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1.
Psico USF ; 26(3): 429-438, Jul.-Sept. 2021.
Article in English | LILACS, INDEXPSI | ID: biblio-1351341

ABSTRACT

Therapeutic Assessment is a model of psychological evaluation that adopts a collaborative approach and a semi-structured systematization to the extent that it has well-defined steps. Considering its intervention nature, Therapeutic Assessment seeks to bring about positive changes in the lives of clients and/or people close to them. The present study aimed to evaluate how the Therapeutic Assessment process presented therapeutic consequences, using the case study as a research method. The description of the results was based on the assistance of a client using the Therapeutic Assessment model. The findings corroborate the hypotheses related to the therapeutic benefits of the Therapeutic Assessment, providing the clients with increased self-knowledge and self-reflection and changes in the way they deal with difficult situations. We conclude that more research on Therapeutic Assessment should be developed to verify other possible benefits of the model. (Au)


A Avaliação Terapêutica é um modelo de avaliação psicológica que adota uma abordagem colaborativa e uma sistematização semiestruturada na medida em que possui etapas bem definidas. Considerando seu caráter interventivo, a Avaliação Terapêutica busca proporcionar mudanças positivas na vida dos clientes e/ou de pessoas próximas a ele. O presente estudo objetivou avaliar de que maneira o processo de Avaliação Terapêutica apresentou consequências terapêuticas, utilizando-se o estudo de caso como método de investigação. A descrição dos resultados orientou-se por meio do atendimento de uma cliente utilizando o modelo de Avaliação Terapêutica. Os achados corroboram com as hipóteses relacionadas aos benefícios terapêuticos da Avaliação Terapêutica, possibilitando à cliente aumento do autoconhecimento e da autorreflexão e mudanças na sua maneira de lidar com situações difíceis. Conclui-se que mais pesquisas sobre Avaliação Terapêutica devem ser desenvolvidas para se verificar outros possíveis benefícios do modelo. (AU)


La Evaluación Terapéutica es un modelo de evaluación psicológica que adopta un enfoque colaborativo y una sistematización semiestructura, visto que cuenta con etapas bien definidas. Considerando su carácter intervencionista, la Evaluación Terapéutica busca proporcionar cambios positivos en la vida de los clientes y/o de personas cercanas a él. El presente estudio objetivó evaluar de qué manera el proceso de Evaluación Terapéutica presenta consecuencias terapéuticas, utilizando el estudio de caso como método de investigación. La descripción de los resultados se orientó por la atención de una cliente, utilizando el modelo de Evaluación Terapéutica. Los hallazgos corroboran con las hipótesis relacionadas con los beneficios terapéuticos de la Evaluación Terapéutica, posibilitando al cliente el aumento del autoconocimiento, de la autorreflexión y cambios en su manera de lidiar con situaciones difíciles. Se concluye que se deben desarrollar más investigaciones sobre Evaluación Terapéutica para verificar otros posibles beneficios del modelo. (AU)


Subject(s)
Humans , Female , Middle Aged , Psychotherapy/methods , Therapeutics/methods , Self Concept , Projective Techniques
2.
Hist. ciênc. saúde-Manguinhos ; 28(1): 211-229, mar. 2021.
Article in Portuguese | LILACS | ID: biblio-1154306

ABSTRACT

Resumo Este trabalho faz parte de uma pesquisa maior, na qual se procura compreender como a somaterapia de Roberto Freire surgiu e se desenvolveu a partir da contracultura dos anos 1970. Abordam-se a criação e o desenvolvimento inicial da somaterapia, partindo do que se compreende ser um "mito de criação": uma narrativa ordenada e coerente que explica o surgimento da terapia e que aparece, de forma recorrente, com poucas alterações. Analisam-se, ainda, narrativas posteriores a esse período que remetem ao processo de nomeação da somaterapia. Nesta análise, são encontrados conflitos de dados e incongruências que indicam a complexidade desses processos e o esforço dos autores no sentido de ordenação e legitimação da técnica terapêutica.


Abstract This work is part of a larger survey on how Roberto Freire's somatherapy emerged and developed from the counterculture of the 1970s, addressing the creation and initial development of somatherapy, starting from what is understood to be a "creation myth," an orderly and coherent narrative explaining the emergence of this therapy that is frequently repeated with few changes. Later narratives referring to the process of naming somatherapy are also examined, revealing inconsistencies and conflicts in the data that indicate the complexity of these processes and the authors' efforts to add order and legitimacy to this therapeutic technique.


Subject(s)
Humans , History, 20th Century , Psychotherapy/history , Psychotherapy/methods , History
3.
Psicol. USP ; 32: e200015, 2021.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-1340399

ABSTRACT

Resumo O Ensaio Clínico Aleatorizado (ECA) é considerado o tipo de desenho metodológico com maior poder de verificação da eficácia das psicoterapias. Entretanto, especialmente a partir da segunda metade do século XX, muitas críticas direcionadas às concepções epistemológicas subjacentes às ditas "ciências duras" atingiram também, no âmbito das ciências da saúde, os estudos que adotavam esse desenho. Este artigo é uma reflexão crítica sobre algumas das objeções feitas aos ECAs, avaliando de que maneira e até que ponto estes poderiam se configurar como estratégia válida de investigação científica no contexto crítico apontado. Conclui-se que o ECA pode e deve ser utilizado - desde que em contexto crítico - por seu valor pragmático, enquanto produtor de predições e intervenções capazes de solucionar problemas clínicos, inevitavelmente definidos e estabelecidos a partir do ponto de vista particular de uma comunidade.


