Rodriguez, NA; (2011) The parent-therapist alliance in the psychological treatment of children. Doctoral thesis , UCL (University College London).

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Abstract

This thesis explores the association between therapeutic process factors and outcomes in the psychological treatment of children. Specifically, it addresses a relatively under-researched area of process research: the therapeutic alliance between therapist and parent(s) and its impact on child outcomes. Part one is a literature review that explores the role of the parent-therapist alliance in child and family treatment with a particular focus on child outcomes. It considers the importance of parental involvement in child treatment, across problem type, measurement method (measurement scale, rater, time of measurement), and type of treatment. Part two is an empirical paper exploring the association between the parent-therapist alliance and therapist adherence to child outcomes in a guided manualised self-help CBT intervention for anxious children. The results are discussed in relation to the wider process-outcome literature and presents clinical, training, and research implications. Part three is a critical appraisal of parts one and two, primarily reflecting on the challenges of process research in terms of measurement. It also outlines the background context to the research and discusses the potential influence of the parent-child attachment in indirect treatment.

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