Mortimer, Rose;
Somerville, Matthew P;
Mechler, Jakob;
Lindqvist, Karin;
Leibovich, Liat;
Guerrero-Tates, Brenda;
Edbrooke-Childs, Julian;
... Midgley, Nick; + view all
(2022)
Connecting over the internet: Establishing the therapeutic alliance in an internet-based treatment for depressed adolescents.
Clinical Child Psychology and Psychiatry
10.1177/13591045221081193.
(In press).
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Abstract
Internet-based treatments have been developed for youth mental health difficulties, with promising results. However, little is known about the features of therapeutic alliance, and how it is established and maintained, in text-based interactions between adolescents and therapists in internet-based treatments. This study uses data collected during a pilot evaluation of a psychodynamic internet-based therapy for depressed adolescents. The adolescents had instant-messaging chats with their therapists once a week, over 10 weeks. The adolescents also rated the therapeutic alliance each week, using the Session Alliance Inventory. The present study uses qualitative methods to analyse transcripts of text-based communication between the young people and their therapists. The aim is to identify and describe the key features of therapeutic alliance, and reflect upon the implications for theory and clinical practice. Analysis identified three ‘values’ that may underpin a strong therapeutic alliance: togetherness, agency and hope. A number of therapist techniques were also found, which seemed to create a sense of these values during text-chat sessions. These findings are discussed, alongside implications for future research.
| Type: | Article |
|---|---|
| Title: | Connecting over the internet: Establishing the therapeutic alliance in an internet-based treatment for depressed adolescents |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1177/13591045221081193 |
| Publisher version: | https://doi.org/10.1177/13591045221081193 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Adolescence, internet-based therapy, psychodynamic, depression, therapeutic alliance |
| UCL classification: | UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Psychology and Human Development UCL > Provost and Vice Provost Offices > School of Education UCL |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10145902 |
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