Adolescents’ experiences of therapeutic relationships at high and low levels of risk and resilience

Abstract

Engaging adolescents in treatment requires professionals to negotiate relationship boundaries in ways that young people experience as therapeutic. For this study, we used qualitative data from a mixed methods investigation of 85 young people ages 12-19 who were either clients of two or more human services (n=61) or selected from a convenience sample of young people attending school in the same communities as the service users (n=24). By sorting participants into four groups based on their risk and resilience scores calculated during the quantitative phase of the research, patterns emerged in the quality of the relationships young people reported as the most therapeutic. Findings show that youth at higher levels of risk exposure preferred looser professional boundaries (a real relationship) in their interactions with their workers while those with higher resilience scores described positive relationships with professionals that included more structure, greater expectations and firmer boundaries. Findings suggest that the quality of adolescent client-professional relationships should vary depending on the risk and resilience profiles of the youth.

Keywords:

• Therapeutic use of self
• therapeutic alliance
• risk
• resilience
• engagement in treatment
• adolescents