Comparando a Psicoterapia Psicodinâmica de uma menina com modelos de Psicoterapia Psicodinâmica e Terapia Cognitivo- Comportamental
DOI:
https://doi.org/10.15448/1980-8623.2019.3.30464Palavras-chave:
processos psicoterapêuticos, psicoterapia da criança, psicoterapia psicanalítica, terapia cognitivo-comportamental.Resumo
Esse estudo teve como objetivo comparar o processo da Psicoterapia Psicodinâmica (PP) de uma criança com sintomas internalizantes aos protótipos brasileiros de terapia cognitivo-comportamental (TCC) e de PP para crianças com transtornos internalizantes e externalizantes. Para isso, pares de juízes avaliaram todas as sessões (n=40) da psicoterapia de uma menina com sintomas internalizantes utilizando o Child Psychotherapy Q-Set (CPQ). Os graus de similaridade das sessões aos protótipos brasileiros de psicoterapia foram calculados via correlação de Pearson. Como resultado, o tratamento apresentou similaridade significativa simultaneamente aos protótipos da TCC e da PP para crianças com transtornos internalizantes. Não foi encontrada similaridade significativa ao protótipo da PP para crianças com transtornos externalizantes. Verificou-se que os protótipos brasileiros de psicoterapia de crianças mostraram se uma ferramenta útil na avaliação desse processo terapêutico. Os dados apresentados indicam que, na prática, as características das psicoterapias de crianças se sobrepõem e os processos apresentam um caráter integrativo.
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Referências
Ablon, J. S., & Jones, E. E. (1998). How expert clinicians’ prototypes of an ideal treatment correlate with outcome in psychodynamic and cognitive-behavioral therapy. Psychotherapy Research, 8(1), 71-83. https://doi.org/10.1080/10503309812331332207
Ablon, J. S., & Jones, E. E. (2002). Validity of controlled clinical trials of psychotherapy: findings from the NIMH treatment of depression collaborative research program. American Journal of Psychiatry, 159(5), 775-783. https://doi.org/10.1176/appi.ajp.159.5.775
Achenbach, T. M. (1991). Manual for the Child Behavior Checklist/4-18 and 1991 profile. Burlington: University of Vermont, Department of Psychiatry.
Alford, B. A., & Beck, A. T. (1997). An analysis of integrative ideology. B. A. Alford & A. T. Beck (Eds.), The integrative power of cognitive therapy. New York: The Guilford Press.
Chorpita, B. F., Daleiden, E. L., Ebesutani, C., Young, J., Becker, K. D., Nakamura, B. J., … Starace, N. (2011). Evidence-based treatments for children and adolescents: an updated review of indicators of efficacy and effectiveness. Clinical Psychology: Science and Practice, 18(2), 154-172. https://doi.org/10.1111/j.1468-2850.2011.01247.x
Edwards, D. J. A. (2007). Collaborative Versus Adversarial Stances in Scientific Discourse: Implications for the Role of Systematic Case Studies in the Development of Evidence-Based Practice in Psychotherapy. Pragmatic Case Studies in Psychotherapy, 3(1). https://doi.org/10.14713/pcsp.v3i1.892
Etchegoyen, R. H. (2005). The fundamentals of psychoanalytic technique. London: Karnac Books. Fiorini, G. P., & Ramires, V. R. R. (2019). Development of Brazilian prototypes for child psychodynamic psychotherapy and cognitive-behavioral therapy. Trends in
Psychiatry and Psychotherapy, 41(2), 149-158. https://doi.org/10.1590/2237-6089-2018-0053.
Fonagy, P., Bateman, A. W., & Luyten, P. (2012). Introduction and Overview. In A. W. Bateman & P.
Fonagy (Eds.), Handbook of Mentalizing in Mental Health Practice (pp. 3-42). Washington: American Psychiatric Publishing.
