Submitted by PPG Psicologia (psicologia-pg@pucrs.br) on 2018-01-25T17:46:26Z No. of bitstreams: 1 MARIANA_GOMES_FERREIRA_PETERSEN_DIS.pdf: 4151939 bytes, checksum: 06998220f5fcf3e748ea4f739f093b71 (MD5) / Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2018-01-31T13:08:50Z (GMT) No. of bitstreams: 1 MARIANA_GOMES_FERREIRA_PETERSEN_DIS.pdf: 4151939 bytes, checksum: 06998220f5fcf3e748ea4f739f093b71 (MD5) / Made available in DSpace on 2018-01-31T13:12:02Z (GMT). No. of bitstreams: 1 MARIANA_GOMES_FERREIRA_PETERSEN_DIS.pdf: 4151939 bytes, checksum: 06998220f5fcf3e748ea4f739f093b71 (MD5) Previous issue date: 2017-12-19 / This article aims to perform a systematic review of the literature about cognitive behavioral therapy protocols (CBT) for psychological treatment of women in situations of domestic violence. Method: A search was conducted on those data bases: Scielo, Pepsic, PubMed, PsycINFO, Scopus and Web of Science with the following descriptors: "clinical trial" or "therapy" or "psychotherapy" or "psychological treatment" AND "violence" or "mistreatment 15 "or" domestic violence "or" conjugal violence "AND" women". There were identified 1.329 articles in the initial search and after application of inclusion and exclusion criterias, remained 11 articles. Those were analyzed from those methodological aspects, those technical elements and the results. Results: Nine articles reported randomized clinical trials. All studies focused on symptoms of trauma, anxiety and depression. Conclusions: The articles focused on the avaliation of the results. It was identified the need for studies that detail the psychotherapeutic process, mainly in the national context, to promote practices based on evidences. / Este artigo teve como objetivo realizar uma revis?o sistem?tica da literatura sobre protocolos de terapia cognitivo-comportamental (TCC) para tratamento psicol?gico de mulheres em situa??es de viol?ncia dom?stica. M?todo: A busca foi realizada nas bases Scielo, Pepsic, PubMed, PsycINFO, Scopus e Web of Science com os seguintes descritores: ?clinical trial? or ?therapy? or ?psychotherapy? or ?psychological treatment? AND ?violence? or ?mistreatment? or ?domestic violence? or ?conjugal violence? AND ?women?. Foram identificados 1.329 artigos e, ap?s aplica??o de crit?rios de inclus?o e exclus?o, restaram 11 artigos. Estes foram analisados a partir de aspectos metodol?gicos, elementos de interven??o e resultados alcan?ados. Resultados: nove artigos relataram estudos cl?nicos randomizados. As interven??es tiveram como foco sintomas de trauma, ansiedade e depress?o. Conclus?es: Os artigos focaram a avalia??o de resultado. Identifica-se a necessidade de estudos que detalhem o processo psicoterap?utico, principalmente no contexto nacional, para qualificar as redes de atendimento com pr?ticas baseadas em evid?ncias.

Submitted by SBI Biblioteca Digital (sbi.bibliotecadigital@puc-campinas.edu.br) on 2018-12-18T17:10:55Z No. of bitstreams: 1 Patr?cia Regina Bueno Incerpe.pdf: 1758272 bytes, checksum: e1835f6ff4a996612eaa2dc13d365869 (MD5) / Made available in DSpace on 2018-12-18T17:10:55Z (GMT). No. of bitstreams: 1 Patr?cia Regina Bueno Incerpe.pdf: 1758272 bytes, checksum: e1835f6ff4a996612eaa2dc13d365869 (MD5) Previous issue date: 2018-10-30 / This research aimed to understand the experience of professionals who care for women who are victims of violence at a Social Assistance Specialized Reference Center (CREAS). CREAS is a public unity created based on the guidelines of the National Policy of Social Assistance (PNAS) and covers Special Social Protection (PSE) of Medium Complexity, offering care to families and individuals who find themselves in situations of personal or social risk through the threats or violation of rights, including women in situations of violence. This was a qualitative research of phenomenological nature based on the principles formulated by the German philosopher Edmund Husserl. The researcher carried out individual dialogic encounters with six participants including female psychologists and social workers. Each encounter started with a guiding question related to the research?s theme to enable the participants to speak freely about their experiences. After each encounter, the researcher constructed a comprehensive narrative from her impressions of the participant?s experience. After this stage, a synthesis narrative was elaborated containing the meaningful elements of the experience as a whole in order to get closer to