Care and Control: Working Alliance Among Adolescents in Authoritarian Settings

Orsi, Mylène Magrinelli; Lafortune, Denis; Brochu, Serge

doi:10.1080/0886571x.2010.520637

Cited by 25 publications

(17 citation statements)

References 45 publications

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“…Children and adolescents often do not seek professional help for their problems voluntarily and are sent to therapy because of perceived behavioral problems (Elvins & Green, 2008;Orsi, Lafortune, & Brochu, 2010;Shirk & Saiz, 1992). Additionally, due to adolescents' stage of development, they tend to distance themselves from adult influences (Bickman et al, 2004;Fitzpatrick & Irannejad, 2008;Shirk & Karver, 2003).…”

Section: Introductionmentioning

confidence: 99%

Measuring Therapeutic Alliance With Children in Residential Treatment and Therapeutic Day Care

Roest

Helm

Strijbosch³

et al. 2014

Research on Social Work Practice

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Purpose: This study examined the construct validity and reliability of a therapeutic alliance measure (Children's Alliance Questionnaire [CAQ]) for children with psychosocial and/or behavioral problems, receiving therapeutic residential care or day care in the Netherlands. Methods: Confirmatory factor analysis of a one-factor model ''therapeutic alliance'' was conducted on two samples of 115 and 116 children, aged 4-14 years. Reliability analysis and concurrent validity were examined. Results: Results showed a good fit to the data, indicating construct validity of the measures. Cronbach's a reliability coefficients were good for both alliance measures. Concurrent validity was supported by significant relations between the alliance scale and positive group climate (Group Climate Instrument for Children [GCIC]) and treatment motivation (Adolescent Treatment Motivation Questionnaire). No correlations with negative group climate (GCIC) were found. Discussion: The CAQ can be used as an assessment tool for therapeutic alliance within both residential treatment and therapeutic day care settings for children.

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Section: Introductionmentioning

confidence: 99%

Measuring Therapeutic Alliance With Children in Residential Treatment and Therapeutic Day Care

Roest

Helm

Strijbosch³

et al. 2014

Research on Social Work Practice

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“…Group care worker behavior is an important ingredient of the relationship between group care workers and adolescents, also referred to as therapeutic relationships or therapeutic alliances. Several studies state that the therapeutic relationship is an important common factor in treatment outcome, also in residential care (Karver, Handelsman, Fields, & Bickman, 2006;Orsi, Lafortune, & Brochu, 2010). To obtain a good therapist-client relationship, group care workers should practice a warm, supportive behavior style, mixed with a reasonable amount of control (Holmqvist, Hill, & Lang, 2007).…”

Section: Discussionmentioning

confidence: 99%

“…Adolescents who suffer from severe problem behaviors usually underestimate their problems. Partly, this is inherent to their problems and being an adolescent; they lack sufficient self-insight (Orsi et al, 2010). Therefore they underestimate their problem behavior.…”

Section: Discussionmentioning

confidence: 99%

Group Care Worker Behavior and Adolescents' Internalizing and Externalizing Problems in Compulsory Residential Care

Dam

Nijhof

Veerman

et al. 2011

Residential Treatment For Children & Youth

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In the present study, group care workers' behavior toward adolescents' problem behavior was measured. The sample consisted of 126 adolescents (M age = 15.80, SD = 1.23, 56% boys), residing in a new Dutch compulsory residential treatment program. Latent growth curve analyses revealed that group care workers exerted more structuring and controlling behavior toward adolescents with externalizing problems and more warmth and support toward adolescents with internalizing problems. No associations were found between group care workers' behavior and the adolescents' treatment progress. Clinical implications of these findings and suggestions for future research are discussed.KEYWORDS group care worker behavior, residential treatment, adolescent problem behavior

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“…Researchers have used a variety of terms for the constellation of qualities found to enhance the therapeutic alliance and group cohesion (Ackerman & Hilsenroth, 2003;Harkins & Beech, 2007;Marshall, 2005;Marshall & Burton, 2010;Marshall et al, 2003;Marshall et al, 2002;Marshall et al, 2005;Matthews & Hubbard, 2007;Orsi, Lafortune, & Brochu, 2010;Ross et al, 2008;Sandhu & Rose, 2012;Serran et al, 2003). Some attributes such as warmth, empathy, genuineness, respect, humor, and collaboration are fairly self-explanatory (Truax & Carkhuff, 1967).…”

Section: The Need For Process-focused Trainingmentioning

confidence: 99%

“…All of these emphasize the way in which the facilitator enters into an active, positive relationship with the participant. By contrast, confrontation, discouragement, aggression, strict adherence to manuals, unqualified support, coerciveness, and authoritarianism were found to be the therapist characteristics and/or behaviors that hinder and/or obstruct the development of positive therapeutic alliances and/or group cohesion (Marshall & Burton, 2010;Marshall et al, 2003;Marshall et al, 2002;Orsi et al, 2010;Ross et al, 2008;Sandhu & Rose, 2012;Serran et al, 2003). Marshall (2005Marshall ( , 2009), Marshall and Serran (2004), and Serran et al (2003) maintain that the positive characteristics and behaviors listed above are trainable.…”

Section: The Need For Process-focused Trainingmentioning

confidence: 99%