ABSTRACT The therapist’s office can often be an intimidating space for children and adolescents, especially those in residential care who have experienced multiple traumas. This environment can block the therapeutic process and hinder a therapeutic alliance from forming between the clinician and the youth. Although unconventional, integrating the method of stealth therapy into the therapeutic work with children and adolescents has shown impressive results in building a stronger therapeutic bond and putting them at ease when discussing difficult topics. Stealth therapy involves the therapist meeting the youth where they are most comfortable and giving the youth space and time to adjust to the therapist’s presence. Allowing the youth to have some control over the situation gives them a sense of safety and security that they may not have ever experienced. Once the youth feel safe with the therapist, they are more likely to open up and discuss traumatic events. Therapists in Therapeutic Residential Care (TRC) traditionally felt guilty if they didn’t offer weekly formal psychotherapy to the youth with complex trauma that populate contemporary TRC. But the outpatient model of traditional psychotherapy meets the needs of a small portion of the youth in TRC. This paper describes an alternative model emphasizing creativity and flexibility in the therapeutic engagement of youth with complex trauma to more adequately meet their needs.

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关于住院治疗中“隐身疗法”的思考

摘要治疗师的办公室通常对儿童和青少年，尤其是那些遭受过多种创伤的寄宿家庭而言，是一个令人生畏的空间。这种环境可能会阻碍治疗过程，并阻碍临床医师和年轻人之间形成治疗联盟。尽管非常规，但将隐形疗法的方法整合到儿童和青少年的治疗工作中已显示出令人印象深刻的结果，即建立了更强的治疗纽带并使他们在讨论棘手的话题时轻松自在。隐身疗法包括治疗师会见最适合他们的年轻人，并给他们空间和时间来适应治疗师的身影。让青年人对局势有一定的控制权会给他们一种他们可能从未经历过的安全感。一旦年轻人对治疗师感到安全，他们就更有可能公开讨论创伤事件。传统上，如果不向患有现代TRC的复杂创伤青年提供每周正式的心理治疗，则治疗性居家护理（TRC）的治疗师通常会感到内。但是传统心理治疗的门诊模式可以满足TRC中一小部分年轻人的需求。本文介绍了一种替代模型，该模型强调了在具有复杂创伤的年轻人的治疗参与中的创造力和灵活性，以更充分地满足他们的需求。传统上，如果不向患有现代TRC的复杂创伤青年提供每周正式的心理治疗，则治疗性居家护理（TRC）的治疗师通常会感到内。但是传统心理治疗的门诊模式可以满足TRC中一小部分年轻人的需求。本文介绍了一种替代模型，该模型强调了在具有复杂创伤的年轻人的治疗参与中的创造力和灵活性，以更充分地满足他们的需求。传统上，如果不向患有现代TRC的复杂创伤青年提供每周正式的心理治疗，则治疗性居家护理（TRC）的治疗师通常会感到内。但是传统心理治疗的门诊模式可以满足TRC中一小部分年轻人的需求。本文介绍了一种替代模型，该模型强调了在具有复杂创伤的年轻人的治疗参与中的创造力和灵活性，以更充分地满足他们的需求。