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Chapter 4: Techniques for Facilitating Adherence and Responding to Resistance

DOI:

10.1891/9780826131195.0004

Abstract

This chapter presents cognitive behavioral therapy (CBT)-based techniques specifically for practicum and internship students and other trainee clinicians. It talks about the techniques for facilitating adherence and responding to resistance. Nonspecific effects, when they derive from an artful and ethical clinician, are therapeutic practices that are not specific to any specific intervention model. Both nonspecific and specific effects are maximized to maximize adherence and outcomes while approaching the child clinical work. There are three elements to a therapeutic alliance: agreement about the goals, agreement about the methods, and the affective bond. A challenge in kid clinical work is that the mental health professional (MHP) needs to form an alliance with the parents, the kids, and, often, outside systems, many of whom may be at odds with each other. Probably more familiar to the kid would be an authority figure who engages a coercion cycle by getting more harsh or insistent.