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Facilitating children’s in-session involvement in child and family therapies: A dynamic framework of clinical practices.
Malmö University, Faculty of Health and Society (HS), Department of Social Work (SA).ORCID iD: 0000-0002-3493-1263
The Centre for Languages and Literature, Lund University.ORCID iD: 0000-0002-8996-6295
Malmö University, Faculty of Health and Society (HS), Department of Social Work (SA).ORCID iD: 0000-0002-6182-7488
2024 (English)In: Psychotherapy, ISSN 0033-3204, E-ISSN 1939-1536, Vol. 61, no 1, p. 55-67Article in journal (Refereed) Published
Abstract [en]

Children’s in-session involvement in child and family therapies correlates with both positive and negative treatment outcomes. Thus, it is important to gain a better understanding of the clinical practices that facilitate children’s involvement in therapy sessions so that practitioners can employ them with greater precision. To address this need, we conducted a study to answer the following question: What clinical practices facilitate children’s in-session involvement in child and family therapies? The data consisted of 16 extant audiovisual recordings of child and family therapy sessions and 24 stimulated-recall interviews with the participants in the recordings. Following constructivist grounded theory and incorporating storyline as an additional analytical technique, we have constructed a framework consisting of four involvement-enhancing practices: managing time, staying relevant, adjusting intensity, and facilitating inclusion. Furthermore, by detailing some of the complex processes that practitioners navigate when they facilitate children’s involvement, our study adds a multilayered and dynamic dimension to the list of already established involvement facilitators. It may be used to moderate an overstandardized work culture that continues to characterize services that address children’s needs. The results may be applied to other institutional encounters, providing resonance beyond the analyzed therapy sessions.

Place, publisher, year, edition, pages
American Psychological Association (APA), 2024. Vol. 61, no 1, p. 55-67
National Category
Social Work Applied Psychology
Identifiers
URN: urn:nbn:se:mau:diva-63540DOI: 10.1037/pst0000511ISI: 001108503300001PubMedID: 38427642Scopus ID: 2-s2.0-85181449850OAI: oai:DiVA.org:mau-63540DiVA, id: diva2:1810416
Funder
Malmö UniversityAvailable from: 2023-11-07 Created: 2023-11-07 Last updated: 2025-02-25Bibliographically approved
In thesis
1. Barns delaktighet: en mikrosociologisk studie av barn- och familjeterapeutiska samtal
Open this publication in new window or tab >>Barns delaktighet: en mikrosociologisk studie av barn- och familjeterapeutiska samtal
2025 (Swedish)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Children’s right to involvement (sometimes referred to as participation) in child and family social work practices is widely acknowledged. While research on the benefits of children’s involvement is expanding, there is also a growing body of studies suggesting varying outcomes. Yet, knowledge of what children’s involvement entails and how social workers contribute to it is still limited.

The study aims to deepen the understanding of children’s involvement in child and family social work practices. Specifically, it seeks to generate empirically grounded knowledge on 1) how children exercise involvement, 2) how social workers contribute to children’s involvement, and 3) social workers’ and children’s perspectives on children’s involvement in child and family therapy sessions.

Drawing on 23 audiovisual recordings of child and family therapy sessions and 24 stimulated recall interviews with children and social workers in the recordings, the results of the study propose that children exercise involvement in diverse and overlapping ways. For example, a child may simultaneously respond to a question (participatory involvement) and express their standpoint (positional involvement) as well as their emotions (emotional involvement).

Moreover, the results illustrate how children’s involvement is co- constructed in and through dialogues. Social workers play an important role in these co-constructions, employing practices such as adjusting the intensity of what is spoken about and staying relevant. The practices are not rigidly defined. Instead, the results provide practical insights into how involvement processes can be continuously tailored and achieved in practice.

The results also indicate that children share similar perspectives on what involvement entails and what involvement-facilitating processes look like.Notably, the children’s perspectives were largely aligned with those of the social workers.

Finally, the results challenge the notion that children’s involvement is inherently positive (or negative). Rather than focusing solely on increasing involvement or achieving so-called “higher levels” of involvement, the results underscore the importance of working mindfully.

Place, publisher, year, edition, pages
Malmö: Malmö University Press, 2025. p. 109
Series
Malmö University Health and Society Dissertations, ISSN 1653-5383, E-ISSN 2004-9277 ; 2025:4
Keywords
children’s involvement, children’s participation, child and family therapy, barns delaktighet, öppenvård, samtalsmetodik, socialt arbete med barn, barns rättigheter
National Category
Social Work
Identifiers
urn:nbn:se:mau:diva-74401 (URN)10.24834/isbn.9789178775859 (DOI)978-91-7877-584-2 (ISBN)978-91-7877-585-9 (ISBN)
Public defence
2025-03-28, Malmö University, Niagara NI:C0E11, Malmö, 09:15 (Swedish)
Opponent
Supervisors
Note

Paper 3 in dissertation as manuscript.

Paper 2 and 3 not included in the fulltext online.

Available from: 2025-02-25 Created: 2025-02-25 Last updated: 2025-03-26Bibliographically approved

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Edman, KristinaCuadra, Carin B

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