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Publication
O Modelo de Falloon para intervenção familiar na esquizofrenia: Fundamentação e aspectos técnicos
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Advisor(s)
Abstract(s)
Os autores fazem uma retrospectiva da utilização de
psicoterapia comportamental em famílias de pessoas
com doença mental grave, nomeadamente esquizofrenia,
focando o modelo de Falloon e colaboradores (Terapia
Familiar Comportamental).
Trata-se de uma intervenção unifamiliar, psicoeducativa,
de inspiração comportamental, que pretende
melhorar a capacidade de resolução de problemas no seio
da família.
Os resultados estão bem documentados em termos
clínicos (menores taxas de recaída), psicossociais (melhor
funcionamento socio-ocupacional, menor sobrecarga
familiar) e económicos.
Estas intervenções estão amplamente difundidas na
Europa e EUA, e as suas indicações têm sido alargadas
a diversos campos da psicopatologia do adulto, bem como
da infância e adolescência. Em Portugal, o treino neste
tipo de intervenções tem vindo a ser feito desde 1996,
ainda que, paradoxalmente, sem tradução significativa na
prática clínica de rotina. As dificuldades de implementação
são parcialmente comuns a outras intervenções
com famílias, constituindo uma área merecedora de
investigação específica.
Behavioural interventions have been used with families where there are severe mental health difficulties. Behaviour Family Therapy (Falloon and colleagues) is an effective family intervention for schizophrenia with clear-cut aims. Evidence regarding outcome has been established, either in clinical terms (reduced relapse and hospitalisation rates), psycho-social factors (better social and occupational functioning, reduced family burden) or economic terms (reduced cost of service). It’s a family intervention delivered to individual families within a ‘strengths framework’ – the approach is psychoeducational, and there is a focus on the family acquiring specific coping skills. Behavioural psychoeducational interventions are practiced worldwide, and seems helpful in a wide range of mental health conditions. In Portugal, training in this kind of intervention began in 1996, although with scarce impact in regular clinical practice. Implementation difficulties are shared with other forms of family work and this undoubtedly deserves specific high-quality research.
Behavioural interventions have been used with families where there are severe mental health difficulties. Behaviour Family Therapy (Falloon and colleagues) is an effective family intervention for schizophrenia with clear-cut aims. Evidence regarding outcome has been established, either in clinical terms (reduced relapse and hospitalisation rates), psycho-social factors (better social and occupational functioning, reduced family burden) or economic terms (reduced cost of service). It’s a family intervention delivered to individual families within a ‘strengths framework’ – the approach is psychoeducational, and there is a focus on the family acquiring specific coping skills. Behavioural psychoeducational interventions are practiced worldwide, and seems helpful in a wide range of mental health conditions. In Portugal, training in this kind of intervention began in 1996, although with scarce impact in regular clinical practice. Implementation difficulties are shared with other forms of family work and this undoubtedly deserves specific high-quality research.
Description
Keywords
Esquizofrenia Terapia familiar Terapia comportamental Schizophrenia Family therapy Behavioural therapy
Citation
Análise Psicológica, 25 (2), 241-255.
Publisher
ISPA – Instituto Universitário