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  • Alliance ruptures and resolutions when working with adolescents in CBT

    This chapter explores alliance ruptures in adolescent therapy and why repairing them matters. It offers practical, research-informed strategies to help CBT clinicians recognise and address ruptures, considering developmental needs, family involvement and common therapy challenges.

    Authors: Cirasola, A., Loades, M. & Midgley, N.

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  • The Reflective Fostering Programme – Improving the wellbeing of children in care through a group intervention for foster carers

    This study found the Reflective Fostering Programme improved carers’ reflective capacity, reduced stress and strengthened child–carer relationships. It was also cost-effective, though children’s emotional and behavioural outcomes did not differ from usual support.

    Authors: Midgley, N., Irvine, K., Redfern, S. et al.

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  • A mixed methods realist evaluation of adolescent-focused low-intensity life story work

    This study explores how low-intensity life story work can better support adolescents in care. It identifies seven key principles, such as flexibility, early support and focusing on everyday experiences, and offers practical guidance for carers and professionals.

    Authors: Hammond, S. P., Seeley, C., Skevington, P. et al.

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  • Clinical and cost-effectiveness of blended vs face-to-face therapy for depression

    This study will assess if blended therapy (online and in-person) is as effective and cost-efficient as face-to-face CBT or PDT for major depression, aiming to reduce therapist workload and improve mental healthcare access.

    Authors: Luyten, P., Speybrouck, D., Martin, P.

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  • Reflections on challenges and successes from the Reflective Fostering Study

    Large-scale research in UK fostering is often slowed by healthcare-style bureaucracy and limited administrative capacity in social care. The authors argue research rules should be refined to better reflect the realities of children’s social care.

    Authors: Irvine, K., Rider, B., Cresswell, C. et al.

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  • The effectiveness of interventions targeting interparental conflict in improving family outcomes

    This systematic review examines how parenting interventions addressing interparental conflict affect co-parenting relationships, parenting behaviour and child outcomes, and highlights their impact alongside key gaps in the current evidence base.

    Authors: Hopson, H.L., Fonagy, P. & Rosan, C.

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  • A feasibility study of a preventative, transdiagnostic intervention for mental health problems in adolescence: Building resilience through socioemotional training (ReSET)

    This study tested ReSET, a school-based programme helping teens build emotional and social skills to prevent mental health issues. Results showed it was feasible, well-received, and linked to positive experiences and benefits.

    Authors: Lloyd, A., Law, R., Midgley, N. et al.

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  • Short-term psychoanalytic therapy with depressed adolescents: lessons learned from the Improving Mood with Psychoanalytic and Cognitive Therapies (IMPACT) trial

    This review examined short-term psychoanalytic therapy for depressed teenagers, finding that a strong therapist–teen relationship is crucial. It offers insights to enhance therapist training and improve outcomes.

    Authors: Midgley, N., Calderon, A., Cirasola, A. et al.

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  • Therapists’ questions in short term psychoanalytic psychotherapy with depressed adolescents

    This study analysed how therapists use questions in psychoanalytic sessions with depressed adolescents, finding frequent questioning. Questions voicing unspoken negative feelings often prompted avoidance, offering insights for improving therapy techniques.

    Authors: Dehl, A., Edginton, E. & Midgley, N.

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