Family therapy for maltreated youth: Can a strengthening therapeutic alliance empower change?

08.21.

 

Family therapy for maltreated youth: Can a strengthening therapeutic alliance empower change?

 

 

We tested the process of change in Alliance Empowerment Family Therapy (AEFT; Escudero, 2013), a systemic, team-based approach for treating child welfare involved families. Since building and balancing strong personal and within-family therapeutic alliances are crucial for motivating and sustaining change in these multistressed, overburdened families, we assessed alliance perceptions over time in relation to two indices of therapy outcome, youth functioning, and family-specific goal attainment. Specifically, we administered the self-report version of the System for Observing Family Therapy Alliances (Friedlander et al., 2006) following Sessions 3, 6, and 9 to 156 Spanish families seen by 20 therapists in six agencies whose mission is to serve child welfare referred maltreated youth. Results showed that AEFT delivered in M = 11.04 sessions (SD = 3.29) was effective in attaining family-specific goals and improving child functioning, d = 1.16, as rated by the therapist team in coordination with the referring caseworker. A unique aspect of the study was the modeling, at each time point, of the shared therapeutic system alliance, a latent variable consisting of the therapist's rating of the alliance as well as the alliance ratings of the youth and primary caregiver. As we hypothesized, shared alliance perceptions strengthened with time and positively predicted posttreatment outcomes. Moreover, a comparison of linear growth models with and without the therapist's perspective showed that inclusion of the therapist ratings in the shared alliance variables improved the predictability of child and family outcomes. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

 

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해석

 

Family therapy for maltreated youth: Can a strengthening therapeutic alliance empower change?

 

학대받은 청소년을 위한 가족 치료 : 치료동맹을 강화하는 것이 변화를 힘을 실어주나?

 

 

We tested the process of change in Alliance Empowerment Family Therapy (AEFT; Escudero, 2013), a systemic, team-based approach for treating child welfare involved families.

 

우리는 동맹 임파워먼트 가족치료의 변화과정을 시험했다. 이 AEFT는 아동복지와 관련된 가족을 치료하기 위한 체계적인 팀-기반 접근이다.

 

Since building and balancing strong personal and within-family therapeutic alliances are crucial for motivating and sustaining change in these multistressed,

 

강한 가족 내 치료동맹과 개인을 만들고 균형화하는 것은 그들의 여러 스트레스를 변화하고 동기화하는데 중요하다.

 

overburdened families, we assessed alliance perceptions over time in relation to two indices of therapy outcome, youth functioning, and family-specific goal attainment.

 

지나친 부담을 가진 가족, 우리는 치료의 두 지표인 청소년의 기능 그리고 가족-세부 목표 달성과 관련하여 시간에 따른 동맹 인식을을 평가했습니다.

 

Specifically, we administered the self-report version of the System for Observing Family Therapy Alliances (Friedlander et al., 2006) following Sessions 3, 6, and 9 to 156 Spanish families seen by 20 therapists in six agencies whose mission is to serve child welfare referred maltreated youth.

 

구체적으로 학대 청소년 관련 아동복지 서비스를 제공하는 6개의 기관 20명이 본 156명의 스페인 가족을 대상으로 3,6,9회기 동안 가족치료동맹 관찰을 위한 자기 보고 버전 시스템을 활용했다.

 

Results showed that AEFT delivered in M = 11.04 sessions (SD = 3.29) was effective in attaining family-specific goals and improving child functioning, d = 1.16, as rated by the therapist team in coordination with the referring caseworker.

 

결과는 M = 11.07 인 세션에서 AEFT가 가족-세부 목적 획득과 아동 기능을 향상에 효과적이었다. 또한 d=1.16 사례관리와 협력한 치료자 팀에게 측정되었다.

 

A unique aspect of the study was the modeling, at each time point, of the shared therapeutic system alliance, a latent variable consisting of the therapist's rating of the alliance as well as the alliance ratings of the youth and primary caregiver.

 

이 연구의 의의는 각 시점에서 공유된 치료시스템 동맹의 모델링으로, 치료자의 동맹 등급뿐만 아니라 청소년과 주양육자의 동맹 등급이 잠재변인으로 구성된다는 것이다.

 

As we hypothesized, shared alliance perceptions strengthened with time and positively predicted posttreatment outcomes.

 

우리가 가정했던 것처럼, 공유된 동맹 지각은 지간이 지남에 따라 강화 되었고 사후치료 결과를 긍정적으로 예측했습니다.

 

Moreover, a comparison of linear growth models with and without the therapist's perspective showed that inclusion of the therapist ratings in the shared alliance variables improved the predictability of child and family outcomes. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

 

더 나아가, 치료자의 예측이 있고 없고의 근접 성장 모델의 비교한 결과, 공유되는 동맹 변인에서 치료자의 등급을 포함하면 아동 그리고 가족 결과의 예측성 가능성을 향상되는 것으로 나타났습니다..

 

 

단어

 

maltreated : 학대하다

alliance : 동맹

systemic : 체계적인

overburdened : 과중한 부담을 주다

crucial : 중대한

with time : 시간이 흐름에 따라

posttreatment : 치료 후 처치

linear growth models : 선형 성장 모형

predictability : 예측가능성

rate : 등급, 점수

as rated by : 에 의해 평가된 바와 같이