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Made available in DSpace on 2016-04-27T18:47:10Z (GMT). No. of bitstreams: 1 Rosangela Rahal Polati.pdf: 11973558 bytes, checksum: a81431369f7aaa87079b99ca40732e08 (MD5) Previous issue date: 2012-10-17 / Even more than multiple characteristics inherent of old age, the subject in its ageing brings unique experiences. We age through body and soul, and what defines us as equals also distances us for its oneness. This research was grounded under the theoretical references of Gerontology and Art Therapy, it had a qualitative approach from the utilization of theoretical model of Expressive Therapies Continuum (ETC) based on the systematization of the work experience developed in 2010 at the Ana Pedroso de Toledo - Elderly Community Services Association (ASCI), Civil Society Organization of Public Interest (OSCIP), placed at Cotia municipality in São Paulo State. The data was obtained from the researcher s observation during the Art Therapy sessions, containing the work prepared by the research subjects, from the relationship between therapist/client/group carried out during that time. In this investigation the Art Therapeutic activity was presented as a creative function as well as a learning point, its application and the perceptions that occurred in the ageing process. The experiences were carried out in two groups. The group was composed by 12 elderly people, between 70 to 91 years of age, and presented through out the acting characteristics of each group and sex. The groups relived their life phases, being able to point out their own experiences, seeking for new meanings to incorporate into the current moment of their lives. In this path of systematization, besides the contribution to the Art-therapy with methodological subsidies, the Art-therapeutic process was unveiled as a moving care for Day Community Associations for Elderly People, showing as a feasible program for resignification and consequently a possibility to give new life meanings for our increasingly elongated existence. The Art therapeutic work through the representation of each ones subjective individuality can also provide consciousness rising as well as rescuing the perception of will / Muito mais do que as múltiplas características que são próprias da velhice, o sujeito em seu envelhecer traz experiências que lhe são únicas. Envelhecemos pelo corpo e pela alma, e o que nos caracteriza como iguais também nos distancia pela sua unicidade. Esta pesquisa, fundamentada nos referenciais teóricos da Gerontologia e da Arteterapia, teve abordagem qualitativa a partir da utilização do modelo teórico do Continuum das Terapias Expressivas (ETC), ao sistematizar a experiência de trabalho desenvolvida no ano de 2010, na Associação de Serviços Comunitários a Idosos Ana Pedroso de Toledo (ASCI), Organização da Sociedade Civil de Interesse Público (OSCIP), localizada na região de Cotia, São Paulo. Os dados foram obtidos a partir da observação do pesquisador durante as sessões de Arteterapia, contendo os trabalhos elaborados pelos sujeitos da pesquisa e da relação terapeuta/cliente/grupo realizadas nesse período. Apresentaram-se nesta investigação a atividade arteterapêutica como função criativa e de aprendizagem, sua aplicação, e as percepções que ocorrem no processo de envelhecer. As experiências se deram em dois grupos de sexos diferentes, formados por 12 pessoas idosas, entre 70 a 91 anos de idade, apresentadas através das características de atuação de cada grupo e sexo. Os grupos reviveram fases de suas vidas e puderam apontar suas experiências, buscando novos significados que foram incorporados ao momento atual de suas vidas. Neste trajeto de sistematização, além de se contribuir com subsídios metodológicos à Arteterapia, descobriu-se o processo arteterapêutico como um movimento de cuidado em Associações Comunitárias Dia para Idosos, apresentando-o como um programa de possível ressignificação e, consequentemente, possibilidade para novos sentidos de vida de nossa existência cada vez mais alongada. O trabalho arteterapêutico, através da representação da individualidade subjetiva de cada um, pode proporcionar também a emergência da consciência deste sujeito resgatando neste a percepção do querer

Utilizzando il disegno single-case si indaga il processo terapeutico di una psicoterapia ad orientamento psicodinamico con sedute a cadenza settimanale della durata di un anno di un paziente con Depressione Anaclitica (secondo la definizione di Blatt, 2003); il processo ed i fattori che concorrono a determinarlo sono indagati nel conte-sto della valutazione della personalità del paziente. L’obiettivo consiste nel mostrare come sia possibile ottenere, utilizzando strumenti come la DMRS, la SWAP, la CALPAS, il CT-Q, il PRQ ed il CCRT, una valutazione che non si limiti solo al cambiamento sintomatico, in questo caso depressivo, ma fornisca un’idea più sfaccettata delle trasformazioni intrapsichiche ed interpersonali correlate al processo terapeutico, integrando la valutazione macroanalitica del cambiamento, ricavata dalle variazioni degli indici globali degli strumenti, alla valutazione microanalitica delle variabili. / The therapeutic process of a psychodynamic psychotherapy is evaluated through a single-case design. The patient, a 26-year-old man with Anaclitic Depression (as defined by Blatt, 2003) was followed on a weekly based therapy for one year. The factors that contribute to determine the therapeutic process are investigated in the context of the patient's personality assessment. The objective is to show how it is possible to obtain, using tools such as the DMRS, the SWAP, the CALPAS, the CT-Q, the PRQ and the CCRT, an assessment that is not limited only to the symptomatic change, in this case depressive, but provides a more multifaceted view of the intrapsychic and interpersonal transformations related to the therapeutic process, incorporating the macroanalytic evaluation of changement, derived from the global scores of the instruments, to the micro-analytic evaluation of the variables.

