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Clin Child Psychol Psychiatry. 2016 Jul;21(3):432-46. doi: 10.1177/1359104515614072. Epub 2015 Nov 18.

Adverse effects of psychological therapy: An exploratory study of practitioners' experiences from child and adolescent psychiatry.

Author information

1
Department of Neuroscience, Child and Adolescent Psychiatry, Uppsala University, Sweden National Board of Health and Welfare, Sweden ulf.jonsson@neuro.uu.se.
2
Department of Psychology, Uppsala University, Sweden.
3
National Board of Health and Welfare, Sweden Department of Psychology, Uppsala University, Sweden.
4
Department of Neuroscience, Child and Adolescent Psychiatry, Uppsala University, Sweden.

Abstract

The scientific knowledge about adverse effects of psychological therapies and how such effects should be detected is limited. It is possible that children and adolescents are particularly vulnerable and need specific support in order to express adverse effects. In this exploratory study, we used a qualitative approach to explore practitioners' experiences of this phenomenon. Fourteen practitioners providing psychological therapy within the Child and Adolescent Psychiatric Service were interviewed. Qualitative content analysis was applied to the data. Four overarching categories brought up by the practitioners were identified: vagueness of the concept (reflecting that the concept was novel and hard to define), psychotherapist-client interaction (encompassing aspects of the interaction possibly related to adverse effects), consequences for the young person (including a range of emotional, behavioural and social consequences) and family effects (e.g. professional complications and decreased autonomy for the parent). Professional discussions on these issues could improve psychological therapy for children and adolescents. Based on our findings and previous research, we propose three basic aspects to consider when adverse effects are detected and managed in this context: typology (form, severity and duration), aetiology (hypothesis about the causes) and perspective (adverse effects seen from the points of view of different interested parties).

KEYWORDS:

Adverse effects; child and adolescent psychiatry; psychotherapeutic processes; psychotherapy; qualitative research

PMID:
26585069
DOI:
10.1177/1359104515614072
[Indexed for MEDLINE]

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