it is only recently that the alliance has garnered interest among clinicians and researchers as it relates to adolescents, particularly high-risk adolescents--teens who need mental health treatment services for a variety of disorders peculiar to this age group but who do not have access to these services or who drop out of treatment prematurely This is the first book to examine systematically the role of the therapeutic alliance in short term psychotherapy and to address the implications of the short-term framework for the alliance, including how time limitations affect the relationship between therapist and client, how therapist and client determine the focus of their work together, and how the therapist deals with ruptures in the working alliance and with the pressure of termination issues This book is an excellent resource for therapists who work with adolescents. Scholarly reviews are coupled with practical tips on how to enhance the therapeutic alliance, which is vital to clinical success in this age group.--Mary A. Fristad, PhD, ABPP, Professor of Psychiatry and Psychology. The Ohio State University, Columbus This long-awaited second edition of the best and most authoritative text on this most tragic of subjects incorporates almost 15 years of new research and critical thinking about clinical assessment and intervention in addition to an expanded focus on prevention