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Um olhar sobre as perspectivas do cliente e do terapeuta acerca do uso dos sistemas de feedback em psicoterapia
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| 1.3 MB | Adobe PDF |
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Advisor(s)
Abstract(s)
Objectivo: Várias investigações científicas, incluindo meta-análises, já demonstraram os benefícios do estudo dos sistemas de feedback. Ainda assim, há uma escassez de informação no que diz respeito aos factores que possam influenciar o efeito dos sistemas de feedback. Por existirem estudos que indicam que os resultados possam também ser influenciados pelos efeitos do terapeuta, propomos investigar as perspectivas do cliente e dos terapeutas em relação ao uso dos sistemas de feedback.
Método: Foram realizadas entrevistas qualitativas a dois clientes e os seus respectivos terapeutas, perfazendo um total de quatro participantes. Com o intuito de analisar em profundidade estas entrevistas, recorreu-se a uma metodologia qualitativa, mais precisamente o método fenomenológico de investigação de Giorgi (2009).
Resultados: Como resultado da análise das entrevistas, fora encontradas dimensões comuns aos participantes. Apesar de existirem discrepâncias acerca da atitude perante os sistemas de feedback os clientes estão de acordo ao referirem os sistemas de feedback como sendo pouco fiáveis mas, ainda assim, servem como um guia da evolução clínica. Quanto aos terapeutas, é igualmente notória a sua diferença na atitude perante os sistemas de feedback, o que influencia também a maneira diferente como ambos o utilizavam em terapia.
Conclusões: Os nossos resultados apontam para o facto da atitude dos terapeutas perante os sistemas de feedback predizerem a utilização dos mesmos em terapia. Foram ainda apontados a falta de experiência, falta de prática e incapacidade para transmitir uma cultura de feedback ao cliente, como barreiras para o sucesso na utilização dos sistemas de feedback.
ABSTRACT: Aim: Several scientific investigations, including meta-analyzes, have already demonstrated the benefits of studying feedback systems. Nevertheless, there is a lack of information regarding factors that may influence the effect of feedback systems. Given the existence of studies that indicate that the results may also be influenced by the effects of the therapist, we propose to investigate the perspectives of the client and the therapists regarding the use of the feedback systems. Method: Two clients and their respective therapists were interviewed (qualitative interviews), making a total of four participants. In order to analyze these interviews in depth, a qualitative methodology was used, more precisely the phenomenological method of investigation by Giorgi (2009). Results: As a result of the interview analysis, dimensions common to the participants were found. Although there are discrepancies about attitude towards feedback systems, clients agree that they refer to feedback systems as unreliable but nonetheless serve as a guide to clinical evolution. As for therapists, their different attitude towards feedback systems is equally striking, which also influences the different ways in which they both used the systems in therapy. Conclusions: Our results point out that the attitude of therapists towards feedback systems predicts their use in therapy. Lack of experience, lack of practice and inability to convey a feedback culture to the client were also pointed out as barriers to success in the use of feedback systems.
ABSTRACT: Aim: Several scientific investigations, including meta-analyzes, have already demonstrated the benefits of studying feedback systems. Nevertheless, there is a lack of information regarding factors that may influence the effect of feedback systems. Given the existence of studies that indicate that the results may also be influenced by the effects of the therapist, we propose to investigate the perspectives of the client and the therapists regarding the use of the feedback systems. Method: Two clients and their respective therapists were interviewed (qualitative interviews), making a total of four participants. In order to analyze these interviews in depth, a qualitative methodology was used, more precisely the phenomenological method of investigation by Giorgi (2009). Results: As a result of the interview analysis, dimensions common to the participants were found. Although there are discrepancies about attitude towards feedback systems, clients agree that they refer to feedback systems as unreliable but nonetheless serve as a guide to clinical evolution. As for therapists, their different attitude towards feedback systems is equally striking, which also influences the different ways in which they both used the systems in therapy. Conclusions: Our results point out that the attitude of therapists towards feedback systems predicts their use in therapy. Lack of experience, lack of practice and inability to convey a feedback culture to the client were also pointed out as barriers to success in the use of feedback systems.
Description
Dissertação de Mestrado apresentada no ISPA - Instituto Universitário, na especialidade de Psicologia Clínica.
Keywords
Investigação em psicoterapia Sistemas de feedback Perspectiva do cliente Perspectiva do terapeuta Método fenomenológico Psychotherapy research Feedback systems Cliente perspective Therapist perspective Phenomenological method