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Análise de processo em psicoterapia com crianças : a aliança terapêutica
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Resumo(s)
Embora largamente estudados na psicoterapia do adulto, os processos que se estabelecem na relação entre terapeuta e criança foram, durante muito tempo, negligenciados. Reconhecendo a importância da aliança terapêutica para o sucesso da psicoterapia, esta investigação propõe uma análise do processo terapêutico através das Escalas de Processos em Psicoterapia Infantil: Subescala do Terapeuta e Subescala das Crianças de Estrada e Russell (1999), que permitem medir, descrever e avaliar o processo de psicoterapia infantil, tendo por base o papel dos componentes dos diversos processos técnicos e relacionais que ocorrem em psicoterapia e a sua associação ao estabelecimento de uma aliança terapêutica positiva. Tratando-se especificamente de um estudo de caso (em que são observados vinte e quatro segmentos de interacções psicoterapêuticas), as conclusões são baseadas num conjunto detalhado de dados, que complementa teorias, investigações e práticas e que evidencia a importância do terapeuta apresentar as competências e conhecimentos necessários acerca de como melhor agir ao longo das sessões de psicoterapia. Os resultados deste estudo vêm confirmar e realçar descobertas já feitas no domínio da psicologia clínica da criança e do adolescente, nomeadamente que a qualidade da aliança terapêutica que a criança estabelece com o terapeuta se irá manifestar na sua colaboração nas tarefas terapêuticas e no futuro sucesso da psicoterapia. O presente trabalho finaliza com a identificação de questões que podem futuramente ser objecto de estudo.
Although widely studied in adult psychotherapy, the processes established in the relationship between therapist and child were, for a long time, neglected. By recognizing the importance of the therapeutic alliance to the psychotherapy success, this study proposes an analysis of the therapeutic process using the Child Psychotherapy Process Scales from Estrada & Russell, 1999. Those scales allow the measure, the description and the evaluation of the child psychotherapy process, based on the role of the components of the different technical and relational processes which occur in psychotherapy and their association to the establishment of a positive therapeutic alliance. Being specifically a case study (in which twenty four segments of psychotherapeutic interactions were observed), the conclusions are based in a detailed group of data that complement theories, investigations and practices, putting into evidence the importance of the therapist's instruction and ability about how to better act during psychotherapy sessions. The results of this study confirm and highlight the findings that have already been done in children's clinical psychology, for example that the quality of the therapeutic alliance established between child and therapist will influence the child's collaboration on the therapeutic tasks and in the coming psychotherapy success. The present study is concluded by identifying other pertinent questions that can be researched.
Although widely studied in adult psychotherapy, the processes established in the relationship between therapist and child were, for a long time, neglected. By recognizing the importance of the therapeutic alliance to the psychotherapy success, this study proposes an analysis of the therapeutic process using the Child Psychotherapy Process Scales from Estrada & Russell, 1999. Those scales allow the measure, the description and the evaluation of the child psychotherapy process, based on the role of the components of the different technical and relational processes which occur in psychotherapy and their association to the establishment of a positive therapeutic alliance. Being specifically a case study (in which twenty four segments of psychotherapeutic interactions were observed), the conclusions are based in a detailed group of data that complement theories, investigations and practices, putting into evidence the importance of the therapist's instruction and ability about how to better act during psychotherapy sessions. The results of this study confirm and highlight the findings that have already been done in children's clinical psychology, for example that the quality of the therapeutic alliance established between child and therapist will influence the child's collaboration on the therapeutic tasks and in the coming psychotherapy success. The present study is concluded by identifying other pertinent questions that can be researched.
Descrição
Tese de mestrado, Psicologia (Psicologia Clínica e da Saúde - Núcleo de Psicologia Cognitiva-Comportamental e Integrativa), Universidade de Lisboa, Faculdade de Psicologia e de Ciências da Educação, 2009
Palavras-chave
Aliança terapêutica Psicoterapia infantil Relação terapêutica Teses de mestrado - 2009