20/20 Hindsight: A 25-year programme at the Anna Freud Centre of efficacy and effectiveness research on child psychoanalytic psychotherapy

摘要

Abstract, Objective: This paper describes the evolution of methods of enquiry—through 25 years of work, with Professor Peter Fonagy and many other colleagues—of research and theorizing about child and adolescent therapy outcomes. Method: The work has focused on measuring psychoanalytic outcomes, but with an increasing interest in discovering therapeutic elements across treatment modalities. Results: Headline findings are described, with lessons from the ups and downs of developing (a) retrospective, follow-up, and prospective outcome studies, and (b) measures of child and family functioning. Issues of manualizing and measuring treatment process are discussed, together with the fruitfulness of mixed-method (quantitative and qualitative) process and outcome research with young people and families. Conclusions: Using the dilemmas, experiences, and findings of our group as examples, growing points and well as growing pains for the field are suggested