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O desencontro em terapia: Aliança terapêutica, ruturas e o conteúdo da terapia
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Advisor(s)
Abstract(s)
Sendo a aliança terapêutica um elemento fundamental para um processo
terapêutico de sucesso e, a existência de ruturas, neste caminho conjunto, ser algo
natural, mas por vezes negativo, a comunidade científica tem vindo a dedicar-se ao
estudo destas duas variáveis para que seja possível atuar de forma responsiva e
adequada aquando destes desencontros, prevenindo possíveis abandonos do tratamento.
Neste estudo procura compreender-se se no processo terapêutico, em questão, surge um
padrão de ruturas em função dos temas trabalhados em terapia. Para que seja possível
esclarecer este objetivo foi analisado um caso clínico e, as 19 sessões que integram esta
terapia, através da avaliação da qualidade da aliança terapêutica, da realização de uma
análise temática e, da identificação e codificação de ruturas. Os resultados obtidos
demonstram que a aliança terapêutica é um processo ativo e que a sua qualidade se
altera ao longo do processo terapêutico como consequência das intervenções realizadas
e, que neste caso em específico, o padrão de ruturas é transversal aos temas da terapia, o
que demonstra que as ruturas identificadas não estão associadas aos temas trabalhados
em terapia, mas sim a outros fatores. Apesar dos resultados conseguidos, não se exclui a
possibilidade de que em processos terapêuticos mais longos, seja possível estabelecer a
relação entre os temas trabalhados e os momentos de rutura.
ABSTRACT: Given that the therapeutic alliance is a fundamental element for a successful therapeutic process, and the existence of ruptures, in this joint journey, is something natural, but sometimes negative, the scientific community has been dedicated to studying these two variables so that it is possible to act in a responsive and adequate manner when these disagreements occur, preventing possible dropouts from treatment. This study seeks to understand if, in the therapeutic process in question, there is a pattern of ruptures as a function of the themes worked on in therapy. To clarify this objective, a clinical case was analyzed, as well as the 19 sessions that make up this therapy, through the evaluation of the quality of the therapeutic alliance, the realization of a thematic analysis, and the identification and codification of ruptures. The results obtained demonstrate that the therapeutic alliance is an active process and that its quality changes throughout the therapeutic process as a consequence of the interventions carried out, and that in this specific case, the pattern of ruptures is transversal to the themes of therapy, which demonstrates that the ruptures identified are not associated with the themes worked on in therapy, but rather with other factors. Despite the results obtained, it cannot be ruled out that in longer therapeutic processes, it may be possible to establish the relationship between the themes worked on and the moments of rupture.
ABSTRACT: Given that the therapeutic alliance is a fundamental element for a successful therapeutic process, and the existence of ruptures, in this joint journey, is something natural, but sometimes negative, the scientific community has been dedicated to studying these two variables so that it is possible to act in a responsive and adequate manner when these disagreements occur, preventing possible dropouts from treatment. This study seeks to understand if, in the therapeutic process in question, there is a pattern of ruptures as a function of the themes worked on in therapy. To clarify this objective, a clinical case was analyzed, as well as the 19 sessions that make up this therapy, through the evaluation of the quality of the therapeutic alliance, the realization of a thematic analysis, and the identification and codification of ruptures. The results obtained demonstrate that the therapeutic alliance is an active process and that its quality changes throughout the therapeutic process as a consequence of the interventions carried out, and that in this specific case, the pattern of ruptures is transversal to the themes of therapy, which demonstrates that the ruptures identified are not associated with the themes worked on in therapy, but rather with other factors. Despite the results obtained, it cannot be ruled out that in longer therapeutic processes, it may be possible to establish the relationship between the themes worked on and the moments of rupture.
Description
Dissertação de Mestrado apresentada no ISPAInstituto Universitário para a obtenção
de grau Mestre na especialidade de
Psicologia Clínica.
Keywords
Aliança terapêutica Ruturas Temas em terapia Análise temática Rupture Resolution Rating System (3RS) Working Alliance Inventory (WAI) Therapeutic alliance Ruptures Themes in therapy Thematic analysis