Abstract The randomized controlled clinical trial (RCT) is considered the type of methodological design with the greatest power to verify the efficacy of psychotherapies. However, especially from the second half of the twentieth century, many criticisms directed at the epistemological conceptions underlying the so-called "hard sciences" have also affected the studies that adopted this design. This article is a critical reflection on some of the objections made to randomized clinical trials, evaluating how and to what extent these trials could be configured as a valid scientific research strategy in this critical context. We concluded that the RCT should be used - as long as it is performed in a critical context - due to its pragmatic value, as a producer of predictions and interventions capable of solving clinical problems, inevitably defined and established from the particular point of view of a community.


Résumé L'essai clinique randomisé est considéré comme le type de conception méthodologique ayant le plus puissant pour vérifier l'efficacité des psychothérapies. Cependant, surtout depuis la seconde moitié du XXe siècle, de nombreuses critiques adressées aux conceptions épistémologiques qui sous-tendent les sciences dites « dures ¼ ont également affecté, dans le cadre des sciences de la santé, les études qui ont adopté cette conception. Cet article est une réflexion critique sur certaines des objections faites aux essais cliniques randomisés, évaluant comment et dans quelle mesure ceux-ci pourraient être configurés comme une stratégie valide de recherche scientifique dans le contexte critique signalé. On en conclu que l'ECA peut et doit être utilisé - à condition que ce soit dans un contexte critique - pour sa valeur pragmatique, en tant que producteur de prédictions et d'interventions capables de résoudre des problèmes cliniques, inévitablement définies et établies du point de vue particulier d'une communauté.


Resumen El ensayo clínico aleatorizado (ECA) se considera el tipo de diseño metodológico con mayor poder para verificar la eficacia de las psicoterapias. Sin embargo, especialmente desde la segunda mitad del siglo XX, muchas críticas dirigidas a las concepciones epistemológicas subyacentes a las llamadas "ciencias duras" también han afectado, dentro del alcance de las ciencias de la salud, los estudios que adoptan este diseño. Este artículo es una reflexión crítica sobre algunas de las objeciones hechas a los ECA, evaluando cómo y en qué medida podrían configurarse como una estrategia de investigación científica válida en este contexto crítico. Se concluye que el ECA puede y debe usarse, siempre y cuando se encuentre en un contexto crítico, por su valor pragmático como productor de predicciones e intervenciones capaces de resolver los problemas clínicos inevitablemente definidos y establecidos desde el punto de vista particular de una comunidade.


Subject(s)
Psychotherapy/methods , Behaviorism , Efficacy , Knowledge , Evidence-Based Practice , Judgment
4.
Rev. Méd. Clín. Condes ; 31(2): 114-121, mar.-abr. 2020. tab
Article in Spanish | LILACS | ID: biblio-1223379

ABSTRACT

Los trastornos del ánimo (uni o bipolares) constituyen un significativo problema de salud pública, tanto por su alta prevalencia como por el elevado índice de discapacidad que generan. El presente artículo aborda el problema de la resistencia a tratamiento como también las estrategias y guías clínicas para el manejo de los cuadros de mayor complejidad. Se analizan los aportes de la terapia farmacológica, de la psicoterapia y de las terapias somáticas no farmacológicas, intentando un enfoque integrativo. El equipo multidisciplinario de la Unidad de Trastornos del Ánimo del Departamento de Psiquiatría de Clínica Las Condes busca aplicar un modelo integrativo con una mirada amplia, con el objetivo de encontrar el mejor manejo para cada paciente, orientado no solo a la remisión sintomática sino también a la recuperación funcional (autonomía, calidad de vínculos, etc.), para incidir de este modo en la calidad de vida global de los pacientes.


Affective disorders (uni­ or bipolar) represent a significant public health issue, due both to its high prevalence as well as the high index of disability that they generate. This article addresses the problem of treatment resistance, as well the use of clinical guidelines and strategies for the treatment of more complex cases. We analyze the contributions of pharmacological treatments, psychotherapy and non-pharmacological somatic therapies, from an integrative point of view. The multidisciplinary team of Mood Disorders Unit at Clínica Las Condes Psychiatry Department seeks to apply a broad-view integrative model with the aim of finding the better management strategy for each patient. Our objectives are both symptomatic remission and functional recovery (autonomy, quality of affective bonds, etc.), in order to make a difference on the patients' overall quality of life.


Subject(s)
Humans , Practice Guidelines as Topic , Mood Disorders/therapy , Psychotherapy/methods , Bipolar Disorder/therapy , Remission Induction , Mood Disorders/drug therapy , Recovery of Function , Depression/therapy , Antidepressive Agents/therapeutic use
8.
Arch. Clin. Psychiatry (Impr.) ; 46(6): 156-164, Nov.-Dec. 2019. tab, graf
Article in English | LILACS | ID: biblio-1054918

