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Publication
Psicopatologia e existĂȘncia: Uma complementaridade de abordagens em contexto hospitalar: Estudo caso Rita
Advisor(s)
Abstract(s)
Objetivo: Compreender a vantagem da complementaridade de abordagens terapĂȘuticas
numa perspetiva integrativa, recorrendo para alĂ©m do Modelo Cognitivo â
Comportamental, maioritariamente utilizado em contexto hospitalar, ao Modelo
Existencial.
Método: Aplicação de provas objetivas e projetivas, entrevista para estudo de caso, num
total de catorze sessĂ”es, focadas na experiĂȘncia subjetiva de ser no mundo, recorrendo Ă
Abordagem Existencial.
Resultados: foi possĂvel atravĂ©s da Abordagem Cognitiva - Comportamental e dos testes
objetivos, analisar que Rita tem um funcionamento psĂquico Estado Limite, PP Anti â
Social, Hostilidade e Ideação Paranoide, Depressão Major, Suporte Social Deficitårio e
Risco Elevado de SuicĂdio. Na Abordagem Existencial foi possĂvel compreender a forma
de Ser - no - Mundo de Rita, nas dimensÔes Umwelt, Mitwelt, Eigenwelt e Uberwelt, tendo
sido narrado por Rita um enorme vazio existencial, isolamento, solidĂŁo, e sentimento de
nĂŁo responsabilidade pelo seu projeto de vida. Foi ainda importante compreender as
questĂ”es da corporalidade e temporalidade enquanto fazendo parte de uma existĂȘncia
inautĂȘntica.
ConclusĂ”es: foi possĂvel concluir que a complementaridade das Abordagens Cognitivo -
Comportamental e Existencial em contexto hospitalar, contribui positivamente para a
intervenção terapĂȘutica, uma vez que a integração de uma segunda abordagem contribui
para a confiança de relação entre psicĂłlogo e paciente, permitindo um trabalho terapĂȘutico
conjunto, baseado no Ser - no - Mundo do indivĂduo e na sua experiĂȘncia subjetiva e nĂŁo
apenas na sintomatologia e patologia com a qual o indivĂduo Ă© diagnosticado.
Objective: To understand the advantage of the complementary of therapeutic approaches in an integrative perspective, resorting beyond the Cognitive â Behavioral model mostly used in hospital context, to the Existential Model. Method: Application of objective and projective evidence, interview for a case study, in a total of fourteen sessions, focused on the subjective experience of being in the world using the Existential approach. Results: it was possible to analyze through the Cognitive â Behavioral approach and objective tests, that Rita has a psychic functioning borderline, PP Anti â Social, Hostility and Paranoid Ideation, Major Depression, Social Support Deficit and High Risk of Suicide. In the Existential approach, it was possible to understand RitaÂŽs way of being in the Umwelt, Mitwelt, Eigenwelt and Uberwelt dimensions, and Rita reported an great Existential emptiness, isolation, loneliness, and sense of non-responsibility for her life project. It was important as well, understanding RitaÂŽs questions about her corporality and temporality while being part of an inauthentic existence. Conclusions: it was possible to conclude that the complementary of Cognitive â Behavioral and existential approaches in the hospital context contributes positively to the therapeutic intervention, since the integration of a second approach contributes to the trust of the relationship between psychologist and patient, allowing a joint therapeutic work, based on being in the world of the individual and their subjective experience and not only on the symptomatology with which the individual is diagnosed.
Objective: To understand the advantage of the complementary of therapeutic approaches in an integrative perspective, resorting beyond the Cognitive â Behavioral model mostly used in hospital context, to the Existential Model. Method: Application of objective and projective evidence, interview for a case study, in a total of fourteen sessions, focused on the subjective experience of being in the world using the Existential approach. Results: it was possible to analyze through the Cognitive â Behavioral approach and objective tests, that Rita has a psychic functioning borderline, PP Anti â Social, Hostility and Paranoid Ideation, Major Depression, Social Support Deficit and High Risk of Suicide. In the Existential approach, it was possible to understand RitaÂŽs way of being in the Umwelt, Mitwelt, Eigenwelt and Uberwelt dimensions, and Rita reported an great Existential emptiness, isolation, loneliness, and sense of non-responsibility for her life project. It was important as well, understanding RitaÂŽs questions about her corporality and temporality while being part of an inauthentic existence. Conclusions: it was possible to conclude that the complementary of Cognitive â Behavioral and existential approaches in the hospital context contributes positively to the therapeutic intervention, since the integration of a second approach contributes to the trust of the relationship between psychologist and patient, allowing a joint therapeutic work, based on being in the world of the individual and their subjective experience and not only on the symptomatology with which the individual is diagnosed.
Description
Dissertação de Mestrado no ISPA â Instituto UniversitĂĄrio para obtenção de grau de Mestre na especialidade de
Psicologia ClĂnica
Keywords
Abordagem cognitiva-comportamental Abordagem existencial Contexto hospitalar Estudo de caso Cognitive model Existential model Hospital context Case study