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A aliança terapêutica e a adesão de adolescentes à psicoterapia
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Abstract(s)
O objetivo do presente estudo foi explorar a relação entre a aliança terapêutica, a adesão dos adolescentes à psicoterapia e, também, a sintomatologia. Para isso foi realizada uma análise qualitativa descritiva do percurso clínico de cinco adolescentes em psicoterapia de grupo, no que refere a: a aliança terapêutica, com a utilização do WAI-CA, Working Alliance Inventory for Children and Adolescents; a adesão a psicoterapia, através do número de sessões em que estiveram presentes e a evolução da sintomatologia - com a utilização do BPM, Brief Problem Monitor e através do relato do terapeuta. Foi, também, analisada a resposta destes jovens quanto ao que consideram ser uma boa relação terapêutica. Os resultados indicam que há uma relação entre aliança terapêutica e adesão a psicoterapia não tanto em relação aos valores gerais do WAI-CA, mas principalmente no que se refere a estabilidade e qualidade da subescala relação da aliança terapêutica. Os resultados também apontam para uma relação inversa entre os valores da relação terapêutica e sintomatologia: a maioria dos casos mostrou no decorrer do percurso, que conforme crescem, ou se estabilizam os valores da relação terapêutica decrescem os valores de sintomatologia.
The aim of this study was to explore the relationship between therapeutic alliance, adherence of adolescents to psychotherapy and symptomatology. For this was made a descriptive qualitative analysis of the clinical course of five teenagers in group psychotherapy, concerning: the therapeutic alliance, with the use of WAI-CA, Working Alliance Inventory for Children and Adolescents; adherence to psychotherapy, by number of sessions that they were present; and the evolution of symptoms, using the BPM, Brief Problem Monitor and therapist's report. It was also analyzed the response of these young people as to what they consider to be a good therapeutic relation. The results indicate that there is a relation between therapeutic alliance and adherence to psychotherapy not so much to in connection with the general values of WAICA, but mainly as regards the stability and quality of the relation subscale of the therapeutic alliance. The results also indicate that there is an inverse relation between the amounts of the therapeutic relationship and symptoms: in most cases showed the course of the route which, according to grow, and stabilize the values of therapeutic alliance decrease the symptoms values.
The aim of this study was to explore the relationship between therapeutic alliance, adherence of adolescents to psychotherapy and symptomatology. For this was made a descriptive qualitative analysis of the clinical course of five teenagers in group psychotherapy, concerning: the therapeutic alliance, with the use of WAI-CA, Working Alliance Inventory for Children and Adolescents; adherence to psychotherapy, by number of sessions that they were present; and the evolution of symptoms, using the BPM, Brief Problem Monitor and therapist's report. It was also analyzed the response of these young people as to what they consider to be a good therapeutic relation. The results indicate that there is a relation between therapeutic alliance and adherence to psychotherapy not so much to in connection with the general values of WAICA, but mainly as regards the stability and quality of the relation subscale of the therapeutic alliance. The results also indicate that there is an inverse relation between the amounts of the therapeutic relationship and symptoms: in most cases showed the course of the route which, according to grow, and stabilize the values of therapeutic alliance decrease the symptoms values.
Description
Keywords
Aliança terapêutica Adesão Adolescentes Psicopatologia Psicoterapia de grupo Therapeutic alliance Adherence Adolescents Psychopathology Group psychotherapy