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Publication
Processos de mudança em psicoterapia : Intervenções do terapeuta, insight e personalidade do paciente
Advisor(s)
Abstract(s)
Objetivo: revisão de literatura sobre o estado da arte da investigação relativa ao impacto do terapeuta no processo terapêutico, nomeadamente os efeitos do terapeuta e particularmente as caracteristicas de eficácia do terapeuta em psicoterapia, numa lógica sequêncial paralela às áreas de investigação. Método: pesquisas eletrónicas sistemáticas, pelos termos therapist interventions*, therapist efficacy*, therapist effects*, phycoanalytic therapy research*, expertise in psychotherapy* e psychotherapy outcomes*, nas bases eletrónicas: PsycInfo, PsycArticles, Psychoanalitic Electronic Publishing (PEP), Psychology and Behavioral Sciences Collection (PBSC), Academic Search Complete e Ovid-Wiley Online Library. Adicionalmente, procedeu-se a uma pesquisa manual da bibliografia dos artigos selecionados e, simultaneamente, a uma pesquisa de diversos artigos de revistas científicas e livros. Resultados: Identificados 52 artigos, dos quais 13 são apresentados detalhadamente em tabela anexa. Conclusões: a evidência empírica da importância do terapeuta encontra-se dispersa, sendo necessário um estudo mais aprofundado e empiricamente defensável. Nomeadamente, como avaliar comparativamente o grau de desenvolvimento profissional dos terapeutas, mais evidências empíricas dos efeitos de mediação da prática terapêutica no campo da psicoterapia, avaliar a eventual correlação entre a auto-avaliação dos terapeutas da sua própria eficácia e os resultados verificados nos pacientes, avaliar como o feedback dos pacientes é usado e percebido pelos terapeutas e como a personalidade dos terapeutas afeta os resultados do processo terapêutico.
ABSTRACT: Objective: A selected body of phycotherapy research is reviewed with the intent of overview the state of the art research on the therapist impact in a pshychotherapeutic process, focusing on the therapist effects and especially on the therapist’s efficacy characteristics. Method: the relevant empirical research was identified via electronic searches using the search terms therapist interventions*, process outcomes*, therapist efficacy*, therapist effects*, phycoanalytic therapy research*, expertise in psychotherapy*, psychotherapy outcomes* in the following databases: PsycInfo, PsycARTICLES, PEP, Psychology and Behavioral Sciences Collection, Academic Search Complete, ISI, Wiley Online Library and Ovid. An additional search on books and on the bibliographies of all collected articles was also reviewed. Results: 52 empirical studies on therapist effects and therapist efficacy were selected, wherein 13 are detailed in appendix table. Conclusions: evidence supporting the importance of individual therapits is widespread and further study empirically defensible is necessary. As points for further research it is suggested the compared assessment of therapists professional development, further empirical evidence of therapeutic effects mediation in psychotherapy pratice, clarify the correlations between the therapist effectiveness self-assessment and how patients perceive it, how this data reflects in the psychoterapeutic process outcomes and how therapist mindset affects the outcome of the patients.
ABSTRACT: Objective: A selected body of phycotherapy research is reviewed with the intent of overview the state of the art research on the therapist impact in a pshychotherapeutic process, focusing on the therapist effects and especially on the therapist’s efficacy characteristics. Method: the relevant empirical research was identified via electronic searches using the search terms therapist interventions*, process outcomes*, therapist efficacy*, therapist effects*, phycoanalytic therapy research*, expertise in psychotherapy*, psychotherapy outcomes* in the following databases: PsycInfo, PsycARTICLES, PEP, Psychology and Behavioral Sciences Collection, Academic Search Complete, ISI, Wiley Online Library and Ovid. An additional search on books and on the bibliographies of all collected articles was also reviewed. Results: 52 empirical studies on therapist effects and therapist efficacy were selected, wherein 13 are detailed in appendix table. Conclusions: evidence supporting the importance of individual therapits is widespread and further study empirically defensible is necessary. As points for further research it is suggested the compared assessment of therapists professional development, further empirical evidence of therapeutic effects mediation in psychotherapy pratice, clarify the correlations between the therapist effectiveness self-assessment and how patients perceive it, how this data reflects in the psychoterapeutic process outcomes and how therapist mindset affects the outcome of the patients.
Description
Dissertação de Mestrado apresentada ao ISPA - Instituto Universitário
Keywords
Efeitos do terapeuta Eficácia do terapeuta Processo psicoterapêutico Revisão empírica Therapist effects Therapist efficacy Psychotherapeutic process Empirical review