My journey through psychotherapy integration by twists and turns.

Messer, Stanley B.

doi:10.1037/int0000159

Cited by 8 publications

(11 citation statements)

References 42 publications

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“…Neste contexto, ressalta-se que a partir da integração das abordagens no desenvolvimento da psicoterapia, Ana conseguiu trabalhar esses pontos por meio da associação livre, por exemplo (técnica do modelo psicanalítico de psicoterapia) e também com as tarefas de casa (estratégia utilizada na TCC). Assim como referido por Messer (2019), avaliou-se que no caso de Ana a aplicação da psicoterapia integrativa -apropriando-se neste caso do modelo psicanalítico e do modelo cognitivocomportamentalpotencializou e acelerou a melhora dos sintomas da paciente.…”

Section: Resultsunclassified

“…A psicoterapia integrativa pode ser vista como um novo modo de conduzir pesquisas e práticas em psicoterapia em que uma técnica, conceito ou perspectiva de uma determinada abordagem é incorporado a um outro modelo teórico com o objetivo de auxiliar o paciente de maneira mais eficaz e eficiente (Messer, 2019). Também é possível fazer a integração focada no método, mantendo o modelo teórico de compreensão do caso e objetivo da terapia, mas utilizando-se de estratégias e técnicas desenvolvidas por outras abordagens de forma complementar quando estas técnicas possuem evidências de maior sucesso para demandas específicas.…”

Section: A Psicoterapia Integrativaunclassified

“…Também é possível fazer a integração focada no método, mantendo o modelo teórico de compreensão do caso e objetivo da terapia, mas utilizando-se de estratégias e técnicas desenvolvidas por outras abordagens de forma complementar quando estas técnicas possuem evidências de maior sucesso para demandas específicas. Messer (2019) cita que em sua experiência de 40 anos como psicoterapeuta integrativo considera enriquecedor ser exposto a outras possibilidades, ao pluralismo e outros pontos de vista para que o aprofundamento teórico seja realizado e os pacientes possam tirar ainda mais vantagens da psicoterapia.…”

Section: A Psicoterapia Integrativaunclassified

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Psicoterapia de orientação analítica e psicoterapia cognitivo-comportamental: integração possível na prática clínica?

Kronbauer

Menezes

Lopes

2022

RSD

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A psicoterapia integrativa visa articular conhecimentos teóricos e metodológicos de mais de uma abordagem, aproveitando suas potencialidades de forma complementar para melhor eficácia no tratamento. Esta prática tem sido reconhecida e aplicada em âmbito internacional, mas no Brasil ainda é pouco encorajada. Este relato de experiência tem como objetivo discutir a possibilidade de integração entre a psicoterapia de orientação analítica e a psicoterapia cognitivo-comportamental a partir da análise de um caso clínico. A psicoterapia foi realizada em 2017, totalizando vinte atendimentos. A partir da análise dos atendimentos, observou-se que, apesar de cada escola teórica possuir métodos distintos, ambas têm como objetivo o bem-estar do sujeito através do desenvolvimento de recursos para lidar com as suas dificuldades. Assim, conclui-se que a integração das duas abordagens de forma complementar e não reducionista pode ter boa aplicação clínica. Trabalhos que apresentem procedimentos integrativos e que incentivem a reflexão sobre tal prática psicoterapêutica devem ser encorajados.

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Section: Resultsunclassified

Section: A Psicoterapia Integrativaunclassified

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Psicoterapia de orientação analítica e psicoterapia cognitivo-comportamental: integração possível na prática clínica?

