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6 recherche sur le mot-clé 'Therapeutic alliance'
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Therapeutic Alliance Formation for Adolescents and Young Adults with Autism: Relation to Treatment Outcomes and Client Characteristics / Alexis M. BREWE in Journal of Autism and Developmental Disorders, 51-5 (May 2021)
[article]
Titre : Therapeutic Alliance Formation for Adolescents and Young Adults with Autism: Relation to Treatment Outcomes and Client Characteristics Type de document : Texte imprimé et/ou numérique Auteurs : Alexis M. BREWE, Auteur ; Carla A. MAZEFSKY, Auteur ; Susan W. WHITE, Auteur Article en page(s) : p.1446-1457 Langues : Anglais (eng) Mots-clés : Adolescents Adults Autism spectrum disorder Emotion regulation Therapeutic alliance Treatment outcomes of interest. Index. décimale : PER Périodiques Résumé : Therapeutic alliance may influence treatment outcomes for individuals with autism spectrum disorder (ASD). The present study examined the trajectory of alliance, observationally-measured at four timepoints during a 16-week mindfulness-based treatment targeting emotion regulation problems in adolescents and young adults with ASD (n?=?37, mean age?=?15.28, 78.40% male). Variability in alliance as a function of client characteristics and the degree to which alliance predicted emotion regulation outcomes were assessed using parent-report forms. Results demonstrate that alliance fluctuates throughout treatment. Moreover, stronger alliance predicts decreased dysphoria at posttreatment. Results also suggest that increased ASD symptom severity and depression predict weaker alliance early and throughout treatment. Findings highlight a need for clinicians to consider the importance of developing strong alliance for clients with ASD. En ligne : http://dx.doi.org/10.1007/s10803-020-04623-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=445
in Journal of Autism and Developmental Disorders > 51-5 (May 2021) . - p.1446-1457[article] Therapeutic Alliance Formation for Adolescents and Young Adults with Autism: Relation to Treatment Outcomes and Client Characteristics [Texte imprimé et/ou numérique] / Alexis M. BREWE, Auteur ; Carla A. MAZEFSKY, Auteur ; Susan W. WHITE, Auteur . - p.1446-1457.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 51-5 (May 2021) . - p.1446-1457
Mots-clés : Adolescents Adults Autism spectrum disorder Emotion regulation Therapeutic alliance Treatment outcomes of interest. Index. décimale : PER Périodiques Résumé : Therapeutic alliance may influence treatment outcomes for individuals with autism spectrum disorder (ASD). The present study examined the trajectory of alliance, observationally-measured at four timepoints during a 16-week mindfulness-based treatment targeting emotion regulation problems in adolescents and young adults with ASD (n?=?37, mean age?=?15.28, 78.40% male). Variability in alliance as a function of client characteristics and the degree to which alliance predicted emotion regulation outcomes were assessed using parent-report forms. Results demonstrate that alliance fluctuates throughout treatment. Moreover, stronger alliance predicts decreased dysphoria at posttreatment. Results also suggest that increased ASD symptom severity and depression predict weaker alliance early and throughout treatment. Findings highlight a need for clinicians to consider the importance of developing strong alliance for clients with ASD. En ligne : http://dx.doi.org/10.1007/s10803-020-04623-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=445 Therapeutic alliance in youth with autism spectrum disorder receiving cognitive-behavioral treatment for anxiety / Connor M. KERNS in Autism, 22-5 (July 2018)
[article]
Titre : Therapeutic alliance in youth with autism spectrum disorder receiving cognitive-behavioral treatment for anxiety Type de document : Texte imprimé et/ou numérique Auteurs : Connor M. KERNS, Auteur ; A. COLLIER, Auteur ; A. B. LEWIN, Auteur ; E. A. STORCH, Auteur Article en page(s) : p.636-640 Langues : Anglais (eng) Mots-clés : anxiety autism spectrum disorder cognitive-behavioral therapy therapeutic alliance Index. décimale : PER Périodiques Résumé : Symptoms of autism spectrum disorder may influence alliance in psychotherapy. This study examined therapeutic alliance and its relationship with child characteristics and anxiety treatment outcomes in youth with autism spectrum disorder. Youth ( N = 64) with autism spectrum disorder and co-occurring anxiety (7-16 years, IQ > 70) received 16 sessions of modular cognitive-behavioral therapy. Post-treatment therapist, youth and parent ratings of alliance as well as pre- and post-treatment ratings of child behavior were gathered. Ratings of alliance were commensurate to ratings seen in children without autism spectrum disorder. Measures of treatment outcome, but not pretreatment characteristics, were significantly associated with therapist ratings of alliance strength. Data suggest that therapeutic alliance may not be impaired in anxious youth with autism spectrum disorder and may be associated with treatment outcome. En ligne : http://dx.doi.org/10.1177/1362361316685556 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=366
in Autism > 22-5 (July 2018) . - p.636-640[article] Therapeutic alliance in youth with autism spectrum disorder receiving cognitive-behavioral treatment for anxiety [Texte imprimé et/ou numérique] / Connor M. KERNS, Auteur ; A. COLLIER, Auteur ; A. B. LEWIN, Auteur ; E. A. STORCH, Auteur . - p.636-640.
