Psychodynamic Technique and Therapeutic Alliance in Prediction of Outcome in Psychodynamic Child Psychotherapy

dc.authoridHalfon, Sibel/0000-0001-6171-3010
dc.contributor.authorHalfon, Sibel
dc.date.accessioned2024-07-18T20:56:56Z
dc.date.available2024-07-18T20:56:56Z
dc.date.issued2021
dc.departmentİstanbul Bilgi Üniversitesien_US
dc.description.abstractObjective: This study is the first to investigate the effect of psychodynamic technique (PT), therapeutic alliance, and their interactions with outcome in psychodynamic child psychotherapy. Method: The sample comprised 79 Turkish children (mean age = 6.86 years, 38% girls) with discrete internalizing (22%), discrete externalizing (11%) and comorbid internalizing and externalizing (67%) problems. Independent raters coded 359 sessions from different phases of treatment using the Child Psychotherapy Process Q-Sort for PT and Therapy Process Observational Coding System-Alliance Scale. Problem-assessment measures were collected at intake and every 10th session in treatment using the Children's Behavior Checklist and Brief Problem Monitor. Results: Multilevel modeling analyses indicated that the PT and therapeutic alliance interacted such that more use of the PT in the context of high therapeutic affiance predicted less problem behaviors, whereas in the context of low therapeutic alliance PT predicted more problem behaviors. This relationship was moderated by problem comorbidity such that for children with comorbid problems, though a strong therapeutic alliance was indicated, an increase in PT use did not have a significant effect. Conclusion: Findings suggest that the use of psychodynamic interventions is indicated in the context of a strong therapeutic affiance, especially for children with noncomorbid problems. Psychodynamic interventions may have an adverse effect if a therapeutic affiance is not established. For children with comorbid problems, keeping the relationship strong is important.en_US
dc.description.sponsorshipTUBITAK Project [215 K 180]en_US
dc.description.sponsorshipThis research was partially supported by TUBITAK Project No: 215 K 180. We would like to thank Istanbul Bilgi University.en_US
dc.identifier.doi10.1037/ccp0000620
dc.identifier.endpage109en_US
dc.identifier.issn0022-006X
dc.identifier.issn1939-2117
dc.identifier.issue2en_US
dc.identifier.pmid33705166en_US
dc.identifier.scopus2-s2.0-85102844539en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage96en_US
dc.identifier.urihttps://doi.org/10.1037/ccp0000620
dc.identifier.urihttps://hdl.handle.net/11411/8913
dc.identifier.volume89en_US
dc.identifier.wosWOS:000627658300003en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherAmer Psychological Assocen_US
dc.relation.ispartofJournal of Consulting and Clinical Psychologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPsychodynamic Techniqueen_US
dc.subjectTherapeutic Allianceen_US
dc.subjectPsychodynamic Child Psychotherapyen_US
dc.subjectİnternalizing/Externalizing Problem Comorbidityen_US
dc.subjectCognitive-Behavioral Therapyen_US
dc.subjectObservational Coding Systemen_US
dc.subjectPediatric Anxiety Disordersen_US
dc.subjectTransference Interpretationsen_US
dc.subjectComorbidityen_US
dc.subjectMentalizationen_US
dc.subjectModeratoren_US
dc.subjectScaleen_US
dc.subjectYouthen_US
dc.titlePsychodynamic Technique and Therapeutic Alliance in Prediction of Outcome in Psychodynamic Child Psychotherapyen_US
dc.typeArticleen_US

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