Development of Child Psychotherapy Process Measures

Smith-Acuña, Shelly; Durlak, Joseph A.; Kaspar, Clifford J.

doi:10.1207/s15374424jccp2002_3

Cited by 23 publications

(11 citation statements)

References 4 publications

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“…Preliminary analyses showed marginally positive (and mostly nonsignificant) correlations among these factors across the three informants (for the Diffusion sample, average r = .19; for the CDA sample, average r = .18). These results correspond with those obtained by other child process researchers who found poor agreement in therapy process ratings across sources (e.g., Eltz, Shirk, & Sarlin, 1995;Shirk & Saiz, 1992;Smith-Acuna, Durlak, & Kaspar, 1991) and suggest that attempts to find common variance across informants might result in an adherence construct with little practical meaning. For this reason, we decided to evaluate the two core models (i.e., family functioning/cohesion and parent monitoring) using alternative measures of adherence (i.e., caregiver, youth, and therapist).…”

Section: Measures: Diffusion Projectsupporting

confidence: 89%

Mechanisms of change in multisystemic therapy: Reducing delinquent behavior through therapist adherence and improved family and peer functioning.

Huey

Henggeler²,

Brondino³

et al. 2000

Journal of Consulting and Clinical Psychology

398

306

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The mechanisms through which multisystemic therapy (MST) decreased delinquent behavior were assessed in 2 samples of juvenile offenders. Sample 1 included serious offenders who were predominantly rural, male, and African American. Sample 2 included substance-abusing offenders who were predominantly urban, male, and Caucasian. Therapist adherence to the MST protocol (based on multiple respondents) was associated with improved family relations (family cohesion, family functioning, and parent monitoring) and decreased delinquent peer affiliation, which, in turn, were associated with decreased delinquent behavior. Furthermore, changes in family relations and delinquent peer affiliation mediated the relationship between caregiver-rated adherence and reductions in delinquent behavior. The findings highlight the importance of identifying central change mechanisms in determining how complex treatments such as MST contribute to ultimate outcomes.

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Section: Measures: Diffusion Projectsupporting

confidence: 89%

Mechanisms of change in multisystemic therapy: Reducing delinquent behavior through therapist adherence and improved family and peer functioning.

Huey

Henggeler²,

Brondino³

et al. 2000

Journal of Consulting and Clinical Psychology

398

306

View full text Add to dashboard Cite

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“…Although the degree of child-therapist convergence far exceeded that found by other child psychotherapy researchers for other process dimensions (cf. Smith-Acuna et al, 1991), these results indicated that the two perspectives are not interchangeable and that each participant makes a unique contribution to understanding the affective quality of the therapeutic relationship. Interestingly, there was greater convergence between child and therapist for the affective quality of the relationship than for ratings of task collaboration.…”

Section: The Therapeutic Alliance Scales For Childrenmentioning

confidence: 85%

Clinical, empirical, and developmental perspectives on the therapeutic relationship in child psychotherapy

1992

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Despite substantial interest in the therapeutic relationship by child clinicians, relationship processes in child therapy have been neglected by clinical researchers. In this paper, clinical and empirical perspectives on the therapeutic relationship in child treatment were reviewed. Initial findings indicated that the quality of the child's affective relationship with the therapist is associated with collaboration on therapy tasks. Given the recurrent finding of links between treatment collaboration and treatment outcome, research on factors that influence children's ability to form therapeutic relationships is recommended. To this end, a developmental social cognitive model of therapeutic alliance formation is proposed.During the last decade there were promising signs of an emerging alliance between child clinicians and developmentalists (Harter,

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“…Advances in studying processes have been facilitated greatly by die development of measurement strategies including rating scales and direct observational codes to sample therapy sessions and client and therapist experiences (Lambert & Hill, 1994). Despite a few noteworthy attempts to study therapy processes in child treatment (e.g., Shirk & Saiz, 1992; Smith‐Acuna, Durlak, & Kaspar, 1991), this area is sorely neglected.…”

Section: Recommended Directions For Researchmentioning

confidence: 99%

Combined and multimodal treatments in child and adolescent psychotherapy: Issues, challenges, and research directions.

Kazdin¹

1996

Clinical Psychology: Science and Practice

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Combinations of treatment are used increasingly in child and adolescent therapy research, following a pattern long evident in clinical practice. The present atticle evaluates the multiple influences leading to the use of combined treatments, different ways in which treatments are combined, and challenges that combined treatments mise for research and practice. The central thesis is that combined treatments are unlikely to contribute t o treatment outcome unless there are signiricant changes in the way research is conceptualized and conducted. Limitations in methods of combining treatment, the absence of explicit and empirically defensible decision rules for individually tailored treatments, perpetuation of cument limitations in the ways treatments are tested and delivered, and methodological obstacles for evaluating combined treatments are used t o bolster the thesis. Recommendations are made for Improving research on combined treatments, such as investigating the decision-making process guiding the combinations of treatment, the constituent techniques that are used to form combinations, novel models of delivering services t o bolster outcome, and processes and mechanlsms of therapeutic change.

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Development of Child Psychotherapy Process Measures

Cited by 23 publications

References 4 publications

Mechanisms of change in multisystemic therapy: Reducing delinquent behavior through therapist adherence and improved family and peer functioning.

Mechanisms of change in multisystemic therapy: Reducing delinquent behavior through therapist adherence and improved family and peer functioning.

Clinical, empirical, and developmental perspectives on the therapeutic relationship in child psychotherapy

Combined and multimodal treatments in child and adolescent psychotherapy: Issues, challenges, and research directions.

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