CHANGE PROCESSES IN FAMILY THERAPY WITH DRUG USING YOUTH

这项研究旨在检查期间的治疗过程， 有助于参与和保留药物滥用的家庭治疗 青少年。特别是，这项研究考察了常见的治疗师。 预测参与失败的干预措施和核心家庭流程 (即，在课程4之前家庭辍学)和未能保持(即， 在治疗中，家庭在疗程4-7结束后辍学。假设…… 对于从事治疗、治疗师支持和认知的家庭 重组干预将导致家庭联盟的增加和 分别减少冲突/负面影响。这是进一步的假设 对于保留治疗的家庭，治疗师指令 干预措施将导致家庭养育方式的增加。 家庭将从三个已建立的家庭的档案中选出 治疗方案(功能性家庭治疗；多维家庭 治疗；结构主义；家庭治疗)。常见的治疗师干预和 核心系列进程将从编码(微会议)和 录像会议的收视率(宏时段)。初步确认 将进行因素分析，以检查因素，结构 共同的治疗师干预和核心家庭程序。HLM技术 将被用来检查治疗师干预对变化的影响 在家庭过程中，以及这些变化与 在治疗中的参与和保留。

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.