There is a firm tradition of cognitive behavioral programs for chronic pain and structured treatments for training coping skills have been relatively successful with motivated and cooperative participants. However, what is being trained generally comes down to component skills and ways of thinking that have to be used by the client in complex real life situations. The aim of this paper is to illustrate how the principles of Functional Analytic Psychotherapy (FAP) can be applied in a group therapy program for people with chronic pain, using genuine in vivo occurrences of pain-related or stress-maintaining interpersonal behaviors of the participants during the group interaction. Functional analytic case conceptualizations of two participants with treatment resistant chronic pain are presented. The use of FAP -informed strategies during complex exchanges in the group is shown by means of vignettes. It is argued that FAP offers a way to make group therapy more relevant for real life problems and more effective for some people with treatment resistant pain.
Um grupo de psicoterapia comportamental, para pacientes com dor crônica orofacial, é apresentado com o intuito de superar a noção de um grupo de apoio com base num modelo, no qual aspectos fisiológicos e psicológicos interagem. A análise aplicada do comportamento e a terapia comportamental cognitiva são duas abordagens que sustentam a construção de terapias de grupo, com formato didático, para a aquisição de melhores formas de lidar com a dor. A análise clínica do comportamento, por sua vez, procura, a partir de uma análise funcional do processo psicoterapêutico, proporcionar mudanças profundas de cura. A junção dos dois (o formato didático e a psicoterapia analítico-funcional) se realiza quando, durante as sessões, episódios verbais não são compreendidos como trocas de informação, mas analisados como atos em contextos.
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