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Experiência Emocional na psicoterapia: perfis de evolução e concordância entre perspetivas na díade terapêutica
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Advisor(s)
Abstract(s)
A
Terapia para a Fobia aos Afetos ( é um modelo de terapia psicodinâmic a segundo o
qual a experiência e expressão das emoções se constitu em como um mecanismo
fundamenta l para a obtenção de resultados. A investigação ao nível da E xperiência
E mocional (EE tem vindo a indic á la como preditor a de melhores resultados terapêuticos,
contudo a compreensão desta variável ainda é limitada. O presente estudo pretendeu
i dentificar perfis de evolução da EE e averiguar a exist ência de concordância vs.
discordância entre os perfis de evolução da EE relatada pelos clientes (EE C) e pelos seus
terapeutas (EE T)T), assim como descrever a influência deste s fenómeno s nos resultados
terapêuticos A amostra foi constituída por 2 psicólogos e 14 clientes que se encontravam
em acompanhamento psicoterapêutico de acordo com a TFA, no Serviço de Psicologia da
Universidade do Algarve. Após cada sessão, os clientes responderam a medidas sobre a
sua EE e sintomatologia, enquanto os terapeutas responderam a uma medida sobre a EE do
cliente. Através da análise dos dados com recurso ao Modelo Linear Hierá r quico,
verificamos que a EE C se manteve constante ao longo do tempo e não se relacionou com
os resultados, enquanto a EE T evoluiu de forma crescente e mostrou se asso ciada à
diminuição da sintomatologia. Por sua vez, com recurso às regressões polinomiais em
combinação com a Análise de Superfície de Resposta, verificou se que concordância entre
as perspetivas não se associou aos resultados da terapia . Contudo, os resultados sug er em
que poderá existir uma associação entre a discordância e os resultados, sendo que com a
EE C superior à EE T se verificou maior sintomatologia e, por comparação, quando a EE
T foi superior à EE C verificou se menor sintomatologia Esta mesma associação entre a
discordância e os resultados também se observou de forma mais evidente na sessão 20 . As
conclusões encontradas sugerem que , tanto o perfil de evolução da EE, como o efeito que
este tem nos resultados diferem entre perspetivas. Permitiram ainda dar uma contribuição
inicial para o estudo da concordância (vs discordância) neste modelo terapêutico
Affect Phobia Therapy (A P T ) is a is a model of psychodynamic therapy in which the experience and expression of emotions is a fundamental mechanism for achieving results. Research on Emotional Experience (EE) has been indicating it as a predictor of better therapeutic outcomes, however the understanding of this variable is still limited. T he current st udy aimed at identifying EE evolution profiles and investigating the existence of agreement (vs. disagreement) between the EE evolution profiles reported by clients (C EE) and by their therapists (T E E), as well as describing the influence of these phenome na on therapeutic outcome. The sample included 2 psychologists and 14 clients undergoi n g psychotherap y according to A FT , at the p sychology center of the University of Algarve. After each session, the clients answered measures about their EE and symptomatology, while the therapists answered a measure about the client's EE. Through data analysis using the Hierarchical Linear Model, we found that the C E E remained constant over time and was not related to the results, while the T E E evolved increasingly and was associated with a decrease in symptomatology. In turn, using polynomial regressions combined with Response Surface Analysis, we found that agre ement between perspectives was not associated with therapy outcomes. However, the results suggest that there may be an association between disagreement and outcomes, as the C E E was higher than the T E E and, by comparison, when the T E E was higher than the C E E, there was less symptomatology. This same association between disagreement and the results was also more evident in session 20. The conclusions found suggest that both the profile of the evolution of EE and the effect it has on the results differ bet ween perspectives . They also allowed us to make an initial contribution to the study of agreement (vs. disagreement) in this therapeut ic model
Affect Phobia Therapy (A P T ) is a is a model of psychodynamic therapy in which the experience and expression of emotions is a fundamental mechanism for achieving results. Research on Emotional Experience (EE) has been indicating it as a predictor of better therapeutic outcomes, however the understanding of this variable is still limited. T he current st udy aimed at identifying EE evolution profiles and investigating the existence of agreement (vs. disagreement) between the EE evolution profiles reported by clients (C EE) and by their therapists (T E E), as well as describing the influence of these phenome na on therapeutic outcome. The sample included 2 psychologists and 14 clients undergoi n g psychotherap y according to A FT , at the p sychology center of the University of Algarve. After each session, the clients answered measures about their EE and symptomatology, while the therapists answered a measure about the client's EE. Through data analysis using the Hierarchical Linear Model, we found that the C E E remained constant over time and was not related to the results, while the T E E evolved increasingly and was associated with a decrease in symptomatology. In turn, using polynomial regressions combined with Response Surface Analysis, we found that agre ement between perspectives was not associated with therapy outcomes. However, the results suggest that there may be an association between disagreement and outcomes, as the C E E was higher than the T E E and, by comparison, when the T E E was higher than the C E E, there was less symptomatology. This same association between disagreement and the results was also more evident in session 20. The conclusions found suggest that both the profile of the evolution of EE and the effect it has on the results differ bet ween perspectives . They also allowed us to make an initial contribution to the study of agreement (vs. disagreement) in this therapeut ic model
Description
Keywords
Terapia para a fobia de afetos Experiência emocional Perfil Concordância Modelo linear hierárquico Análise de superfície de resposta