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Relações entre esquemas interpessoais, mecanismos de defesa, necessidades psicológicas, sintomatologia, bem-estar e distress psicológico
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Investigações anteriores demostraram que as Defesas, os Padrões Relacionais, a Fusão Cognitiva e as Necessidades Psicológicas estão fortemente relacionados com perturbações da personalidade, sintomatologia e a saúde mental. Neste sentido, a presente investigação procurou identificar e diferenciar em que medida, os Estilos Defensivos, os Padrões Relacionais e a Fusão Cognitiva se relacionam entre si, quais os seus contributos diferenciais na regulação da satisfação das Necessidades Psicológicas, Sintomatologia, Bem-estar e Distress Psicológico e ainda, identificar diferenças características entre amostra não-clínica e clínica. Para tal, foram avaliados 286 sujeitos divididos entre amostra não-clínica (N=226) e clínica (N=60). Em ambas as amostras, os resultados sugerem que quanto maior o nível de rigidez mental maior é o uso de defesas menos adaptativas e mais o sujeito se pune e negligência a si próprio. Sugerem também que níveis baixos de Autopunição e elevados de Autocuidado predizem níveis elevados de regulação da satisfação das Necessidades Psicológicas. Níveis elevados de Fusão Cognitiva, de Autopunição e de Defesas Imaturas predizem níveis elevados de Sintomatologia. Níveis elevados de regulação da satisfação das Necessidades Psicológicas e níveis baixos de Autopunição predizem níveis elevados de Bem-estar Psicológico. E níveis elevados de Fusão e de Autopunição predizem níveis elevados de Distress Psicológico. Foi ainda possível perceber que a Fusão Cognitiva, o Estilo Defensivo Neurótico, as Necessidades Psicológicas e o Padrão de Resposta do Sujeito de Autoafirmação, parecem ser os melhores preditores da pertença de um indivíduo à amostra clínica. Na generalidade, estes resultados são potencialmente relevantes para a conceptualização de caso e tomada de decisão clínica responsiva.
Previous investigations have shown that Defenses, Relational Patterns and Cognitive Fusion are strongly related to personality disorders, symptomatology and mental health. As such, this research sought to identify and differentiate to what extent the Defensive Styles, Relational Patterns and Cognitive Fusion relate to one other, what are their differential contributions to the regulation of satisfying of Psychological Needs, Symptomatology, Psychological Well-being and Distress and also, to identify characteristic differences between non-clinical and clinical sample’s. To this end, we evaluated 286 subjects divided among non-clinical sample (N = 226) and clinical (N = 60). In both samples, the results suggest that higher levels of mental rigidity, the more likely the subject will use less adaptive defenses and more likely punish and neglect him/herself. They also suggest that low levels of Self-punishment and high levels of Self-care predict high levels of regulation of satisfying of Physiological Needs. High levels of Cognitive Fusion, of Self-punishment and Immature Defenses predict high levels of Symptomatology. High levels of regulation of satisfying of Psychological Needs and low levels of Self-punishment predict high levels of Psychological Well-being. And high levels of Fusion and Self-punishment predict high levels of Psychological Distress. It was still possible to see that the Cognitive Fusion, the Neurotic Defensive Style, the Psychological Needs and the Pattern of Self-assertion in the subject’s Response, seems to be the best predictors of belonging of an individual to the clinical sample. In general, these results are potentially relevant to the case conceptualization and making responsive clinical decision.
Previous investigations have shown that Defenses, Relational Patterns and Cognitive Fusion are strongly related to personality disorders, symptomatology and mental health. As such, this research sought to identify and differentiate to what extent the Defensive Styles, Relational Patterns and Cognitive Fusion relate to one other, what are their differential contributions to the regulation of satisfying of Psychological Needs, Symptomatology, Psychological Well-being and Distress and also, to identify characteristic differences between non-clinical and clinical sample’s. To this end, we evaluated 286 subjects divided among non-clinical sample (N = 226) and clinical (N = 60). In both samples, the results suggest that higher levels of mental rigidity, the more likely the subject will use less adaptive defenses and more likely punish and neglect him/herself. They also suggest that low levels of Self-punishment and high levels of Self-care predict high levels of regulation of satisfying of Physiological Needs. High levels of Cognitive Fusion, of Self-punishment and Immature Defenses predict high levels of Symptomatology. High levels of regulation of satisfying of Psychological Needs and low levels of Self-punishment predict high levels of Psychological Well-being. And high levels of Fusion and Self-punishment predict high levels of Psychological Distress. It was still possible to see that the Cognitive Fusion, the Neurotic Defensive Style, the Psychological Needs and the Pattern of Self-assertion in the subject’s Response, seems to be the best predictors of belonging of an individual to the clinical sample. In general, these results are potentially relevant to the case conceptualization and making responsive clinical decision.
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 Semiologia (Medicina) Bem-estar Teses de mestrado - 2016