the essential structure of the phenomenon. The constituting elements of the experience were as follow: (1) the participants realized that some professionals at the network of women care reproduce prejudiced attitudes, contributing to the victimization of patients; (2) the participants do not see themselves as protagonists in the institution?s decisionmaking, which leads to feelings of frustration and powerlessness; (3) the participants develop attitudes of empathy and identify personally with the stories of these women in situation of violence and (4) during their meetings with these women, participants feel lonely due to the fact that the care network proves itself ineffective in real life ? still, they value the work they do. In summary, there is a great need for interdisciplinary studies that aim to understand the experience of professionals, patients, and perpetrators of violence in the daily routine of the several institutions that compose the network of assistance to women in situation of violence so to make it possible to overcome the problems pointed out in this research and improve public policies. / Esta pesquisa objetivou compreender a experi?ncia de profissionais que atendem mulheres em situa??o de viol?ncia em um Centro de Refer?ncia Especializado de Assist?ncia Social (CREAS). O CREAS ? uma unidade p?blica gerada a partir das diretrizes da Pol?tica Nacional de Assist?ncia Social (PNAS) e abrange a Prote??o Social Especial (PSE) de M?dia Complexidade, oferecendo atendimento a fam?lias e indiv?duos que se encontram em situa??o de risco pessoal ou social por amea?a ou viola??o de direitos, incluindo mulheres em situa??o de viol?ncia. Consistiu-se em uma pesquisa qualitativa de natureza fenomenol?gica embasada nos princ?pios formulados pelo fil?sofo alem?o Edmund Husserl. A pesquisadora realizou encontros dial?gicos individuais com seis participantes que inclu?ram psic?logas e assistentes sociais, todas mulheres. Os encontros foram iniciados com uma quest?o norteadora relacionada ao tema da pesquisa de forma a possibilitar ?s participantes discorrer livremente sobre suas pr?prias experi?ncias. Ap?s cada encontro, a pesquisadora construiu uma narrativa compreensiva a partir das suas impress?es sobre a experi?ncia da participante. Conclu?da esta etapa, foi elaborada uma narrativa s?ntese contendo os elementos significativos da experi?ncia como um todo, a fim de se aproximar da estrutura essencial do fen?meno. Os elementos constituintes da experi?ncia em pauta foram os seguintes: (1) as participantes percebem que alguns profissionais da rede de aten??o ? mulher reproduzem atitudes preconceituosas que contribuem para a vitimiza??o das usu?rias; (2) as participantes n?o se percebem como protagonistas nas tomadas de decis?o por parte da institui??o e, em decorr?ncia, sentem-se frustradas e impotentes; (3) as participantes desenvolvem atitudes de empatia e identificam-se pessoalmente com as hist?rias vividas pelas mulheres em situa??o de viol?ncia e (4) nos atendimentos ?s mulheres, as participantes sentem-se solit?rias em fun??o da rede de atendimento n?o se mostrar efetiva na pr?tica; apesar disto valorizam o trabalho que desenvolvem. Concluindo, ressalta-se a import?ncia de estudos interdisciplinares que busquem compreender a experi?ncia de profissionais, usu?rias e autores de viol?ncia, no cotidiano das diversas institui??es que comp?em a rede de assist?ncia ? mulher em situa??o de viol?ncia de forma a possibilitar a supera??o dos problemas apontados nesta pesquisa e o aperfei?oamento das pol?ticas p?blicas.

Made available in DSpace on 2016-04-04T18:27:56Z (GMT). No. of bitstreams: 1 Juliana Tavares Guzzon.pdf: 1553774 bytes, checksum: 7018a9210b3d18b53715613ea49ac9d5 (MD5) Previous issue date: 2011-02-22 / Pontif?cia Universidade Cat?lica de Campinas / According to World Health Organization, violence is a global problem that affects families of all cultures, ethnicities, politics, economics and political regimes. Women victims of violence are assisted by different institutions with different types of intervention: legal, psychological, social and / or medical. However, the quality and extent of changes that is presented, as a result of assistance provided, are not always recognized. The aim of this study was to evaluate the psychological aspects of women who are victim of violence in relation to the changing stage, the quality of adaptive effectiveness and severity of psychopathological symptoms in women victims of violence