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Funcionamento esquemático, ciclos interpessoais disfuncionais e fusão cognitiva na perspetiva do modelo de complementariedade paradigmática
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Investigações anteriores têm demonstrado que o funcionamento esquemático disfuncional, os ciclos interpessoais e a fusão cognitiva estão fortemente relacionados com a perturbação psicológica e com a saúde mental. Neste sentido, a presente investigação pretendeu esclarecer, identificar e diferenciar em que medida, os esquemas precoces mal-adaptativos, os ciclos interpessoais disfuncionais e fusão cognitiva se relacionam entre si e quais os seus contributos diferenciais para a regulação da satisfação das necessidades psicológicas, para o bem-estar, distress psicológico e sintomatologia. Para o efeito, foram avaliados 282 sujeitos divididos em dois grupos, amostra não-clínica e clínica. Concluiu-se que existe uma forte associação entre os esquemas, os ciclos interpessoais e a fusão cognitiva nos dois grupos. No entanto no grupo clínico algumas destas associações encontram-se mais robustas. No geral, quanto maior for a presença de esquemas, ciclos disfuncionais e rigidez psicológica, menor é capacidade para regular a satisfação das necessidades psicológicas, menor é o bem-estar, por outro lado, maior é o distress psicológico e a sintomatologia. Estes resultados são potencialmente relevantes para a conceptualização de caso e para a tomada de decisão clínica responsiva enquadrada nas caraterísticas e necessidades dos pacientes.
Previous investigations have shown that dysfunctional schemata functioning, interpersonal cycles and cognitive fusion are strongly related to psychological disturbance and mental health. In this sense, this research sought to clarify, identify and differentiate to what extent the early maladaptive schemes, interpersonal dysfunctional cycles and cognitive fusion relate to each other and what their differential contributions to the regulation of satisfying psychological needs, wellbeing, psychological distress and symptomatology. For this purpose, 282 subjects were evaluated, and then divided into two groups: non-clinical and clinical subjects. It was concluded that there is a strong association between schemas, interpersonal cycles and cognitive fusion in both groups. However in the clinical group the associations between these variables were found to be more robust. Overall it was found that when there is a high presence of schemes, dysfunctional cycles and psychological rigidity, the ability to regulate the satisfaction of psychological needs decreases – which consequently decreases wellbeing levels and increases psychological distress and symptomatology. These results may be important to case conceptualization and clinical judgment focused on the patient’s variables and needs.
Previous investigations have shown that dysfunctional schemata functioning, interpersonal cycles and cognitive fusion are strongly related to psychological disturbance and mental health. In this sense, this research sought to clarify, identify and differentiate to what extent the early maladaptive schemes, interpersonal dysfunctional cycles and cognitive fusion relate to each other and what their differential contributions to the regulation of satisfying psychological needs, wellbeing, psychological distress and symptomatology. For this purpose, 282 subjects were evaluated, and then divided into two groups: non-clinical and clinical subjects. It was concluded that there is a strong association between schemas, interpersonal cycles and cognitive fusion in both groups. However in the clinical group the associations between these variables were found to be more robust. Overall it was found that when there is a high presence of schemes, dysfunctional cycles and psychological rigidity, the ability to regulate the satisfaction of psychological needs decreases – which consequently decreases wellbeing levels and increases psychological distress and symptomatology. These results may be important to case conceptualization and clinical judgment focused on the patient’s variables and needs.
Descrição
Tese de mestrado, Psicologia (Secção de Psicologia Clínica e da Saúde, Núcleo de Psicoterapia Cognitiva-Comportamental e Integrativa), Universidade de Lisboa, Faculdade de Psicologia, 2016
Palavras-chave
Necessidades psicológicas Saúde mental Semiologia (Medicina) Teses de mestrado - 2016