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E depois da psicoterapia? Sintomas, satisfação e momentos marcantes do encontro clínico
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Abstract(s)
Objetivo. O abandono da psicoterapia pode limitar o impacto da mesma. As características do psicoterapeuta e o que acontece durante as sessões também podem ajudar a explicar o porquê do abandono. O presente estudo comparou clientes que completaram e clientes que abandonaram a psicoterapia, analisando a atual sintomatologia e a satisfação. Exploraram-se também as características do psicoterapeuta (i.e., facilitadoras e inibidoras do processo terapêutico), bem como os momentos significativos da psicoterapia.
Método. 73 ex-clientes participaram no estudo, sendo que 29 tinham abandonado e 44 completado a terapia. Comparou-se os níveis de satisfação e sintomas reportados pelos dois grupos. As características do psicoterapeuta e momentos foram analisados através da análise de conteúdo das respostas dos clientes.
Resultados. Não existe diferença na satisfação, nem na sintomatologia entre os clientes que tiver um término planeado e os que desistiram da psicoterapia. No geral, os psicoterapeutas foram percecionados favoravelmente, e os momentos significativos relatam experiências positivas. Observa-se uma maior satisfação nos ex-clientes que não fizeram referência a características inibidoras do psicoterapeuta comparando com os que mencionaram alguma característica que os inibiu.
Discussão. Os resultados sugerem que o abandono da psicoterapia não se traduz sempre num acontecimento negativo. Parece não existir associação entre os momentos descritos como significativos durante as sessões e os grupos de ex-clientes. A avaliação dos terapeutas é relevante, quando incide sobre características inibidoras do processo.
Objective. The dropout in psychotherapy might limit the impact of it. Therapist characteristics and what happens during the therapy may also explain why the dropout occurs. The present study compared dropout clients and completers, analyzing the current psychopathological symptoms and the satisfaction with last psychotherapy. There were explored as well, the therapist characteristics (e.g., facilitators and inhibitors of change), and the helpful and hindering events during psychotherapy. Method. 73 ex-clients participated in the study, with 29 dropouts and 44 completers. Reported satisfaction and symptom levels were compared between groups. Therapist characteristics and significant events were analyzed through content analysis from clients’ answers. Results. There are no differences in satisfaction and symptomatology between dropout clients and completers. In general, the therapists were favorably precepted, and the significant events related positive experiences. It has been observed a highest level of satisfaction in ex-clients who didn´t mention inhibitory therapist characteristics from the ones perceived inhibition. Discussion. The results emphasize that dropout not always means an negative happening. Seems that there isn´t association with the significant events described and the two ex-clients’ groups. The therapists’ evaluation is relevant, when focused on the inhibitor characteristics of the process.
Objective. The dropout in psychotherapy might limit the impact of it. Therapist characteristics and what happens during the therapy may also explain why the dropout occurs. The present study compared dropout clients and completers, analyzing the current psychopathological symptoms and the satisfaction with last psychotherapy. There were explored as well, the therapist characteristics (e.g., facilitators and inhibitors of change), and the helpful and hindering events during psychotherapy. Method. 73 ex-clients participated in the study, with 29 dropouts and 44 completers. Reported satisfaction and symptom levels were compared between groups. Therapist characteristics and significant events were analyzed through content analysis from clients’ answers. Results. There are no differences in satisfaction and symptomatology between dropout clients and completers. In general, the therapists were favorably precepted, and the significant events related positive experiences. It has been observed a highest level of satisfaction in ex-clients who didn´t mention inhibitory therapist characteristics from the ones perceived inhibition. Discussion. The results emphasize that dropout not always means an negative happening. Seems that there isn´t association with the significant events described and the two ex-clients’ groups. The therapists’ evaluation is relevant, when focused on the inhibitor characteristics of the process.
Description
Dissertação de Mestrado apresentada no
ISPA – Instituto Universitário para obtenção de grau de
Mestre na especialidade de Mestre em Psicologia Clínica
Keywords
Psicoterapia abandono Satisfação Características do psicoterapeuta Momentos significativos Psychotherapy Dropout Satisfaction Therapist characteristics Significant events