M.A. / Children are so often seen as unproductive, dependents that are vulnerable and not responsible for their own actions. Children are in fact individuals in the process of development that can learn to act in a responsible way and to manage their lives. Because children are in the process of development and change, it is a challenge for the therapist to meet the unique needs of the child. This study was developed as a response to a need under social workers for structure in the handling of children with adaptation problems. Social workers need more than just techniques that can be utilized with children in therapy. They also need guidelines on the best techniques to utilize in different phases of the process. This programme aimed at developing an integrated model for child therapy that can be utilized for children who have experienced trauma, who have difficulties adapting to new circumstances, who have behavioural problems or who are in need of personal skills. The Intervention Design and Development Model of Rothman and Thomas (1994) was utilized in the development of the new technological item. The different phases used in the development of the model for child therapy were the following: The problem analysis and planning phase, which included the planning of the study and the setting of goals for the study. The information gathering and synthesis phase, which included an investigation into the available sources for the development of new technology for child therapy. The first focus of the actions in this phase was to identify applicable sources that could be utilized to formulate a theoretical basis for the new technology. The theoretical basis served as a frame of reference to identify the most important aspects of a child that a therapy model should take into account. The next focus was to select existing interventions and technologies that could be used to formulate a practice model that would address the needed aspects of a child. The design phase, consisted of setting a preliminary product. The evaluation phase, which included the implementation of the pilot test and both the process and outcome evaluation. The aim of this phase was to test the programme and to see what can be done to improve on the results and to refine the final product. The implementation and dissemination phase which concluded the study by setting the final product ready for distribution. This product, a model for Functional child therapy, does not provide a recipe for child therapy, nor does it only help children to work through present traumas. The main focus of the model is to help children to become unique individuals within a world that is dominated and structured by adults. Children learn with this model not just to react on adult behaviour, but to become active, responsible role players in their own world.

