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Psicologia Clínica

Print version ISSN 0103-5665On-line version ISSN 1980-5438


ESSARTS, Gabryellen Fraga Des et al. Adhesion and dropout in psychoanalytic psychotherapy from the perspective of adolescents. Psicol. clin. [online]. 2022, vol.34, n.1, pp.145-168. ISSN 0103-5665.

There are several factors associated with the high dropout rates in adolescent psychotherapy, but there are only a few studies that address this topic from these patients' perspective. This study aimed to analyze, based on adolescents' view, reasons that made them dropout or remain in psychoanalytic psychotherapy. A qualitative, exploratory and cross-sectional study was conducted. In it, 23 adolescents with an indication of psychoanalytic psychotherapy took part. After seven months, on average, 12 remained on treatment and 11 interrupted. An individual and semi-structured interview was conducted with each participant and subsequently the data was analyzed based on the thematic analysis method. Two themes were identified in the group that remained in psychotherapy: 'Therapeutic Relationship' and 'Changes Resulting from Psychotherapy', and three themes in the interviews of the group that dropped out: 'Therapeutic Relationship', 'Adolescent Defenses and Resistances' and 'Therapeutic Alliance with Those in Charge'. The results point to the centrality of therapeutic relationship in young people's experience, as well as the importance of keeping a good alliance with parents in order to remain in psychotherapy.

Keywords : psychoanalytic psychotherapy; adolescent; dropout; adhesion.

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