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Mudança nos processos narrativo-emocionais em três abordagens terapêuticas
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Abstract(s)
Enquadramento: Existem vários estudos sobre as mudanças narrativas em sessão que têm contribuído para compreender as mudanças em psicoterapias, no entanto, não existe uma revisão sistemática que compare as vários abordagens terapêuticas. Objetivo: Realizar uma revisão sistemática dos estudos que usam Narrative Process Coding System (NPCS; Angus, Hardtke, & Levitt, 1992, 1996) e o Narrative-Emotion Process Coding System (NEPCS 1.0; Boritz, Bryntwick, Angus, Greenberg, & Carpenter, 2012; NEPCS 2.0; Angus Narrative-Emotion Marker Lab., 2015) procurando saber em que abordagem terapêutica se observam mais mudanças de narrativa e mudanças narrativas produtivas. Método: realizaram-se pesquisas eletrónicas sistemáticas pela fórmula NEPCS or Narrative-Emotion Process Coding System or narrative-emotion markers treatment or intervention AND therapy or approaches or strategies or techniques or methods nas bases de dados EBSCO Book Collection, PsycINFO, PsycARTICLES, PsycBOOKS, PEP Archive, Psychology and Behavioral Sciences Colletion, Academic Search Complete e na Web of Knowledge. Foram adicionados manualmente estudos selecionados através das referências bibliográficas. Resultados: Foram selecionados oito estudos que utilizaram a codificação NEPCS 2.0 e versões anteriores em diferentes abordagens terapêuticas e foram incluídos mais quatro estudos, que apesarem de não compararem os marcadores NE-P entre abordagens, é possível verificar as mudanças de narrativa e a flexibilidade de narrativas em modelo de tratamento EFT, CBT e BDT. Conclusões: os sistemas de codificação dos processos narrativos foram aplicados a diferentes abordagens terapêuticas (EFT, CBT, BDT, CCT, PPT, PT, CT) e em diferentes patologias (depressão, PTSD, stress e GAD), validando a relevância na identificação de diferentes processos narrativos que contribuem para a mudança psicoterapêutica, faltando estudos que comparem as diferentes abordagens teóricas.
Background: There are several studies about narrative changes in session that have contributed to the understanding of changes in psychotherapies, however, there is no literature review comparing the various theoretical models. Objective: Conduct a systematic review of studies using the Narrative Process Coding System (NPCS; Angus, Hardtke, & Levitt, 1992, 1996) and the Narrative-Emotion Process Coding System (NEPCS 1.0; Boritz, Bryntwick, Angus, Greenberg, & Carpenter, 2012 ; NEPCS 2.0; Angus Narrative-Emotion Marker Lab., 2015) seeking to know in which therapeutic approach one observes more narrative changes and productive narrative changes. Method: systematic electronic searches were carried out using the formula NEPCS or Narrative-Emotion Process Coding System or narrative-emotion markers treatment or intervention AND therapy or approaches or strategies or techniques or methods in the EBSCO Book Collection, PsycINFO, PsycARTICLES, PsycBOOKS, databases. PEP Archive, Psychology and Behavioral Sciences Collection, Academic Search Complete and the Web of Knowledge. Studies selected through bibliographical references were manually added. Results: Eight studies were selected that used the complementary NEPCS 2.0 and earlier versions in different approaches and four more studies were included, which despite not comparing the NE-P markers between approaches, it is possible to verify how narrative changes and narrative flexibility in EFT, CBT and BDT treatment model. Conclusions: The coding systems of narrative processes were applied to different therapeutic approaches (EFT, CBT, BDT, CCT, PPT, PT, CT) and in different pathologies (depression, PTSD and GAD), validating the relevance in identifying different processes narratives that contribute to psychotherapeutic change, lacking studies that compare different theoretical approaches.
Background: There are several studies about narrative changes in session that have contributed to the understanding of changes in psychotherapies, however, there is no literature review comparing the various theoretical models. Objective: Conduct a systematic review of studies using the Narrative Process Coding System (NPCS; Angus, Hardtke, & Levitt, 1992, 1996) and the Narrative-Emotion Process Coding System (NEPCS 1.0; Boritz, Bryntwick, Angus, Greenberg, & Carpenter, 2012 ; NEPCS 2.0; Angus Narrative-Emotion Marker Lab., 2015) seeking to know in which therapeutic approach one observes more narrative changes and productive narrative changes. Method: systematic electronic searches were carried out using the formula NEPCS or Narrative-Emotion Process Coding System or narrative-emotion markers treatment or intervention AND therapy or approaches or strategies or techniques or methods in the EBSCO Book Collection, PsycINFO, PsycARTICLES, PsycBOOKS, databases. PEP Archive, Psychology and Behavioral Sciences Collection, Academic Search Complete and the Web of Knowledge. Studies selected through bibliographical references were manually added. Results: Eight studies were selected that used the complementary NEPCS 2.0 and earlier versions in different approaches and four more studies were included, which despite not comparing the NE-P markers between approaches, it is possible to verify how narrative changes and narrative flexibility in EFT, CBT and BDT treatment model. Conclusions: The coding systems of narrative processes were applied to different therapeutic approaches (EFT, CBT, BDT, CCT, PPT, PT, CT) and in different pathologies (depression, PTSD and GAD), validating the relevance in identifying different processes narratives that contribute to psychotherapeutic change, lacking studies that compare different theoretical approaches.
Description
Dissertação de Mestrado apresentada no ISPA – Instituto Universitário para obtenção de grau de Mestre na especialidade de Psicologia Clínica.
Keywords
Marcadores NEPCS 2.0 mudanças narrativas Nnarrativas produtivas Abordagens terapêutica Psicodinâmica CBT EFT Psicoterapia Narrative-emotion Process coding system NEPCS Psychotherapy Literature review.