Gastaud, M. B., Carvalho, C., Fiorini, G. P., & Ramires, V. R. R. (2017). Psychodynamic Psychotherapy of a Child with Internalizing Symptoms: A Study of Outcomes. British Journal of Psychotherapy, 33(4), 514-536. https://doi.org/10.1590/2237-6089-2014-0059
Gastaud, M. B., Carvalho, C., Goodman, G., & Ramires, V. R. R. (2015). Assessing levels of similarity to a “psychodynamic prototype” in psychodynamic psychotherapy with children: a case study approach (preliminary findings). Trends in Psychiatry and Psychotherapy, 37(3), 161-165. https://doi.org/10.1590/2237
Goodman, G., Anderson, K., & Diener, M. J. (2014). Processes of therapeutic change in psychodynamic therapy of two inpatients with borderline personality disorder. Journal of Psychotherapy Integration, 24(1), 30-45. https://doi.org/10.1037/a0035970
Goodman, G., & Athey-Lloyd, L. (2011). Interaction structures between a child and two therapists in the psychodynamic treatment of a child with Asperger’s disorder. Journal of Child Psychotherapy, 37(3), 311-326.
https://doi.org/10.1080/0075417X.2011.614749
Goodman, G., Midgley, N., & Schneider, C. (2016). Expert clinicians’ prototypes of an ideal child treatment in psychodynamic and cognitive-behavioral therapy: Is mentalization seen as a common process factor?
Psychotherapy Research, 26(5), 590-601. https://doi.org/10.1080/10503307.2015.1049672
Goodman, G., Reed, P., & Athey-Lloyd, L. (2015). Mentalization and play therapy processes between two therapists and a child with Asperger’s disorder. International Journal of Play Therapy, 24(1), 13-29.
https://doi.org/10.1037/a0038660
Jones, E. E. (1985). Psychotherapy Process Q-Set Coding Manual. Berkeley. Retrieved from http://www. homepages.ucl.ac.uk/~ucjtaca/pqsmanual.pdf
Jones, E. E., Cumming, J. D., & Horowitz, M. J. (1988). Another look at the nonspecific hypothesis of therapeutic effectiveness. Journal of Consulting and Clinical Psychology, 56(1), 48-55. https://doi.org/10.1037/0022-006X.56.1.48
Kazdin, A. E. (2009). Understanding how and why psychotherapy leads to change. Psychotherapy Research: Journal of the Society for Psychotherapy Research, 19(4-5), 418-28. https://doi.org/10.1080/10503300802448899
Kernberg, P. B., & Chazan, S. (1991). Children with conduct disorders: a psychotherapy manual. New York: Basic Books.
Kovacs, M., & Devlin, B. (1998). Internalizing Disorders in Childhood. Journal of Child Psychology and Psychiatry, 39(1), 47-63. https://doi.org/10.1111/1469-7610.00303
Leichsenring, F., Ablon, S., Barber, J. P., Beutel, M., Gibbons, M. B. C. B., Crits-Christoph, P., & Salzer, S. (2016). Developing a prototype for short term psychodynamic (supportive-expressive) therapy: An empirical
study with the psychotherapy process Q-set. Psychotherapy Research, 26(4), 500-510. https://doi.org/10.1080/10503307.2015.1051160
Leonardi, J. L., & Meyer, S. B. (2015). Prática baseada em evidências em psicologia e a história da busca pelas provas empíricas da eficácia das psicoterapias. Psicologia: Ciência E Profissão, 35(4), 1139-1156. https://doi.org/10.1590/1982-3703001552014
Luz, A. B. (2015). Fases da psicoterapia. In C. L. Eizirik, R. W. Aguiar, & S. S. Schestatsky (Eds.), Psicoterapia de orientação analítica (pp. 249 266). Porto Alegre: Artmed.
Midgley, N., O’Keeffe, S., French, L., & Kennedy, E. (2017). Psychodynamic psychotherapy for children and adolescents: an updated narrative review of the evidence base. Journal of Child Psychotherapy, 37(3), 1-23. https://doi.org/10.1080/0075417X.2017.1323945
Oland, A. A., & Shaw, D. S. (2005). Pure versus co- -occurring externalizing and internalizing symptoms in children: The potential role of socio-developmental milestones. Clinical Child and Family Psychology
Review, 8(4), 247-270. https://doi.org/10.1007/s10567-005-8808-z
Organização Mundial da Saúde. (n.d.). Child and adolescent mental health. Retrieved May 1, 2017, from http://www.who.int/mental_health/maternal-child/child_adolescent/en/ https://doi.org/10.5772/67556
Palmer, R., Nascimento, L. N., & Fonagy, P. (2013). The state of the evidence base for psychodynamic psychotherapy for children and adolescents. Child and Adolescent Psychiatric Clinics of North America, 22(2), 149-214. https://doi.org/10.1016/j.chc.2012.12.001
Polanczyk, G. V, Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual Research Review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child
Psychology and Psychiatry, 56(3), 345-365. https://doi.org/10.1111/jcpp.12381
Ramires, V. R. R., Carvalho, C., Schmidt, F. M. D., Fiorini, G. P., & Goodman, G. (2015). Interaction structures in the psychodynamic therapy of a boy diagnosed with Asperger’s Disorder: A single-case study.