before being assisted by SOS Action Woman and Family and compare them to those women who have already been assisted by the institution. Methodologically the study used a randomized cross-sectional type, which is based on a comparison between two groups at different stages of a developmental process. The sample comprised of Group G1 (pre-assistance) with nine women in the initial phase of treatment, average age = 36.7, DP = 8.68, and a Group G2 (pos assistance) of nine women who had already completed treatment, average age=41, DP=11.28. They were evaluated individually with the rating scale of symptoms - EAS-40, Stage of Change Scale - EEM and Operational Adaptive Diagnostic Scale Redefined - EDAO-R. All were victims of repeated physical and psychological aggression, on average 11 years ago, perpetrated by intimate partners. Both groups were in the stages of change Pre-contemplation (lack of awareness of the problem and motivation to face it) and contemplation (acknowledges the problem but has no motivation to face it) according to the EEM. Psychopathological symptoms assessed with the EAS-40 had remained high even after the treatments. The participants of the Group post-assistance displayed adaptation between effective and moderately ineffective, while among the group of pre-assistance predominated severe or serious adaptations. The participants arrived at the institution with multiple impairments, in a confused mental state, not knowing what to do or whom to call, besides feeling skeptical of any possible treatment. The severity of the conflicts they face suggests the need for weekly psychological treatment for the long term (estimated at a minimum of one year) in order to restore self-esteem, self-confidence and overcoming profound cultural values which prevents them from overcoming the condition of victimization to which they are subjected to. / De acordo com a Organiza??o Mundial da Sa?de, a viol?ncia ? um problema mundial que afeta fam?lias de todas as culturas, etnias, pol?ticas econ?micas e regimes pol?ticos. Mulheres v?timas de viol?ncia s?o assistidas por diferentes institui??es com diferentes tipos de interven??o: jur?dica, psicol?gica, social e/ou m?dica. No entanto, a qualidade e extens?o das mudan?as que apresentam, em decorr?ncia do aux?lio prestado, nem sempre s?o conhecidas. O objetivo do presente estudo foi o de avaliar aspectos psicol?gicos de mulheres v?timas de viol?ncia no que diz respeito ao est?gio de mudan?a, a qualidade da efic?cia adaptativa e a severidade dos sintomas psicopatol?gicos em mulheres v?timas de viol?ncia antes de serem assistidas pelo SOS A??o Mulher e Fam?lia e compar?-los com os de mulheres que j? foram assistidas pela institui??o. Metodologicamente o estudo utilizou de delineamento do tipo Cross-Sectional, que se baseia na compara??o entre dois grupos em est?gios diferentes de um processo desenvolvimental. A amostra foi composta por um Grupo G1(pr?-assist?ncia) com nove mulheres em fase inicial de atendimento, idade m?dia=36,7 e DP=8,68; e um Grupo G2 (p?s-assist?ncia) de nove mulheres que j? haviam conclu?do atendimento, idade m?dia=41 e DP=11,28. Foram avaliadas individualmente com a Escala de Avalia??o de Sintomas EAS-40, Escala de Est?gio de Mudan?a - EEM e Escala Diagn?stica Adaptativa Operacionalizada Redefinida EDAO-R. Todas eram v?timas de agress?es f?sicas e psicol?gicas recorrentes, em m?dia h? 11 anos, perpetrada por parceiro ?ntimo. Ambos os grupos encontravam-se nos est?gios de mudan?a pr?-contempla??o (aus?ncia de consci?ncia do problema e de motiva??o para enfrent?-lo) e contempla??o (reconhece o problema, mas sem motiva??o para enfrent?-lo) de acordo com a EEM. Os sintomas psicopatol?gicos avaliados com a EAS-40 mantinham-se elevados mesmo ap?s os atendimentos. As participantes do Grupo p?s-assist?ncia apresentavam adapta??o entre eficaz e ineficaz moderada, enquanto que entre as do Grupo pr?-assist?ncia predominaram adapta??es ineficazes severa ou grave. As participantes chegam ? institui??o com v?rios comprometimentos, com confus?o de pensamento, sem saber o que fazer e a quem recorrer, al?m de se sentirem descrentes de algum tratamento poss?vel. A severidade dos conflitos que enfrentam sugere a necessidade de atendimentos psicol?gicos semanais de longo prazo (estima-se um m?nimo de um ano) para que possam recuperar a auto-estima, auto-confian?a e superar valores culturais profundamente arraigados, que as impedem de superar a condi??o de vitimiza??o ? que est?o sujeitas.

