{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T01:41:13Z","timestamp":1781833273784,"version":"3.54.5"},"reference-count":36,"publisher":"Guilford Publications","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychodynamic Psychiatry"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:p> Engaging the silent adolescent is a major psychotherapeutic challenge. This article presents a comprehensive approach to this problem, illustrated with clinical material. This approach emphasizes a careful diagnostic assessment, including an assessment of the patient's level of personality organization and capacities to participate in psychodynamic psychotherapy. Three approaches to the silent teenager are explored in depth: a mostly supportive approach focused on containment of maladaptive behaviors; a psychodynamic approach with supportive elements focused on demonstrating safety through humor, play, normalization, and self-disclosure while exploring the patient's automatic relationship patterns; and a psychodynamic approach using transference-focused psychotherapy for adolescents (TFP-A), aimed at effecting long-lasting changes in the patient's views of self and others and their characteristic ways of managing conflict and stress, with gradual movement from a tendency for controlling, protective silence to vulnerable, cooperative sharing. <\/jats:p>","DOI":"10.1521\/pdps.2023.51.2.185","type":"journal-article","created":{"date-parts":[[2023,6,1]],"date-time":"2023-06-01T13:00:42Z","timestamp":1685624442000},"page":"185-205","source":"Crossref","is-referenced-by-count":5,"title":["The Sound of Silence: Engaging the Quiet Adolescent"],"prefix":"10.1521","volume":"51","author":[{"given":"Alexander H.","family":"Sheppe","sequence":"first","affiliation":[{"name":"Assistant Clinical Professor of Psychiatry, Columbia University Vagelos College of Physicians and Surgeons"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1080\/0075417X.2020.1830297","volume":"46","author":"Acheson R.","year":"2020","journal-title":"Journal of Child Psychotherapy"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1080\/0075417X.2013.806053","volume":"39","author":"Anagnostaki L.","year":"2013","journal-title":"Journal of Child Psychotherapy"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1177\/000306516100900103","volume":"9","author":"Arlow J. 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