ABSTRACT

Abstract Background Alexithymia is reported to be a risk factor for depression. Psychotherapy is efficient for treatment of depression. Yet, the effect of psychotherapies on alexithymia is poorly understood. Objectives We aimed to compare Cognitive Behavioral Therapy (CBT), Existential Psychotherapy (ExP) and Supportive Counseling (SUP) for therapeutic efficacy and effect on alexithymia in depression. Methods There were 22 patients for each patient group. Sessions were performed as eight consecutive weekly and following two monthly boosters. Sixty six healthy controls were added. Prior to the sessions, patients received Sociodemographic Data Form, the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-1), Hamilton Depression Rating Scale (HDRS) and 20-item Toronto Alexithymia Scale (TAS-20). The control group received Sociodemographic Data Form, SCID-1 and TAS-20. Patients additionally received HDRS and TAS-20 after their weekly and booster sessions. Results Patients' mean TAS-20 score was greater than of controls, however, it did not have a significant change throughout the study. Mean HDRS scores of ExP and CBT groups were lower than SUP group at the end. Discussion Alexithymia did not improve with psychotherapy. The exception was effect of ExP on externally oriented thinking. Psychotherapies all improved depression. CBT and ExP were more helpful than SUP.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Aged , Psychotherapy/methods , Cognitive Behavioral Therapy , Counseling/methods , Affective Symptoms/therapy , Depression/therapy , Psychiatric Status Rating Scales , Treatment Outcome , Affective Symptoms/complications , Depression/etiology , Mental Status Schedule
9.
Sex., salud soc. (Rio J.) ; (33): 118-136, set.-dez. 2019.
Article in Spanish | LILACS | ID: biblio-1059079

ABSTRACT

Resumen Se analizan las aportaciones de distintas autoras feministas/psicoanalistas con el fin de sustentar que la perspectiva de género aplicada a un proceso psicoterapéutico de orientación psicoanalítica no sólo es viable, sino deseable. La intención es no sólo aplicarla a sujetos que manifiesten algún conflicto con su identidad de género, su orientación sexual, su expresión de género o algún otro aspecto relacionado con el ejercicio de su sexualidad, sino demostrar que dicha perspectiva puede aplicarse a los procesos psicoterapéuticos de todo sujeto, ya que se considera que ejerce efectos terapéuticos y que fortalece el proceso mismo. La elección de autoras del continente americano, latinoamericanas en su mayoría, permite hacer un ejercicio de revisión del psicoanálisis contemporáneo, de forma contextualizada, y reconoce el vínculo imperdible entre psicoanálisis y estudios de género.


Resumo Diferentes aportes de autoras feministas/psicanalistas são analisados com o fim de sustentar que a perspectiva de gênero aplicada num processo de psicoterapia de orientação psicanalítica é não só viável, como desejável. A intenção é não aplica-la somente a sujeitos que possam manifestar algum conflito com sua identidade de gênero, sua orientação sexual, sua expressão de gênero ou algum outro aspecto relacionado com o exercício da sua sexualidade, mas demostrar que tal perspectiva pode se aplicar a todos os processos psicoterapêuticos, já que ditos processos exercem efeitos terapêuticos e, mais ainda, fortalecem o processo em si mesmo. A eleição das autoras do continente americano, latino-americanas na sua maioria, permite fazer um exercício de revisão da psicanálise contemporânea, de forma contextualizada, e reconhece o vínculo iniludível entre a psicanálise e os estudos de gênero.


Abstract In this article, the input of several feminist/psychoanalyst authors is analyzed in order to support that gender perspective applied to a therapy process is not only viable, but desirable. It looks into the general application of this perspective and not only to subjects manifesting an open conflict with their gender identity, the expression of their gender or any other aspect related to the exercise of their sexuality. It demonstrates that such an approach can be applied to any psychotherapeutic process, considering that it enforces therapeutic effects and fortifies the process itself. By choosing authors from the American continent, mostly Latin American, this exercise enables a review of contemporary psychoanalysis in the Latin American context and recognizes the unavoidable link between psychoanalysis and gender studies.


Subject(s)
Humans , Psychoanalytic Therapy/methods , Sexual Behavior , Sexuality/psychology , Gender Perspective , Gender Identity , Psychotherapy/methods , Social Construction of Gender
10.
Rev. méd. Chile ; 147(11): 1423-1436, nov. 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-1094172

ABSTRACT

Background Affordable interventions to improve metabolic control of Type 2-Diabetes Mellitus are increasingly necessary. Aim To review systematically the existing literature on the effects of psychological interventions on Type-2 Diabetes Mellitus compensation. Material and Methods We performed a systematic literature review and meta-analysis on the effectiveness of psychological interventions implemented for Type-2 Diabetes Mellitus patients. Research included the following electronic databases: PubMed, Bireme, Web of Science, SciELO, Embase, EBSCOhost, SCOPUS, Psychology Database. Results Most studies showed a decrease in the level of glycated hemoglobin after interventions, which applied different initiatives complementary to standard medical treatment. Mainly, these interventions encompassed training for self-monitoring and control of diabetes based on cognitive behavioral psychology, counseling, self-assessment and physical-spiritual work based on transpersonal psychology. Conclusions Psychological tools could be an adjunct to the standard medical treatment for patients with Type-2 Diabetes Mellitus, reducing glycated hemoglobin levels and improving self-regulation, disease awareness and adherence from the self-efficacy perception perspective.


