| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 4.54 MB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
Problema: Apesar do reconhecimento da importância da experienciação emocional como
factor de mudança na psicoterapia, persistem lacunas sobre como a formação clínica influencia
esta dimensão, especialmente em intervenções breves conduzidas por estagiários. Faltam ainda
dados normativos sobre o processo nessas condições específicas em Portugal.
Objectivos: O estudo visa analisar de que forma a formação clínica estruturada com prática
deliberada afecta a profundidade da experienciação emocional. Pretende-se averiguar: (1) se há
aumento progressivo da experienciação emocional dos pacientes ao longo das sessões; (2) se
níveis mais elevados de experienciação emocional se associam a uma aliança terapêutica mais
forte; (3) se esses níveis também estão ligados a uma maior redução de sintomas dos pacientes.
Método: Foi adotado um delineamento quantitativo quase-experimental com 5 estagiários e 15
pacientes adultos numa clínica universitária. Foram analisadas quatro sessões por paciente,
avaliadas por três investigadores independentes. Utilizaram-se instrumentos padronizados (OQ-
45, EDRE, WAI-SR, EXP) e foram aplicados modelos lineares mistos para avaliar mudanças
longitudinais e relações entre variáveis.
Resultados: Observou-se uma redução significativa do sofrimento psicológico (OQ-45) e um
aumento dos índices de aliança terapêutica (WAI-SR), sobretudo nas dimensões de tarefas e
vínculo. Não se registaram alterações significativas na profundidade da experienciação
emocional, nem associações robustas desta com a melhoria sintomática ou com a aliança, salvo
uma relação negativa marginal entre consenso de objetivos e experienciação emocional média.
Estes resultados sugerem estabilidade da experienciação emocional em contextos breves,
realçando o papel dos processos colaborativos na mudança clínica.
Problem: Despite the recognition of the importance of emotional experiencing as a change factor in psychotherapy, gaps remain regarding how clinical training influences this dimension, especially in brief interventions conducted by trainees. There is also a lack of normative data on the process under these specific conditions in Portugal. Objectives: This study aims to analyze how structured clinical training with deliberate practice affects the depth of emotional experiencing. Specifically, it seeks to determine: (1) whether there is a progressive increase in patients’ emotional experiencing across sessions; (2) whether higher levels of emotional experiencing are associated with a stronger therapeutic alliance; (3) whether these levels are also linked to greater reduction of patients’ symptoms. Method: A quasi-experimental quantitative design was adopted, involving 5 trainees and 15 adult patients at a university clinic. Four sessions per patient were analyzed, each evaluated by three independent researchers. Standardized measures (OQ-45, EDRE, WAI-SR, EXP) were used, and mixed linear models were applied to assess longitudinal changes and relationships between variables. Results: A significant reduction in psychological distress (OQ-45) and an increase in therapeutic alliance indices (WAI-SR), especially in the tasks and bond dimensions, were observed. No significant changes were found in the depth of emotional experiencing, nor robust associations of this variable with symptom improvement or alliance, except for a marginal negative relationship between goal consensus and mean emotional experiencing. These results suggest a stability of emotional experiencing in brief contexts, highlighting the role of collaborative processes in clinical change.
Problem: Despite the recognition of the importance of emotional experiencing as a change factor in psychotherapy, gaps remain regarding how clinical training influences this dimension, especially in brief interventions conducted by trainees. There is also a lack of normative data on the process under these specific conditions in Portugal. Objectives: This study aims to analyze how structured clinical training with deliberate practice affects the depth of emotional experiencing. Specifically, it seeks to determine: (1) whether there is a progressive increase in patients’ emotional experiencing across sessions; (2) whether higher levels of emotional experiencing are associated with a stronger therapeutic alliance; (3) whether these levels are also linked to greater reduction of patients’ symptoms. Method: A quasi-experimental quantitative design was adopted, involving 5 trainees and 15 adult patients at a university clinic. Four sessions per patient were analyzed, each evaluated by three independent researchers. Standardized measures (OQ-45, EDRE, WAI-SR, EXP) were used, and mixed linear models were applied to assess longitudinal changes and relationships between variables. Results: A significant reduction in psychological distress (OQ-45) and an increase in therapeutic alliance indices (WAI-SR), especially in the tasks and bond dimensions, were observed. No significant changes were found in the depth of emotional experiencing, nor robust associations of this variable with symptom improvement or alliance, except for a marginal negative relationship between goal consensus and mean emotional experiencing. These results suggest a stability of emotional experiencing in brief contexts, highlighting the role of collaborative processes in clinical change.
Descrição
Dissertação de Mestrado apresentada no ISPA – Instituto Universitário para obtenção de grau de Mestre na especialidade de Psicologia Clínica
Palavras-chave
Intervenções breves Experienciação emocional Aliança terapêutica Psicólogos em formação OQ-45 Brief interventions Emotional experiencing Therapeutic alliance Trainee psychologists OQ-45