Abstract
Objective: To explore psychotherapists' experience of the challenges that occur when they try to establish contact and a therapeutic bond with adolescents in therapy. Design: Qualitative interviews with psychotherapists. A descriptive and hermeneutically informed phenomenological approach was used to analyse the transcripts. Participants: Nine psychotherapists who volunteered to take part in the study were recruited from two outpatient child and adolescent psychiatric clinics in the Bergen area of western Norway. Results: The most common challenges reported by the therapists were: (1) Getting to know the problem in a way that makes it into something that can be worked on together, (2) Finding a role as a therapist, (3) Motivating the adolescent to be personally engaged, (4) Establishing a common frame for joint meaning making, and (5) Handling ambivalence. Conclusion: Psychotherapists working with adolescent patients share some common dilemmas, but differ strongly in their solutions to these dilemmas. The results underline the value of exploring psychotherapists' subjective experience of dilemmas in therapy.
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