Subject(s)
Humans , Psychotherapy/methods , Diabetes Mellitus, Type 2/psychology , Diabetes Mellitus, Type 2/therapy
11.
Trends psychiatry psychother. (Impr.) ; 41(3): 276-282, July-Sept. 2019. tab
Article in English | LILACS | ID: biblio-1043528

ABSTRACT

Abstract Introduction Preeclampsia is a serious complication during pregnancy that not only influences maternal and fetal physical health, but also has maternal mental health outcomes such as anxiety. Prenatal anxiety has negative short- and long-term effects on pre- and postpartum maternal mental health, delivery, and mental health in subsequent pregnancies. Objective To investigate the effectiveness of individual psycho-educational counseling on anxiety in pregnant women with preeclampsia. Methods This was a randomized, intervention-controlled study involving two governmental hospitals in the municipality of Sirjan, Kerman, from January 30 2017 to March 31 2017. A total of 44 pregnant women with preeclampsia were assessed. The women were randomized into two groups: control (n=22) and intervention (n=22). The intervention consisted of two sessions of individual psycho-educational counseling. The level of anxiety was measured using the Spielberger State-Trait Anxiety Inventory (STAI) as pretest before the first session and as posttest after the second session during the hospitalization period. Results There was a significant reduction in the anxiety level after the counselling sessions in the intervention group (p<0.005). In addition, there was a slight increase in the anxiety level in the control group after the study. Conclusion According to the results, psycho-educational counseling can significantly reduce the anxiety level in pregnant women with preeclampsia. Therefore, it is recommended that healthcare providers provide this type of therapeutic intervention for pregnant women after hospitalization, in order to reduce their anxiety level and its subsequent negative outcomes. Clinical trial registration: IRCT2017082029817N3.


Resumo Introdução A pré-eclâmpsia é uma complicação séria durante a gravidez que não apenas influencia a saúde física da mãe e do feto, mas também tem consequências para a saúde mental materna, por exemplo ansiedade. A ansiedade pré-natal tem efeitos negativos e de longo prazo sobre a saúde mental da mãe antes e após o parto, sobre o parto, assim como sobre a saúde mental em gestações subsequentes. Objetivo Investigar a eficácia do aconselhamento psicoeducacional individual com relação aos níveis de ansiedade em gestantes com pré-eclâmpsia. Métodos Este foi um estudo randomizado, controlado, que envolveu dois hospitais governamentais na cidade de Sirjan, Kerman, de 30 de janeiro de 2017 a 31 de março de 2017. Um total de 42 gestantes com pré-eclâmpsia foram avaliadas. As mulheres foram randomicamente divididas em dois grupos: controle (n=22) e intervenção (n=22). A intervenção consistiu de duas sessões de aconselhamento psicoeducacional individual. O nível de ansiedade foi medido usando-se o Spielberger State-Trait Anxiety Inventory (STAI) antes da primeira sessão (pré-teste) e após a segunda seção (pós-teste), durante o período de hospitalização. Resultados Houve uma redução significativa no nível de ansiedade após as sessões de aconselhamento no grupo intervenção (p<0,005). Além disso, houve um discreto aumento no nível de ansiedade no grupo controle após o estudo. Conclusão De acordo com os resultados deste estudo, o aconselhamento psicoeducacional pode reduzir de forma significativa o nível de ansiedade em gestantes com pré-eclâmpsia. Assim, recomenda-se que os profissionais de saúde ofereçam esse tipo de intervenção terapêutica para gestantes após a hospitalização, a fim de reduzir o nível de ansiedade e seus desfechos negativos. Registro do ensaio clínico: IRCT2017082029817N3.


Subject(s)
Humans , Female , Pregnancy , Adolescent , Adult , Young Adult , Anxiety Disorders/therapy , Pre-Eclampsia/psychology , Psychotherapy/methods , Patient Education as Topic/methods , Counseling/methods , Anxiety Disorders/etiology , Prenatal Care , Treatment Outcome , Middle Aged
12.
Ter. psicol ; 37(1): 39-51, abr. 2019. tab
Article in Spanish | LILACS | ID: biblio-1004792

ABSTRACT

Resumen Investigaciones recientes en psicoterapia muestran que el estudio de la interacción psicoterapéutica al centrar su atención en la conversación de interlocutores, entrega señales que permiten analizar el cambio terapéutico. El propósito del presente estudio de caso es analizar el movimiento de una Estructura de Intercambios Terapéuticos en la conversación de procesos psicoterapéuticos completos de adolescentes depresivos con intento de suicidio en contexto hospitalario. Se analizó el uso del tiempo de los intercambios comunicacionales entre terapeuta y paciente durante las sesiones, que fueron segmentadas en inicio, desarrollo y cierre. Los resultados muestran que los intercambios se producen según su utilidad en la psicoterapia y que su ocupación es sensible y ajustada al trabajo y objetivos terapéuticos que van surgiendo en la interacción. Adicionalmente se identificaron intercambios que son funcionales al inicio, desarrollo y cierre de cada sesión, y otros que deben utilizarse con cautela por parte del psicoterapeuta. La investigación verifico que el psicoterapeuta debe saber cuál, cuándo y cómo utilizar la Estructura de Intercambios Terapéuticos.


Abstract Recent research in psychotherapy shows that the study of psychotherapeutic interaction by focusing attention on the conversation of interlocutors, provides signals to analyze the therapeutic change. The purpose of the present case study is to understand the movement of a Therapeutic Exchange Structure in the conversation of complete psychotherapeutic processes of depressed adolescents with attempted suicide in a hospital context, analyzing the use of the time of the exchanges in the sessions, which were segmented in start, development and closure. The results show that the exchanges are managed according to their usefulness in psychotherapy that their occupation is sensitive and adjusted to the work and therapeutic objectives that arise in the interaction. In addition, there would be exchanges that are functional at the beginning, development and closure of each session, and others that should be used with caution. The psychotherapist must know what, when and how to use the Structure of Therapeutic Exchanges.


