Submitted by admin tede (tede@pucgoias.edu.br) on 2017-06-01T13:56:48Z No. of bitstreams: 1 Camila Américo de Lima.pdf: 822080 bytes, checksum: 85922cce708a0f41d321f1da57de1000 (MD5) / Made available in DSpace on 2017-06-01T13:56:48Z (GMT). No. of bitstreams: 1 Camila Américo de Lima.pdf: 822080 bytes, checksum: 85922cce708a0f41d321f1da57de1000 (MD5) Previous issue date: 2017-03-17 / Abstract: The present work presents the feelings of the therapist in couple‟s therapy. The objective of this research was to explore the functioning of the suffering generated from the clinical care in the therapy process. For the production of this work the Theory Based on Data was used. Sixteen couple‟s therapists from different approaches were interviewed. The results of the research indicated that the characteristics of the couple, problems in the clinical process and difficulties of the therapist at work were the main sources of suffering. Negative emotions and their expression can benefit the therapy in many ways. Such emotions can be used as a therapeutic tool, bringing benefits to the therapist in a professional and personal setting. / O presente trabalho trata dos sentimentos do terapeuta na terapia de casal. O objetivo desta pesquisa foi explorar o funcionamento do sofrimento gerado a partir do atendimento clínico no processo da terapia. Para a produção deste trabalho foi utilizada a Teoria Fundamentada nos Dados. Foram entrevistados 16 terapeutas de casal de diversas abordagens. Os resultados da pesquisa indicaram que características do casal, problemas no processo clínico e dificuldades próprias do terapeuta no trabalho são as principais fontes de sofrimento. As emoções negativas e sua expressão podem beneficiar a terapia de diversas formas. Tais emoções podem ser usadas como ferramenta terapêutica trazendo benefícios para o cliente e para o terapeuta no âmbito profissional e pessoal.

Couple therapy is successful in treating relationship distress. However, couple therapy does not benefit everyone. Consequently, it is important to study factors that predict therapeutic success. One such factor is what predicts the development of the therapeutic alliance in couple therapy. The purpose of this study was to code therapist behaviors, therapist warmth, empathy, presence, validation, collaboration, and technique factors (systemically-based techniques and session structure), in the first session of couple therapy to examine their ability to predict two aspects of the therapeutic alliance, between- and within-alliance, after the session for males and females. The hypotheses were tested utilizing multiple one-way ANOVAs. Results indicated that none of the therapist variables predicted either of the outcome alliance variables for males or females. More research needs to be done to find what therapist behaviors predict the therapeutic alliance.

There are a number of advantages to working within an integrated model framework when doing family therapy; however, few therapists test what they articulate as their model against what they really do. The purpose of this study was to test how well one therapist practiced her explicated theoretical integration in a clinical setting. Quantitative and qualitative data were gathered to answer three research questions: the level of adherence to the integration, client change, and change within the integrated model over the course of the study. The sample included three couples; data from 25 video-coded sessions, the Revised Dyadic Adjustment Scale and Outcome Ratings Scale, client case notes, and a reflection journal were analyzed to answer the research questions. Results indicate that the therapist remained true to the described integrated model; that all couples experienced change, some positive, some negative; and small changes to the model occurred. Other findings, limitations, and clinical implications are discussed.

