'Can I (let you let me) leave?’ Therapy with the adolescent and his family

Abstract

A number of dimensions are reviewed in relation to adolescence. The focus is primarily on adolescence in the context of the family, but it is acknowledged that this is an arbitrary and restricted view of wider social and cultural contexts. It is briefly suggested why this area of work may have been under‐represented in professional work in the past. An outline is given of varying ways of defining adolescence, and the impact of this developmental stage in the family life cycle for the adolescent and his family. Within this context, choices must be made over approaches to treatment, and a structural hierarchical framework is proposed. Some of these dilemmas are discussed in relation to therapy with a family where the presenting problem was drug addiction in the younger son. This case was chosen for the many difficulties it raised for the therapist and the other professionals directly involved. The subsequent discussion looks at the implications of some of the mistakes made in therapeutic strategy. Copyright © 1981, Wiley Blackwell. All rights reserved