Made available in DSpace on 2016-04-27T18:11:55Z (GMT). No. of bitstreams: 1 Silvia Daniella Guedes Ferraz.pdf: 417057 bytes, checksum: 5c74d5788d784dd76f8a65c843c14de8 (MD5) Previous issue date: 2012-01-27 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / The advance of clinical researches and experiences in treating children with disabilities points to the need of development of therapeutic projects which promote the integration of different professional views on the cases. From clinical experiences and reflections the cotherapy was thought, in the present research, as a device to serve this population through the joint action of speech therapy, physiotherapy and occupational therapy. The purpose of this investigation was to map such cotherapy experiences in order to analyze potential and limits of this device. To this end, we carried out the mapping and analysis of the clinical trials proposed in two cases: a seven-year-old with Down syndrome, and another four-year old one with cerebral palsy. The cartography was constructed from actual experiences with patients, scores made by their parents, and perceptions recorded by the professionals involved in the experiment. These processes of cotherapy have been well evaluated by the families as well as the patients. Some conditions of possibility were highlighted on them: the care and attention to the setting which this type of meeting requires and produce; multiple and singular composition of the therapeutic relationships, and articulation among the therapists. Considering the need for training of professionals and the care in the management of the work processes, the cotherapy proved to be an effective tool in the treatment of disabled children, promoting integrated vision, construction of more comprehensive clinical listening, and the elaboration of interdisciplinary singular therapeutic projects. It also collaborated with the expansion of capacity to meet the specific needs of each case investigated. It was also possible to note that the disciplinary backgrounds of the professionals had to be open to the reinvention of values and positions, based on how the knowledge of a discipline affected and was affected by the others. Taking into account and being submitted to such intersections this clinical practice can be considered inventive, creative / O avanço das experiências e pesquisas clínicas no atendimento a crianças com deficiências aponta para necessidade de construção de projetos terapêuticos que favoreçam a integração de diferentes olhares profissionais. A partir de experiências e reflexões clínicas, a coterapia foi pensada, na presente pesquisa, como dispositivo de atendimento a essa população, por meio da ação conjunta da fonoaudiologia, fisioterapia e terapia ocupacional. O objetivo da investigação foi cartografar tais experiências em coterapia, de modo a analisar potencialidades e limites desse dispositivo clínico. Para tanto, realizou-se o mapeamento e a análise dos arranjos clínico-terapêuticos propostos em dois casos: uma menina de 7 anos de idade, com Síndrome de Down, e outra de 4 anos, com paralisia cerebral. A cartografia foi construída a partir de situações vividas com os pacientes; de pontuações realizadas por seus pais; e por registros das percepções dos profissionais envolvidos na experiência. Esses processos de coterapia foram bem avaliadas pelas famílias e também pelas pacientes. Neles se destacaram algumas condições de possibilidade: atenção e cuidado com o setting que este tipo de encontro exige e produz; composição singular e múltipla das relações terapêuticas; e articulação entre os terapeutas. Considerando a necessidade de preparação dos profissionais e os cuidados no manejo dos processos de trabalho, a coterapia se mostrou dispositivo efetivo na terapia de crianças com deficiências, favorecendo visão integrada; construção de escuta clínica mais abrangente; e elaboração de projetos terapêuticos singulares interdisciplinares. Colaborou também com a ampliação da capacidade de responder às necessidades específicas de cada caso pesquisado. Foi possível verificar ainda que a formação disciplinar dos profissionais precisou se abrir à reinvenção de posições e valores, a partir dos modos como saberes de uma disciplina afetaram e foram afetados pelos das outras. Esta prática clínica, ao considerar e se dispor a tais intersecções, pode ser considerada inventiva, criativa

Researchers have supported the use of cotherapy in both training and application for couple and family counseling as a clinical practice. However, there is not enough evidence to determine whether cotherapy can meet the learning needs of counselors-in-training more comprehensively than other forms of live supervision. The purpose of this transcendental phenomenological study was to explore the training experiences of postgraduate couple and family counselors who participated in cotherapy with a clinical supervisor. These experiences were examined using social and experiential learning theories. A modification of the Stevick-Colaizzi-Keen method served as the procedural guide for the analysis. Hand-coded interview data from 7 licensed marriage, couple, and family counselors (MCFC) and MCFC interns revealed that individual factors such as anxiety and expectations, relational factors such as trust and support, and procedural elements of the cotherapy practice contributed to a perception of efficacy in the cotherapy process. Trainees believed these factors positively influenced their self-efficacy and clinical competency. The results of this study can offer insight into how counselor educators might better prepare trainees for specialized work with couples and families by using cotherapy effectively as a systems-congruent approach to their supervision plans. Such information may contribute to improved quality of care to client systems and better protection of consumers.

Proponents of the use of cotherapists have stressed the importance of compatibility for effective cotherapy teams; however, the nature of compatibility has received little attention in experimental literature. This study investigated the nature of an effective cotherapy relationship through use of concepts espoused by George Kelly in his personal construct theory. Based on the results of the study, it was recommended that cotherapists be paired on the basis of their cognitive congruence. It was further proposed that cotherapists, especially those low in content congruence, allow themselves sufficient time for case discussion prior to and following their therapy sessions.

Cotherapy has been advocated as an effective treatment mode, especially with groups, couples, and families. The relationship between the cotherapists has been identified as an important determinant in the success of this method. This relationship has been compared to the marital relationship between spouses, and the marriages of therapists have been viewed as offering advantages for cotherapy. Since not all therapists who are married to each other work as cotherapists, the purpose of this study was to investigate whether or not spouse cotherapists differ from other therapists who are also married to each other but who do not work together on a regular basis as cotherapists. The five dimensions measured for all subject couples include frequency of differing theoretical orientation, similarity of self-reported behavior in therapy, compatibility of needs for inclusion, compatibility of needs for control, and compatibility of needs for affection. Subjects for this study were 6 5 married couples in which both spouses were psychotherapists. The couples were divided into two groups according to whether or not they worked together as cotherapists on a regular basis. The group of spouse cotherapists included 29 couples who reported regular cotherapy together. The group of therapist couples included 37 couples who reported no regular cotherapy with their spouses. All subject couples were provided a packet of materials which included a letter explaining the general purpose of the study, two copies of the Therapist Personal Data Form, two copies of the Self-Description of Therapist's Behavior, two copies of the Fundamental Interpersonal Relations Orientation-Behavior, and a stamped envelope addressed to the experimenter for the return of the materials.