Research in Psychotherapy: Psychopathology, Process and Outcome, 18(2), 129-140. https://doi.org/10.4081/ripppo.2015.195
Ramires, V. R. R., Godinho, L. B. R., & Goodman, G. (2017). The therapeutic process of a child diagnosed with disruptive mood dysregulation disorder. Psychoanalytic Psychology, 34(4), 488-498. https://doi.org/10.1037/pap0000134
Ramires, V. R. R., & Schneider, C. (2016). Psicoterapia de Crianças: Desenvolvimento da Versão em Português do Child Psychotherapy Q-Set. Psicologia: Teoria E Pesquisa, 32(3), 1-10. https://doi.org/10.1590/0102-3772e323218
Recktenvald, K., Mallmann, M. Y., Schmidt, F. M. D., Fiorini, G. P., & Cappellari, C. P. C. (2016). Caracterização da clientela de bebês em uma clínica-escola de psicoterapia psicanalítica. Revista Brasileira de
Psicoterapia, 18(3), 15-30. https://doi.org/10.5935/1980-6906/psicologia.v19n3p70-83
Sampieri, R. H., Collado, C. F., & Lucio, M. del P. B. (2014). Metodología de la investigación. City of Mexico: McGraw Hill.
Schmidt, F. M. D., Fiorini, G. P., & Ramires, V. R. R. (2015). Psychoanalytic psychotherapy and the pregnant therapist: A literature review. Research in Psychotherapy: Psychopathology, Process and Outcome, 18(2), 50-61. https://doi.org/10.4081/ripppo.2015.185
Schmidt, F. M. D., Gastaud, M. B., & Ramires, V. R. R. (2018). Child Psychodynamic Psychotherapy and Therapist Pregnancy: Systematic Case Study. Paidéia (Ribeirão Preto), 28, 36. https://doi.org/10.1590/1982-4327e2836.
Schneider, C., & Jones, E. E. (2009). Child Psychotherapy Q-Set coding manual. Berkeley: University of California. Retrieved from http://www.homepages.ucl.ac.uk/~ucjtaca/cpqmanual.pdf
Schneider, C., & Jones, E. E. (2012). Appendix IB. Child Psychotherapy Q-Set. Coding Manual. In R. A. Levy, J. S. Ablon, & H. Kächele (Eds.), Psychodynamic Psychotherapy Research: Evidence-Based Practice and
Practice-Based Evidence (pp. 611-626). New York: Humana Press. https://doi.org/10.1007/978-1-60761-792-1
Schneider, C., Midgley, N., & Duncan, A. (2010). A “motion portrait” of a psychodynamic treatment of an 11-year-old girl: exploring interrelations of psychotherapy process and outcome using the child psychotherapy
Q-set. Journal of Infant, Child, and Adolescent Psychotherapy, 9(2-3), 94-107. https://doi.org/10.1080/15289168.2010.510979
Serralta, F. B., & Ablon, J. S. (2016). Development of Brazilian prototypes for short-term psychotherapies. Trends in Psychiatry and Psychotherapy, 38(2), 71-79. https://doi.org/10.1590/2237-6089-2015-0039
Serralta, F. B., Pole, N., Nunes, M. L. T., Eizirik, C. L., & Olsen, C. (2010). The process of change in brief psychotherapy: Effects of psychodynamic and cognitive- -behavioral prototypes. Psychotherapy Research, 20(5), 564-575. https://doi.org/10.1080/10503307.2010.493537
Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65(2), 98-109. https://doi.org/10.1037/a0018378
Wampold, B. E. (2015). How important are the common factors in psychotherapy? An update. World Psychiatry, 14(3), 270-277. https://doi.org/10.1002/wps.20238
Weinberger, J. (2014). Common factors are not so common and specific factors are not so specified: toward an inclusive integration of psychotherapy research. Psychotherapy, 51(4), 514-518. https://doi.org/10.1037/a0037092
Wilkinson, P. (2009). Conceptualization about internalizing problems in children and adolescents. Ciência & Saúde Coletiva, 14(2), 373-381. https://doi.org/10.1590/S1413-81232009000200007
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