Emotionally Focused Couple Therapy (EFT; Johnson, 2004) addresses relationship distress by facilitating the development of new patterns of interaction between partners. These new patterns of interaction are based on partners' vulnerable acknowledgement and expression of attachment needs. Partners' engagement in these new patterns of interaction is thought to improve their relationship-specific attachment bond. Although previous studies have shown EFT to result in excellent relationship satisfaction outcomes (Johnson, Hunsley, Greenberg & Schindler, 1999), research had yet clearly to demonstrate if and how EFT facilitates increases in partners' relationship-specific models attachment security over the course of therapy. To address this research gap, the current study employed Hierarchical Linear Modelling (HLM; Singer & Willet, 2003) to investigate the pattern of change in couples' (n=32) self-reported relationship satisfaction and relationship-specific attachment over the course of EFT. Couples reported significant linear increases in their relationship satisfaction and significant linear decreases in their relationship-specific attachment avoidance over the course of therapy. Couples who completed the blamer-softening therapeutic change event (n=16) demonstrated significant linear decreases in their relationship-specific attachment anxiety after completing this event. Decreases in relationship-specific attachment anxiety predicted increases in couples' relationship satisfaction over the course of therapy. Couples also demonstrated significant increases in the security of their pre-post-therapy relationship-specific attachment behaviour, as coded Secure Base Scoring System (Crowell, Treboux, Gao, Fyffe, Pan & Waters, 2002). The current study also used HLM (Singer & Willet, 2003) to examine how the completion of blamer-softening impacted softened couples' relationship-specific attachment anxiety, and whether the completion of blamer-softening had a similar impact on softened couples' relationship-specific attachment avoidance and relationship satisfaction. Softened couples reported an immediate increase in relationship satisfaction and immediate decrease relationship-specific attachment avoidance at the softening session. Further, softened couples' post-softening decreases in relationship-specific attachment anxiety were initially preceded by an increase at the softening session. These results provided an understanding of how EFT leads to increases in couples' relationship-specific attachment security. These results provide support for the use of attachment theory in the treatment of relationship distress, and also provide an illustration of how attachment can shift over the course of a therapeutic intervention.

No description available.

Emotionally Focused Couple Therapy (EFT; Johnson, 2004) addresses relationship distress by facilitating the development of new patterns of interaction between partners. These new patterns of interaction are based on partners' vulnerable acknowledgement and expression of attachment needs. Partners' engagement in these new patterns of interaction is thought to improve their relationship-specific attachment bond. Although previous studies have shown EFT to result in excellent relationship satisfaction outcomes (Johnson, Hunsley, Greenberg & Schindler, 1999), research had yet clearly to demonstrate if and how EFT facilitates increases in partners' relationship-specific models attachment security over the course of therapy. To address this research gap, the current study employed Hierarchical Linear Modelling (HLM; Singer & Willet, 2003) to investigate the pattern of change in couples' (n=32) self-reported relationship satisfaction and relationship-specific attachment over the course of EFT. Couples reported significant linear increases in their relationship satisfaction and significant linear decreases in their relationship-specific attachment avoidance over the course of therapy. Couples who completed the blamer-softening therapeutic change event (n=16) demonstrated significant linear decreases in their relationship-specific attachment anxiety after completing this event. Decreases in relationship-specific attachment anxiety predicted increases in couples' relationship satisfaction over the course of therapy. Couples also demonstrated significant increases in the security of their pre-post-therapy relationship-specific attachment behaviour, as coded Secure Base Scoring System (Crowell, Treboux, Gao, Fyffe, Pan & Waters, 2002). The current study also used HLM (Singer & Willet, 2003) to examine how the completion of blamer-softening impacted softened couples' relationship-specific attachment anxiety, and whether the completion of blamer-softening had a similar impact on softened couples' relationship-specific attachment avoidance and relationship satisfaction. Softened couples reported an immediate increase in relationship satisfaction and immediate decrease relationship-specific attachment avoidance at the softening session. Further, softened couples' post-softening decreases in relationship-specific attachment anxiety were initially preceded by an increase at the softening session. These results provided an understanding of how EFT leads to increases in couples' relationship-specific attachment security. These results provide support for the use of attachment theory in the treatment of relationship distress, and also provide an illustration of how attachment can shift over the course of a therapeutic intervention.