The changed appearance as a result of burns for a child in middle childhood years has several implications in terms of its physical, emotional, and social development. It seems that the burnt child in middle childhood years can benefit from therapeutic assistance, and specifically, empowerment. As far as the researcher could determine, Gestalt play therapy has not yet been utilized for this purpose nor has there been research done in connection to this. For the purpose of this study, the value of the Gestalt play therapy process, as described by Oaklander, in empowering the burn victim in the middle childhood years is explored and described. Consultations with experts as well as a literature review was undertaken in order to obtain background information about the Gestalt play therapy process, with specific reference to the empowerment aspect as well as the implications of the burn wounds and burn marks on the burn victim in the middle childhood years. The literature studied produced a theoretical framework within which this study was performed. Following the literature review, an empirical investigation into Gestalt play therapy was used, with the focus on empowerment. A qualitative study was conducted with a single case study as data collection method. For the duration of the empirical study, 17 therapeutic sessions were conducted with the participant, within the framework of qualitative research investigation. Data collected was described, analysed, and verified through a literature study. This study came to the conclusion that the Gestalt play therapy process is valuable in the empowerment of a burn victim in middle childhood years. It was particularly the therapeutic relationship and the elements that focused on the strengthening of the self, which was valuable in empowering the participant. The information is described in an article according to the guidelines for the Social Work/Maatskaplike Werk journal entitled: “Empowerment of a burn victim through the Gestalt play therapy process”. Various elements are discussed respectively as used in the case study to empower the child. Section A provides an introduction and explanation of the study, which includes the rationale and problem statement for the study and research methodology. The article that followed, is discussed in Section B. Conclusions and recommendations that arose from this study are discussed in Section C. Section D contains the compiled bibliography, and appendices are in Section E. / Thesis (MA (Psychology))--North-West University, Potchefstroom Campus, 2013.

The changed appearance as a result of burns for a child in middle childhood years has several implications in terms of its physical, emotional, and social development. It seems that the burnt child in middle childhood years can benefit from therapeutic assistance, and specifically, empowerment. As far as the researcher could determine, Gestalt play therapy has not yet been utilized for this purpose nor has there been research done in connection to this. For the purpose of this study, the value of the Gestalt play therapy process, as described by Oaklander, in empowering the burn victim in the middle childhood years is explored and described. Consultations with experts as well as a literature review was undertaken in order to obtain background information about the Gestalt play therapy process, with specific reference to the empowerment aspect as well as the implications of the burn wounds and burn marks on the burn victim in the middle childhood years. The literature studied produced a theoretical framework within which this study was performed. Following the literature review, an empirical investigation into Gestalt play therapy was used, with the focus on empowerment. A qualitative study was conducted with a single case study as data collection method. For the duration of the empirical study, 17 therapeutic sessions were conducted with the participant, within the framework of qualitative research investigation. Data collected was described, analysed, and verified through a literature study. This study came to the conclusion that the Gestalt play therapy process is valuable in the empowerment of a burn victim in middle childhood years. It was particularly the therapeutic relationship and the elements that focused on the strengthening of the self, which was valuable in empowering the participant. The information is described in an article according to the guidelines for the Social Work/Maatskaplike Werk journal entitled: “Empowerment of a burn victim through the Gestalt play therapy process”. Various elements are discussed respectively as used in the case study to empower the child. Section A provides an introduction and explanation of the study, which includes the rationale and problem statement for the study and research methodology. The article that followed, is discussed in Section B. Conclusions and recommendations that arose from this study are discussed in Section C. Section D contains the compiled bibliography, and appendices are in Section E. / Thesis (MA (Psychology))--North-West University, Potchefstroom Campus, 2013.