Langues : Anglais (eng)
in Autism > 22-5 (July 2018) . - p.636-640
Mots-clés : anxiety autism spectrum disorder cognitive-behavioral therapy therapeutic alliance Index. décimale : PER Périodiques Résumé : Symptoms of autism spectrum disorder may influence alliance in psychotherapy. This study examined therapeutic alliance and its relationship with child characteristics and anxiety treatment outcomes in youth with autism spectrum disorder. Youth ( N = 64) with autism spectrum disorder and co-occurring anxiety (7-16 years, IQ > 70) received 16 sessions of modular cognitive-behavioral therapy. Post-treatment therapist, youth and parent ratings of alliance as well as pre- and post-treatment ratings of child behavior were gathered. Ratings of alliance were commensurate to ratings seen in children without autism spectrum disorder. Measures of treatment outcome, but not pretreatment characteristics, were significantly associated with therapist ratings of alliance strength. Data suggest that therapeutic alliance may not be impaired in anxious youth with autism spectrum disorder and may be associated with treatment outcome. En ligne : http://dx.doi.org/10.1177/1362361316685556 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=366 Predictors and outcomes associated with therapeutic alliance in cognitive behaviour therapy for children with autism / Carly ALBAUM in Autism, 24-1 (January 2020)
[article]
Titre : Predictors and outcomes associated with therapeutic alliance in cognitive behaviour therapy for children with autism Type de document : Texte imprimé et/ou numérique Auteurs : Carly ALBAUM, Auteur ; Paula TABLON-MODICA, Auteur ; F. ROUDBARANI, Auteur ; J. A. WEISS, Auteur Article en page(s) : p.211-220 Langues : Anglais (eng) Mots-clés : autism children cognitive behavioural therapy therapeutic alliance Index. décimale : PER Périodiques Résumé : Therapeutic alliance is often an important aspect of psychotherapy, though it is rarely examined in clients with autism. This study aims to determine the child pre-treatment variables and treatment outcomes associated with early and late alliance in cognitive behaviour therapy targeting emotion regulation for children with autism. Data were collected from 48 children with autism who participated in a larger randomized-controlled trial. Pre-treatment child characteristics included child, parent, and clinician report of child emotional and behavioural functioning. Primary outcome measures included child and parent-reported emotion regulation. Therapeutic alliance (bond and task-collaboration) was measured using observational coding of early and late therapy sessions. Pre-treatment levels of child-reported emotion inhibition were associated with subsequent early and late bond. Pre-treatment levels of parent and child-reported emotion regulation were related to early and late task-collaboration. Late task-collaboration was also associated with pre-treatment levels of behavioural and emotional symptom severity. Task-collaboration in later sessions predicted improvements in parent-reported emotion regulation from pre- to post-therapy. Future research is needed to further examine the role of task-collaboration as a mechanism of treatment change in therapies for children with autism. En ligne : http://dx.doi.org/10.1177/1362361319849985 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=414
in Autism > 24-1 (January 2020) . - p.211-220[article] Predictors and outcomes associated with therapeutic alliance in cognitive behaviour therapy for children with autism [Texte imprimé et/ou numérique] / Carly ALBAUM, Auteur ; Paula TABLON-MODICA, Auteur ; F. ROUDBARANI, Auteur ; J. A. WEISS, Auteur . - p.211-220.
