Dynamic Relations Between Mentalization Techniques and Therapeutic Alliance in Psychodynamic Child Therapy: An Evidence-Based Case Study

Küçük Resim Yok

Tarih

2023

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Amer Psychological Assoc, Div Psychotherapy

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Therapeutic alliance and mentalization are common factors inherent to all effective treatments. Mentalization-based interventions have the potential to create a safe relationship, which makes further mentalizing interventions possible. However, to date, no study has examined the bidirectional relationship between these variables in child psychotherapy. In an evidence-based case study design, psychodynamic therapy processes of two Turkish children (age: 9 and 10 years) who presented with social withdrawal problems were compared. All their sessions (34 sessions from Case No. 1 and 31 from Case No. 2) were coded using the Therapy Process Observational Coding System-Alliance Scale and Mentalization-Based Treatment for Children Adherence Scale. Outcome scales pertaining to symptoms, attachment, and mentalization were administered at baseline and at termination. Time-series Granger Causality tests revealed that in the case with clinically significant outcome, mentalization techniques predicted therapeutic alliance in the subsequent sessions, which predicted the use of further mentalization interventions. However, this relationship was not supported in the case with no significant improvement. Selected sessions were clinically analyzed with verbatim session vignettes. Our findings indicate that mentalization techniques in child therapy are closely related to the therapeutic relationship.

Açıklama

Anahtar Kelimeler

Mentalization, Therapeutic Alliance, Psychodynamic Child Therapy, Process Research, Mental State Talk, Time-Series, Psychotherapy, Prediction, Scale

Kaynak

Psychotherapy

WoS Q Değeri

N/A

Scopus Q Değeri

Q1

Cilt

60

Sayı

4

Künye