Inledning: Även om distansterapi visat sig vara effektivt och ger ökad tillgänglighet är många terapeuter ändå tveksamma till formatet. Syfte: Genom att undersöka hur övergången till distansformat enligt psykodynamiskt orienterade terapeuter påverkar den terapeutiska processen, dess ram och relationella kvalité ges ett bidrag till förståelse av denna tvekan. Metod: En kvalitativt inriktad fenomenologisk studie av semistrukturerade intervjuer med fem terapeuter. Resultat: Tematisk analys visar två teman: Närvaro och En ny situation med två respektive fyra underteman: möjliggörande och saknad respektive kropparnas kommunikation, saknad avgränsning, ramarbete och inre upptagenhet. Diskussion: En inre upptagenhet kan göra att närvaro som relationell kvalité i bemärkelsen emotionell, kognitiv och funktionell tillgänglighet försvåras i distansformatet. Inre upptagenhet kan bero på de ramfrågor som aktualiseras i övergången. Undersökningen resulterar i en modell som visar att i den mån en viss terapeutisk teknik, känsla i rummet eller terapeutroll föreligger som målsättning i den terapeutiska processen kommer den inre upptagenheten sannolikt kvarstå. Ökad förståelse för terapeuters målsättningar i och med den terapeutiska processen föreslås som en nyckel för vidare acceptans av distansformatet. / Introduction: Even though distance therapy has been shown to be effective across a range of measures and increases access many psychotherapists still remain sceptic to the format.   Aim: By examining how psychodynamic psychotherapists experience transitioning to distance therapy as regards the therapeutic process this study results in a contribution to the understanding of the continuing scepticism among therapists.  Method: A qualitative, phenomenological study of semi-structured interviews with five psychotherapists using thematic analysis.  Result: Two themes are identified: Presence and A new situation with two and four subthemes respectively: enabling and lamented; bodily communication, demarcation, therapeutic frame and preoccupation. Discussion: Due to preoccupation presence understood as a relational quality of emotional, cognitive and functional availability could be continually lamented in distance therapy. The discussion results in a model showing that if a certain therapeutic technique, feeling in the room or therapeutic role is an underlying intention in the therapeutic process preoccupation will continue to be a factor in distance therapy encounters. Increased knowledge as regards therapists´ intentions in the therapeutic process is forwarded as a key factor to further acceptance of the distance therapy format.

