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O Impacto da aliança terapêutica e da relação real no resultado do processo terapêutico
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Abstract(s)
A exploração da relação entre dois dos componentes da relação terapêutica, a Aliança Terapêutica (AT) e a Relação Real (RR) contribui para o aumento do conhecimento da sua influência na redução da sintomatologia dos clientes durante o processo psicoterapêutico. Tendo por base o Modelo Tripartido da Relação Terapêutica de Gelso (1994), o presente estudo visa avaliar a contribuição específica da AT e da RR para os resultados e investigar se existe interação entre eles ao longo do tempo. Estudos anteriores sugerem que tanto a AT quanto a RR desempenha papéis críticos na eficácia da terapia, com dados indicando uma correlação moderada a forte entre esses fatores e os resultados terapêuticos. A amostra do estudo foi constituída por 33 clientes adultos, de ambos os sexos, e com idades compreendidas entre os 20 e os 57 anos, a realizar psicoterapia psicodinâmica e os respetivos terapeutas. Utilizou-se um delineamento longitudinal para analisar a evolução da experiência emocional e da sintomatologia ao longo das sessões, com recurso a instrumentos de autorrelato como o WAI-SR e WAI-SRT, OQ-10, RRI-C e RRI-T e o EE-SR e EE-TR, no final de cada sessão. Os resultados indicam uma diminuição significativa na sintomatologia e um aumento na experiência emocional dos clientes ao longo do tratamento. No entanto, os resultados mostraram padrões inconsistentes entre as dimensões da AT e da RR, sugerindo a possibilidade de relações não lineares entre as variáveis. A investigação contribui para a compreensão do papel das dimensões relacionais na eficácia da psicoterapia e aponta para a necessidade de mais estudos que analisem conjuntamente os efeitos da AT e da RR nos resultados terapêuticos.
Investigating the relationship between two components of the therapeutic relationship, the Therapeutic Alliance (TA) and the Real Relationship (RR), contributes to a deeper understanding of their influence on the reduction of clients' symptoms during the psychotherapeutic process. Based on Gelso's Tripartite Model of the Therapeutic Relationship (1994), the present study aims to evaluate the specific contributions of TA and RR to outcomes and investigate whether there is an interaction between them over time. Previous studies suggest that both TA and RR play critical roles in the effectiveness of therapy, with data indicating a moderate to strong correlation between these factors and therapeutic outcomes. The study sample consisted of 33 adult clients, aged between 20 and 57, undergoing psychodynamic psychotherapy, along with their respective therapists. A longitudinal design was used to analyze the evolution of emotional experience and symptomatology over the course of the sessions, employing self-report instruments such as the WAI-SR and WAI-SRT, OQ-10, RRI-C and RRI-T, and the EE-SR and EE-TR at the end of each session. The results indicate a significant decrease in symptomatology and an increase in clients' emotional experience throughout the treatment. However, the findings revealed inconsistent patterns between the dimensions of TA and RR, suggesting the possibility of non-linear relationships between the variables. This research contributes to the understanding of the role of relational dimensions in the effectiveness of psychotherapy and highlights the need for further studies that jointly analyze the effects of TA and RR on therapeutic outcomes.
Investigating the relationship between two components of the therapeutic relationship, the Therapeutic Alliance (TA) and the Real Relationship (RR), contributes to a deeper understanding of their influence on the reduction of clients' symptoms during the psychotherapeutic process. Based on Gelso's Tripartite Model of the Therapeutic Relationship (1994), the present study aims to evaluate the specific contributions of TA and RR to outcomes and investigate whether there is an interaction between them over time. Previous studies suggest that both TA and RR play critical roles in the effectiveness of therapy, with data indicating a moderate to strong correlation between these factors and therapeutic outcomes. The study sample consisted of 33 adult clients, aged between 20 and 57, undergoing psychodynamic psychotherapy, along with their respective therapists. A longitudinal design was used to analyze the evolution of emotional experience and symptomatology over the course of the sessions, employing self-report instruments such as the WAI-SR and WAI-SRT, OQ-10, RRI-C and RRI-T, and the EE-SR and EE-TR at the end of each session. The results indicate a significant decrease in symptomatology and an increase in clients' emotional experience throughout the treatment. However, the findings revealed inconsistent patterns between the dimensions of TA and RR, suggesting the possibility of non-linear relationships between the variables. This research contributes to the understanding of the role of relational dimensions in the effectiveness of psychotherapy and highlights the need for further studies that jointly analyze the effects of TA and RR on therapeutic outcomes.
Description
Keywords
Aliança terapêutica Relação real Experiência emocional Sintomatologia