The Compass Program at The Menninger Clinic was designed to assess and treat emerging adult psychiatric patients with severe disorders. Establishing a collaborative therapeutic relationship with these challenging patients is an essential step in facilitating effective assessment and treatment for them. The author presents a therapeutic model for engagement and collaboration. Three interrelated processes that are keys to promoting and creating collaborative behavior are described: (1) taking agency, the ability to accept responsibility for and believe in one's own contribution to solving problems; (2) mentalizing, the ability to reflect on, as opposed to react to, mental states in self and others, as well as to contemplate the issues in one's treatment process, and (3) the ability to examine one's problems from the standpoint of identifying core issues, those internal and external factors that have been impediments to one's progress. Case examples are used to illustrate these processes.

中文翻译：

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新兴成年人的强化精神病治疗：解决建立合作的问题。

Menninger诊所的Compass计划旨在评估和治疗患有严重疾病的新兴成人精神病患者。与这些具有挑战性的患者建立合作治疗关系是促进对他们进行有效评估和治疗的重要步骤。作者提出了一种参与和协作的治疗模型。描述了三个相互关联的过程，这些过程是促进和创造协作行为的关键：（1）承担代理，承担责任并相信自己对解决问题的贡献的能力；（2）心理化，对自己和他人的心理状态进行反省的能力，以及对自己的心理状态进行反省的能力，以及思考一个人的治疗过程中的问题的能力；以及（3）检查一个人的能力。从识别核心问题的角度来看问题，即那些阻碍个人进步的内外部因素。用案例举例说明这些过程。