>10%5&! -20 adolescents (15 female, 5 male); 13-17 years old. Disorders / complaints: Depression (8), Anxiety (3), Behavioral problems (3), Adaptation disorders (3) Developmental crisis (2), Others (1). Therapy approaches: psychodynamic, systemic, social-construccionist and CBT. -10 individual Psychotherapies with adolescents with depressive symptoms (Approximately 8 sessions) videotaped. Were analyzed psychotherapies with psychodynamic, integrative and cognitive focus. =&12-(&2! Horvath’s Working Alliance Inventory - WAI (Chilean Version: Santibáñez, 2001) (first three sessions). Outcome Questionnaire OQ 45.2 (Chilean Version: De la Parra & Von Bergen, 2001) Generic Change Indicators (GChI, Krause, et al., 2007) Relevant episodes: Change Episodes (Krause et al., 2006; Krause et al., 2007) and Rupture Episodes (Safran & Muran, 1996, 2000, 2006). CCRT-LU (Luborsky, 1977; Albani, C., et al. 2002; CCRT-LU-S: López del Hoyo, et al., 2004) ;&2-5.2! Initially, therapeutic alliance (3rd session) correlates with final results (results OQ), both for adolescents (total score) and therapists (sub scale goals). There are no differences by theoretical orientation. Only the alliance perceived by therapists (not by adolescents) – of session 1 and 2 – relates to intermediate results (6th session). The alliance of session 2 (subscale goals) perceived by psychodynamic therapists, correlates with intermediate results. Alliance, evaluated from the perspective of the adolescents in session 2, specifically on the task subscale, predicted the probability of finalizing the process. This was not observed when the alliance was measured from the perspective of the therapists. Alliance, perceived by the therapist in session 1 and 2, correlates with the Ongoing Change (GCI obtained in that session). Ongoing Change (higher GCI in the first three sessions) predicted adherence to therapy. In the second sub-study, we have found a link between harmony in relationship narratives and the level of depressive symptoms and the Predominant Relational Patterns appear in relevant episodes of psychotherapy. @)15-1.*$#! Therapists and adolescents perspectives on the alliance are related to the development of the process and the final outcome, but the therapists perspective relates specifically to ongoing change and intermediate outcome, while the adolescents perspective relates to adherence. The fact that ongoing change predicts adherence means that early changes (first three sessions) help adolescents to stay in therapy. G$#.1/.\! !!
Olga Fernández - ofernandezg@uc.cl H-Daniel Espinosa - hdespinosa@uc.cl
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