Social Work, Dalhousie University, Halifax, Nova Scotia, Canada.
Fam Process. 2012 Jun;51(2):193-206. doi: 10.1111/j.1545-5300.2012.01395.x.
Five patterns of service provider-caregiver-adolescent interaction are discussed using qualitative interviews and file review data from 44 youth with complex needs who were clients of more than one psychosocial service (child welfare, mental health, addictions, juvenile justice, and special education). Findings show that young people and their families become triangulated with service providers, either engaging with, or resisting, interventions. For young people with complex needs involved with multiple service providers, both positive and negative patterns of interaction contribute to the complexity of caregiver-child interactions. According to young people themselves, the most functional of these patterns, empowerment, was experienced as protective when it helped them to meet their personal needs and enhance communication. In contrast, four problematic patterns produced triangulations described as conflictual or unsupportive. The implications of these patterns for family therapy are discussed with an emphasis on the therapist as both clinician and advocate for better services from multiple providers.
使用来自 44 名具有复杂需求的年轻人（涉及儿童福利、心理健康、成瘾、少年司法和特殊教育等多个领域）的定性访谈和档案审查数据，讨论了五种服务提供者-照顾者-青少年互动模式。研究结果表明，年轻人及其家庭与服务提供者形成了三角关系，要么参与，要么抵制干预措施。对于涉及多个服务提供者的具有复杂需求的年轻人来说，积极和消极的互动模式都对照顾者-儿童互动的复杂性产生影响。根据年轻人自己的说法，最具功能性的互动模式——赋权，当它帮助他们满足个人需求和增强沟通时，被认为是具有保护作用的。相比之下，四种有问题的模式则产生了被描述为冲突或不支持的三角关系。这些模式对家庭治疗的影响进行了讨论，重点是治疗师作为临床医生和倡导者，为来自多个提供者的更好服务而努力。
