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Relações de objeto e mecanismos de defesa ao longo da psicoterapia psicanalítica: dois estudos de caso sistemático
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Advisor(s)
Abstract(s)
Problema: Os estudos empíricos sobre as representações das relações de objeto e o
funcionamento defensivo durante o processo psicoterapêutico são escassos, não havendo nenhum
que tenha relacionado os dois conceitos com o O Object Relations Inventory e as Defense
Mechanisms Rating Scales. Objectivo: Estudar as relações entre os níveis das representações das
relações de objeto, a utilização de mecanismos de defesa e alteração do funcionamento defensivo,
em duas pacientes com organizações de personalidade distintas, seguidas pelo mesmo
psicoterapeuta ao longo de uma psicoterapia de inspiração psicanalítica com duração de dois
anos. Método: Foram usados o Object Relations Inventory (ORI: Blatt et. al, 1992) e as Defense
Mechanisms Rating Scales (DMRS: Perry, 1990) para avaliação de 4 sessões gravadas em áudio
do início, 6, 12 18, e 24 meses de terapia. Resultados: A descrição da variabilidade na qualidade
das representações da relação de objeto permitiu conferir a existência de relação entre a
variabilidade nas representações da relação de objeto e os níveis globais do funcionamento
defensivo, ao longo do processo terapêutico. As mudanças verificadas são sintomáticas.
ABSTRACT Objective: Empirical studies on the representations of object relations and the defensive operation during the psychotherapeutic process are scarce and there is none that has the two concepts associated with the Object Relations Inventory and Defense Mechanisms Rating Scales. Method: Study the relationship between levels of representations of object relations, the use of defense mechanisms and modification of defensive functioning in two patients with different personality organizations, followed by the same therapist over a psychoanalytic inspiration psychotherapy with two length years. Results: We used the Object Relations Inventory (ORI: Blatt et. al, 1992) and the Defense Mechanisms Rating Scales (DMRS: Perry, 1990) 4 sessions for evaluation recorded in audio from the beginning, 6, 12, 18, and 24 months of therapy. Conclusions: The description of the variability in the quality of the object relationship representations allowed to check the existence of a relationship between variability in the representations of object relationship and overall levels of defensive functioning throughout the therapeutic process. The changes that are symptomatic.
ABSTRACT Objective: Empirical studies on the representations of object relations and the defensive operation during the psychotherapeutic process are scarce and there is none that has the two concepts associated with the Object Relations Inventory and Defense Mechanisms Rating Scales. Method: Study the relationship between levels of representations of object relations, the use of defense mechanisms and modification of defensive functioning in two patients with different personality organizations, followed by the same therapist over a psychoanalytic inspiration psychotherapy with two length years. Results: We used the Object Relations Inventory (ORI: Blatt et. al, 1992) and the Defense Mechanisms Rating Scales (DMRS: Perry, 1990) 4 sessions for evaluation recorded in audio from the beginning, 6, 12, 18, and 24 months of therapy. Conclusions: The description of the variability in the quality of the object relationship representations allowed to check the existence of a relationship between variability in the representations of object relationship and overall levels of defensive functioning throughout the therapeutic process. The changes that are symptomatic.
Description
Dissertação de mestrado apresentada ao ISPA - Instituto Universitário
Keywords
Relações de objeto Representação de objeto Mecanismos de defesa Psicoterapia psicanalítica Psychoanalytic psychotherapy Therapeutic change