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Publication
Intervenções do psicoterapeuta e mudanças de narrativa produzidas nos pacientes
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Abstract(s)
Objetivo: O objetivo passou por rever a literatura sobre fatores específicos e comuns aos modelos terapêuticos e o impacto destes na aliança terapêutica e no outcome em psicoterapia. Método: Efetuou-se uma pesquisa em várias bases de dados eletrónicas com os termos de pesquisa “fatores comuns”, “fatores específicos” e “psicoterapia” em português e inglês. Resultados: A literatura tem considerado "fatores comuns" como um indicador de que todas as formas de tratamento são igualmente eficazes. Sugere também que os fatores comuns são mais importantes para um resultado positivo do que as técnicas específicas. Conclusões: Recomenda-se que os programas de formação clínica mantenham um foco nos fatores comuns, em particular na aliança terapêutica. No futuro deve investigar-se a importância dos fatores comuns tal como são percebidos pelos clínicos, utilizar amostras maiores e tentar diferenciar entre perceções e orientação teórica.
Objective: The aim was to review the literature on specific and common factors across therapeutic models and their impact on the therapeutic alliance and outcome in psychotherapy. Method: A search was conducted in several electronic databases using the search terms "common factors", "specific factors" and "psychotherapy" in Portuguese and English. Results: The literature has considered "common factors" as an indicator that all forms of treatment are equally effective. It also suggests that common factors are more important for a positive outcome than specific techniques. Conclusions: It is recommended that clinical training programs maintain a focus on common factors, in particular the therapeutic alliance. Future research should investigate the importance of common factors as perceived by clinicians, use larger samples, and try to differentiate between perceptions and theoretical guidance.
Objective: The aim was to review the literature on specific and common factors across therapeutic models and their impact on the therapeutic alliance and outcome in psychotherapy. Method: A search was conducted in several electronic databases using the search terms "common factors", "specific factors" and "psychotherapy" in Portuguese and English. Results: The literature has considered "common factors" as an indicator that all forms of treatment are equally effective. It also suggests that common factors are more important for a positive outcome than specific techniques. Conclusions: It is recommended that clinical training programs maintain a focus on common factors, in particular the therapeutic alliance. Future research should investigate the importance of common factors as perceived by clinicians, use larger samples, and try to differentiate between perceptions and theoretical guidance.
Description
Dissertação de Mestrado apresentada no ISPA – Instituto Universitário para obtenção de grau de Mestre na especialidade de Psicologia Clínica.
Keywords
Investigação de processos Fatores específicos fatores comuns Aliança terapêutica Outcome em psicoterapia Process investigation Specific factors Common factors Therapeutic alliance Psychotherapy outcome