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Interação terapeuta-cliente na Psicoterapia Psicodinâmica: Estudo Comparativo do impacto da responsividade num caso de sucesso e num caso de insucesso
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Abstract(s)
Na Terapia para as Fobias a Afetos (TFA), a mudança terapêutica está ligada à capacidade de os clientes obterem uma relação autêntica com suas emoções, processo que envolve a Reestruturação dos Afetos. A literatura sobre psicoterapia tem apontado a responsividade do terapeuta como um fator central no processo de mudança, mas pouco se sabe sobre o impacto específico dessa responsividade na TFA, especialmente em casos de insucesso e de sucesso.
Este estudo teve como propósito analisar a dinâmica da interação terapêutica comparando um caso de insucesso a um caso de sucesso. Foram investigadas as intervenções da terapeuta e as reações do cliente para identificar padrões de interação.
Para a devida análise, foram auditadas e codificadas três sessões de cada caso clínico, utilizando o Sistema de Codificação dos Objetivos Terapêuticos. As interações entre terapeuta e cliente foram examinadas por meio do software State Space Grid, permitindo a identificação de padrões de interação. Além disso, foram reunidas informações qualitativas sobre o processo terapêutico, a partir das perspetivas da terapeuta e dos clientes.
Os resultados demostraram que no caso de insucesso, apesar de o foco ter sido a Reestruturação dos Afetos, surgem respostas defensivas do cliente e inibição ao longo do processo e maior número de interações, enquanto no caso de sucesso surge um trabalho colaborativo com foco nos objetivos terapêuticos propostos e menores números de interações. No entanto, os dados qualitativos revelaram que ambos os clientes apresentaram ganhos relacionados com a terapia.
Esta investigação avança que a responsividade da terapeuta na TFA reveste-se de real importância par que ocorra sucesso na Reestruturação dos Afetos, influenciando diretamente o desfecho da terapia.
In Affect Phobia Therapy (APT), therapeutic change is linked to the ability of clients to achieve an authentic relationship with their emotions, a process that involves Affect Restructuring. The literature on psychotherapy has pointed to the therapist's responsiveness as a central factor in the process of change, but little is known about the specific impact of this responsiveness on APT, especially in cases of failure and success. The purpose of this study was to analyze the dynamics of therapeutic interaction by comparing a case of failure to a case of success. The therapist's interventions and the client's reactions were investigated in order to identify interaction patterns. For this analysis, three sessions of each clinical case were audited and coded using the Therapeutic Objectives Coding System. The interactions between therapist and client were examined using the State Space Grid software, allowing interaction patterns to be identified. In addition, qualitative information about the therapeutic process was gathered from the perspectives of the therapist and the clients. The results showed that in the case of failure, although the focus was on the Restructuring of Affections, there were defensive responses from the client and inhibition throughout the process and a greater number of interactions, while in the case of success there was collaborative work with a focus on the proposed therapeutic objectives and fewer interactions. However, the qualitative data revealed that both clients showed gains related to the therapy. This research shows that the therapist's responsiveness in APT is of real importance for the success of Affect Restructuring, directly influencing the outcome of the therapy.
In Affect Phobia Therapy (APT), therapeutic change is linked to the ability of clients to achieve an authentic relationship with their emotions, a process that involves Affect Restructuring. The literature on psychotherapy has pointed to the therapist's responsiveness as a central factor in the process of change, but little is known about the specific impact of this responsiveness on APT, especially in cases of failure and success. The purpose of this study was to analyze the dynamics of therapeutic interaction by comparing a case of failure to a case of success. The therapist's interventions and the client's reactions were investigated in order to identify interaction patterns. For this analysis, three sessions of each clinical case were audited and coded using the Therapeutic Objectives Coding System. The interactions between therapist and client were examined using the State Space Grid software, allowing interaction patterns to be identified. In addition, qualitative information about the therapeutic process was gathered from the perspectives of the therapist and the clients. The results showed that in the case of failure, although the focus was on the Restructuring of Affections, there were defensive responses from the client and inhibition throughout the process and a greater number of interactions, while in the case of success there was collaborative work with a focus on the proposed therapeutic objectives and fewer interactions. However, the qualitative data revealed that both clients showed gains related to the therapy. This research shows that the therapist's responsiveness in APT is of real importance for the success of Affect Restructuring, directly influencing the outcome of the therapy.
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Keywords
Estudo comparativo Mudança Psicoterapia Responsividade