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Working with the complexities of adolescent mental health problems: Applying time-limited adolescent psychodynamic psychotherapy (TAPP)

机译:处理青少年心理健康问题的复杂性:应用限时青少年心理动力心理疗法(TAPP)

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摘要

This article discusses the application in a CAMHS setting of a distinctive intervention for adolescent mental health difficulties, time-limited adolescent psychodynamic psychotherapy (TAPP). TAPP has been developed specifically for working with adolescents and the characteristic developmental and psychosocial complexities they present to mental health services. It is widely recognised that supporting the developmental process in adolescence is central to therapeutic interventions and the therapeutic aim of TAPP is to enable recovery of the capacity to meet developmental challenges. The key factors of TAPP are described, including the formulation and working with a developmental focus, the therapeutic stance, working with transference and counter-transference, working with time limits, and the emphasis is placed on engagement of adolescents in therapy in TAPP. The experiences of introducing and developing TAPP in the CAMHS service are discussed with two brief and one extended case examples and this leads to a discussion of the kinds of outcomes achieved. It is concluded that TAPP is a key and relevant intervention for adolescents in complex and vulnerable situations; further work will be undertaken to continue its application in these settings and to formally assess outcomes.
机译:本文讨论了在CAMHS环境中针对青少年心理健康困难的特殊干预措施,限时青少年心理动力心理疗法(TAPP)的应用。 TAPP是专门为与青少年合作而开发的,他们为心理健康服务提供了独特的发展和心理社会复杂性。众所周知,支持青春期的发育过程是治疗干预的核心,TAPP的治疗目标是使能力恢复以应对发育挑战。描述了TAPP的关键因素,包括配方和发展重点,治疗立场,转移和逆向转移,有时间限制,重点放在青少年参与TAPP的治疗上。通过两个简短的案例和一个扩展的案例,讨论了在CAMHS服务中引入和开发TAPP的经验,这导致了对所取得成果类型的讨论。结论是,TAPP是复杂和脆弱情况下青少年的关键和相关干预措施;将进行进一步的工作以继续将其应用在这些环境中并正式评估结果。

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