Made available in DSpace on 2016-04-04T18:30:02Z (GMT). No. of bitstreams: 1 Giovanna Corte Honda.pdf: 892385 bytes, checksum: 53301973b02804195919fdc442739f9b (MD5) Previous issue date: 2014-12-01 / The present exploratory study aimed to combine the adaptive efficacy criterion with the Generic Change Indicators List (GCIL) to better understand how people change in psychotherapy. The specific aim was to evaluate if the evolution in the hierarchy of Generic Change Indicators is associated with the quality of adaptive responses. Methodologically, the research was based on an intensive case study design. The List presents an ideal of what happens when psychotherapy is successful. The List is composed by 19 indicators disposed hierarchically, which relate primarily to how the patient sees his or her problem, his or her willingness to face it and his or her expectations for psychotherapy and psychotherapist. Adaptive efficacy comprises the responses of the individual in the face of difficulties and vicissitudes of life. The more adequate a set of responses is, the more the adaptation of the subject will be considered effective. The videos and the transcriptions of the sessions of a brief psychodynamic psychotherapy process were evaluated with the GCIL and with the Scale of Adaptation (EDAO-R). According to the GCIL 14 episodes of change were identified into the 11 sessions of the psychotherapy. Results pointed to evolution in the hierarchy of indicators of change. The initial sessions comprised indicators of lower hierarchy and final sessions encompassed indicators of higher hierarchy. The results also showed that there was an evolution in the patient s adaptive efficacy, from very slightly adequate to adequate in the A-R area and from very slightly adequate to slightly adequate in the Pr area. We suggest that the progress in the hierarchy of the indicators showed that the patient began to offer more adequate responses, which resulted mainly in changes in the A-R area. It was possible to conclude in this study the association between the two measures. Some common factors to different therapeutic approaches probably contributed to the changes that the patient achieved and these are relate to the patient (she actively participated in the process, was aware of her difficulties and showed motivation to work on the problems), to the therapist (interventions used during the sessions) and to the relationship between therapist and patient (therapeutic alliance). Further researches must be pursued, involving a larger number of psychotherapies, including unsuccessful and dropout processes. / A presente pesquisa, de natureza explorat?ria, buscou combinar o crit?rio da efic?cia adaptativa com os da Lista de Indicadores Gen?ricos de Mudan?a (LIGM), para se compreender melhor como as pessoas mudam em psicoterapia. O objetivo mais espec?fico foi avaliar se existe rela??o entre a evolu??o na hierarquia dos Indicadores Gen?ricos de Mudan?a e a qualidade das respostas adaptativas. Utilizou-se o delineamento de estudo de caso intensivo. A LIGM refere-se a uma sequ?ncia ideal do que se espera que ocorra, se a psicoterapia obtiver ?xito. Ela ? composta por 19 indicadores dispostos de modo hier?rquico, que se referem prioritariamente ? forma como o paciente encara o seu problema, sua disposi??o para enfrent?-lo e as expectativas em rela??o ? psicoterapia e ao psicoterapeuta. A efic?cia adaptativa engloba as respostas dadas pelo indiv?duo frente ?s dificuldades e vicissitudes da vida. Quanto mais um conjunto de respostas ? adequado, mais eficaz ser? sua adapta??o. Para tanto, os v?deos e as transcri??es das sess?es de um processo de psicoterapia breve psicodin?mica de paciente adulta que foi atendida por psicoterapeuta experiente foram avaliadas com a LIGM e com a Escala Diagn?stica Adaptativa Operacionalizada Redefinida (EDAO-R). De acordo com a LIGM foram encontrados 14 epis?dios de mudan?a, distribu?dos em 11 sess?es. Observou-se evolu??o dos indicadores de mudan?a, em que as sess?es iniciais englobaram indicadores de menor hierarquia e as sess?es finais abarcaram indicadores de maior hierarquia. Os resultados tamb?m mostraram que houve evolu??o na efic?cia adaptativa da paciente, de pouqu?ssimo adequada para adequada, no setor Afetivo-Relacional (A-R, que diz respeito aos relacionamentos intra e interpessoais) e de pouqu?ssimo adequada para pouco adequada no setor Produtividade (Pr, que envolve trabalho ou principal ocupa??o que a pessoa exerce). Sugere-se que o progresso na hierarquia dos indicadores demonstrou que a paciente passou a oferecer respostas mais adequadas, que ocasionaram principalmente em mudan?as no setor A-R. Alguns fatores provavelmente contribu?ram para as mudan?as alcan?adas e estes dizem respeito ? paciente (participou ativamente do processo, tinha consci?ncia de suas dificuldades e apresentou motiva??o para trabalhar nos problemas), ? terapeuta (interven??es utilizadas durante as sess?es) e ? rela??o estabelecida entre ambas (alian?a terap?utica). Foi poss?vel concluir que neste estudo houve associa??o entre as duas medidas, que podem ser usadas para auxiliar o terapeuta na avalia??o de progresso do paciente e na compreens?o das vari?veis que podem facilitar ou limitar a mudan?a do paciente. Sugere-se a realiza??o de novas pesquisas, que compreendam maior n?mero de casos e que contem com processos considerados mal sucedidos e em que houve abandono por parte do paciente.

M.A. (Clinical Psychology) / The context of psychotherapy groups determine which factors are experienced as therapeutic. The nature of inpatient setting, the brief duration of the groups. and the concurrent nature of therapy were hypothesised as having a possible effect on which factors are perceived as therapeutic. For this particular study the added effect of substance dependency was taken into account. Each of these factors were discussed in a detailed review of the literature. The model of research used in the study was the attitudinal survey with the means of a questionnaire. The patients rank-ordered the relative importance of the various treatment experiences offered by Phoenix House. The primary research data was obtained by means of Yalom's (1985) therapeutic statement questionnaire. well validated in terms of reliability and validity. The statements have previously been used in a forced Q-sort method. In this study it was decided to leave it open as more factors may be rated as therapeutic than those achieved in a Q-sort. Time and expediency were also factors taken into account in using the questionnaire rating in an unforced manner. Open ended questions were used to obtain descriptive data regarding the helpfulness of group psychotherapy and their perceptions of concurrent therapy. A nonprobability sampling procedure was used. The present study addressed the following questions: 1. How do inpatients dependent upon substances perceive. in relation to other treatment methods, their group psychotherapy experiences? 2. Which aspects of the inpatient group psychotherapy experiences. as reflected in the therapeutic factors. seemto be perceived as most and least useful to people dependent upon substances? 3. How do the inpatients perceive their concurrent individual and group psychotherapy? 4. Do high and low valuers of inpatient group psychotherapy value different therapeutic factors?

