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Regulação da satisfação das necessidades psicológicas ao longo do processo terapêutico : análise de casos com maior regulação
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Resumo(s)
Enquadrada conceptualmente no Modelo de Complementaridade Paradigmática (2001), a
presente investigação centra-se no estudo da mudança ao longo do processo terapêutico. Foi
estudada a evolução da capacidade de regulação das necessidades psicológicas, bem como a
associação entre a mesma e a evolução dos processos de regulação, dos perfis de discrepância,
do nível de discrepância do Self, da sintomatologia, da estimativa de melhoria e da qualidade
da aliança terapêutica. Objetivou-se ainda comparar indivíduos “com perturbação” e “sem
perturbação em relação à capacidade de regulação. Por último pretendeu-se explorar a relação
entre as discrepâncias do Self e a sintomatologia. Foram aplicados instrumentos para avaliação
das variáveis referidas a uma amostra clínica de conveniência, em vários momentos do
processo terapêutico. Os resultados mostram, tanto ao nível da análise global como intraindividual,
que nos casos em que aumenta a regulação, a funcionalidade dos processos tende a
aumentar, de forma não coerente, enquanto a estimativa de melhoria aumenta e a qualidade da
aliança oscila. Com o aumento da regulação as discrepâncias do Self tendem a diminuir,
acompanhando a sintomatologia, enquanto os perfis de discrepância diminuem de forma menos
linear. Indivíduos “sem perturbação” tendem a ter uma maior capacidade de regulação das
necessidades do que indivíduos “perturbados”. Os resultados demonstram suporte empírico
acerca da influência da capacidade de regulação das necessidades psicológicas na evolução das
restantes variáveis, parecendo ter, no processo terapêutico, um papel mediador. Foi ainda
possível corroborar conclusões de estudos anteriores, que relacionam uma maior capacidade
de regulação a uma menor sintomatologia.
Conceptually framed by the Paradigmatic Complementary Model (2001), this research focuses on the study of the process of change during the therapeutic process. This study aimed to explore how the ability to regulate psychological needs satisfaction developed through the therapeutic process, as well as the associations between this ability and the evolution in the functionality degree of regulation processes, in the needs discrepancies profiles, Self discrepancies, symptomatology, patient’s estimated improvement and quality of therapeutic alliance. It was also a goal to compare individuals “with” and “without” disorder regarding regulation’s ability. Finally, the study aimed to explore the relation between Self discrepancies and symptomatology. Thus, instruments for assessing the referred variables were applied in a convenience clinical sample, in several moments of the therapeutic process. Concerning both the global analysis as the intra-individual analysis, results seem to support the idea that, in cases where the regulation increases, the functionality of processes tends to increase, in a non-linear manner, while the patient’s estimated improvement increases and the quality of therapeutic alliance oscillates. Also, as the capacity of regulation increases, the Self discrepancies tend to decrease, in a non-linear way. Individuals “without disorder” tend to have a better capacity of needs regulation than individuals “with disorder”. The results provide empirical support on the influence of the capacity of psychological needs regulation in the development of the other variables, since it seems to have a mediator role, in the therapeutic process. This study also supports the conclusions obtained by previous studies that relate a better capacity of regulation with less symptomatology.
Conceptually framed by the Paradigmatic Complementary Model (2001), this research focuses on the study of the process of change during the therapeutic process. This study aimed to explore how the ability to regulate psychological needs satisfaction developed through the therapeutic process, as well as the associations between this ability and the evolution in the functionality degree of regulation processes, in the needs discrepancies profiles, Self discrepancies, symptomatology, patient’s estimated improvement and quality of therapeutic alliance. It was also a goal to compare individuals “with” and “without” disorder regarding regulation’s ability. Finally, the study aimed to explore the relation between Self discrepancies and symptomatology. Thus, instruments for assessing the referred variables were applied in a convenience clinical sample, in several moments of the therapeutic process. Concerning both the global analysis as the intra-individual analysis, results seem to support the idea that, in cases where the regulation increases, the functionality of processes tends to increase, in a non-linear manner, while the patient’s estimated improvement increases and the quality of therapeutic alliance oscillates. Also, as the capacity of regulation increases, the Self discrepancies tend to decrease, in a non-linear way. Individuals “without disorder” tend to have a better capacity of needs regulation than individuals “with disorder”. The results provide empirical support on the influence of the capacity of psychological needs regulation in the development of the other variables, since it seems to have a mediator role, in the therapeutic process. This study also supports the conclusions obtained by previous studies that relate a better capacity of regulation with less symptomatology.
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, 2015
Palavras-chave
Processos terapêuticos Necessidades psicológicas Semiologia (Medicina) Complementaridade paradigmática Teses de mestrado - 2015