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Advisor(s)
Abstract(s)
Os ferimentos autoinfligidos podem ser definidos como a destruição deliberada e autoinfligida
de tecidos corporais sem intenção suicida. Os psicólogos possuem um papel importante no
tratamento desta problemática para diminuir ou eliminar os ferimentos apresentados pelos utentes.
Contudo, uma vez que não existe nenhum modelo de tratamento específico para tratar os ferimentos
autoinfligidos que apresente evidência empírica, pode existir alguma incerteza sobre as abordagens
a utilizar por parte dos profissionais, dando a responsabilidade ao psicólogo de perceber e selecionar
os vários modelos para o caso específico. E, por isso o principal objetivo deste estudo é compreender
os ferimentos autoinfligidos na perspetiva do psicólogo. Enquanto que os objetivos específicos
prendem-se com explorar a compreensão dos psicólogos sobre a etiologia dos ferimentos
autoinfligidos, identificar e analisar os modelos da abordagem psicológica mais utilizados e as
principais dificuldades experienciadas no trabalho clínico e explorar as perceções dos
psicólogos sobre os elementos chave no trabalho com indivíduos que apresentam ferimentos
autoinfligidos. Participaram neste estudo 9 psicólogos do género feminino, com idades
compreendidas entre 28-43 anos, inscritos na Ordem dos Psicólogos Portugueses. A recolha de
dados foi realizada através de uma entrevista semiestruturada, que explora a concetualização
dos ferimentos autoinfligidos e os modelos de tratamento utilizados no acompanhamento de
casos de ferimentos autoinfligidos. As entrevistas foram analisadas de acordo com o método de
análise qualitativa consensual. Os resultados demostraram que existe consenso na definição dos
FAI sendo estes considerados um ato de autoagressão sem ideação suicida, o que vai de acordo
com a literatura. Como modelos mais eficazes, foram encontradas a Terapia dialética
comportamental e modelo Human Behavior Map. Enquanto como modelos mais utilizados
temos a terapia cognitivo comportamental e o Human Behavior Map. Como principais desafios
ao tratamento os participantes referiram a gestão emocional do processo/ contratransferência,
em que o psicólogo não deve projetar algo no utente, Gerir a relação terapêutica em que o
psicólogo deve gerir a relação de forma a evitar mal-entendidos e colocar utentes á vontade
para partilharem a informação, autorregulação do utente em que o utente não se sente
confortável para partilhar informação e dificuldades em trabalhar com as famílias, em que os
participantes consideram difícil gerir a família como coterapeutas. Deste modo, o psicólogo
deve conseguir contornar estes desafios e possuir uma boa base teórica para efetuar uma
intervenção eficaz.
Self-inflicted injuries can be defined as the deliberate and self-inflicted destruction of body tissues without suicidal intent. Psychologists have an important role in the treatment of this problem in order to reduce or eliminate injuries presented by users. However, since there is no specific treatment model to treat self-inflicted injuries that presents empirical evidence, there may be some uncertainty about the approaches to be used by professionals, giving the psychologist the responsibility to perceive and select the various models for the treatment in that specific case. Therefore, the main objective of this study is to understand self-inflicted injuries from the psychologist's perspective. While the specific objectives are to explore the psychologists 'understanding of the etiology of self-inflicted injuries, to identify and analyze the models of the most used psychological approach and the main difficulties experienced in clinical work and to explore the psychologists' perceptions of the key elements in the work with individuals who have self-inflicted injuries. The sample consisted of 9 female psychologists, aged 28-43 years. All participants are registered in Ordem dos Psicologos Portugueses. Data collection was carried out through a semi-structured interview, which explores the conceptualization of self-inflicted injuries and the treatment models used in cases of selfinflicted injuries. The interviews were analyzed according to the consensual qualitative analysis method. The results showed that there is consensus in the definition of FAI, which are considered an act of self-harm without suicidal ideation, which is in accordance with the literature. As the most effective models, behavioral dialectical therapy and the Human Behavior Map model were found. While the most used models are cognitive behavioral therapy and the Human Behavior Map. As the main treatment challenges, participants referred to the emotional management of the process / countertransference, that the psychologist should not project something on the user, Manage the therapeutic relationship in which the psychologist must manage the relationship in order to avoid misunderstandings and put users at ease to share information, self-regulation of the user in which the user does not feel comfortable to share information and difficulties in working with families, in which participants find it difficult to manage the family as co-therapists. In this way, the psychologist must be able to overcome these challenges and have a good theoretical basis to carry out an effective intervention.
Self-inflicted injuries can be defined as the deliberate and self-inflicted destruction of body tissues without suicidal intent. Psychologists have an important role in the treatment of this problem in order to reduce or eliminate injuries presented by users. However, since there is no specific treatment model to treat self-inflicted injuries that presents empirical evidence, there may be some uncertainty about the approaches to be used by professionals, giving the psychologist the responsibility to perceive and select the various models for the treatment in that specific case. Therefore, the main objective of this study is to understand self-inflicted injuries from the psychologist's perspective. While the specific objectives are to explore the psychologists 'understanding of the etiology of self-inflicted injuries, to identify and analyze the models of the most used psychological approach and the main difficulties experienced in clinical work and to explore the psychologists' perceptions of the key elements in the work with individuals who have self-inflicted injuries. The sample consisted of 9 female psychologists, aged 28-43 years. All participants are registered in Ordem dos Psicologos Portugueses. Data collection was carried out through a semi-structured interview, which explores the conceptualization of self-inflicted injuries and the treatment models used in cases of selfinflicted injuries. The interviews were analyzed according to the consensual qualitative analysis method. The results showed that there is consensus in the definition of FAI, which are considered an act of self-harm without suicidal ideation, which is in accordance with the literature. As the most effective models, behavioral dialectical therapy and the Human Behavior Map model were found. While the most used models are cognitive behavioral therapy and the Human Behavior Map. As the main treatment challenges, participants referred to the emotional management of the process / countertransference, that the psychologist should not project something on the user, Manage the therapeutic relationship in which the psychologist must manage the relationship in order to avoid misunderstandings and put users at ease to share information, self-regulation of the user in which the user does not feel comfortable to share information and difficulties in working with families, in which participants find it difficult to manage the family as co-therapists. In this way, the psychologist must be able to overcome these challenges and have a good theoretical basis to carry out an effective intervention.
Description
Keywords
Ferimentos autoinfligidos Perspetiva Psicólogos Modelos de tratamento Self-inflicted injuries Perspective Psychologists Treatment models