Subject(s)
Humans , Female , Adolescent , Physician-Patient Relations , Psychotherapy/methods , Suicide/prevention & control , Depression/therapy , Suicide, Attempted/prevention & control , Hospitals
13.
Säo Paulo med. j ; 137(1): 82-91, Jan.-Feb. 2019. tab
Article in English | LILACS | ID: biblio-1004735

ABSTRACT

ABSTRACT BACKGROUND: Irritable bowel syndrome (IBS) is a clinical disorder associated with high socioeconomic burden. Despite its importance, management of IBS remains difficult and several interventions have been hypothesized as beneficial for this condition. This study identified and summarized all Cochrane systematic reviews (SRs) about the effects of interventions for managing IBS patients. DESIGN AND SETTING: Review of systematic reviews, carried out in the Discipline of Evidence-Based Medicine, Escola Paulista de Medicina (EPM), Universidade Federal de São Paulo (UNIFESP). METHODS: Review of Cochrane SRs addressing interventions for IBS. RESULTS: We included six SRs assessing acupuncture, bulking agents, antispasmodics, antidepressants, herbal medicines, homeopathy, hypnotherapy and psychological therapy for IBS. The certainty of evidence ranged from unknown to moderate, mainly due to imprecision in the estimates and high risk of bias from the primary studies included. There was moderate certainty of evidence that acupuncture had no important benefit regarding improvement of symptoms and quality of life, compared with sham acupuncture. There was also very low certainty of evidence that homeopathic asafoetida, used alone or in association with nux, was better than placebo regarding self-reported overall improvement. CONCLUSION: There was moderate certainty of evidence that acupuncture had no important benefit regarding improvement of symptoms and quality of life. Further well-designed and well-conducted randomized clinical trials are needed in order to reduce the uncertainties regarding the most commonly used interventions for patients with IBS.


Subject(s)
Humans , Disease Management , Irritable Bowel Syndrome/therapy , Systematic Reviews as Topic , Psychotherapy/methods , Treatment Outcome , Evidence-Based Medicine , Irritable Bowel Syndrome/psychology
14.
Summa psicol. UST ; 16(1): 36-41, 2019.
Article in Spanish | LILACS | ID: biblio-1127603

ABSTRACT

El desarrollo de una intervención psicoterapéutica compromete un encuentro interaccional, caracterizado por la necesaria conjunción de multiversos que convergen en una esfera dialógica, asociada a la resolución de una problemática o consecución de objetivos por parte de la figura consultante. Es en esta interacción dialógica, donde surgen las dudas sobre si la psicoterapia responde a un encuentro de miradas o bien, a una co-construcción de un sentido de realidad entre terapeuta y consultante, miradas que representan un posible descarte o complementariedad en su propia constitución. Una postura sobre la interacción en psicoterapia necesita establecer una posición activa respecto del rol del terapeuta, nutrida de una visión ontológica que repercuta directamente en un trabajo de interacción discursiva. Asimismo, estaría orientada hacia un propósito metódico que configure los quehaceres de los participantes, como elementos en continuo desarrollo, mas no en una respectiva predefinición. El presente artículo tiene como objetivo desarrollar una propuesta de modelo de integración comunicativa, resultando una oportunidad de convergencia en el encuentro de universos desde una dimensión lingüística de interacción en el desarrollo de un proceso psicoterapéutico.


The development of psychotherapeutic intervention engages an interactional encounter, characterized by the necessary conjunction of multiverses that converge in a dialogical sphere associated with the resolution of a problem or achievement of objectives by the consulting figure. It is in this dialogical interaction, where doubts arise as to whether psychotherapy responds to a meeting of views or, to a co-construction that comprises a sense of reality between therapist and consultant, views that represent a possible discard or complementarity in its own nature. An approach to the interaction in psychotherapy raises the need to establish an active position regarding the role of the therapist, nourished by an ontological vision that directly affects the constitution of a work of discursive interaction. In addition, this position should be oriented towards a methodical purpose that configures the tasks of participants, not as a respective predefinition but as elements in continuous development. The present article aims to propose a communicative integration model, resulting in an opportunity for convergence in the meeting of universes from a linguistic dimension of interaction in the development of a psychotherapeutic process


Subject(s)
Humans , Professional-Patient Relations , Psychotherapy/methods , Communication , Psychotherapeutic Processes
15.
Poiésis (En línea) ; 37(Jul.-Dic): 104-134, 2019.
Article in Spanish | LILACS, COLNAL | ID: biblio-1047958

