Psychotherapy: Definitions, mechanisms of action, and relationship to etiological models

被引:30
作者
Brent, DA [1 ]
Kolko, DJ [1 ]
机构
[1] Univ Pittsburgh, Western Psychiat Inst & Clin, Pittsburgh, PA 15213 USA
关键词
psychotherapy; treatment models; theories of etiology; mechanisms of psychotherapy effectiveness; conceptualization of psychotherapy;
D O I
10.1023/A:1022678622119
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
In this paper, we define psychotherapy as a modality of treatment in which the therapist and patient(s) work together to ameliorate psychopathologic conditions and functional impairment through focus on the therapeutic relationship; the patient's attitudes, thoughts, affect, and behavior; and social context and development. The possible mechanisms of action and active ingredients of psychotherapy in children and adolescents are discussed, with an emphasis on the above-noted domains. The adult psychotherapy literature strongly supports the central roles of the therapeutic relationship and therapeutic empathy; this has been much less intensively explored in the child and adolescent psychotherapy literature. Similarly, there have been few studies examining the mediation of treatment effects by impact on specific domains. Ideally, treatment studies should gather data that can be informative about the impact of putative mediating and moderating psychosocial and biological variables on outcome and course. The results of such studies can aid further refinements in both theories of etiology and improvement in treatments for children and adolescents.
引用
收藏
页码:17 / 25
页数:9
相关论文
共 82 条
[1]   SHORT-TERM BEHAVIORAL INTERVENTION WITH DELINQUENT FAMILIES - IMPACT ON FAMILY PROCESS AND RECIDIVISM [J].
ALEXANDER, JF ;
PARSONS, BV .
JOURNAL OF ABNORMAL PSYCHOLOGY, 1973, 81 (03) :219-225
[2]  
[Anonymous], 1992, Child Adolescent Psychiatry in Clin North Am
[3]   FAMILY-EXPRESSED EMOTION, CHILDHOOD-ONSET DEPRESSION, AND CHILDHOOD-ONSET SCHIZOPHRENIA SPECTRUM DISORDERS - IS EXPRESSED EMOTION A NONSPECIFIC CORRELATE OF CHILD PSYCHOPATHOLOGY OR A SPECIFIC RISK FACTOR FOR DEPRESSION [J].
ASARNOW, JR ;
TOMPSON, M ;
HAMILTON, EB ;
GOLDSTEIN, MJ ;
GUTHRIE, D .
JOURNAL OF ABNORMAL CHILD PSYCHOLOGY, 1994, 22 (02) :129-146
[4]   ONE-YEAR OUTCOMES OF DEPRESSIVE-DISORDERS IN CHILD PSYCHIATRIC-INPATIENTS - EVALUATION OF THE PROGNOSTIC POWER OF A BRIEF MEASURE OF EXPRESSED EMOTION [J].
ASARNOW, JR ;
GOLDSTEIN, MJ ;
TOMPSON, M ;
GUTHRIE, D .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 1993, 34 (02) :129-137
[5]   COPING STRATEGIES, SELF-PERCEPTIONS, HOPELESSNESS, AND PERCEIVED FAMILY ENVIRONMENTS IN DEPRESSED AND SUICIDAL CHILDREN [J].
ASARNOW, JR ;
CARLSON, GA ;
GUTHRIE, D .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1987, 55 (03) :361-366
[6]   DEPRESSION IN CHILD PSYCHIATRIC-INPATIENTS - COGNITIVE AND ATTRIBUTIONAL PATTERNS [J].
ASARNOW, JR ;
BATES, S .
JOURNAL OF ABNORMAL CHILD PSYCHOLOGY, 1988, 16 (06) :601-615
[7]   Family treatment of childhood anxiety: A controlled trial [J].
Barrett, PM ;
Dadds, MR ;
Rapee, RM .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1996, 64 (02) :333-342
[8]   EFFECTS OF TRAINING SOCIAL COMPETENCE IN CHILDREN - A METAANALYSIS OF RECENT EVALUATION STUDIES [J].
BEELMANN, A ;
PFINGSTEN, U ;
LOSEL, F .
JOURNAL OF CLINICAL CHILD PSYCHOLOGY, 1994, 23 (03) :260-271
[9]   CHILDHOOD LOSS OF PARENT, LACK OF ADEQUATE PARENTAL CARE AND ADULT DEPRESSION - A REPLICATION [J].
BIFULCO, AT ;
BROWN, GW ;
HARRIS, TO .
JOURNAL OF AFFECTIVE DISORDERS, 1987, 12 (02) :115-128
[10]   MULTISYSTEMIC TREATMENT OF SERIOUS JUVENILE-OFFENDERS - LONG-TERM PREVENTION OF CRIMINALITY AND VIOLENCE [J].
BORDUIN, CM ;
CONE, LT ;
MANN, BJ ;
HENGGELER, SW ;
FUCCI, BR ;
BLASKE, DM ;
WILLIAMS, RA .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1995, 63 (04) :569-578