Couple therapy, influenced by the discourse of social constructionism in its theorethical multiplicity, emphasizes the use of language as the builder of reality. However, it typically restricts its interest to the resources of verbal language, devoting little attention to other linguistic forms. Considering the possibility of contributing to this knowledge, we propose the inclusion of drawings as a language resource for therapeutic practices, increasing the understanding of the use of the language in a responsive-relational joint action for construction of meanings. Thus, this study aims at understanding the relational processes of meaning co-construction through the creation of drawings, in the context of Couple Therapy, seeking, in a special way, to analyze the implications of the use of drawings in the construction of change narratives of oneself and the marriage relationship. The study was carried out by way of video recordings of the therapy sessions of three couples, in 10 weekly sessions in a social clinic context. The analysis of the data, based on the constructionist version of social poetics, included transcripts of all sessions, followed by readings that allowed for the identification of different uses of the drawings. From the analysis of the drawings produced by the three couples, we identified drawing as a creative resource to: (a) facilitate conversation hampered by tension, (b) signal focus and selection of oscillatory conversation, (c) explore what has not yet been said in conversation, (d) strengthen the descriptions and narratives created in conversation and (e) summarize the assessment process. The detailed analysis of the therapeutic process of one of the couples, which presented a greater variation of elements referring to individual and marital aspects, showed that the practice of drawing in marital therapy creates participatory contexts in which spouses could feel safe to engage in the creative process, with inventive possibilities of one coming to be desirable and satisfying. In this way, the drawings became a propitiatory resource in bringing life to the use of the word, as well as promoting other forms of speech, freed from the captivity of the usual modes, normalized within human relationships. In couple therapy, drawings are possible as a new part of our language which incorporated with the usual and within the same, allows for the learning of new gestures and the production of new meanings. / A terapia de casal influenciada pelo discurso do construcionismo social, em sua multiplicidade teórica, enfatiza o uso da linguagem como construtora de realidades, porém, tipicamente, restringe seu interesse aos recursos da linguagem verbal, dedicando pouca atenção a outras formas linguísticas. Considerando possível contribuir com esse conhecimento, propomos a inclusão do desenho como recurso linguístico das práticas terapêuticas, ampliando o entendimento do uso da linguagem em uma ação conjunta responsiva-relacional de construção de sentidos. Assim, este estudo tem por objetivo compreender os processos relacionais de coconstrução de sentidos mediante a criação do desenho, no contexto de Terapia de Casal, buscando, especificamente, analisar as implicações da utilização do desenho na construção de narrativas de mudança de si e da relação conjugal. A pesquisa foi realizada por meio da vídeo-gravação do atendimento de três casais, em 10 sessões semanais, no contexto de uma clínica social. A análise dos dados, fundamentada na versão construcionista da poética social, incluiu as transcrições de todas as sessões, seguidas de leituras que possibilitaram a identificação de diferentes usos do desenho. A partir da análise dos desenhos produzidos pelos três casais, identificamos o desenho como recurso criativo para: (a) viabilizar a conversa dificultada pela tensão; (b) sinalizar o foco e a seleção da conversa oscilatória; (c) explorar o ainda não dito na conversa; (d) fortalecer as descrições e narrativas criadas na conversa e (e) sintetizar o processo avaliatório. A análise detalhada do processo terapêutico de um dos casais, o qual apresentou maior variação de elementos trabalhados referentes aos aspectos individual e conjugal, mostrou que a prática do desenho na terapêutica conjugal cria contextos participativos, nos quais os cônjuges puderam sentir-se seguros para o engajamento no processo criativo, com possibilidades inventivas de um vir a ser desejável e satisfatório. Dessa forma, o desenho configurou-se em recurso propiciatório para trazer vida ao uso da palavra, bem como promotor de outras formas de falar libertadoras do cativeiro dos modos usuais, normatizados dentro das relações humanas. Na terapia de casal, o desenho é possível como uma nova parte de nossa linguagem que incorporada à usual, dentro dela, permitirá a aprendizagem de novos gestos e a produção de novos sentidos. / Mestre em Psicologia Aplicada

