Dissertation/Thesis Abstract

A Critical Assessment of the Use of Coercive Interventions in Adolescent Mental Health Care
by Perkins, Joshua B., M.A., Pacifica Graduate Institute, 2018, 57; 10746831
Abstract (Summary)

This thesis explores effective and unintrusive interventions for treating noncompliant teens. Using hermeneutic and heuristic research methodologies, the use of coercion in adolescent mental health care is examined, with specific focus on the practice of transporting, or escorting, adolescents to treatment to determine its potential for trauma. Previous scanty research into the subjective experience of teenagers who have experienced being escorted to treatment indicated that treatment outcomes were not affected by the initial transportation. The research into trauma, adolescent psychology, and the effects of coercion as presented in this thesis, however, shows that being escorted has a high probability of traumatizing an adolescent. The author concludes that teaching noncompliant adolescents reflexivity and autonomy is more effective than prohibition and coercion. A re-visioning of adolescent defenses and symptomology suggests embracing all aspects of an adolescent's experience as evolutionary developmental adaptations in need of gentle guidance rather than inhibition.

Indexing (document details)
Advisor: Gonella, Elisabeth
Commitee: Elliot, Jemma, Jacobson, Gioia
School: Pacifica Graduate Institute
Department: Counseling Psychology
School Location: United States -- California
Source: MAI 57/05M(E), Masters Abstracts International
Subjects: Therapy, Mental health, Counseling Psychology
Keywords: Escorting, Mandated, Noncompliant, Teens, Transport, Trauma
Publication Number: 10746831
ISBN: 978-0-355-86773-2
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