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Os processos de mudança em psicoterapia existencial : A perspectiva do paciente
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Advisor(s)
Abstract(s)
Objectivo: O objectivo principal deste estudo é aceder os processos de mudança em
psicoterapia existencial, sob a perspectiva do paciente, bem como acrescentar dados à
literatura existente neste âmbito, procurando contribuir para a investigação do processo de
mudança em Portugal, onde a temática ainda é pouco desenvolvida.
Método: Foi realizada uma análise aprofundada das características da participante deste
estudo que realizou quarenta e oito sessões semanais de psicoterapia de base existencial. O
principal instrumento utilizado na recolha dos dados foi o Client Change Interview (CCI;
Elliott et al., 2001), adaptado para a população portuguesa como Entrevista de Mudança
Psicoterapêutica do Cliente por Sales et al. (2007). Este instrumento consiste numa entrevista
qualitativa aprofundada, que aborda as mudanças que o paciente registou desde o início da
terapia. Os dados foram analisados de acordo com a metodologia fenomenológica de Giorgi
(2009).
Resultados: Surgiram vários factores promotores da mudança, relacionados com a crença da
participante no processo terapêutico, a percepção da terapia, o espaço/relação terapêutica e os
efeitos da intervenção do terapeuta. A importância que o processo terapêutico, teve no
aumento do bem-estar psicológico da participante é notório. Alívio do stress, do cansaço, das
tensões e da ansiedade; aumento da tolerância e melhoria na auto-estima são aspectos que a
participante diz ter adquirido durante o processo terapêutico que viabilizaram muitas das
mudanças terapêuticas referidas pela participante.
Conclusões: Apesar das investigações sobre o processo de mudança nas psicoterapias de base
existencial sob a perspectiva do paciente ainda não estarem tão desenvolvidas, os resultados
aqui apurados, vão de encontro a literatura consultada. Assim, com a realização deste estudo,
oferecemos um pequeno contributo à comunidade científica, contribuindo para a adaptação e
melhoria das intervenções terapêuticas.
ABSTRACT: Aim: The aim of this study is to approach the processes of change in existential psychotherapy, under the patient's perception, as well as adding data to existing literature in this area, seeking to contribute to the investigation of the change process in Portugal, where this issue is still not very developed. Method: Conduction of a deep analysis of the characteristics of the participant in this study, who attended forty-eight weekly sessions of existential basis of psychotherapy. The main instrument used to collect data was the Client Change Interview (CCI;. Elliott et al, 2001), adapted for the Portuguese population as Customer Psychotherapeutic Change Interview by Sales et al. (2007). This instrument consists of an in-depth qualitative interview, which approaches the changes that the patient recorded since the beginning of the therapy. The data were analyzed according to the phenomenological method of Giorgi (2009). Results: There were several factors promoting change, related to the participant's belief in the therapeutic process, the perception of therapy, the space / therapeutic relationship and the effects of the therapist's intervention. The importance of the therapeutic process in increasing psychological well-being of the participant is notorious. Stress, fatigue, tension and anxiety relief; increase of tolerance and improvement in self-esteem are aspects that the participant claims to have acquired during the therapeutic process that enabled many of the therapeutic changes referred to by the participant. Conclusions: Although the inquiries on the process of change in the existential psychotherapy under the patient's perception are not yet very developed, the results which were determined here are in accordance with the consulted studies. In conclusion, with this study, we offer a small input to the scientific community, contributing to the adaptation and improvement of therapeutic interventions.
ABSTRACT: Aim: The aim of this study is to approach the processes of change in existential psychotherapy, under the patient's perception, as well as adding data to existing literature in this area, seeking to contribute to the investigation of the change process in Portugal, where this issue is still not very developed. Method: Conduction of a deep analysis of the characteristics of the participant in this study, who attended forty-eight weekly sessions of existential basis of psychotherapy. The main instrument used to collect data was the Client Change Interview (CCI;. Elliott et al, 2001), adapted for the Portuguese population as Customer Psychotherapeutic Change Interview by Sales et al. (2007). This instrument consists of an in-depth qualitative interview, which approaches the changes that the patient recorded since the beginning of the therapy. The data were analyzed according to the phenomenological method of Giorgi (2009). Results: There were several factors promoting change, related to the participant's belief in the therapeutic process, the perception of therapy, the space / therapeutic relationship and the effects of the therapist's intervention. The importance of the therapeutic process in increasing psychological well-being of the participant is notorious. Stress, fatigue, tension and anxiety relief; increase of tolerance and improvement in self-esteem are aspects that the participant claims to have acquired during the therapeutic process that enabled many of the therapeutic changes referred to by the participant. Conclusions: Although the inquiries on the process of change in the existential psychotherapy under the patient's perception are not yet very developed, the results which were determined here are in accordance with the consulted studies. In conclusion, with this study, we offer a small input to the scientific community, contributing to the adaptation and improvement of therapeutic interventions.
Description
Dissertação de Mestrado apresentada ao ISPA - Instituto Universitário
Keywords
Investigação em psicoterapia Processo de mudança Psicoterapia existencial Perspectiva do paciente Método fenomenológico Psychotherapy research Change process Existential psychotherapy Client perception; Phenomenological method