Conduct Disorder is the most common reason for referral to child and adolescent mental health services (Audit Commission, 1999) and without treatment the long term prognosis for the child is poor (Kim-Cohen et al., 2003). The National Institute for Clinical Excellence Guidelines (NICE, 2006) recommend parenting interventions for the treatment of conduct disorder; however parental engagement in these interventions is low, particularly for families with multiple psycho-social stressors (Kazdin, Muzurick & Bass, 1993). Research has explored the variables which predict parental engagement in treatment and a positive therapeutic alliance has consistently been found to be associated with increased engagement in parenting interventions (Kazdin, Holland & Crowley, 1997). However little is known about the nature of the parent-therapist alliance and how it impacts on engagement. This is of particular interest given that parents are engaging in an intervention for their child's problem but the intervention is focussed on parenting practices. The aim of the study was to explore parent's experience of engaging in a parenting intervention and their experience of the therapeutic alliance with their clinician. Eight in-depth qualitative interviews were undertaken with parents of children with conduct disorder who were involved with an individual home based parenting intervention. The data was analysed in line with Interpretative Phenomenological Analysis (Smith, Flowers & Larkin, 2009). Five master themes emerged from the data; Experience of help-seeking as threatening. Making sense of the problem. A different relationship to help. 3 ---.. •................................ --- --- --- - -- ---------- The meaning of the parent-clinician relationship. A new approach to parenting. The results are discussed in relation to the existing literature and clinical implications for promoting engagement and the therapeutic alliance with this population are considered. The impact of parents' previous experiences of help seeking, their attributions of the problem and the impact of a diagnosis are also discussed. Clinically the findings can be used to understand the facilitators and barriers to the delivery of parenting interventions for child conduct disorder. 4
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:589466 |
| Date | January 2013 |
| Creators | Doherty, Rianne |
| Publisher | University of London |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
Page generated in 0.0133 seconds