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Publication
A capacidade de persuasão do psicoterapeuta e a aliança terapêutica
Authors
Advisor(s)
Abstract(s)
Objetivo: Uma aliança terapêutica de qualidade está fortemente correlacionada com melhores
outcomes terapêuticos (Feinstein, Heiman & Yager, 2015). Em simultâneo, as caraterísticas e
efeitos do terapeuta são fatores influentes, tanto para uma terapia mais eficaz, como para um
reforço da aliança estabelecida (Wampold, 2015). Dentro dessas caraterísticas encontra-se a
capacidade de persuasão do terapeuta, reconhecida como um elemento importante em muitos
fenómenos presentes neste tipo de contexto (Anderson, McClintock, Himawan, Song, &
Patterson, 2016). Assim sendo, este estudo pretende investigar se a capacidade de persuasão do
psicoterapeuta e a aliança terapêutica estão relacionadas e quais é que são as implicações dessa
relação.
Método: Foram visualizadas vinte e sete gravações em vídeo de sessões de psicoterapia,
abrangendo diferentes abordagens teóricas. Foi desenvolvido um instrumento que permitisse
avaliar a capacidade de persuasão do terapeuta demonstrada em cada sessão, a Psychotherapy
Persuasion Scale. Adicionalmente utilizaram-se dados sobre a aliança terapêutica dessa
amostra, recolhidos a partir do Working Alliance Inventory (Tracey & Kokotovic, 1989).
Realizou-se uma análise estatística de todos os dados, inclusive da relação entre ambos os
conceitos avaliados.
Resultados: Para a persuasão observou-se alguma variabilidade de resultados entre os diversos
modelos teóricos, sendo destacadas as diferenças nos itens e dimensões da escala desenvolvida.
Por outro lado, a aliança terapêutica demonstrou resultados opostos aos da persuasão,
nomeadamente, nos modelos teóricos. Ao testar a correlação entre estas duas variáveis, os
resultados foram negativos e não significativos.
Conclusões: A relação entre a capacidade de persuasão do psicoterapeuta e a aliança
terapêutica foi demonstrada como estatisticamente não significativa, em oposição ao que seria
de esperar. O estudo desta associação tem, contudo, pertinência para ser aprofundado no futuro.
Aim: A good therapeutic alliance is strongly correlated with better therapeutic outcomes (Feinstein, Heiman & Yager, 2015). Simultaneously, therapist characteristics and effects are influencing factors, both for a more effective therapy, as well as a reinforcement for the established alliance (Wampold, 2015). Included in those characteristics is the therapist’s ability to persuade, recognized as an important element in many phenomenon’s in this type of context (Anderson, McClintock, Himawan, Song & Patterson, 2016). Therefore, this study aims to investigate if the therapist’s ability to persuade is related to the development of a therapeutic alliance and which are the implications of said relation. Method: Twenty-seven vídeo recordings of psychotherapy sessions were visualized, constituted by different theoretical approaches. An instrument that would allow the evaluation of the therapist’s ability to persuade was developed, named Psychotherapy Persuasion Scale. Additionally, data about the therapeutic alliance, collected with the Working Alliance Inventory (Tracey & Kokotovic, 1989), was also utilized. A statistical analysis was conducted with all the data, including the relation between the data of the two concepts. Results: In the persuasion data it was possible to observe some variability of results among the different theoretical approaches, the differences between the items and dimensions of the scale were highlighted. On the other end, the therapeutic alliance demonstrated opposite results to those, specifically, in the theoretical approaches. While testing the correlation between the two mentioned variables, the results were negative and not statistically significant. Conclusions: The relation between the therapist’s ability to persuade and the therapeutic alliance was demonstrated as not statistically significant, as opposed to what would be expected. A deeper study of this association in the future is relevant.
Aim: A good therapeutic alliance is strongly correlated with better therapeutic outcomes (Feinstein, Heiman & Yager, 2015). Simultaneously, therapist characteristics and effects are influencing factors, both for a more effective therapy, as well as a reinforcement for the established alliance (Wampold, 2015). Included in those characteristics is the therapist’s ability to persuade, recognized as an important element in many phenomenon’s in this type of context (Anderson, McClintock, Himawan, Song & Patterson, 2016). Therefore, this study aims to investigate if the therapist’s ability to persuade is related to the development of a therapeutic alliance and which are the implications of said relation. Method: Twenty-seven vídeo recordings of psychotherapy sessions were visualized, constituted by different theoretical approaches. An instrument that would allow the evaluation of the therapist’s ability to persuade was developed, named Psychotherapy Persuasion Scale. Additionally, data about the therapeutic alliance, collected with the Working Alliance Inventory (Tracey & Kokotovic, 1989), was also utilized. A statistical analysis was conducted with all the data, including the relation between the data of the two concepts. Results: In the persuasion data it was possible to observe some variability of results among the different theoretical approaches, the differences between the items and dimensions of the scale were highlighted. On the other end, the therapeutic alliance demonstrated opposite results to those, specifically, in the theoretical approaches. While testing the correlation between the two mentioned variables, the results were negative and not statistically significant. Conclusions: The relation between the therapist’s ability to persuade and the therapeutic alliance was demonstrated as not statistically significant, as opposed to what would be expected. A deeper study of this association in the future is relevant.
Description
Dissertação de Mestrado apresentada no ISPA –
Instituto Universitário para obtenção de grau de Mestre na
especialidade de Psicologia Clínica.
Keywords
Investigação em psicoterapia Persuasão em psicoterapia Aliança terapêutica Efeitos do terapeuta Psychotherapy investigation Persuasion in psychotherapy Therapeutic alliance Therapist effects