Made available in DSpace on 2016-04-04T18:27:42Z (GMT). No. of bitstreams: 1 Fernanda Robert de Carvalho Santos Silva.pdf: 256026 bytes, checksum: bbd79ae11fa117556d64316371da5b79 (MD5) Previous issue date: 2008-12-04 / Pontif?cia Universidade Cat?lica de Campinas / The World Health Organization describes the violence against women ; committed by an intimate partner ; as the most frequent form of this violence. The current conflicts occur because of the continuation of relationship patterns ; with feelings ; defenses and anxiety which happen repeatedly. This research intends to obtain measures of internal consistency ; converging validity and also the authenticity of the criteria of the Central Relationship Questionnaire CRQ ; a tool of self-report which evaluates the pattern of core conflictual relationship expressed in the relationship with a love partner ; by dimensions: wishes (W) (D) ; responses from other (RO) and responses of other (RE). The sample ; not random ; was composed by a case group (GC) ; of 32 women ; with ages between 19 and 56 (A=38.91; DP=10.25; Mo = 44) in a situation of marital violence; and a non case group (GNC) ; sample by convenience ; of 22 women ; with age between 18 and 37 (A = 32.26;DP=6.18 ; Mo=18) ; pregnant admitted to a maternity center to give birth and who did not suffer sexual violence and did not find themselves in a violent situation. In the GC ; 75% suffered physical violence ; 93.8% suffered psychological violence and 18.8% suffered sexual violence. As an external criteria measure of the CRQ ; the Scale of Symptoms Evaluation EAS-40 ; which measures four dimensions: psychoticism ; obsession-compulsion ; somatization and anxiety. Regarding the internal consistency of the CRQ ; the values of Cronbach alpha for GC varied between 0.59 and 0.83 and in the GNC ; between 0.76 and 0.81. For EAS- 40 in the GC they varied between 0.75 and 0.93 and in the GNC between 0.84 and 0.88. There was no substantial difference between the average scores of the CRQ between the groups; for the EAS-40 the discriminating validity of the tool with substantial differences between the groups regarding the gravity of the psychological symptoms was demonstrated. The substantial correlation between the ROs and the total score of the EAS-40 was found in the study of the converging validity ; and the dimensions: psychoticism and obsession-compulsion; between the REs and the obsessioncompulsion dimension. The results suggest that the Portuguese version of the Brazilian CRQ allows us to reliably evaluate the core pattern of conflict ; expressed in the relationship of women who are victims of violence and their love partners. The internal consistency of the tool is similar to its original version and allows us to properly discern women who are victims of violence from other ones who did not suffered violent events. Research with randomized samples must be carried out. / A Organiza??o Mundial de Sa?de descreve a viol?ncia contra a mulher ; perpetrada por parceiro ?ntimo ; como a forma mais freq?ente de viol?ncia. Os conflitos atuais decorrem da manuten??o de padr?es de relacionamentos ; com sentimentos ; defesas e ansiedade que se repetem. Esta pesquisa teve por objetivo obter medidas de consist?ncia interna ; validade convergente e validade de crit?rio do Central Relationship Questionnaire CRQ ; instrumento de auto-relato que avalia o padr?o de relacionamento central conflituoso ; expresso na rela??o com o parceiro amoroso ; por meio das dimens?es: desejos (D) ; respostas do outro (RO) e respostas do eu (RE). A amostra ; n?o aleat?ria ; ficou composta por um grupo caso (GC) ; de 32 mulheres ; com idades entre 19 e 56 anos (M=38 ;91; DP=10 ;25; Mo=44) em situa??o de viol?ncia conjugal; e grupo n?o caso (GNC) ; amostra por conveni?ncia ; de 22 mulheres ; com idades entre 18 e 37 anos (M=32 ;26; DP=6 ;18 ; Mo=18) ; gestantes internadas em uma maternidade para dar a luz e que n?o sofreram viol?ncia sexual ; nem se encontravam em situa??o de viol?ncia. No GC ; 75% sofreram viol?ncia f?sica ; 93 ;8% viol?ncia psicol?gica e 18 ;8% viol?ncia sexual. Como medida de crit?rio externa do CRQ foi utilizada a Escala de Avalia??o de Sintomas EAS-40 que mede quatro dimens?es: psicoticismo ; obsessividade-compulsividade ; somatiza??o e ansiedade. Com rela??o ? consist?ncia interna do CRQ os valores de alpha de Cronbach para GC variaram entre 0 ;59 e 0 ;83 e no GNC ; entre 0 ;76 e 0 ;81. Para EAS-40 no GC variaram ente 0 ;75 e 0 ;93 e no GNC entre 0 ;84 e 0 ;88. N?o houve diferen?a significativa entre os escores m?dios do CRQ entre os grupos; para a EAS-40 demonstrou validade discriminante do instrumento com diferen?as significativas entre os grupos em rela??o ? severidade dos sintomas psicol?gicos. No estudo da validade convergente encontrou-se correla??o significativa entre as RO e o escore total da EAS-40 ; e as dimens?es: psicoticismo e obsessvidadecompulsividade; e entre as RE e a dimens?o obsessividade-compulsividade. Os resultados sugerem que a vers?o em portugu?s do Brasil do CRQ 6.0 permite avaliar de forma fidedigna o padr?o central de conflito ; expresso no relacionamento de mulheres v?timas de viol?ncia e seus parceiros amorosos. O instrumento det?m consist?ncia interna semelhante ? vers?o original do instrumento e permite discriminar de forma adequada mulheres v?timas de viol?ncia de outras n?o submetidas a epis?dios de viol?ncia. Pesquisas com amostras randomizadas devem ser realizadas.