M.A. (Psychology) / It is generally accepted that the management and treatment of individuals addicted to chemical substances or drugs entail challenges for the professions involved in drug contexts. In this dissertation a number of therapeutic systems in drug contexts are explored in aim of the treatment of people with drug addiction. In the literature survey it is indicated that the manner in which therapeutic intervensions are operationalized in drug treatment practices, are influenced by the organization's theoretical-philosophical orientation with regard to therapeutic treatment modes. This aspect is examined in the study on the basis of a critical discussion of the perspectives of the medical model and an alternative model, namely the adaptive model, concerning the therapeutic management of people addicted to drugs. It is further established from the literature that people with drug addiction problems are often treated within the boundaries of a therapeutic community and that various therapeutic interventions, namely individual psychotherapy, family therapy and group therapy, are also implemented in this therapeutic context. The present study specifically concentrates on an alternative approach concerning the therapeutic modes of treatment for individuals with drug addiction. One such an approach, as discussed in this study, entails that therapeutic approaches regarding people addicted to drugs, progress from a causal-theoretical manner of defining these people (for instance the view that individuals addicted to drugs have a progressive disease and that they are unable to take responsibility for their behaviour) to an approach based on the principles of interactional therapy and motivational milieu therapy {for instance the idea that such individuals have the ability to conduct their interpersonal relationships

M.Cur. (Psychiatric Nursing) / The objectives of this study were to describe group nursing therapy as a resource utilized by the psychiatric nurse as a way of facilitating the adolescent's mobilization of resources to cope with the violence in their everyday life and to describe guidelines for group nursing therapy to facilitate the promotion, maintenance and restoration of these adolescent's mental health. The situation of violence makes the adolescent susceptible to mental health problems. The adolescent perceive various degrees of violence in their homes, the community and at school. A combination of these violence related situations predisposes the adolescents to developing unhealthy ways of coping with the effects of violence. The number of adolescents referred to psychiatric community services has increased at an alarming rate. The main reasons for their referral was their poor scholastic performance; they were generally labelled as "a lost generation" and also as being mentally ill. The research was based on Nursing for the Whole Person Theory and the functional approach to nursing research was assumed. This implies that the goal of the research was aimed at improving the quality of patient care. The research design was descriptive and qualitative in nature, which was also contextual. The descriptive single case study method was utilized. Reliability was ensured by using as many steps as possible to operationalize the case study - and the research was conducted as if someone were always looking over the researcher's shoulder. Validity control measures were applied to counteract criticism by ensuring that a sufficient operational set of measures was developed and objective judgements were used to collect data by way of coding transcribed audiotaped material from all the sessions of the group nursing therapy...

M.A. (Clinical Psychology) / In this project, the author explores, analyses and interprets the experiences of a group of students and teachers who worked together at a farm school for almost a year. Certain pertinent questions relating to the nature of therapy, training, research and community work are examined. The dominant view is that therapy and community work are different activities, requiring different sets of skills, for which different training is needed. Fundamental to this discussion is the issue of what is meant by community. The author proposes that community can be usefully conceptualised as the meaning people give to the evolving processes of their inter-connectedness, and their co-creation of ideas. Furthermore, these processes contain the potential for individuals to experience personal shifts that may be described variously as learning/growth/change/transformation. There is impetus for transformation at the interface between connectedness and disconnectedness. This renders unnecessary any differentiation between the process of training students for clinical and community work. Central to all training would be a person's ability to connect and utilise this connectedness, or its counterpart of disconnectedness, in a meaningful way. Essentially all interactions, including those in a training, therapy, research and community context, could then be viewed as a process of co-creation around people's sense of connectedness disconnectedness. The implications of all the above are that the processes of co-creation of community constitute fundamental elements of training, therapy, research and community work. The author uses an alternative research paradigm, subscribing to the principles of ecological inquiry, according to which research and intervention are inseparable.

