Brief psychotherapy with adolescents: individual and family approaches. 1993

W J Swift
Department of Psychiatry, University of Wisconsin School of Medicine, Madison.

Brief psychotherapy with adolescents is a widely employed clinical procedure. In this paper key principles that inform brief individual and family therapy with adolescents have been described. The most important principle is to establish and maintain a therapeutic relationship with the teen; the second most important principle is to find a focal theme or focal point for mutual work. Many adolescents respond well to a course of brief therapy arbitrarily defined here as 20 or fewer sessions. While such an approach is not "curative," it does provide the opportunity for substantial symptom relief and improved adaptation. In selecting patients for brief therapy negative exclusion factors are more helpful than positive inclusion factors. If the teen experiences brief therapy as a positive intervention, the road is paved for his/her return if and when future problems arise. Economic pressures during the next decade will favor brief therapy over long-term therapy. The most adaptive response for therapists to this challenge is to improve their brief therapy skills. A frequently neglected skill is the ability to set modest but achievable goals in brief psychotherapy. Finding a focus for therapy lays the foundation for reasonable goal-setting.

UI MeSH Term Description Entries
D007207 Individuation A process of differentiation having for its goal the development of the individual personality. Individuations
D008297 Male Males
D010287 Parent-Child Relations The interactions between parent and child. Parent-Offspring Interaction,Parent Child Relationship,Parent-Child Relationship,Interaction, Parent-Offspring,Parent Child Relations,Parent Child Relationships,Parent Offspring Interaction,Parent-Child Relation,Parent-Child Relationships,Parent-Offspring Interactions,Relation, Parent-Child,Relationship, Parent Child,Relationship, Parent-Child
D010553 Personality Development Growth of habitual patterns of behavior in childhood and adolescence. Development, Personality
D011614 Psychotherapy, Brief Any form of psychotherapy designed to produce therapeutic change within a minimal amount of time, generally not more than 20 sessions. Short-Term Psychotherapy,Brief Psychotherapy,Psychotherapy, Short-Term,Solution-Focused Brief Therapy,Brief Psychotherapies,Brief Therapies, Solution-Focused,Brief Therapy, Solution-Focused,Psychotherapies, Brief,Psychotherapies, Short-Term,Psychotherapy, Short Term,Short Term Psychotherapy,Short-Term Psychotherapies,Solution Focused Brief Therapy,Solution-Focused Brief Therapies,Therapies, Solution-Focused Brief,Therapy, Solution-Focused Brief
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002653 Child Behavior Disorders Disturbances considered to be pathological based on age and stage appropriateness, e.g., conduct disturbances and anaclitic depression. This concept does not include psychoneuroses, psychoses, or personality disorders with fixed patterns. Childhood Behavior Disorders,Behavior Disorder, Child,Behavior Disorder, Childhood,Child Behavior Disorder,Childhood Behavior Disorder,Disorder, Childhood Behavior
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D003866 Depressive Disorder An affective disorder manifested by either a dysphoric mood or loss of interest or pleasure in usual activities. The mood disturbance is prominent and relatively persistent. Depression, Endogenous,Depression, Neurotic,Depression, Unipolar,Depressive Syndrome,Melancholia,Neurosis, Depressive,Unipolar Depression,Depressions, Endogenous,Depressions, Neurotic,Depressions, Unipolar,Depressive Disorders,Depressive Neuroses,Depressive Neurosis,Depressive Syndromes,Disorder, Depressive,Disorders, Depressive,Endogenous Depression,Endogenous Depressions,Melancholias,Neuroses, Depressive,Neurotic Depression,Neurotic Depressions,Syndrome, Depressive,Syndromes, Depressive,Unipolar Depressions
D005196 Family Therapy A form of group psychotherapy. It involves treatment of more than one member of the family simultaneously in the same session. Therapy, Family,Family Therapies,Therapies, Family

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