This paper uses critical realism to identify mechanisms that activate successful relationships. It draws data from a longitudinal, mixed-methods study of youth who used multiple services. It examines functionality of four relational mechanisms: power, recognition, responsiveness and mutuality that lead to positive change and explores the implications of these for practice with youth with complex needs.

中文翻译：

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创造平衡：促进积极变化的四种关系机制

本文使用批判现实主义来确定激活成功关系的机制。它从对使用多种服务的年轻人进行的纵向、混合方法研究中提取数据。它考察了四种关系机制的功能：权力、认可、响应性和相互性，这些机制导致了积极的变化，并探讨了这些机制对具有复杂需求的年轻人的实践的影响。