Developing a therapeutic alliance in the hospital treatment of disturbed adolescents.

Abstract:

:Establishing a working therapeutic relationship with psychiatrically hospitalized adolescents presents special challenges to the hospital treatment team. Many adolescent patients deny their problems or any responsibility for them, and defy efforts to engage them in active collaboration. However, once the treatment team understands the specific clinical and developmental reasons for their reluctance to participate, most patients can become profitably involved in treatment. The author discusses the concept of the therapeutic alliance, suggesting that many hospitalized disturbed adolescents do not reach this optimal level of involvement. Clinical vignettes illustrate the precursors to and levels of genuine collaboration, as well as interventions that facilitate collaborative behavior.

journal_name

Bull Menninger Clin

authors

O'Malley F

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

13-24

issue

1

eissn

0025-9284

issn

1943-2828

journal_volume

54

pub_type

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