Abstract:The aim of this paper is to present the Brazilian version of the instrument APQ (Adolescent Psychotherapy Q-Set), including its translation and initial adaptation, followed by the construction of psychotherapy prototypes for psychoanalytic and cognitivebehavioral approaches. A total of 10 psychoanalytic and 10 cognitive-behavioral therapists were asked to classify the APQ items in relation to relevance to their theoretical model. Data were analyzed with factor analysis. The extraction of two factors explained … Show more
“…19 Therefore, the objective of this study was to develop Brazilian PDT and CBT prototypes for children with ID and ED. The following hypotheses were tested: 1) expert clinicians should exhibit a high degree of agreement regarding the conceptualization of sessions for children with ID and ED within their respective theoretical approaches; 2) based on the consideration that the Q methodology could differentiate the PDT and CBT prototypical processes in various previous studies 4,8,21 and that the children's psychopathological conditions impact the therapeutic process and the degree of similarity to the prototypes, 13,14 it was expected that the expert clinicians' ratings would generate four distinct factors, differentiating both theoretical approaches for both types of diagnoses.…”
Trends in Psychiatry and Psychotherapy
Original ArticleResumo Introdução: Este estudo desenvolveu protótipos brasileiros de psicoterapia psicodinâmica (PP) e terapia cognitivocomportamental (TCC) para crianças com transtornos internalizantes (TI) e externalizantes (TE). Método: Dezoito experts brasileiros em PP (n = 9) e TCC (n = 9) classificaram os 100 itens do Child Psychotherapy Q-Set (CPQ) descrevendo uma sessão hipotética típica de acordo com suas respectivas abordagens teóricas para crianças com TI. Depois, eles classificaram os mesmos itens descrevendo uma sessão hipotética típica para crianças com TE. Foi realizada uma análise fatorial do tipo Q com rotação varimax. Resultados: As correlações dos experts foram altas, considerando ambas as abordagens teóricas e as duas categorias diagnósticas. A análise fatorial gerou três fatores independentes. As avaliações da TCC concentraram-se em um fator, enquanto as avaliações da PP geraram um fator que descreveu o tratamento de crianças com TI e um outro fator que descreveu o tratamento de crianças com TE. Conclusão: O protótipo único da TCC refletiu uma conceptualização geral dessa abordagem, indiscriminada em relação aos sintomas da criança. O protótipo da PP para crianças com TI evidenciou um processo focado na interpretação, enquanto o protótipo da PP para crianças com TE caracterizou um processo suportivo com atenção à relação terapêutica. Infere-se uma maior variação no processo em PP para crianças com diferentes sintomatologias. Descritores: Processos psicoterapêuticos, psicologia da criança, psicoterapia psicodinâmica, terapia cognitiva.
AbstractIntroduction: This study developed Brazilian psychodynamic psychotherapy (PDT) and cognitive-behavioral therapy (CBT) prototypes for children with internalizing disorders (ID) and externalizing disorders (ED). Method: Eighteen Brazilian experts in PDT (n = 9) and CBT (n = 9) rated the 100 items of the Child Psychotherapy Q-Set (CPQ) describing a hypothetical typical session based on their respective theoretical backgrounds for children with ID. They then rated the same items describing a hypothetical typical session for children with ED. A Q-type factor analysis with varimax rotation was performed. Results: Expert correlations were high within each theoretical approach and each diagnostic category. The factor analysis identified three independent factors. CBT ratings concentrated on one factor, while PDT ratings loaded onto one factor describing treatment of children with ID and another factor describing treatment of children with ED. Conclusion: The sole CBT prototype reflected a general conceptualization of this approach and was undifferentiated regarding treatment of children with ID and ED. The PDT prototype for children with ID provided evidence of a process focused on interpretation, while the PDT prototype for children with ED characterized a supportive process with attention to the therapeutic relationship. This infers greater variation in the PDT setting for children with different conditions. Suggested cit...
“…19 Therefore, the objective of this study was to develop Brazilian PDT and CBT prototypes for children with ID and ED. The following hypotheses were tested: 1) expert clinicians should exhibit a high degree of agreement regarding the conceptualization of sessions for children with ID and ED within their respective theoretical approaches; 2) based on the consideration that the Q methodology could differentiate the PDT and CBT prototypical processes in various previous studies 4,8,21 and that the children's psychopathological conditions impact the therapeutic process and the degree of similarity to the prototypes, 13,14 it was expected that the expert clinicians' ratings would generate four distinct factors, differentiating both theoretical approaches for both types of diagnoses.…”
Trends in Psychiatry and Psychotherapy
Original ArticleResumo Introdução: Este estudo desenvolveu protótipos brasileiros de psicoterapia psicodinâmica (PP) e terapia cognitivocomportamental (TCC) para crianças com transtornos internalizantes (TI) e externalizantes (TE). Método: Dezoito experts brasileiros em PP (n = 9) e TCC (n = 9) classificaram os 100 itens do Child Psychotherapy Q-Set (CPQ) descrevendo uma sessão hipotética típica de acordo com suas respectivas abordagens teóricas para crianças com TI. Depois, eles classificaram os mesmos itens descrevendo uma sessão hipotética típica para crianças com TE. Foi realizada uma análise fatorial do tipo Q com rotação varimax. Resultados: As correlações dos experts foram altas, considerando ambas as abordagens teóricas e as duas categorias diagnósticas. A análise fatorial gerou três fatores independentes. As avaliações da TCC concentraram-se em um fator, enquanto as avaliações da PP geraram um fator que descreveu o tratamento de crianças com TI e um outro fator que descreveu o tratamento de crianças com TE. Conclusão: O protótipo único da TCC refletiu uma conceptualização geral dessa abordagem, indiscriminada em relação aos sintomas da criança. O protótipo da PP para crianças com TI evidenciou um processo focado na interpretação, enquanto o protótipo da PP para crianças com TE caracterizou um processo suportivo com atenção à relação terapêutica. Infere-se uma maior variação no processo em PP para crianças com diferentes sintomatologias. Descritores: Processos psicoterapêuticos, psicologia da criança, psicoterapia psicodinâmica, terapia cognitiva.
AbstractIntroduction: This study developed Brazilian psychodynamic psychotherapy (PDT) and cognitive-behavioral therapy (CBT) prototypes for children with internalizing disorders (ID) and externalizing disorders (ED). Method: Eighteen Brazilian experts in PDT (n = 9) and CBT (n = 9) rated the 100 items of the Child Psychotherapy Q-Set (CPQ) describing a hypothetical typical session based on their respective theoretical backgrounds for children with ID. They then rated the same items describing a hypothetical typical session for children with ED. A Q-type factor analysis with varimax rotation was performed. Results: Expert correlations were high within each theoretical approach and each diagnostic category. The factor analysis identified three independent factors. CBT ratings concentrated on one factor, while PDT ratings loaded onto one factor describing treatment of children with ID and another factor describing treatment of children with ED. Conclusion: The sole CBT prototype reflected a general conceptualization of this approach and was undifferentiated regarding treatment of children with ID and ED. The PDT prototype for children with ID provided evidence of a process focused on interpretation, while the PDT prototype for children with ED characterized a supportive process with attention to the therapeutic relationship. This infers greater variation in the PDT setting for children with different conditions. Suggested cit...
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