Gibson Kerry, Stubbing Jessica
School of Psychology, University of Auckland, Auckland, New Zealand.
Koi Tū: Centre for Informed Futures, University of Auckland, Auckland, New Zealand.
Psychol Psychother. 2025 Jun;98(2):205-210. doi: 10.1111/papt.12542. Epub 2024 Aug 2.
In recent times there has been increasing acknowledgement of the importance of attending to the agenda of people with lived experience in psychotherapy research. In particular, young people's voices have been recognised as central to the design and development of psychotherapies that work for them. It is important to recognise the limits of professional agendas and make sure that young people's own priorities are represented in the indicators against which we measure change in research evaluations of psychotherapy. This requires an extension of evaluation research indicators from psychiatric symptomatology, to include aspects of wellbeing that matter to young people themselves. This article joins others in calling for a shift from the focus on symptom change in the evaluation of psychotherapy with youth, to acknowledge subjective indicators identified through research conducted with young people. New indicators might, for example, be centred on the degree to which young people experience increased capacity for acceptance of their emotions, a comfortable sense of identity, improved relational trust, and a stronger sense of their own agency. If psychotherapy is to be meaningful to young people, it is vital that we tailor it to young people's own needs and priorities and evaluate it against the aspects of change that matter to them.
近年来,人们越来越认识到在心理治疗研究中关注有实际生活经验者议程的重要性。特别是,年轻人的声音被视为对适合他们的心理治疗方法的设计和发展至关重要。认识到专业议程的局限性并确保在用于衡量心理治疗研究评估中变化的指标里体现年轻人自身的优先事项很重要。这需要将评估研究指标从精神症状学扩展,纳入对年轻人自身重要的幸福方面。本文与其他文章一道呼吁,在对青少年心理治疗的评估中,从关注症状变化转向承认通过与年轻人开展的研究确定的主观指标。例如,新指标可能围绕年轻人在多大程度上体验到接受自身情绪的能力增强、舒适的身份认同感、改善的关系信任以及更强的自主意识。如果心理治疗要对年轻人有意义,至关重要的是我们使其符合年轻人自身的需求和优先事项,并根据对他们重要的变化方面对其进行评估。