ABSTRACT

Esta presentación de caso, expone una intervención de Constructos Personales centrada en dilemas implicativos en una adolescente de 16 años de la ciudad de Medellín diagnosticada con Porfiria Aguda Intermitente de acuerdo con la Clasificación Internacional de Enfermedades (CIE 10) y con Trastorno De Ansiedad Generalizada (TAG) acorde a los criterios del Manual Diagnóstico y Estadístico de los Trastornos Mentales, quinta edición (DSM 5). El proceso terapéutico se desarrolló en deciseís sesiones, teniendo como punto de referencia los parámetros propuestos por Senra, Feixas y Fernandes (2005), quienes plantean un protocolo general para el abordaje de estructuras dilemáticas, igualmente se consideró la elaboración posterior de Feixas y Compañ (2015) para el diseño del proceso terapéutico. Se definieron los dilemas implicativos a partir de la entrevista, la técnica de rejilla y la autocaracterización (Kelly, 1955). Durante la psicoterapia se abordaron dos de las configuraciones dilemáticas, las cuales se relacionaban con competencia personal e interacción social. En la etapa de finalización del tratamiento se evidenciaron cambios significativos a nivel del sistema de construcciones personales tales como el aumento de la autoestima, mayor percepción de cercanía con las personas significativas, así como una mayor adecuación de éstos a sus construcciones valoradas, transformaciones cuantificadas gracias a la Técnica de Rejilla de Kelly. Igualmente, a nivel sintomático se lograron cambios notables, partiendo de la comparación de las mediciones pre-post tratamiento obtenidas con el inventario de ansiedad y depresión de Beck (BAI, BDI II). Estos resultados aportan evidencia a la Psicología de Constructos Personales, confirmando hallazgos anteriormente expuestos en la literatura científica.


This case presentation exposes an intervention of personal constructs, focused on implicative dilemmas in a 16-year-old girl from Medellin diagnosed with intermittent acute porphyria (AIP) according to the International Classification of Diseases (ICD 10) and with disorder of generalized anxiety (DGA) according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM 5). The therapeutic process was developed in sixteen sessions, having as reference the parameters proposed by Senra, Feixas, and Fernandes (2005), who propose a general protocol for the approach of dilemmatic structures, the subsequent elaboration of Feixas and Compañ was also considered (2015) for the design of the therapeutic process. The implicative dilemmas were defined from the interview, the grid technique and the self-characterization (Kelly, 1955). During psychotherapy, two of the dilemmatic configurations were addressed, which related to personal competence and social interaction. In the stage of completion of the treatment, significant changes were evidenced at the level of the personal construction system such as the increase of self-esteem, greater perception of closeness with significant people, as well as, a greater adaptation of these to their value constructions; quantified transformations thanks to Kelly's Grid Technique. Similarly, significant changes were achieved at the symptomatic level, based on the comparison of pre-post treatment measurements obtained with Beck's anxiety and depression inventory (BAI, BDI II). These results provide evidence to the psychology of personal constructs, which confirms findings previously exposed in the scientific literature.


Subject(s)
Humans , Anxiety Disorders/therapy , Porphyrias/therapy , Psychotherapy/methods , Personal Construct Theory
16.
Interface (Botucatu, Online) ; 23: e180346, 2019.
Article in Portuguese | LILACS | ID: biblio-990078

ABSTRACT

O artigo apresentado tem como objetivo o estudo histórico do uso da hipnose, compreendida como prática clínica, na Clínica Psiquiátrica da Faculdade de Medicina da Universidade de São Paulo, entre os anos de 1930-1970. A transição da psiquiatria paulista nesse período, quando se deu a mudança das atividades do Hospital do Juqueri para a Faculdade de Medicina-USP, apoiou-se decisivamente no poder simbólico do discurso psiquiátrico, que tomou o axioma "ser científico" como filtro valorativo para apreciar ou depreciar determinadas práticas. Exemplarmente, a hipnose permaneceu imune ao crivo "científico" desses mesmos psiquiatras, que a adotavam como prática clínica sem submetê-la ao mesmo escrutínio aplicado a outras práticas, especialmente a psicoterapia psicanalítica. Por meio de documentos produzidos na época analisada, busca-se identificar o teor desses discursos psiquiátricos, imbuídos de sua dimensão considerada científica, redundando como estratégia de manutenção ou não de certas práticas, como foi o da hipnose.


The objective of this study was to analyze the history of the use of hypnosis, as a clinical practice, in the Psychiatric Clinic of the School of Medicine, at the University of São Paulo (USP), between 1930 and 1970. There was a transition in psychiatry in São Paulo in this period, when the activities of the Juqueri Hospital were transferred to the School of Medicine at USP. This was decisively supported on the symbolic power of the psychiatric speech, which took over the axiom "scientific being" as an evaluative filter to appreciate or depreciate certain practices. Hypnosis remained immune to the "scientific" sieve of the same psychiatrists who adopted it as a clinical practice without submitting it to the same scrutiny applied to other practices, especially psychotherapy and psychoanalysis. By means of documents produced in the analyzed period, the authors aimed at identifying the thrust of these psychiatric speeches, pervaded with their so-called scientific dimension, which culminated in a strategy to either keep or not keep certain practices, such as hypnosis.


El objetivo del artículo presentado es el estudio histórico del uso de la hipnosis, entendida como práctica clínica, en la Clínica Psiquiátrica de la Facultad de Medicina de la Universidad de São Paulo entre los años de 1930-1970. La transición de la psiquiatría de São Paulo en ese período cuando hubo el cambio de las actividades del hospital de Juqueri para la Facultad de Medicina-USP, se apoyó decisivamente en el poder simbólico del discurso psiquiátrico que asumió el axioma de "ser científico" como filtro de valor para apreciar o despreciar determinadas prácticas. Ejemplarmente, la hipnosis permaneció inmune al filtro "científico" de esos mismos psiquiatras que la adoptaban como práctica clínica sin someterla al mismo escrutinio aplicado a otras prácticas, especialmente a la psicoterapia psicoanalítica. Por medio de documentos producidos en la época analizada se busca identificar el tenor de esos discursos psiquiátricos, imbuidos de su dimensión considerada científica, resultando como estrategia de mantenimiento o no de determinadas prácticas, como fue la hipnosis.