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Desde a metade do século XX os grupos de ajuda mútua de Narcóticos Anônimos vêm se firmando como uma alternativa terapêutica válida para pessoas que desenvolvem a síndrome de "dependência química". Surgidos como uma dissidência dos Alcoólicos Anônimos, estes grupos utilizam de maneira pragmática o conceito de "adicção" para nomear esta doença e classificam-na como incurável, sendo possível apenas o controle dos sintomas. Desta forma, a sua proposta terapêutica é pautada na abstinência total do uso de qualquer substância psicoativa e em um conjunto de princípios éticos, espirituais e subjetivos que devem ser seguidos pelos participantes com o objetivo de "vivenciarem a recuperação" através de uma mudança radical de visão de mundo. Este trabalho tem como universo de pesquisa a rede de Narcóticos Anônimos da cidade de Porto Alegre. Dentro deste universo empírico um dos objetivos da pesquisa é demonstrar, através da apresentação de quatro histórias de vida de participantes dessa rede, que a categoria "membro de Narcóticos Anônimos" é menos homogênea do que aparenta ser; há espaço para a apropriação instrumental deste universo simbólico e também para a preservação de particularidades subjetivas no processo de incorporação dessa identidade. Outro objetivo é apresentar as implicações da utilização do seu conceito próprio de "adicção" enquanto doença incurável. Finalmente, através de um relato etnográfico, procura apresentar as reuniões do grupo como um espaço marcadamente ritual, mas que preserva momentos de interação e difusão de símbolos também "fora do ritual". / Since the half of the twentieth century mutual help groups such as Narcotics Anonymous have been establishing themselves as a valid therapeutic alternative for people who develop the "chemical dependence" syndrome. Emerging as a dissidence of Alcoholics Anonymous, these groups apply a pragmatic interpretation of the "addiction" concept to name that disease and classify it as incurable; they say that only the symptoms can be controlled. This way, their therapeutic approach is based on the total abstinence of any psychoactive substance use and in a set of ethical, spiritual and subjective principles that must be followed by the members with the objective of "living the recovery" through a radical change of subjective engagement in the world. This work's universe of research is the Narcotics Anonymous' network in the city of Porto Alegre. Inside this empirical universe one of the research's objectives is to demonstrate, by the presentation of four life stories of this networks' participants, that the category "Narcotics Anonymous' member" is less homogeny than it apparent to be; there is some space to instrumental appropriation of this symbolic universe and also to the preservation of subjective particularities in the process of incorporating this identity. Another objective is to discuss the implications of using the "addiction" category as a synonymous of incurable disease. Finally, this research presents an ethnographic description of the groups' meetings as composed by a rigid ritual structure, but which also preserves moments of interaction and symbol dissemination that lie "outside from the ritual".

The Health and Psychiatric Reform movements in Brazil triggered transformations in theoretical and practical model of mental health care. These changes enabled the expansion of the concept of health / disease process, the creation of public policies, the implementation of a network of services replacing psychiatric hospitals, including the CAPS and the development of new strategies for health intervention. Therefore, these changes suggest a series of challenges to the practice of workers in health services, especially with regard to care and care for people in psychological distress, using as a framework the assumptions of the fields of Public Health and Mental Health. So the overall goal of this research was to describe and analyze how health workers of a Psychosocial Alcohol and Drugs Care Center (CAPS ad), build, lead and propose therapeutic processes of users in that service. It interested us especially to understand how in this process the development of Singular Therapeutic Projects (STP) occurs. From this perspective, considering that the therapeutic process is conducted in a CAPS resulting from conceptions and modes of action of different workers who make up the staff of such services, justified the choice of the theme by the need to describe and analyze the actions of these health workers as a way to discuss their practice, pointing out the obstacles and difficulties in the construction and conduct of therapeutic processes, as well as point out possible solutions to these issues. Thus, an exploratory-descriptive survey was conducted, with qualitative approach. For data collection, interviews were conducted semi-structured with seven workers of different specialties working in CAPS ad. Data analysis was performed according to thematic analysis proposed by Minayo. The results demonstrate that the conceptions of workers in relation to the therapeutic process are consistent with the principles and guidelines of the Psychiatric Reform and the Current Mental Health Policy and the construction of the Singular Therapeutic Project (STP), generally occurs according to the proposal of the Ministry of Health. We believe that STP could be used in the searched service as a production strategy of health care. / Os movimentos da Reforma Sanitária e da Reforma