Clinician Reactions When Working with Adolescent Patients: The Therapist Response Questionnaire for Adolescents

This study examined the factor structure and psychometric properties of the Therapist Response Questionnaire for Adolescents (TRQ-A), an 86-item clinician-report instrument measuring a wide range of thoughts, feelings, and behaviors expressed by therapists toward their adolescent patients. A sample...

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Bibliographic Details
Published in:Journal of personality assessment 2020-09, Vol.102 (5), p.616-627
Main Authors: Tanzilli, Annalisa, Gualco, Ivan, Baiocco, Roberto, Lingiardi, Vittorio
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Adult
Behavior
Best practice
Cognitive aspects
Cognitive behavioral therapy
Cognitive-behavioral factors
Countertransference
Evaluation
Factor analysis
Female
Health Personnel
Humans
Male
Overinvolvement
Patients
Personality tests
Professional-Patient Relations
Psychometrics - standards
Quantitative psychology
Questionnaires
Reliability
Reproducibility of Results
Sexualization
Teenagers
Therapists
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Summary:This study examined the factor structure and psychometric properties of the Therapist Response Questionnaire for Adolescents (TRQ-A), an 86-item clinician-report instrument measuring a wide range of thoughts, feelings, and behaviors expressed by therapists toward their adolescent patients. A sample of psychodynamic and cognitive-behavioral clinicians (N = 192) filled in the TRQ-A and the latest version of the Shedler-Westen Assessment Procedure for Adolescents (SWAP-II-A) in order to assess the personality styles/disorders of a randomly selected adolescent patient in their care. Factor analysis identified six conceptually coherent and internally consistent countertransference patterns: warm/attuned, angry/criticized, disorganized/frightened, overinvolved/worried, disengaged/hopeless, and sexualized. These patterns were significantly related to patients' personality styles/disorders in a clinically meaningful and systematically predictable manner. The results support the TRQ-A's validity and internal reliability in evaluating the complex portrait of multifaceted reactions that clinicians typically experience toward adolescent patients, and its potential to improve diagnostic accuracy and guide clinicians in planning effective therapeutic interventions. The TRQ-A promises to significantly contribute to this less explored research area and encourage systematic studies of youth treatment, promoting best practice for successful therapeutic outcomes.
ISSN:0022-3891
1532-7752
DOI:10.1080/00223891.2019.1674318