Subject(s)
Humans , Psychiatry/history , Psychotherapy/methods , Hypnosis/history , Universities
17.
Psiquiatr. salud ment ; 35(3/4): 196-206, jul.-dic. 2018.
Article in Spanish | LILACS | ID: biblio-1000340

ABSTRACT

El trastorno afectivo bipolar es una patología mental que afecta al estado del ánimo y que normalmente se desarrolla a una edad temprana, aunque entre la aparición de los primeros síntomas y la instauración del diagnóstico y el tratamiento existe un retraso de varios años, provocando un deterioro a nivel biopsicosocial y un desconocimiento general de la patología. Para evitar esta circunstancia es esencial la aplicación de un tratamiento de forma precoz, compuesto por una terapia farmacológica acompañada de psicoterapia, una vez establecido el diagnóstico. Dentro de esta terapia, encontramos que la psicoeducación es la opción principal, ya que diversos estudios demuestran su eficacia a corto, medio y largo plazo en cuanto al estado de salud general del paciente, así como en la adherencia al tratamiento farmacológico, datos que se reflejan en un menor número de recaídas, episodios agudos y hospitalizaciones. Es imperativo que los médicos y pacientes reciban información actualizada sobre nuevas herramientas para la gestión del trastorno bipolar. De hecho, dado que los recursos de atención de salud mental son limitados y con los avances continuos en tecnología, el uso del aprendizaje y tratamiento autodirigido en el espacio en línea está captando impulso. La psicoeducación como terapia adyuvante para el trastorno bipolar ha evolucionado desde proporcionar a los pacientes información exclusivamente relacionada con una comprensión biológica del trastorno y tratamientos farmacológicos relacionados hasta un enfoque integrador que enfatiza la conciencia de la enfermedad y los síntomas, adherencia al tratamiento, autogestión, la importancia de los hábitos regulares, evitando el abuso de drogas y promoviendo una buena salud física.


Subject(s)
Humans , Psychotherapy/methods , Health Programs and Plans , Bipolar Disorder/psychology , Bipolar Disorder/rehabilitation , Health Education/methods
18.
Rev. Costarric. psicol ; 37(2): 89-105, jul.-dic. 2018.
Article in Spanish | LILACS, INDEXPSI | ID: biblio-1091945

ABSTRACT

Resumen El propósito de este artículo consiste en presentar el tema El tercer espacio: propiedades de desplazamiento de la experiencia psicocultural. Se refiere al espacio potencial del desarrollo temprano humano,que hace contrapunto en su devenir histórico con el mundo sociocultural. Surge mayormente de la reflexión concienzuda obtenida de la clínica psicoanalítica con consultantes niños y adultos, así como de la investigación sobre la relación entre psicoanálisis y literatura. La psicoterapia con niños sucede en un espacio de juego, en un taller de trabajo psicológico donde se explicitan los síntomas perturbadores y se vehiculiza el conflicto, en una zona intermedia, así llamada por D.W. Winnicott, no tan lejana del tratamiento con consultantes adultos donde al transcurrir el proceso de análisis del inconsciente se produce un tiempo-espacio de ambigüedad y extrañamiento. Tales procesos de naturaleza clínica permiten observar que en el devenir y la producción cultural humana se hace notar un espacio que se abre hasta que se define el traslado experiencial. Ese es el tercer espacio. Otro modo de observar ese tercer espacio se encuentra en el lenguaje; ese componente ambiguo, incierto, se efectúa mediante el desplazamiento semántico en el texto literario. Así, ese tiempo-espacio de ambigüedad, propicio para el desplazamiento de procesos de lenguaje, convertido en hechos culturales como obra artística o fenómeno psicosocial, tiene como basamento procesos transicionales intrapsíquicos advertidos desde el desarrollo precoz. De manera amplia, el tercer espacio se propone como ámbito teórico e investigativo dado que constituye un aporte a la lectura y a la investigación textual psicoanalítica.


Abstract: The purpose of this article is to present the topic: The Third Space: Displacement Properties of the Psycho-Cultural Experience, referring to the potential space in early human development, which interacts with its historic occurrence in the socio-cultural world. It arises mostly from thoughtful consideration obtained from psychoanalytic consultation with children and adults, as well as investigation of the relationship between psychoanalysis and literatura Psychotherapy with children takes place in a play space, in a psychological workshop where the symptoms causing a disturbance are identified and the conflict is focused in an intermediate zone, thus named by D.W. Winnicott; it is not that far from the treatment of adult patients, wherein the analysis process of the subconscious takes place and creates a time and space of ambiguity and estrangement. Such processes of a clinical nature allow observing that throughout these and human cultural production there is a space which is opened until the transfer of the experience takes place, that is the: third space. Another way to observe this third space is through language; the ambiguous and uncertain component, which takes place in semantic displacement in the literary text. Therefore that temporal and spatial ambiguity, which encourages the displacement of language processes, into cultural expression and artistic productions or psychosocial phenomena, has as its foundation those intra-psychic transitional processes, noticed since early development. Taken amply, the third space is proposed as a theoretical and investigative field becauseit contributes to the reading and investigation of psychoanalytic texts


