title: First-session pathways to the working alliance in cognitive-behavioral therapy for adolescent depression.
abstract: In the current study of cognitive-behavioral therapy for 54 depressed adolescents, chained p-technique was applied to 14 therapist behaviors that were rated in each 10-min segment of Session 1 provided by eight female therapists. Four underlying factors were identified: experiential socialization, therapist responsiveness, therapist lapse, and remoralization. Analysis of changes in the prominence of these factors revealed significant Factor X Session Segment trends. Therapist responsiveness and remoralization growth curves across Session [corrected] accounted for significant variance in Session 4 [corrected] therapist-rated alliance. Experiential socialization growth curves across Session 1 also accounted for significant variance in Session 3 adolescent-rated alliance. Results are discussed in terms of the importance of Session 1 therapist behaviors for adolescent alliance formation.
authors.affiliation: Department of Pediatrics/Child Development, Medical College of Wisconsin, Milwaukee, WI 53226, USA. rrussell@mcw.edu
authors.forename: Robert
authors.initials: R
authors.lastname: Russell
authors.forename: Stephen
authors.initials: S
authors.lastname: Shirk
authors.forename: Nathaniel
authors.initials: N
authors.lastname: Jungbluth
mesh_terms: D000293:Adolescent; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D015897:Comorbidity; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D004645:Empathy; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D010552:Personality Assessment; D011361:Professional Competence; D011369:Professional-Patient Relations; D012951:Socialization; D016896:Treatment Outcome