D.Litt. et Phil. / A plethora of research has been conducted on victims of township violence, detention and political unrest, but there is no research on car hijack victims or the prevalence of Post-Traumatic Stress Disorder (PTSD), which could result from this crime. The implications of this lack of research are important because people are confronted by trauma on a daily basis but there are few guidelines for providing treatment. Hijackings are a somewhat recent phenomenon unlike other traumas such as wars and natural disasters, but the effects of hijacking are no less severe. Post-Traumatic Stress Disorder (PTSD) always requires an initiating event which is assumed to be traumatic. The context in which car hijackings occur in South Africa can be considered to meet the criteria for what constitutes a traumatic event, which could possibly lead to the development of PTSD (Myerson, 1995). Not all crime victims who need professional assistance will enter therapy. This is often due to the victim's self-perception of weakness, feelings of embarrassment, or the perception that others will not understand their experience. A group-based intervention offers the advantages of reducing isolation, providing comfort and support, and eliminating feelings of stigma. For this reason it was important to analyse the nature of PTSD and how to intervene to aid the recovery from PTSD, in the South African context. The literature points to the recovery from PTSD as being contingent upon the psychotherapeutic input that the traumatised individual receives. This research focused on the development of a group-based cognitive behaviour intervention programme for victims who developed Post-Traumatic Stress Disorder as a result of car hijackings. Cognitive behavioural therapy is the only treatment modality that is supported by objective measures of success (Peterson, Prout & Schwartz, 1991) and has been found to be one of the most effective treatments (Kaplan & Sadock, 1993). In order to test the hypotheses, the Beck's Depression Inventory was used to measure the level of depression, the Spielburger's Stai Anxiety scale was used to measure the level of anxiety, and the CAPS and PCL were used to determine whether Post-Traumatic Stress Disorder existed in the individuals who participated in the study and the intensity and frequency of the symptoms.

No description available.

Psykosyntesterapi (PST) är en integrativ terapiform rotad i transpersonell psykologi. PST utmärks av ett fokus på den terapeutiska relationen samt av att anpassning gentemot den individuella klienten hålls som viktigare än teknisk följsamhet. Trots att PST funnits i ett sekel är tidigare forskning begränsad, vilket kan bero på svårigheten att operationalisera en terapi som uppmuntrar till en pragmatisk öppenhet kring vilka tekniker som används. Syftet med denna studie var därför att formulera en forskningsdefinition av PST utifrån tre delstudier: en förstudie där en enkät utformades baserat på en genomgång av kärnlitteraturen, samt en kvantitativ respektive en kvalitativ   delstudie som genomfördes med ett gemensamt urval av svenska PST-terapeuter (N=53), där enkäten användes för datainsamling av självskattade terapeutiska inslag samt terapeuternas egna definitioner av PST. Resultat: kvantitativt presenteras förekomsten av terapeutiska inslag utifrån tre kategorier – gemensamma terapifaktorer (GF), psykosyntetiska syften (PS) samt specifika tekniker (ST). Kvalitativt presenteras en tematisk analys av terapeuternas PST-definitioner som utmynnar i fem teman: "specifik människosyn", "psykosyntesterapi som metod", "transpersonella perspektiv", "centrala processer i psykosyntesterapi" samt "den terapeutiska relationen", vilka huvudsakligen är i samklang med samt kompletterar de kvantitativa fynden. Sammantaget utmynnar studien i följande forskningsdefinition av PST: "en integrativ terapiform där ett fokus på gemensamma terapifaktorer kombineras med en mångfald av varierande tekniker som används för att uppnå ett begränsat antal specifika terapeutiska syften, förankrade i en integration av psykosyntesteori med klientens och terapeutens unika kontext".

