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Abstract : Our work, both experimental and clinical is about the concept of the therapeutic alliance in children by developing a tool tailored to his specifications. We developed a concept of the therapeutic relationship, based on the establishment of a triple alliance. Our main question concerns the gap of the therapeutic situation between the different actors of the therapy (children, parents, therapists). We hypothesized that the representation of each differs depends on their own status as well as the age of the child. To test these gap representations, we developed a tool, the Psyrep that can be an environmental framework, used as a mediator of the evaluation of dissonance between the representations of actors. In a first study, we proposed to children to express their representations of various aspects of therapy (the representation of emotional feelings, moral standards and therapy), and we asked parents and therapists to express what should be the representations of the children. Our results highlighted the existence of gaps in the representations of different actors, as we had hypothesized. In a second study, we retested those gaps using the Psyrep in an environmental framework and we have investigated whether this tool, in reducing gaps, could allow and improve the therapeutic alliance. For this, we asked therapists to assess the alliance with the questionnaire « HAQ-CP » with children and parents at the beginning of the therapy. In half of the cases, the Psyrep was used in the first session as a tool for explicit representations, in the other the therapists intervened as usual. The results suggest that in a more environmental framework gaps representations regarding the therapeutic situation are lower. They also showed that at least for the child, the use of mediation tool, the Psyrep, improves the therapeutic alliance. To demonstrate the potential clinical use of Psyrep, we are presenting following these two studies, two clinical illustrations in which the first sessions are about the elaboration of a therapeutic contract after having reduced the gaps of representations with the Pyrep.
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Contributor : Fanny Marteau-Chasserieau Connect in order to contact the contributor
Submitted on : Tuesday, September 29, 2020 - 4:21:02 PM
Last modification on : Friday, October 9, 2020 - 3:03:38 AM


  • HAL Id : tel-02952871, version 1



Fanny Marteau. THERAPEUTIC ALLIANCE IN CHILD PSYCHOTHERAPY: EVALUATION AND CONGRUENCE REPRESENTATIONS OF DIFFERENT ACTORS. Psychology. Science de L’homme et de la Société (SHS) de l’Université de Lille, 2011. English. ⟨NNT : ⟩. ⟨tel-02952871⟩



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