Researchers and clinicians seem to agree that the psychotherapist’s pregnancy is an unique moment of psychotherapy psychoanalytic process. In Brazil, 89% of psychologists belong to the female gender, being that the practice of psychotherapy, in its great majority, is performed by women. In spite of the relevance of the subject and of its impact on psychotherapies, there are few current studies, most of them dealing with adult patients. The objective of this study was to perform a systematic review of the literature about pregnancy of the psychotherapist in psychoanalytic psychotherapy. All the articles found in the search of indexed scientific publications, which can be accessed on-line, with an approach about the pregnant psychotherapist in psychoanalytic psychotherapy, were included and discussed in this revision. Besides this, the methods, the results and the repercussions of the treatment, were analyzed. It is revealed that there is a lack of studies in this area, because most of the found articles were dated twelve years ago or more. The studies are of a qualitative exploratory methodology, with small samples, from retrospective data collection from the period when the therapists were pregnant. Pregnancy is discussed as a strong catalyzer for the transference and/or for countertransferential reactions. No items of research were found on the subject from the patient or his family’s perspective, as well as studies about the psychoanalytic psychotherapy process. It is concluded that other studies on this issue are necessary for the better understanding of this psychotherapeutic moment.

Abstract.It is important to investigate the outcomes of psychotherapy and, especially, its process. Regarding child psychodynamic psychotherapy, available studies are in smaller numbers. Therefore, we still do not fully know the mechanisms of change in treatments with this age group. The Child Psychotherapy Q-Set (CPQ) was designed to analyze the therapeutic process with children. It permits one to identify interaction structures (i.e., repetitive patterns of interaction) and how they change in the course of a treatment. Based on these assumptions, the aim of this study was to identify and to analyze the interaction structures in the psychodynamic therapy of a boy diagnosed with Asperger's disorder and possible changes in his psychic organization. A mixed longitudinal study, based on the Systematic Case Study procedure, was performed. Approximately 30 months of the boy's psychotherapy were analyzed using the CPQ. The Rorschach method was used as the outcome measure. Four interaction structures were identified, using the CPQ: Active, confident and lively child, competing with connected, mentalizing and accepting therapist; Withdrawn and defensive child with uncertain, unresponsive and didactic therapist; Accepting therapist with demanding, provocative and hostile child; and Reassuring, supportive, nondirective therapist with a compliant and not spontaneous child. Two interaction structures varied over time. Some changes in Rorschach variables were detected after two years of treatment.

No abstract

No abstract

Este artigo está licenciado sob forma de uma licença Creative Commons Atribuição 4.0 Internacional, que permite uso irrestrito, distribuição e reprodução em qualquer meio, desde que a publicação original seja corretamente citada.