Psiquiátrica no Brasil desencadearam transformações teóricas e práticas no modelo de atenção em saúde mental. Essas transformações possibilitaram a ampliação da concepção do processo saúde/doença, a criação de políticas públicas, a implementação de uma rede de serviços substitutivos ao hospital psiquiátrico, entre eles os CAPS e a elaboração de novas estratégias de intervenção em saúde. Assim sendo, tais mudanças propõem uma série de desafios à prática dos trabalhadores nos serviços de saúde, principalmente no que se refere ao atendimento e cuidados às pessoas em sofrimento psíquico, utilizando-se como arcabouço as premissas dos campos da Saúde Coletiva e da Saúde Mental. Então, o objetivo geral da presente pesquisa foi descrever e analisar como os trabalhadores de saúde de um Centro de Atenção Psicossocial Álcool e Drogas (CAPS ad), constroem, propõem e conduzem os processos terapêuticos dos usuários no referido serviço. Interessou-nos, especialmente, compreender nesse processo a forma como ocorre a elaboração dos Projetos Terapêuticos Singulares (PTS). Nessa perspectiva, considerando-se que o processo terapêutico realizado em um CAPS é resultante das concepções e modos de atuação dos diferentes trabalhadores que compõe a equipe de tais serviços, justificou-se a escolha do tema pela necessidade de descrever e analisar as ações de saúde desses trabalhadores como forma de problematizar sua prática, apontar os impasses e dificuldades na construção e condução dos processos terapêuticos, bem como assinalar possíveis soluções a tais questões. Assim, foi realizada uma pesquisa exploratório-descritiva, de abordagem qualitativa. Para a coleta de dados, foram realizadas entrevistas semiestruturadas com sete trabalhadores de diferentes especialidades que atuam no CAPS ad. A análise dos dados foi realizada de acordo com a Análise Temática proposta por Minayo. Os resultados encontrados demonstram que as concepções dos trabalhadores em relação ao processo terapêutico estão em consonância com os princípios e diretrizes da Reforma Psiquiátrica e da atual Política de Saúde Mental e que a construção do Projeto Terapêutico Singular (PTS), de modo geral, ocorre de acordo com a proposta do Ministério da Saúde. Apostamos que o PTS poderia ser utilizado no serviço pesquisado enquanto uma estratégia de produção de cuidado em saúde.

Desde a metade do século XX os grupos de ajuda mútua de Narcóticos Anônimos vêm se firmando como uma alternativa terapêutica válida para pessoas que desenvolvem a síndrome de "dependência química". Surgidos como uma dissidência dos Alcoólicos Anônimos, estes grupos utilizam de maneira pragmática o conceito de "adicção" para nomear esta doença e classificam-na como incurável, sendo possível apenas o controle dos sintomas. Desta forma, a sua proposta terapêutica é pautada na abstinência total do uso de qualquer substância psicoativa e em um conjunto de princípios éticos, espirituais e subjetivos que devem ser seguidos pelos participantes com o objetivo de "vivenciarem a recuperação" através de uma mudança radical de visão de mundo. Este trabalho tem como universo de pesquisa a rede de Narcóticos Anônimos da cidade de Porto Alegre. Dentro deste universo empírico um dos objetivos da pesquisa é demonstrar, através da apresentação de quatro histórias de vida de participantes dessa rede, que a categoria "membro de Narcóticos Anônimos" é menos homogênea do que aparenta ser; há espaço para a apropriação instrumental deste universo simbólico e também para a preservação de particularidades subjetivas no processo de incorporação dessa identidade. Outro objetivo é apresentar as implicações da utilização do seu conceito próprio de "adicção" enquanto doença incurável. Finalmente, através de um relato etnográfico, procura apresentar as reuniões do grupo como um espaço marcadamente ritual, mas que preserva momentos de interação e difusão de símbolos também "fora do ritual". / Since the half of the twentieth century mutual help groups such as Narcotics Anonymous have been establishing themselves as a valid therapeutic alternative for people who develop the "chemical dependence" syndrome. Emerging as a dissidence of Alcoholics Anonymous, these groups apply a pragmatic interpretation of the "addiction" concept to name that disease and classify it as incurable; they say that only the symptoms can be controlled. This way, their therapeutic approach is based on the total abstinence of any psychoactive substance use and in a set of ethical, spiritual and subjective principles that must be followed by the members with the objective of "living the recovery" through a radical change of subjective engagement in the world. This work's universe of research is the Narcotics Anonymous' network in the city of Porto Alegre. Inside this empirical universe one of the research's objectives is to demonstrate, by the presentation of four life stories of this networks' participants, that the category "Narcotics Anonymous' member" is less homogeny than it apparent to be; there is some space to instrumental appropriation of this symbolic universe and also to the preservation of subjective particularities in the process of incorporating this identity. Another objective is to discuss the implications of using the "addiction" category as a synonymous of incurable disease. Finally, this research presents an ethnographic description of the groups' meetings as composed by a rigid ritual structure, but which also preserves moments of interaction and symbol dissemination that lie "outside from the ritual".