Langues : Anglais (eng)
in Autism > 24-1 (January 2020) . - p.211-220
Mots-clés : autism children cognitive behavioural therapy therapeutic alliance Index. décimale : PER Périodiques Résumé : Therapeutic alliance is often an important aspect of psychotherapy, though it is rarely examined in clients with autism. This study aims to determine the child pre-treatment variables and treatment outcomes associated with early and late alliance in cognitive behaviour therapy targeting emotion regulation for children with autism. Data were collected from 48 children with autism who participated in a larger randomized-controlled trial. Pre-treatment child characteristics included child, parent, and clinician report of child emotional and behavioural functioning. Primary outcome measures included child and parent-reported emotion regulation. Therapeutic alliance (bond and task-collaboration) was measured using observational coding of early and late therapy sessions. Pre-treatment levels of child-reported emotion inhibition were associated with subsequent early and late bond. Pre-treatment levels of parent and child-reported emotion regulation were related to early and late task-collaboration. Late task-collaboration was also associated with pre-treatment levels of behavioural and emotional symptom severity. Task-collaboration in later sessions predicted improvements in parent-reported emotion regulation from pre- to post-therapy. Future research is needed to further examine the role of task-collaboration as a mechanism of treatment change in therapies for children with autism. En ligne : http://dx.doi.org/10.1177/1362361319849985 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=414 "Oh, you couldn?t be autistic": Examining anti-autistic bias and self-esteem in the therapeutic alliance / Zoe DARAZSDI in Autism, 27-7 (October 2023)
[article]
Titre : "Oh, you couldn?t be autistic": Examining anti-autistic bias and self-esteem in the therapeutic alliance Type de document : Texte imprimé et/ou numérique Auteurs : Zoe DARAZSDI, Auteur ; Christa S. BIALKA, Auteur Article en page(s) : p.2124-2134 Langues : Anglais (eng) Mots-clés : autism bias mental health self-esteem therapeutic alliance Index. décimale : PER Périodiques Résumé : Presently, most mental health practitioners in the United States are educated, trained, and employed in a system focused on curing or changing autistic people. As a result, mental health practitioners may exhibit anti-autistic bias-any form of bias that degrades, devalues, or others autistic people or traits-when engaged with autistic clients. Since the collaborative relationship between therapist and client, termed the "therapeutic alliance," is often viewed as the most influential element of therapeutic effectiveness, our phenomenological study examined 14 autistic adults' experiences with anti-autistic bias in the therapeutic alliance and the relationship they perceive it has on their self-esteem. Findings, determined through thematic analysis, reveal implicit, unintentional bias was manifested through clinical assumptions about autism, explicit, overt bias was expressed through feelings of intentional harm, and repair of self-esteem was shown through positive alliances. Based on the findings of this study, we offer recommendations to help mental health practitioners and mental health practitioner training programs better serve autistic clients. This study addresses a significant gap in current research on anti-autistic bias in the mental health field and the overall well-being of autistic individuals.Lay AbstractMany mental health practitioners in the United States are trained to cure or change autistic people. Some of these mental health practitioners may show anti-autistic bias when working with autistic clients. Anti-autistic bias is any kind of bias that degrades, devalues, or others autistic people or autistic traits. Anti-autistic bias is especially problematic when mental health practitioners and clients are engaged in the therapeutic alliance, which is the collaborative relationship between a therapist and client. The therapeutic alliance is one of most important parts of an effective therapeutic relationship. Our interview-based study examined 14 autistic adults' experiences with anti-autistic bias in the therapeutic alliance and the relationship they felt it has on their self-esteem. Results from this research showed that some mental health practitioners expressed hidden and unrealized bias when working with autistic clients, such as making assumptions about what it means to be autistic. Results also showed that some mental health practitioners were intentionally biased and openly harmful to their autistic clients. Both forms of bias negatively affected participant self-esteem. Based on the findings of this study, we offer recommendations to help mental health practitioners and mental health practitioner training programs better serve autistic clients. This study addresses a significant gap in current research on anti-autistic bias in the mental health field and the overall well-being of autistic individuals. En ligne : http://dx.doi.org/10.1177/13623613231154622 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=510
in Autism > 27-7 (October 2023) . - p.2124-2134[article] "Oh, you couldn?t be autistic": Examining anti-autistic bias and self-esteem in the therapeutic alliance [Texte imprimé et/ou numérique] / Zoe DARAZSDI, Auteur ; Christa S. BIALKA, Auteur . - p.2124-2134.
