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Time-Limited Psychotherapy With Adolescents

Received October 15, 1999; revised January 3, 2000; accepted February 3, 2000. From the Department of Psychology, The Hebrew University, The Israel Psychoanalytic Institute, and the Latner Institute for Psychotherapy Research, Herzog-Ezrat Nashim Hospital, Jerusalem. Address correspondence to Dr. Shefler, Department of Psychology, Hebrew University, Mount Scopus, Jerusalem 95105 Israel; e-mail: msshef{at}mscc.huji.ac.il

Short-term dynamic therapies, characterized by abbreviated lengths (10–40 sessions) and, in many cases, preset termination dates, have become more widespread in the past three decades. Short-term therapies are based on rapid psychodynamic diagnosis, a therapeutic focus, a rapidly formed therapeutic alliance, awareness of termination and separation processes, and the directive stance of the therapist. The emotional storm of adolescence, stemming from both developmental and psychopathological sources, leaves many adolescents in need of psychotherapy. Many adolescents in need of therapy resist long-term attachment and involvement in an ambiguous relationship, which they experience as a threat to their emerging sense of independence and separateness. Short-term dynamic therapy can be the treatment of choice for many adolescents because it minimizes these threats and is more responsive to their developmental needs. The article presents treatment and follow-up of a 17-year-old youth, using James Mann's time-limited psychotherapy method.

Key Words: Childhood and Adolescence • Short-Term Dynamic Psychotherapy

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