Kronbauer

Menezes

Lopes

2022

RSD

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“…Hospitality may take many forms, and it is always the product of a negotiation between the law of ethics and the political laws that condition it. For example, within the integration movement, it is practiced within the assimilative integration model: ‘… in which techniques or perspectives from other therapies are incorporated into a “home” therapy’ (Messer, 2019, p. 73). This type of integration requires a firm grounding in one psychotherapeutic system and openness to selectively include practices and views deriving from another system (Norcross & Alexander, 2019).…”

Section: Hospitality Within the Psychotherapeutic Milieumentioning

confidence: 99%

Psychoanalysis and CBT: From Rivalry to Hospitality in Psychotherapy Integration

Herzovich¹,

Govrin²

2021

Brit J Psychotherapy

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Despite the many efforts to integrate psychoanalysis with CBT, many loyal therapists of each school have consistently refused to 'open their gate' to the other's influence. We explain this resistance as a way to preserve a strong professional identity through the Us-Them distinction. Any attempt to encourage loyal therapists to be influenced by the other school must guarantee that the other will not threaten their identity. We use Derrida's notion of hospitality to facilitate mutual influence between the schools while overcoming the other's threatening encounter. According to Derrida, hospitality, in response to the law of ethics, opens the home's threshold to the foreigner; in this law, the other is always welcome. At the same time, hospitality prevents a hostile takeoverby the law of politics, which ensures the owner's ongoing control over his house. By thus keeping the tension between openness and control over who enters, hospitality makes listening and learning between the psychotherapeutic schools possible. We discuss practical ways to put the concept of hospitality to work between the two schools, offer illustrations, and argue for this model's advantages.

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“…Assimilative integration, as one form of integration, allows clinicians to individualize the treatment by incorporating perspectives, attitudes, or techniques from complementing approaches that fit the needs and problems of a patient but without ignoring the primary theoretical model (Messer, 1992). As a result, integrative practice represents a variable and ever-changing process (see Messer, 2019); whereby the ultimate integrative approach is never reached. Assimilative integration follows the assumption that psychological interventions will be maximally effective when different strategies from other approaches are incorporated in a way that overcomes the limitations of the underlying model (see Sotskova et al, 2016).…”

mentioning

confidence: 99%

How do novice therapists manage the process of assimilative integration? A qualitative interview study about the application of implicit heuristics.

Heer¹,

Stähli²,

Edöcs³

et al. 2022

Journal of Psychotherapy Integration

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Integration of different psychotherapeutic approaches and interventions has become a crucial aspect in psychotherapy practice. Although different conceptual models exist, the experiences of integrative therapists are often ignored. The aim of the present study is to reach a better understanding of therapists’ experiences and challenges while integrating new therapy elements. Twenty-six relatively inexperienced therapists took part in the interview study, which was embedded in a randomized control trial. The goal was to carry out 3 psychotherapies while integrating either components of Emotion-Focused Therapy (EFT) or Self-Regulation (SR) into their treatment as usual. Therapists were interviewed during 3 different time points throughout their therapies. In total, 97 interviews were transcribed and analyzed using MAXQDA 12.3 following Mayring’s (2000) qualitative content analysis. Results indicate that therapists implicitly followed heuristics to assimilate new therapy elements into their originally trained approach. With the integration of therapy elements from conceptually more foreign therapy orientations (i.e., EFT), therapists seemed to experience a slightly higher challenge, but at the same time, perceived it as a chance to enrich their practice with the result of a more individualized, responsive practice. 62% of all therapists reported a thorough change in their therapeutic style. The results suggest that assimilative integration is a complex, multidimensional process guided by various principles regarding the fit of the new therapy elements to patients and therapist characteristics in a responsive manner considering the therapeutic alliance. The findings stress the importance of therapists’ relational flexibility.

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My journey through psychotherapy integration by twists and turns.

Cited by 8 publications

References 42 publications

Psicoterapia de orientação analítica e psicoterapia cognitivo-comportamental: integração possível na prática clínica?

Psicoterapia de orientação analítica e psicoterapia cognitivo-comportamental: integração possível na prática clínica?

Psychoanalysis and CBT: From Rivalry to Hospitality in Psychotherapy Integration

How do novice therapists manage the process of assimilative integration? A qualitative interview study about the application of implicit heuristics.

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