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Previous issue date: 2014-01-17 / The research in the psychotherapy process studies how change occurs throughout the
treatment. Its examination comprises the psychotherapeutic interaction and the important
moments of change lived by the patient. These elements are supplied by the objective
appointments taken at the psychotherapeutic sessions. In this context the objective of this
study was to examine the moments of change in psychoanalytic psychotherapy. Two studies
were carried out. One theoretical and one empirical, presented as two sections. The theoretical
section describes, through a non-systematic review of the literature about research in
psychotherapy. Also presents what comprises in psychoanalytic psychotherapy and the based
in evidence research characteristics of the psychotherapy. The empirical section examined
moments of change in psychoanalytic psychotherapy trough the analyses of three sessions,
representing the beginning, the middle and the end of treatment: the first, the twelfth and the
eighteenth of a set of 21 sessions of psychoanalytic psychotherapy. The design was the
systematic case study (ECS) with a qualitative and naturalistic single-case methodology. In
order to achieve this, it was utilized the Adherence to Psychoanalytic Technique Instrument
(APT-I) to verify the adherence of each psychotherapeutic session to the psychoanalysis
technique and to guarantee that the psychotherapeutic process really took place as a
psychoanalysis psychotherapy. It was utilized also the Therapeutic Cycles Model (TCM)
instrument in the identification of the moments of change in the therapeutic process through
the language patterns of the psychotherapist and patient, taken from demarcation of the
therapeutic cycles, which have associations to the idea of progress in the therapeutic process.
It was found at the first session, four therapeutic cycles, three therapeutic cycles in the twelfth
session and two cycles in the eighteenth session. The verbalizations of psychotherapist and
patient in the therapeutic cycles were examined through its content analysis. Afterwards, each
psychotherapeutic session was discussed taking into account the psychoanalysis theory
together with the evaluation of the adherence to the psychoanalytic technique by the APT-I.
The results allow us to conclude that the combination of objective measurements, derived
from the cycle analysis by the TCM and the evaluation of adherence to the psychoanalytic
technique by the APT-I, associated to the psychodynamics understanding of changes give us a
profound apprehension of the case, especially the movements in the patient psychotherapist
pair regarding to changes on the patient. / A pesquisa do processo em psicoterapia estuda como ocorrem as mudan?as ao longo do
tratamento. Seu exame compreende a intera??o psicoterap?utica e os momentos significativos
de mudan?a vivenciados pelo paciente, elementos estes fornecidos por registros objetivos nas
sess?es psicoterap?uticas. Nesse contexto, o objetivo desse estudo foi examinar momentos de
mudan?a em psicoterapia psicanal?tica. Para isso, foram realizados dois estudos, um te?rico e
um emp?rico, apresentados na forma de duas se??es. O artigo te?rico descreve, atrav?s de
revis?o assistem?tica da literatura sobre pesquisa em psicoterapia, o que se constitui
psicoterapia psicanal?tica e as caracter?sticas da pesquisa baseada em evid?ncia em processo
psicoterap?utico. Apresenta tamb?m justificativas para se realizar esse tipo de estudo e
m?todos de pesquisa em psicoterapia. A se??o emp?rica examinou momentos de mudan?a em
psicoterapia psicanal?tica atrav?s da an?lise de tr?s sess?es, representativas de in?cio, meio e
fim de tratamento: a primeira, 12? e 18? de um processo de 21 sess?es de psicoterapia
psicanal?tica. O delineamento foi de estudo de caso ?nico sistem?tico (ECS) com abordagem
qualitativa e natural?stica. Para tanto, foi utilizado o Instrumento para Avalia??o de Sess?es
Psicanal?ticas (IASP) para verificar a ader?ncia de cada sess?o psicoterap?utica ? t?cnica
psicanal?tica e garantir que o processo psicoterap?utico realmente se configurou como
psicoterap?utico psicanal?tico, e o instrumento Therapeutic Cycles Model (TCM, Modelo dos
Ciclos Terap?uticos) na identifica??o de momentos de mudan?a no processo terap?utico nas
verbaliza??es da dupla terap?utica, a partir da demarca??o de ciclos terap?uticos, os quais se
associam ? ideia de progresso terap?utico. Foram encontrados na primeira sess?o quatro
ciclos terap?uticos, na 12? sess?o tr?s ciclos terap?uticos e na 18? dois ciclos terap?uticos. As
verbaliza??es dos ciclos terap?uticos foram examinadas atrav?s da an?lise de conte?do.
Posteriormente, cada sess?o psicoterap?utica foi discutida, a partir da teoriza??o psicanal?tica,
juntamente com a avalia??o da ader?ncia ? t?cnica psicanal?tica pelo IASP. Os resultados
permitem concluir que a combina??o de medidas objetivas, derivadas da an?lise dos ciclos
pelo TCM e da avalia??o da ader?ncia ? t?cnica psicanal?tica pelo IASP, associadas ?
compreens?o psicodin?mica das mudan?as, possibilitaram compreender de forma profunda o
caso, em especial os movimentos da dupla paciente-psicoterapeuta relativos ? mudan?a na
paciente.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/864 |
| Date | 17 January 2014 |
| Creators | Cassel, Paula Argemi |
| Contributors | Nunes, Maria L?cia Tiellet |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Psicologia, PUCRS, BR, Faculdade de Psicologia |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 2588426296948062698, 500, 600, 2599381623216554467 |
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