ABSTRACT

Perhaps the most important distinction between the child and the adult client is that children with difficulties rarely seek help themselves. Rather, they are typically referred for help by concerned others, usually the child’s family or teachers. It should not be assumed that because the child is deeply unhappy about his or her circumstances and strongly desires change to take place that professional intervention will be welcomed or accepted. Many forms of therapy, particularly the psychotherapies, are based upon an assumption that the client is a willing participant who actively wishes to change. The reality is that many children who are brought to therapists come unwillingly and respond only because of the power imbalances which they perceive. Furthermore, successful work with children is likely to involve direct support and intervention from others, such as parents, teachers, social workers and peers.