This research explored the role of extra-therapeutic variables contributing to recovery from chronic Post Traumatic Stress Disorder (PTSD). Within the context of dramatherapy treatment, those variables were identified as three crucial concepts: 'Client, Post Traumatic' (C.PT), ‘Imaginary Existence Zone’ (IEZ) and 'Time Adjusted Encounters' (TAE). Together they created the notion of a Curative Zone (CZ). Establishing and understanding the significance of these new concepts helped the researcher to explain the PTSD recuperation phenomenon. The research was conducted within the qualitative–naturalistic paradigm, and based on real-life dramatherapeutic occurrences. The choice of an inductive case study approach and design was possible due to the fact that a single individual was willing to participate in this research as an active partner by contributing her reflections on the therapy, four years after its termination. Iris, the client and the collaborating respondent was a childless woman aged 43, who suffered from chronic PTSD for three years following stillbirth of her baby daughter and the repetitive failure of fertility treatments. The findings reveal a direct linkage between: the neurological system and its activation, and the cardinal role of the C.PT during TAE, working through prolonged engagements in the IEZ facilitated by dramatherapy. These processes gradually integrated and synthesized to create the CZ, a development which explains this instance of recovery from chronic PTSD. The conclusions are: the chronic PTSD recovery was a holistic body-mind cure phenomenon. It resulted from the interaction between the extra-therapeutic variables, combined with the curative characteristics of the dramatherapeutic nonverbal imaginative language and activities, which compounded a new synergetic constellation. The research findings contribute to the theory and practice of dramatherapy as a discipline; additionally, the model developed by this research can be potentially applied as an appropriate treatment of PTSD. These conclusions challenge valid psychotherapy knowledge regarding effective therapeutic factors that contribute to successful outcomes. However, in this case they verified credible, dependable and transferable attributes features this naturalistic research. Therefore, they make a contribution to knowledge in the dramatherapy field.

Made available in DSpace on 2011-05-04T12:36:18Z (GMT). No. of bitstreams: 0 Previous issue date: 2009 / O objetivo desta dissertação consiste em investigar o processo de construção da identidade profissional de médicos que se dedicam à assistência a pacientes que apresentam doenças progressivas e ameaçadoras da continuidade existencial e que têm contribuído para o desenvolvimento dos Cuidados Paliativos no Brasil. Buscamos conhecer a trajetória profissional destes médicos desde a escolha da medicina como profissão até o encontro com a filosofia e a prática dos Cuidados Paliativos. Com este intuito, realizamos entrevistas semiestruturadas,colhidas segundo a metodologia de História Oral de Vida. Foram entrevistados seis médicos de diferentes especialidades que ocupam cargos diretivos em uma das associações profissionais voltadas para a disseminação e legitimação política e social dos Cuidados Paliativos no Brasil. Os depoentes se destacam no cenário nacional no que diz respeito às discussões sobre esta temática e mantêm contato com importantes instituições internacionais. Por esta razão, chamamos o conjunto de entrevistados de elite médica paliativista. Percebemos uma pobre interlocução entre os médicos paliativistas, o que se reflete na ausência de uma identidade integrada desse grupo profissional. Os entrevistados acentuaram as competências humanitárias necessárias ao bom exercício da Medicina Paliativa, mas, no entanto, não foram explicitadas as competências específicas a este campo profissional, que justificariam seu reconhecimento pelas entidades médicas competentes comouma nova área de atuação ou especialidade.