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Publication
No consultório de uma psicoterapeuta altamente eficaz - uma análise das primeiras sessões
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Authors
Advisor(s)
Abstract(s)
Objetivo: Procuraram captar-se os aspetos qualitativos mais salientes na condução de
primeiras sessões de psicoterapia por uma psicoterapeuta que obtém consistentemente bons
resultados clínicos com clientes.
Método: Recorreu-se ao método qualitativo da Grouded Theory na sua abordagem
construtivista (Charmaz, 2014) para analisar as primeiras 3 sessões de psicoterapia
audiogravadas com dois clientes, num total de 6 sessões analisadas.
Resultados: A análise dos dados gerou 12 categorias que remetem a ações clínicas
emergentes na atuação da psicoterapeuta. As categorias foram organizadas em 3 grandes
domínios que sintetizam áreas fundamentais da sua intervenção: (1) Promoção do senso de
agencidade do cliente e da natureza colaborativa do processo terapêutico; (2) Apoio à
exploração de conteúdos significativos, equilibrando responsivamente entre seguir o cliente e
introduzir novas dimensões; (3) Criação um clima relacional de segurança emocional para o
cliente, assente na presença empática, autenticidade e aceitação incondicional.
Conclusões: Os resultados desta investigação permitem discutir princípios centrais da
intervenção da psicoterapeuta estudada e conjeturar sobre como é que a sua atuação
contribuiu para o sucesso das intervenções. Os resultados desta investigação reforçam o que a
literatura sobre psicoterapeutas com maior eficiência tem vindo a sugerir.
Aim: We wanted to capture the most salient qualitative aspects in conducting first sessions of therapeutic interventions by a psychotherapist who consistently has good clinical outcomes with clients. Method: Qualitative method of Grouded Theory in its constructivist approach (Charmaz, 2014) was used to analyze the first 3 audio-recorded psychotherapy sessions with two clients, in a total of 6 analyzed sessions. Results: Analysis generated 12 categories of emerging clinical actions of the therapist's performance. The categories were organized into 3 major domains that summarize fundamental areas of her intervention: (1) Promoting client's sense of agency and the collaborative nature of the therapeutic process; (2) Support the exploration of meaningful contents, responsively balancing between following the client and introducing new dimensions; (3) Creating a relational climate of emotional security for the client based on empathic presence, authenticity and positive regard. Conclusions: The results of this investigation allow us to discuss central principles of the intervention of the studied therapist and to conjecture about how her performance contributed to the success of the interventions. The results of this investigation reinforce the literature on highly effective psychotherapists.
Aim: We wanted to capture the most salient qualitative aspects in conducting first sessions of therapeutic interventions by a psychotherapist who consistently has good clinical outcomes with clients. Method: Qualitative method of Grouded Theory in its constructivist approach (Charmaz, 2014) was used to analyze the first 3 audio-recorded psychotherapy sessions with two clients, in a total of 6 analyzed sessions. Results: Analysis generated 12 categories of emerging clinical actions of the therapist's performance. The categories were organized into 3 major domains that summarize fundamental areas of her intervention: (1) Promoting client's sense of agency and the collaborative nature of the therapeutic process; (2) Support the exploration of meaningful contents, responsively balancing between following the client and introducing new dimensions; (3) Creating a relational climate of emotional security for the client based on empathic presence, authenticity and positive regard. Conclusions: The results of this investigation allow us to discuss central principles of the intervention of the studied therapist and to conjecture about how her performance contributed to the success of the interventions. The results of this investigation reinforce the literature on highly effective psychotherapists.
Description
Dissertação de Mestrado
apresentada no ISPA – Instituto Universitário para obtenção
de grau de Mestre na especialidade de Psicologia Clínica
Keywords
Expertise Psicoterapia Eficácia psicoterapêutica Análise grounded Primeiras sessões Psychotherapy Psychotherapeutic efficacy Grounded analysis First sessions