Repensando a ação terapêutica

Gabbard, Glen O.; Westen, Drew

doi:10.1590/s0101-81082003000200003

Cited by 9 publications

(7 citation statements)

References 39 publications

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“…It is recognized that brief psychodynamic treatments can vary between the expressive‐support poles (Dotta & Serralta, 2019; Enéas & Yoshida, 2014) and that there is greater therapist directivity in the use of interpretations, as can be seen in IS 2. In these treatments, supportive interventions are important to help the patient to establish a relationship of trust and tolerance with the therapist that is needed to fully take advantage of more interpretive interventions, which are known to be disruptive to their psychic process while creating new ways of dealing with reality (Gabbard & Westen, 2003). It should be highlighted that IS 2 correlated with time, indicating that the patient's introspection associated with doses of support and stimulation increased progressively as treatment evolved, and supposedly followed or even preceded observed changes.…”

Section: Discussionmentioning

confidence: 99%

Interaction Structures in the Online Psychodynamic Psychotherapy of a Patient with Anxiety Symptoms

Feijó¹,

Strassburger²,

Barcellos³

et al. 2022

Brit J Psychotherapy

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Interaction structures (IS) are reciprocal and mutual patterns of interaction between the therapist and patient, sometimes without either being aware of them. IS are mostly unique to each dyad but also can capture patterns that might be due to a particular therapy approach or clinical condition. The identification of IS in online psychodynamic settings can help clarify whether truly dynamic processes occur in virtual therapeutic relationships. The present study aimed to describe the general characteristics of the psychotherapeutic process and to identify the interaction structures in the online psychodynamic psychotherapy with an anxious patient. This was a longitudinal, systematic case study. The 24 online psychodynamic psychotherapy sessions were analysed by independent judges using the Psychotherapy Process Q‐Set. Through the exploratory factor analysis of the main components, four IS were identified: (1) confident patient and encouraging therapist, (2) introspective patient and therapist fostering independence, (3) patient feeling understood and responsive/non‐critical therapist, and (4) conflicted dyad exploring relationships. All patterns of interaction showed clinical validity, and pattern number (2) was positively associated with the treatment time. The study suggests that a truly psychodynamic process can be achieved in virtual settings. This kind of study denotes the characteristics of the dyad interaction and can contribute to the development of guidelines for therapeutic management attuned to the idiosyncrasies of the patients. More research on online practice is needed.

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Section: Discussionmentioning

confidence: 99%

Interaction Structures in the Online Psychodynamic Psychotherapy of a Patient with Anxiety Symptoms

Feijó¹,

Strassburger²,

Barcellos³

et al. 2022

Brit J Psychotherapy

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“…Although the interpretation, the insight and the aspects of the therapeutic interaction between analyst and patient are central methods in the therapeutic action, these elements are not identifi ed as unique in the therapeutic process. Currently, psychoanalytic therapists recognize that there are multiple modes of therapeutic action that vary from patient to patient (Clarkin, Fonagy, & Gabbard, 2013;Gabbard, 2005;Gabbard & Westen, 2003). In this sense, there have been changes in the management of the psychotherapeutic technique for certain patients, especially in the treatment of patients with severe pathologies (Pasini & Dametto, 2010).…”

Section: Intervenciones Del Terapeuta Psicoanalítico En El Proceso Psmentioning

confidence: 99%

Interventions of the Psychoanalytic Therapist in the Psychotherapeutic Process of a Patient with Borderline Personality Disorder

Simoni¹,

Benetti²,

Bittencourt³

2018

Temas Psicol.

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This study aimed to identify the types of interventions of a psychoanalytic therapist in the psychotherapy of a patient with Borderline Personality Disorder, during a period of treatment prior to psychiatric hospitalization. The Systematic Case Study procedure was adopted with a quantitative design. For the data analysis, twelve sessions of psychotherapy were transcribed and analyzed and the interventions of the therapist were classifi ed based on the Modifi ed Multidimensional Classifi cation of Psychotherapeutic Interventions (CMIP-M), which identifi es types of interventions in clinical material. Pairs of independent judges trained in the methodology of the instrument evaluated and classifi ed each of the interventions of the therapist at the descriptive level. The results were presented by means of descriptive statistics of frequency and percentage and indicated predominance of empathic (27.3%), closed exploratory (24.1%) and psychoanalytical examination (15.1%) interventions throughout the investigation process. The results showed similarities with previous studies, indicating the emphasis on closed exploratory interventions in the treatment of personality disorders. However, there were differences in relation to the previous investigations carried out with patients diagnosed with Borderline Personality Disorder, in which expressive interventions predominated.

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“…Intermediado pela comunicação terapêutica, o relacionamento terapêutico sistematizado entre o terapeuta (aqui o enfermeiro) e o cliente consegue identificar, compreender e elucidar os conflitos que o paciente vivencia 6 . Assim, o relacionamento terapêutico possui peculiaridades que permitem ativas mudanças, como a interiorização de funções inadequadas no indivíduo em sofrimento psíquico 7 .…”

Section: Introductionunclassified

O relacionamento terapêutico no cuidado a uma portadora de Transtorno Afetivo Bipolar: uma experiência transformadora

Lemos¹,

Araújo²,

Carvalho³

et al. 2007

Rev Rene

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The consolidation of the conjectures of the Psychiatric Reformation has continuously changed assistance and teaching of mental health. The purpose of the study is to refer to an academic experience of psychiatric nursing assistants, intermediated by the process of Therapeutical Relationship commended by Stefanelli to a customer with Bipolar Affective Disorders (BAD) during a ten day meeting in a one Hospital-Day in Fortaleza. The method used for data collection was the participant observation, field experiment and the nursing reporting. After facing the case reported, it was observed that the BAD is a multifactorial character psychopathology, so that it is required from the nurse an integrated vision concerning care implementation.. By this perspective the Therapeutical Relationship was a method used to promote a brief but transforming and stimulating bond of thoughts, attitudes and reflections in the customer. The experience was quite important, still in the modification of personal paradigms concerning psychiatric assistance as well and in the understanding of the human being sanity ephemerality.

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Repensando a ação terapêutica

Cited by 9 publications

References 39 publications

Interaction Structures in the Online Psychodynamic Psychotherapy of a Patient with Anxiety Symptoms

Interaction Structures in the Online Psychodynamic Psychotherapy of a Patient with Anxiety Symptoms

Interventions of the Psychoanalytic Therapist in the Psychotherapeutic Process of a Patient with Borderline Personality Disorder

O relacionamento terapêutico no cuidado a uma portadora de Transtorno Afetivo Bipolar: uma experiência transformadora

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