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Processamento emocional e emoções de valência positiva em psicoterapia : metaprocessamento enquanto evento significativo num estudo de caso misto, longitudinal e eficaz
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Resumo(s)
Este estudo investigou uma tarefa terapêutica, o metaprocessamento, que facilita o
processamento emocional de ter tido uma experiência de transformação, tanto pequena
como grande. O metaprocessamento promove o processamento de experiências
terapêuticas positivas, estimulando o desdobramento das emoções de valência positiva
que frequentemente são percebidas como agradáveis. Esta tarefa foi desenvolvida no
contexto da Psicoterapia Dinâmica Experiencial Acelerada (AEDP) e foi inicialmente
modulada através de três modelos racionais-empíricos que descrevem os seus
procedimentos e processos. A análise longitudinal de tal tarefa no contexto do processo
terapêutico ainda se encontra em fases preliminares. Foi aplicado um método baseado
em estudos de caso mistos e longitudinais para estudar empiricamente um caso de
psicoterapia AEDP de 16 sessões, das quais 13 estavam disponíveis para análise em
formato de vídeo. Este caso foi retirado de um estudo de resultados (Iwakabe et al.,
2020; 2022). Os objetivos foram, em primeiro lugar, determinar se o caso foi
considerado de sucesso ou insucesso; em segundo lugar, identificar, validar e
caracterizar eventos de metaprocessamento através dos modelos e medidas previamente
desenvolvidos; e, em terceiro lugar, explorar a relação entre o metaprocessamento e o
mecanismo de processamento emocional. Os resultados revelaram a eficácia do caso
sob análise, bem como a identificação, validação e caracterização de 15 eventos de
metaprocessamento que ocorreram ao longo do processo terapêutico. Através da análise
qualitativa do processamento emocional dentro e fora dos eventos identificados,
ilustrou-se o processo de mudança da cliente, destacando a utilidade da tarefa de
metaprocessamento na intervenção de processos de luto, dissolução de queixas
somáticas e facilitação da consolidação da resiliência e autenticidade. As vantagens
potenciais desta intervenção, bem como as implicações clínicas e sugestões para
investigações futuras, foram discutidas considerando a teoria e prática da AEDP e
perspetivas integrativas em psicoterapia em geral.
This research examined a therapeutic task, metaprocessing, which facilitates the emotional processing of having had an experience of transformation, small or big. It promotes the processing of positive therapeutic change experiences, stimulating the unfolding of the accompanying emotions of positive valence, frequently experience as pleasant. This task was developed in the context of Accelerated Experiential Dynamic Psychotherapy (AEDP) and was initially modulated through three rational-empirical models that describe its procedures and processes. The longitudinal examination of such a task within the therapeutic process context is still in its preliminary stages. A method based on mixed and longitudinal case studies was applied to empirically study a 16- sessions AEDP psychotherapy case, of which 13 were available for video-based analysis. This case was extracted from an outcome study (Iwakabe et al., 2020; 2022). The purpose was to first determine whether the case was considered successful or unsuccessful; second, identify, validate, and characterize metaprocessing events trough the previously developed models and measures; and third, to explore the relationship between metaprocessing and the emotional processing mechanism. Results revealed the effectiveness of the case under analysis, as well as the identification, validation, and characterization of 15 metaprocessing events that occurred throughout the therapeutic process. Through the qualitative analysis of emotional processing in and out of the identified events, the change process of the client was illustrated, highlighting the utility of the metaprocessing task in addressing grieving processes, dissolution of somatic complaints and facilitating the consolidation of resilience and authenticity. Potential advantages of this intervention, as well as the clinical implications and suggestions for future research, were then discussed considering with the theory and practice of AEDP and integrative perspectives in psychotherapy in general.
This research examined a therapeutic task, metaprocessing, which facilitates the emotional processing of having had an experience of transformation, small or big. It promotes the processing of positive therapeutic change experiences, stimulating the unfolding of the accompanying emotions of positive valence, frequently experience as pleasant. This task was developed in the context of Accelerated Experiential Dynamic Psychotherapy (AEDP) and was initially modulated through three rational-empirical models that describe its procedures and processes. The longitudinal examination of such a task within the therapeutic process context is still in its preliminary stages. A method based on mixed and longitudinal case studies was applied to empirically study a 16- sessions AEDP psychotherapy case, of which 13 were available for video-based analysis. This case was extracted from an outcome study (Iwakabe et al., 2020; 2022). The purpose was to first determine whether the case was considered successful or unsuccessful; second, identify, validate, and characterize metaprocessing events trough the previously developed models and measures; and third, to explore the relationship between metaprocessing and the emotional processing mechanism. Results revealed the effectiveness of the case under analysis, as well as the identification, validation, and characterization of 15 metaprocessing events that occurred throughout the therapeutic process. Through the qualitative analysis of emotional processing in and out of the identified events, the change process of the client was illustrated, highlighting the utility of the metaprocessing task in addressing grieving processes, dissolution of somatic complaints and facilitating the consolidation of resilience and authenticity. Potential advantages of this intervention, as well as the clinical implications and suggestions for future research, were then discussed considering with the theory and practice of AEDP and integrative perspectives in psychotherapy in general.
Descrição
Dissertação de mestrado, Psicologia Clínica e da Saúde (Área de Especialização em Psicologia Clínica Cognitivo-Comportamental Integrativa), 2023, Universidade de Lisboa, Faculdade de Psicologia
Palavras-chave
Psicoterapia Emoções Estudos de caso Processo terapêutico Dissertações de mestrado - 2023