Langues : Anglais (eng)
in Autism > 27-7 (October 2023) . - p.2124-2134
Mots-clés : autism bias mental health self-esteem therapeutic alliance Index. décimale : PER Périodiques Résumé : Presently, most mental health practitioners in the United States are educated, trained, and employed in a system focused on curing or changing autistic people. As a result, mental health practitioners may exhibit anti-autistic bias-any form of bias that degrades, devalues, or others autistic people or traits-when engaged with autistic clients. Since the collaborative relationship between therapist and client, termed the "therapeutic alliance," is often viewed as the most influential element of therapeutic effectiveness, our phenomenological study examined 14 autistic adults' experiences with anti-autistic bias in the therapeutic alliance and the relationship they perceive it has on their self-esteem. Findings, determined through thematic analysis, reveal implicit, unintentional bias was manifested through clinical assumptions about autism, explicit, overt bias was expressed through feelings of intentional harm, and repair of self-esteem was shown through positive alliances. Based on the findings of this study, we offer recommendations to help mental health practitioners and mental health practitioner training programs better serve autistic clients. This study addresses a significant gap in current research on anti-autistic bias in the mental health field and the overall well-being of autistic individuals.Lay AbstractMany mental health practitioners in the United States are trained to cure or change autistic people. Some of these mental health practitioners may show anti-autistic bias when working with autistic clients. Anti-autistic bias is any kind of bias that degrades, devalues, or others autistic people or autistic traits. Anti-autistic bias is especially problematic when mental health practitioners and clients are engaged in the therapeutic alliance, which is the collaborative relationship between a therapist and client. The therapeutic alliance is one of most important parts of an effective therapeutic relationship. Our interview-based study examined 14 autistic adults' experiences with anti-autistic bias in the therapeutic alliance and the relationship they felt it has on their self-esteem. Results from this research showed that some mental health practitioners expressed hidden and unrealized bias when working with autistic clients, such as making assumptions about what it means to be autistic. Results also showed that some mental health practitioners were intentionally biased and openly harmful to their autistic clients. Both forms of bias negatively affected participant self-esteem. Based on the findings of this study, we offer recommendations to help mental health practitioners and mental health practitioner training programs better serve autistic clients. This study addresses a significant gap in current research on anti-autistic bias in the mental health field and the overall well-being of autistic individuals. En ligne : http://dx.doi.org/10.1177/13623613231154622 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=510 Editorial: Common factors in the art of healing / B. S. PETERSON in Journal of Child Psychology and Psychiatry, 60-9 (September 2019)
[article]
Titre : Editorial: Common factors in the art of healing Type de document : Texte imprimé et/ou numérique Auteurs : B. S. PETERSON, Auteur Article en page(s) : p.927-929 Langues : Anglais (eng) Mots-clés : Common factors pharmacotherapy placebo effect psychotherapy therapeutic alliance Index. décimale : PER Périodiques Résumé : Meta-analyses have consistently shown a wide variety of psychotherapeutic and pharmacological interventions to yield similar effect sizes, suggesting the possibility that those interventions share common factors that account for the vast majority of variance in clinical outcomes. Although mediation analyses are needed to know definitively whether factors common or specific to the interventions are responsible for clinical improvement, a large number of association studies suggest that a common set of characteristics representing the ways in which clinicians relate to their patients, and not the technical expertise of clinicians or the therapeutic modality in which they work, account for the majority of therapeutic change across all medical disciplines and cultures. These characteristics include clinician empathy, warmth, and genuineness, a capacity to maintain a positive regard for the patient in moments of vulnerability, and an ability to establish a strong therapeutic alliance and clinical narrative through which the patient understands their suffering and is challenged to change through health-promoting activities. These common factors are amenable to study to improve our knowledge of precisely how they produce clinical change. They can be taught across all medical disciplines, in order to deepen the shared understanding, interpersonal attunement, and alliance between clinicians and their patients, which together constitute the true science and art of healing. En ligne : http://dx.doi.org/10.1111/jcpp.13108 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=405
in Journal of Child Psychology and Psychiatry > 60-9 (September 2019) . - p.927-929[article] Editorial: Common factors in the art of healing [Texte imprimé et/ou numérique] / B. S. PETERSON, Auteur . - p.927-929.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 60-9 (September 2019) . - p.927-929
Mots-clés : Common factors pharmacotherapy placebo effect psychotherapy therapeutic alliance Index. décimale : PER Périodiques Résumé : Meta-analyses have consistently shown a wide variety of psychotherapeutic and pharmacological interventions to yield similar effect sizes, suggesting the possibility that those interventions share common factors that account for the vast majority of variance in clinical outcomes. Although mediation analyses are needed to know definitively whether factors common or specific to the interventions are responsible for clinical improvement, a large number of association studies suggest that a common set of characteristics representing the ways in which clinicians relate to their patients, and not the technical expertise of clinicians or the therapeutic modality in which they work, account for the majority of therapeutic change across all medical disciplines and cultures. These characteristics include clinician empathy, warmth, and genuineness, a capacity to maintain a positive regard for the patient in moments of vulnerability, and an ability to establish a strong therapeutic alliance and clinical narrative through which the patient understands their suffering and is challenged to change through health-promoting activities. These common factors are amenable to study to improve our knowledge of precisely how they produce clinical change. They can be taught across all medical disciplines, in order to deepen the shared understanding, interpersonal attunement, and alliance between clinicians and their patients, which together constitute the true science and art of healing. En ligne : http://dx.doi.org/10.1111/jcpp.13108 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=405 Behavioral Artistry: Examining the Relationship Between the Interpersonal Skills and Effective Practice Repertoires of Applied Behavior Analysis Practitioners / K. CALLAHAN in Journal of Autism and Developmental Disorders, 49-9 (September 2019)
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