A brief history of the development of children's rights provides a con
text to discuss four areas the child psychotherapist needs to safeguar
d regarding these rights: informed consent; distinguishing between the
child's withdrawal of consent and resistance in therapy; the distinct
ion between ''difficult to treat'' and ''unsuitable for treatment'' ca
ses; and empathic listening. Family dysfunction and ''managed care'' p
ose further challenges to preserving children's rights in therapy. Pri
nciples related to the well-being of the child in psychotherapy are of
fered.