Tradicionalmente, a escolha pelo tipo de intervenção psicoterápica para diferentes quadros clínicos depende fundamentalmente da experiência profissional do terapeuta e de sua predileção por determinadas estratégias clínicas. Esse cenário, entretanto, tem se modificado no contexto da prática baseada em evidências, definida pela American Psychological Association como o processo individualizado de tomada de decisão clínica que ocorre por meio da integração da melhor evidência disponível com a perícia clínica no contexto das características, cultura e preferências do cliente. O paradigma de prática baseada em evidências está em perfeita harmonia com a ideologia da análise do comportamento aplicada, que, desde a sua origem, apresenta um forte comprometimento com a sustentação empírica de seus procedimentos terapêuticos. Apesar desse comprometimento, é de fundamental importância avaliar em que medida a área está ou não produzindo evidências de eficácia. Em vista disso, o presente trabalho teve por objetivo analisar a produção de evidências empíricas da terapia analítico-comportamental (TAC) e da psicoterapia analítica-funcional (FAP), na literatura nacional e internacional, de modo a complementar as revisões sistemáticas já realizadas sobre outras modalidades de análise do comportamento clínica terapia de aceitação e compromisso (ACT), terapia comportamental dialética (DBT) e ativação comportamental (BA). Para cumprir esse objetivo, foi realizada uma revisão da literatura conduzida de forma a localizar o maior número possível de estudos empíricos sobre TAC e FAP, publicados ou não, que abarcou onze bases de dados globais e três bases de dados específicas da análise do comportamento. A seleção dos estudos obedeceu aos seguintes critérios de inclusão: ser relato de caso, experimento de caso único ou pesquisa de grupo que descreve os resultados obtidos num processo de terapia individual; ter participantes com desenvolvimento típico e idade igual ou superior a 18 anos; ter ocorrido exclusivamente no ambiente de consultório; ser fundamentado no behaviorismo radical e utilizar conceitos da análise do comportamento na descrição do processo terapêutico. No total, foram selecionados 54 trabalhos que apresentaram 72 casos. As informações de cada um dos casos foram organizadas numa planilha do Microsoft Excel e diferentes categorias de análise foram construídas de modo a possibilitar dois tipos de análise. A primeira, descritiva, abarcou a denominação dada à terapia, idade, gênero e diagnóstico dos clientes, método de pesquisa, número de sessões, avaliação da fidelidade ao procedimento, apresentação de análise de contingências, alvos da intervenção, procedimentos utilizados, eficácia, medidas de resultado e follow-up. A segunda análise consistiu em diversos cruzamentos entre esses dados. Os resultados obtidos permitem concluir que a TAC e a FAP carecem de evidências empíricas que comprovem ou rejeitem sua eficácia. À luz desses dados e das revisões sistemáticas sobre ACT, DBT e BA, argumenta-se que terapeutas e pesquisadores brasileiros têm três opções: (1) utilizar apenas os princípios comportamentais básicos, isto é, a teoria, para guiar sua prática clínica, o que é insuficiente para garantir a eficácia da intervenção; (2) adotar um dos modelos internacionais de análise do comportamento clínica; (3) sistematizar a TAC para, posteriormente, pesquisá-la experimentalmente. Espera-se que, além de oferecer o estado da arte da pesquisa clínica sobre TAC e sobre FAP, este trabalho contribua para o desenvolvimento científico das terapias comportamentais e para o fortalecimento da análise do comportamento como ciência e profissão / Traditionally, the choice of the type of psychotherapeutic intervention for various clinical conditions fundamentally depends on the professional experience of the therapist and his/her predilection for certain clinical strategies. However, this scenario has been changing in the context of evidence-based practice, defined by the American Psychological Association as the individualized process of clinical decision-making that takes place through the integration of the best available evidence with clinical expertise in the context of the characteristics, culture and preferences of the client. The paradigm of evidence-based practice is in perfect harmony with the applied behavior analysis ideology, which, since its inception, has a strong commitment to the empirical support of its therapeutic procedures. Despite this commitment, it is of fundamental importance to assess to what extent the area is or is not producing evidence of efficacy. In view of this, this thesis aimed to analyze the production of empirical evidence of behavioral-analytic therapy (TAC) and functional-analytic psychotherapy (FAP), in national and international literature, in order to complement the systematic reviews already conducted on other modalities of clinical behavior analysis acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), and behavioral activation (BA). To achieve this goal, a review of the literature was conducted in order to find the largest possible number of empirical studies of TAC and FAP, published or not, which covered eleven global databases and three specific databases of behavior analysis. The selection of studies followed the following inclusion criteria: to be a case report, single-case experiment or group research that describes the results obtained in an individual therapy process; to have participants with typical development and age up to 18 years of age; to have taken place exclusively in the office environment; to be based on radical behaviorism and to use behavior analysis concepts in the description of the therapeutic process. In total, 54 works that presented 72 cases were selected. The information regarding each one of the cases has been organized in a Microsoft Excel worksheet and different analysis categories have been designed so as to enable two kinds of analysis. The first kind was a descriptive one, and embraced the name given to the therapy, age, gender and diagnosis of clients, research method, number of sessions, evaluation of procedure fidelity, description of analysis of contingencies, targets of intervention, procedures used, efficacy, outcome measures and follow-up. The second kind consisted of the analysis of different combinations of these data. The results lead to the conclusion that TAC and FAP lack empirical evidence to support or reject their efficacy. In light of these data and the systematic reviews on ACT, DBT and BA, it is argued that Brazilian therapists and researchers have three options: (1) use only the basic behavioral principles, i.e. the theory, to guide their clinical practice, which is insufficient to ensure the efficacy of the intervention; (2) adopt one of the international models of clinical behavior analysis; (3) systematize TAC so that it can be researched experimentally afterwards. It is expected that, in addition to offering the state of the art of clinical research on TAC and on FAP, this work will contribute to the scientific development of behavioral therapies and to the strengthening of behavior analysis as a science and profession