Young people's experience of the therapeutic alliance: A systematic review

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical psychology & psychotherapy Pub Date : 2023-08-03 DOI:10.1002/cpp.2885

Tamara Dimic, Aoife Farrell, Elayne Ahern, Sharon Houghton

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Abstract

Objective

The aim of this systematic review was to synthesise qualitative evidence on young people's conceptualisation, utilisation and experiences of the therapeutic alliance in individual psychotherapy or counselling and its role in bringing about change.

Method

The thematic synthesis method was used to synthesise data. The methodological quality of included studies was assessed using the CASP checklist for qualitative research.

Results

Four superordinate analytical themes were generated: (1) valuable therapist qualities, (2) conditions for the development and maintenance of the therapeutic alliance, (3) therapeutic processes and (4) barriers to the development of the therapeutic alliance. Findings indicate that young people appreciated the uniqueness of the therapeutic relationship that provided a sense of safety, choice and autonomy. Flexibility and accessibility were noted as important elements of therapeutic alliance building as they elicited a sense of agency. Young people emphasised the non-linear nature of therapy and prioritised process variables such as improvement in self-understanding, self-efficacy and self-worth.

Conclusion

The current systematic review is a comprehensive overview of qualitative studies of experiences of therapy from young people's perspectives. Important practical implications derived from this review as the role of autonomy in the change process and the formation and maintenance of the therapeutic relationship were outlined as important elements in youth therapy.

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年轻人对治疗联盟的体验：系统综述。

目的本系统性综述旨在综合年轻人在个人心理治疗或咨询中对治疗联盟的概念、利用和体验，以及治疗联盟在带来改变方面的作用的定性证据：方法：采用专题综合法对数据进行综合。采用定性研究的 CASP 检查表对纳入研究的方法论质量进行评估：产生了四个上位分析主题：(1) 有价值的治疗师品质，(2) 发展和维持治疗联盟的条件，(3) 治疗过程，(4) 发展治疗联盟的障碍。研究结果表明，青少年对治疗关系的独特性表示赞赏，认为这种关系提供了安全感、选择权和自主权。他们指出，灵活性和可及性是建立治疗联盟的重要因素，因为这能激发他们的代入感。年轻人强调治疗的非线性性质，并将自我理解、自我效能感和自我价值的提高等过程变量放在首位：本系统综述从年轻人的角度全面概述了有关治疗体验的定性研究。本综述具有重要的现实意义，因为自主性在改变过程中的作用以及治疗关系的形成和维持都是青少年治疗的重要因素。

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来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.