ABSTRACT
This chapter outlines the central underlying assumptions that help the therapist approach the child or teen in a way that encourages focusing on the child’s adaptive strengths and capacity for healing. The therapist creates a relationship where there is both validation of existing feelings and encouragement to master new tasks. The therapist conveys the belief that the child or teen can and will improve, but that ultimately they are in charge of their own growth and progress. The therapist takes a practical approach to manage disabling symptoms and respects that symptoms are multiply determined. In their approach to the child, the therapist embodies a reversal of the power dynamic in which the child felt objectified and helpless. Instead, the child needs to feel control and reciprocity in this new kind of relationship as they develop trust with the therapist.
