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Impacto da mudança psicoterapêutica nas características da personalidade
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Advisor(s)
Abstract(s)
O objetivo deste estudo consistiu em analisar as variáveis envolvidas no processo
terapêutico de orientação psicodinâmica e analisar as características da personalidade de
dois casos, ao longo da terapia, tendo em consideração determinadas mudanças, na
forma como estas progridem e se alteram, admitindo que esta alteração seja distinta em
pacientes com traços específicos da personalidade. A mudança foi avaliada através do
instrumento CHAP (Changes After Psychotherapy, Sandell, 1987), tendo como
variáveis de mudança, Sintomas, Capacidade Adaptativa, Insight, Conflitos Básicos e
Fatores Extra-Terapêuticos. A personalidade foi avaliada através do instrumento
SWAP-200 (Shedler-Westen Assessment Procedure).
Foram auditadas 57 sessões da primeira paciente e 56 sessões da segunda
paciente, que correspondem a um período de dois anos e meio de terapia em ambos os
casos. Os resultados obtidos demonstraram que, no primeiro caso, surgiram mudanças
ao nível da Capacidade Adaptativa e dos Sintomas, com pouca alteração nas variáveis
Insight e Conflitos Básicos. No segundo caso, as mudanças ocorreram com valores
elevados nas variáveis Insight e Capacidade Adaptativa, com pouca mobilização de
mudanças em Conflitos Básicos. Relativamente às características da personalidade, na
primeira paciente, evidenciaram-se ao nível da sintomatologia depressiva. No caso da
segunda paciente, obtiveram-se traços de personalidade Obsessivo-Compulsiva. No
entanto, em ambos os casos, constatou-se um bom nível de funcionamento mental,
sobretudo no seu progresso ao longo da terapia.
ABSTRACT: The objective of this study was to analyze the variables involved in the therapeutic process of psychodynamic orientation and analyze the personality characteristics of two cases, during therapy, taking into account certain changes in how they progress and change, if that amendment is distinct in patients with specific personality traits. The change was assessed using CHAP instrument (Changes After Psychotherapy, Sandell, 1987), with the change of variables, Symptoms, Adaptive Capacity, Insight, Conflict and Basic Factors Extra-Therapeutic. Personality was assessed using the SWAP-200 instrument (Shedler-Westen Assessment Procedure). 57 sessions were audited of the first patient and the second patient 56 sessions, which corresponds to a period of two and a half years of therapy in both cases. The results showed that in the first case, there were changes at the level of adaptive capacity and symptoms, with little change in the variables Insight and Basic Conflict. In the second case, the changes occurred with high values in the variables Insight and Adaptive Capacity, with little mobilization of changes in Basic Conflict. With regard to personality traits, in the first case, showed up at the level of depressive symptoms. For the second patient was obtained Obsessive-compulsive personality traits. However, in both cases, there was a good level of mental functioning, especially in their progress along therapy.
ABSTRACT: The objective of this study was to analyze the variables involved in the therapeutic process of psychodynamic orientation and analyze the personality characteristics of two cases, during therapy, taking into account certain changes in how they progress and change, if that amendment is distinct in patients with specific personality traits. The change was assessed using CHAP instrument (Changes After Psychotherapy, Sandell, 1987), with the change of variables, Symptoms, Adaptive Capacity, Insight, Conflict and Basic Factors Extra-Therapeutic. Personality was assessed using the SWAP-200 instrument (Shedler-Westen Assessment Procedure). 57 sessions were audited of the first patient and the second patient 56 sessions, which corresponds to a period of two and a half years of therapy in both cases. The results showed that in the first case, there were changes at the level of adaptive capacity and symptoms, with little change in the variables Insight and Basic Conflict. In the second case, the changes occurred with high values in the variables Insight and Adaptive Capacity, with little mobilization of changes in Basic Conflict. With regard to personality traits, in the first case, showed up at the level of depressive symptoms. For the second patient was obtained Obsessive-compulsive personality traits. However, in both cases, there was a good level of mental functioning, especially in their progress along therapy.
Description
Dissertação de Mestrado apresentada ao ISPA - Instituto Universitário
Keywords
Mudança Processo terapêutico Personalidade Change Therapeutic process Personality