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Exploring harm in psychotherapy: Perspectives of clinicians working with children and young people

Castro Batic, B; Hayes, D; (2020) Exploring harm in psychotherapy: Perspectives of clinicians working with children and young people. Counselling & Psychotherapy Research , 20 (4) pp. 647-656. 10.1002/capr.12347. Green open access

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Abstract

Aims: The potential for harm to occur from talking therapies has been acknowledged in academic literature. However, there is a paucity of research when it comes to exploring this phenomenon when working with young patients. This study explores clinicians’ perspectives on harm from talking therapies when working with children and young people. / Method: Eleven clinicians were interviewed on the types of harm that could occur from talking therapies, as well as the potential mechanisms. Data were analysed inductively using thematic analysis. / Results: Two themes were identified around types of harm: ‘clinical deterioration’ and ‘retraumatisation’. Additionally, four groups of mechanisms were identified: ‘Administrative factors’, ‘Relationship factors’, ‘Therapist factors’ and ‘Contextual factors’. / Discussion: Clinicians are able to identify some specific types of harm when working with children and young people and understand how these could occur. The clinical implications of these findings are explored, along with limitations and directions for future research.

Type: Article
Title: Exploring harm in psychotherapy: Perspectives of clinicians working with children and young people
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/capr.12347
Publisher version: https://doi.org/10.1002/capr.12347
Language: English
Additional information: Copyright © 2020 The Authors. Counselling and Psychotherapy Research published by John Wiley & Sons Ltd on behalf of British Association for Counselling and Psychotherapy. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Keywords: adolescent, adverse effects, children, harm, psychotherapy, talking therapies
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10124185
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