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Análise de processo de supervisão orientada para conceptualização de caso : contributos da terapia interpessoal reconstrutiva
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Resumo(s)
A supervisão é vista como um componente essencial do treino e desenvolvimento de
boas práticas clínicas por parte dos psicólogos clínicos e psicoterapeutas. Contudo, tanto varia
a medida da sua importância como difere o tipo de objetivos que prossegue. O tipo de
supervisão aqui em estudo é orientado para ajudar os profissionais a desenvolver ou afinar a
conceptualização de caso de forma a que esta possa orientar melhor as suas intervenções
terapêuticas. Neste sentido, a autora do meta-modelo Interpersonal Reconstructive Therapy
(IRT), pratica uma consultoria que procura resolver os bloqueios de conceptualização de
terapeutas perante casos complexos, que já seguem há algum tempo, através de uma tarefa em
role-play em que o supervisado representa o seu cliente em impasse. Todavia, o modo como
estas consultorias se desenrolam no sentido de chegar a essas conceptualizações nunca forma
investigadas. Assim, com o objetivo de compreender que processos são necessários para
praticar esta supervisão, foi analisada uma amostra de 9 sessões de consultoria, através de uma
adaptação ao método task-analysis que resultou num modelo empírico preliminar e que aqui é
posteriormente analisado ainda mais sistematicamente. Os resultados demonstraram existir
dois grandes componentes, em funcionamento dialético, necessários para a resolução dos
bloqueios – “Explorar e Aprofundar” e “Resumir e Refletir”. Nestes dois grandes componentes,
foi verificado a existência de três focos principais, “foco no outro”, “foco no self” e “foco em
si consigo mesmo”. Para além disto foi ainda, verificado uma procura sistemática por
identificar figuras-chave no presente e no passado da pessoa. Estes resultados foram ao
encontro do modelo que informa a condução do processo de supervisão.
Supervision is seen as a fundamental part of the training and development of good clinical practices by psychologists and psychotherapists. However, both its importance and its goals differ. This study will be dedicated to a type of supervision aimed at helping the referred mental health professionals developing a good case formulation or improve it: one that may set the stage for better therapeutic interventions. With this in mind, the author of the meta-model “Interpersonal Reconstructive Therapy” (IRT) embraces a concelling that seeks to solve blocked complex case formulations, which has been going on for some time. This is achieved by a role-playing task where the supervisee represents his blocked client. Nevertheless, the exact way that this concelling works towards building those formulations was yet to be researched. Therefore, with understanding which methods are nuclear to this supervision as the main purpose, a sample of 9 concelling sessions was analyzed through an adapted task analysis method that resulted in a preliminary empirical model and which is further analyzed here more systematically. The results showed showed that there are two major dialectically functioning components needed for block resolution - “Deep focus” and “Summarize”. In these two major components, there were three main focuses, "focus on the other", "focus on the self" and "introjected focus". In addition to this, there was a systematic search by the supervisor for identifying key figures in the present and past of the client. These results agreed with the model that informs the conduct of the supervision process.
Supervision is seen as a fundamental part of the training and development of good clinical practices by psychologists and psychotherapists. However, both its importance and its goals differ. This study will be dedicated to a type of supervision aimed at helping the referred mental health professionals developing a good case formulation or improve it: one that may set the stage for better therapeutic interventions. With this in mind, the author of the meta-model “Interpersonal Reconstructive Therapy” (IRT) embraces a concelling that seeks to solve blocked complex case formulations, which has been going on for some time. This is achieved by a role-playing task where the supervisee represents his blocked client. Nevertheless, the exact way that this concelling works towards building those formulations was yet to be researched. Therefore, with understanding which methods are nuclear to this supervision as the main purpose, a sample of 9 concelling sessions was analyzed through an adapted task analysis method that resulted in a preliminary empirical model and which is further analyzed here more systematically. The results showed showed that there are two major dialectically functioning components needed for block resolution - “Deep focus” and “Summarize”. In these two major components, there were three main focuses, "focus on the other", "focus on the self" and "introjected focus". In addition to this, there was a systematic search by the supervisor for identifying key figures in the present and past of the client. These results agreed with the model that informs the conduct of the supervision process.
Descrição
Tese de mestrado, Psicologia (Área de Especialização em Psicologia Clínica e da Saúde - Psicoterapia Cognitiva-Comportamental e Integrativa), Universidade de Lisboa, Faculdade de Psicologia, 2019
Palavras-chave
Supervisão Terapia interpessoal Desenvolvimento profissional Teses de mestrado - 2019 Boas práticas