A carregar...
Publicação
O pós-terapia: Compreensão da experiência através do relato de ex-pacientes
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 1.52 MB | Adobe PDF |
Orientador(es)
Resumo(s)
Problema: Estudos sobre as mudanças psicológicas, resultantes da psicoterapia, evidenciam melhoras na relação intra e interpessoal, capacidade reflexiva, mecanismos de prevenção e redefinição de valores e significados. Contudo, estes estudos são regrados por abordagem terapêuticas, ou patologias especificas, e não se focam na experiência do paciente a longo-termo. Objetivo: Pretende-se entender as mudanças psicológicas consequentes do processo terapêutico, a longo-termo, nomeadamente na relação intra e interpessoal e processo reflexivo; compreender quais os facilitadores de mudança psicológica, e sua manutenção, a longo-termo, independentemente da patologia ou abordagem; explorar alterações propostas pelos participantes que possam impulsionar processos de mudança. Método: Realizara-se doze entrevistas semiestruturadas, analisadas através do método “Analise Temática”. Resultados: Identificaram-se dois temas relativos ao primeiro objetivo do estudo: “Onde nasce a mudança” e “Um novo eu”. Adicionalmente, uma relação terapêutica consolidada, a entrega do paciente ao processo terapêutico e a constância do Setting, resultaram no tema “Promotores de mudança”. Por fim, o tema “Espaço para melhorar” refere-se á necessidade da definição clara dos papeis “terapeuta” e “paciente”, assim como a importância de atender e gerir as suas expectativas. Discussão: Este estudo mostra que a mudança psicológica vai além da redução de sintomas, envolvendo transformações relacionais e existenciais que se mantêm, e desenvolvem, a longo prazo. Evidencia-se fatores transdiagnosticos como o Insight, regulação emocional, reavaliação cognitiva, aliança terapêutica, gestão de expectativas e Setting, centrais na mudança psicologica, sendo esta a implicação para a prática clínica.
Problem: Studies on psychological changes resulting from psychotherapy demonstrate improvements in intra- and interpersonal relationships, reflective capacity, prevention mechanisms, and the redefinition of values and meanings. However, these studies are guided by therapeutic approaches or specific pathologies and do not focus on the patient's long-term experience. Objective: The aim is to understand the long-term psychological changes resulting from the therapeutic process, particularly in intra- and interpersonal relationships and the reflective process; to understand the facilitators of psychological change and its long-term maintenance, regardless of the pathology or approach; and to explore changes proposed by participants that can drive change processes. Method: Twelve semi-structured interviews were conducted and analysed using the Thematic Analysis method. Results: Two themes related to the first objective of the study were identified: "Where change is born" and "A new self." Additionally, a consolidated therapeutic relationship, the patient's commitment to the therapeutic process, and the constancy of the setting resulted in the theme "Change Promoters." Finally, the theme "Room for Improvement" refers to the need for a clear definition of the roles of "therapist" and "patient," as well as the importance of meeting and managing patient expectations. Discussion: This study shows that psychological change goes beyond symptom reduction, involving relational and existential transformations that are maintained and developed over the long term. Transdiagnostic factors such as insight, emotional regulation, cognitive reappraisal, therapeutic alliance, expectation management, and Setting are highlighted as central to psychological change, with implications for clinical practice.
Problem: Studies on psychological changes resulting from psychotherapy demonstrate improvements in intra- and interpersonal relationships, reflective capacity, prevention mechanisms, and the redefinition of values and meanings. However, these studies are guided by therapeutic approaches or specific pathologies and do not focus on the patient's long-term experience. Objective: The aim is to understand the long-term psychological changes resulting from the therapeutic process, particularly in intra- and interpersonal relationships and the reflective process; to understand the facilitators of psychological change and its long-term maintenance, regardless of the pathology or approach; and to explore changes proposed by participants that can drive change processes. Method: Twelve semi-structured interviews were conducted and analysed using the Thematic Analysis method. Results: Two themes related to the first objective of the study were identified: "Where change is born" and "A new self." Additionally, a consolidated therapeutic relationship, the patient's commitment to the therapeutic process, and the constancy of the setting resulted in the theme "Change Promoters." Finally, the theme "Room for Improvement" refers to the need for a clear definition of the roles of "therapist" and "patient," as well as the importance of meeting and managing patient expectations. Discussion: This study shows that psychological change goes beyond symptom reduction, involving relational and existential transformations that are maintained and developed over the long term. Transdiagnostic factors such as insight, emotional regulation, cognitive reappraisal, therapeutic alliance, expectation management, and Setting are highlighted as central to psychological change, with implications for clinical practice.
Descrição
Dissertação de Mestrado apresentada no Ispa – Instituto Universitário para obtenção de grau de Mestre na especialidade de Psicologia Clínica
Palavras-chave
Consequências do processo Facilitadores de mudança Experiência subjetiva do paciente Longo-termo Análise Temática Change processes Change facilitators Patient’s subjective experience Long term Thematic analysis