"Perceived treatment difficulty and therapeutic alliance on an adolescent psychiatric hospital unit": Erratum

Reports an error in "Perceived treatment difficulty and therapeutic alliance on an adolescent psychiatric hospital unit" by Donald B. Colson, Carol Cornsweet, Thomas Murphy, and Flynn O'Malley et al ( American Journal of Orthopsychiatry, 1991[Apr], Vol 61[2], 221-229). In the abstract, the opening phrase, which refers to "a 69-patient adolescent psychiatric hospital unit," is incorrect. In fact, an 8-bed unit was studied, and staff members rated 69 patients over the course of more than one year by collecting data on each near time of discharge. (The following abstract of the original article appeared in record 1991-25550-001.) Examined treatment difficulty in 68 hospitalized adolescents (aged 10–17 yrs) and 1 6-yr-old with personality, conduct, major affective, psychotic, or other childhood/adolescent disorders using a set of rating scales developed by D. B. Colson et al (1990). Interrelationships among treatment difficulty, therapeutic alliance, patient problems, family involvement, and progress were studied. Four clusters of patient problems contributed to treatment difficulty in these Ss: angry defiance, inaccessibility, self-endangering behavior, and cognitive-social impairment. The most difficult Ss were male and tended to score higher on angry defiance, the patient problem most highly correlated with overall treatment difficulty. Four case histories are presented. (PsycInfo Database Record (c) 2022 APA, all rights reserved)