CHANGE PROCESSES IN FAMILY THERAPY WITH DRUG USING YOUTH

本研究旨在检查会话治疗过程， 有助于参与和保留家庭治疗药物滥用 青少年。特别是，这项研究探讨了常见的治疗师， 干预措施和核心家庭过程预测参与失败 (i.e.,家庭在第4次会议之前退出）和未能保留（即， 第4-7次治疗后家庭退出）。据推测， 对于从事治疗，治疗师支持和认知的家庭， 重组干预措施将导致家庭联盟的增加， 分别减少冲突/消极。进一步假设 对于那些继续接受治疗的家庭， 干预措施将导致家庭育儿的增加。 家庭将从三个已建立家庭的档案中选出 功能性家庭治疗;多维家庭 治疗;结构;家庭治疗）。常见的治疗师干预和 核心家族进程将从编码（微会话）中识别， 视频会议的评级（macrossession）。初步确认 因素分析将进行检查的因素，结构， 常见的治疗干预和核心家庭过程。HLM技术 将被用来检查治疗师干预的影响， 在家庭过程中，以及这些变化与 参与和保持治疗。

This study is designed to examine in-session therapeutic processes that contribute to engagement and retention in family therapy with drug abusing adolescents. In particular, this study examines common therapist interventions and core family processes that predict failure to engage (i.e., family drop outs prior to sessions 4) and failure to retain (i.e., family drop outs after session 4-7) in treatment. It is hypothesize that for families that engage in therapy, therapist Support and Cognitive Restructuring interventions will lead to increased family Alliance and decreased Conflict/Negativity respectively. It is further hypothesized that for families that retain in therapy, therapist Directive interventions will lead to increases in family Parenting. Families will be selected from the archives of three established family therapy programs (Functional Family Therapy; Multidimensional Family Therapy; Structural; Family Therapy). Common therapist interventions and core family processes will be identified from codings (microsession) and ratings (macrosession) of videotaped sessions. Preliminary confirmatory factor analyses will be conduced to examine the factor, structure of the common therapist interventions and core family processes. HLM techniques will be used to examine the impact of therapist interventions on changes in family processes, and the relationship between these changes and engagement and retention in therapy.