Emotionally Focused Couple Therapy (EFT; Johnson, 2004) addresses relationship distress by facilitating the development of new patterns of interaction between partners. These new patterns of interaction are based on partners' vulnerable acknowledgement and expression of attachment needs. Partners' engagement in these new patterns of interaction is thought to improve their relationship-specific attachment bond. Although previous studies have shown EFT to result in excellent relationship satisfaction outcomes (Johnson, Hunsley, Greenberg & Schindler, 1999), research had yet clearly to demonstrate if and how EFT facilitates increases in partners' relationship-specific models attachment security over the course of therapy. To address this research gap, the current study employed Hierarchical Linear Modelling (HLM; Singer & Willet, 2003) to investigate the pattern of change in couples' (n=32) self-reported relationship satisfaction and relationship-specific attachment over the course of EFT. Couples reported significant linear increases in their relationship satisfaction and significant linear decreases in their relationship-specific attachment avoidance over the course of therapy. Couples who completed the blamer-softening therapeutic change event (n=16) demonstrated significant linear decreases in their relationship-specific attachment anxiety after completing this event. Decreases in relationship-specific attachment anxiety predicted increases in couples' relationship satisfaction over the course of therapy. Couples also demonstrated significant increases in the security of their pre-post-therapy relationship-specific attachment behaviour, as coded Secure Base Scoring System (Crowell, Treboux, Gao, Fyffe, Pan & Waters, 2002). The current study also used HLM (Singer & Willet, 2003) to examine how the completion of blamer-softening impacted softened couples' relationship-specific attachment anxiety, and whether the completion of blamer-softening had a similar impact on softened couples' relationship-specific attachment avoidance and relationship satisfaction. Softened couples reported an immediate increase in relationship satisfaction and immediate decrease relationship-specific attachment avoidance at the softening session. Further, softened couples' post-softening decreases in relationship-specific attachment anxiety were initially preceded by an increase at the softening session. These results provided an understanding of how EFT leads to increases in couples' relationship-specific attachment security. These results provide support for the use of attachment theory in the treatment of relationship distress, and also provide an illustration of how attachment can shift over the course of a therapeutic intervention.

Physiological state greatly influences one’s ability to emotionally regulate and connect to a partner in couple therapy. As individuals encounter real or perceived threats in relationships, they are likely to experience sympathetic nervous system (SNS) responses of fight, flight, or freeze, thereby inhibiting the ability to connect with a partner or therapist made possible by the parasympathetic nervous system (PNS). This study, guided by the Polyvagal theory, examines the influence of client sleep, daily stress, and exercise on physiological baseline prior to a couple therapy session. Participants included 23 married couples who attended couple therapy at the Brigham Young University (BYU) Comprehensive Clinic. We examined the influence of client number of awakenings, sleep fragmentation index (SFI), daily stress time, and daily exercise time on measures of physiological baseline which included Galvanic skin response (GSR), respiratory sinus arrhythmia (RSA) and pre-ejection period (PEP) of the left ventricle of the heart. Three multi-level models were conducted to analyze the influence of sleep, stress, and exercise on GSR, RSA, and PEP respectively. Results indicated that daily stress significantly predicts PEP baseline as a measure of SNS fight-or-flight activation. A discussion of potential limitations, recommendations for therapists, and suggestions for future research are included.

Research has shown that exercise has the potential to improve couple relationships. This study contributes to current literature by examining the associations between exercise, its duration, and its intensity and daily clinical couple interactions. Participants were 22 married couples in a treatment-as-usual setting who completed daily diaries about daily behaviors and marital interactions. Multilevel models were run, and results showed that wives who exercised were more likely to report a negative interaction with their husband that day. When wives exercised longer, both they and their husbands were more likely to report positive interactions that day. Interestingly, if husbands exercised longer on a given day, their wives were less likely to report positive interactions and there was no association between husbands' perception of interactions and their own exercise duration. Finally, we found that when wives exercised more intensely, both she and her husband were less likely to report positive marital interactions. These results have implications for clinicians working with couples in therapy.