Subject(s)
Humans , Male , Female , Child, Preschool , Child , Play and Playthings , Psychotherapy/methods , Child Language , Psychosocial Support Systems , Social Interaction , Psychoanalytic Therapy/methods , Psychology, Clinical , Psychology, Social , Ethnopsychology/trends , Spatio-Temporal Analysis , Games, Recreational , Interpersonal Relations
19.
Trends psychiatry psychother. (Impr.) ; 40(3): 216-225, July-Sept. 2018. tab
Article in English | LILACS | ID: biblio-963108

ABSTRACT

Abstract Objective Perplexity and hyperreflectivity are considered important aspects of self-disorders in patients with schizophrenia, yet knowledge of the appropriate psychotherapy for these patients is sparse. We aimed to explore how phenomenological psychologists or psychiatrists described their approach to these patients and their own emotional response when hyperreflectivity and perplexity emerged in therapy or consultations. Methods Four e-mail interviews with experienced clinical researchers within the field of phenomenology and schizophrenia were examined using a double hermeneutic qualitative analysis. Results The informants offered reassurance by authority and the encouragement of sharing of experiences interlaced in the beginning of therapy. Later they went on relating expressions of hyperreflectivity and perplexity to emotions, life events and goals. They described feelings of admiration and professional recognition along with worry, insecurity and sadness. Conclusion The list of primary themes covers what might seem very basic therapeutic interventions. However, the careful and open-minded manner in which these were carried out was noteworthy. The double task of staying closely attuned to the patient's airy reflections and, at the same time, when the patient was ready for it, carefully making links to domains of the patient's everyday life, was clearly molded to patients with fragile attachment.


Resumo Objetivo A perplexidade e a hiper-reflexão são consideradas aspectos importantes dos desordens do self em pacientes com esquizofrenia, porém o conhecimento sobre o tipo mais apropriado de psicoterapia para esses pacientes é escasso. Nosso objetivo foi explorar como psicologistas fenomenológicos ou psiquiatras descrevem suas abordagens a pacientes aos pacientes e sua própria resposta emocional, quando a hiper-reflexão e a perplexidade emergem durante a terapia ou as consultas. Métodos Quatro entrevistas feitas por e-mail com pesquisadores clínicos experientes na área de fenomenologia e esquizofrenia foram examinadas usando análise qualitativa dupla hermenêutica. Resultados Os informantes ofereceram confiança via autoridade e motivação para compartilhar experiências, interligadas, no início da terapia. Subsequentemente, eles seguiram relacionando expressões de hiper-reflexão e perplexidade a emoções, eventos de vida e objetivos. Eles descreveram sentimentos de admiração e reconhecimento profissional juntamente com preocupação, insegurança e tristeza. Conclusão A lista de tópicos primários engloba o que poderiam parecer intervenções terapêuticas muito básicas. No entanto, a forma cuidadosa e aberta como essas intervenções foram conduzidas é digna de nota. A tarefa dupla de estar atento às reflexões aéreas do paciente e, ao mesmo tempo, quando o paciente está pronto, cuidadosamente estabelecer relações com os domínios de sua vida diária, foi claramente moldada para pacientes com vínculo frágil.


Subject(s)
Humans , Psychotherapy/methods , Schizophrenia/therapy , Schizophrenic Psychology , Health Personnel/psychology , Electronic Mail , Hermeneutics
20.
Estilos clín ; 23(2): 296-305, maio-ago. 2018.
Article in Portuguese | LILACS, INDEXPSI | ID: biblio-975252

ABSTRACT

Considerando-se aspectos relacionados à invenção da infância e à inauguração da possibilidade do trabalho terapêutico com crianças por meio da psicanálise, propõe-se, neste artigo, discutir algumas questões importantes no que tange à psicoterapia infantil, suscitadas a partir da realização do Estágio Integrado em Psicologia, na prática de psicoterapia de base analítica. Para tanto, serão discutidas as noções de resistência e suas articulações com a transferência, bem como a identificação de crianças com animais e a escolha de objetos transicionais durante a sessão, que se mostram como potentes aliados para a expressão da criança e constituem vias de acesso ao inconsciente.


Considering aspects related to the invention of childhood and the beginning of possible therapeutic work with children through psychoanalysis, this article proposes to discuss important questions regarding child psychotherapy, raised during the Integrated Internship in Psychology in the practice of analytical psychotherapy. To do so, notions of resistance and their articulations with transference will be discussed, as well as the identification of children with animals and the choice of transitional objects during the session, which show themselves as powerful allies for the child's expression and constitute access routes to the unconscious.


Considerando los aspectos relacionados con la invención de la infancia y la posibilidad del trabajo terapéutico con niños por medio del psicoanálisis, este artículo propone discutir algunas cuestiones importantes en lo que atañe a la psicoterapia infantil, suscitadas durante la Práctica Integrada en Psicología, en el ejercicio de la psicoterapia de base analítica. Para ello, se discuten los conceptos de resistencia y sus articulaciones con la transferencia, asimismo la identificación de niños con animales y la elección de objetos transicionales durante la sesión, que se muestran potentes aliados a la expresión del niño y constituyen vías de acceso al inconsciente.


Subject(s)
Humans , Male , Child , Psychoanalysis , Psychotherapy/methods , Transference, Psychology , Play and Playthings/psychology , Child Behavior
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