Giovanna Corte Honda

Mudança em pacientes de clínica-escola: avaliação de resultados e processos

This study investigated changes in patients cared for in a Training-Clinic and sought to understand the factors influencing the results of psychotherapeutic practices. The sample was composed of nine participants (eight women and one man) aged 33 years old or older, after they had completed psychotherapy treatment. Semi-structured interviews were conduc- ted to evaluate adaptive efficacy, stage of change, and psychopathological symptoms. The Scale for Efficacy of Adaptation (EDAO-R), the Stage of Change Scales (EEM), and the Symptom Assessment Scale 40 (EAS-40) were used. Data suggest that easing symptoms is possible, as is progressing in stage changes; adaptive efficacy, however, is more resistant to change. Positive therapeutic bonds and the willingness of patients to act as agents of their own change may have been relevant in the psychotherapies outcomes, even though these were not directly evaluated. Longitudinal studies are needed to monitor processes from their beginnings.Este artigo objetivou avaliar mudancas em pacientes atendidos em clinica-escola e compreender possiveis fatores que influenciaram os resultados das psicoterapias. A amostra foi composta por nove participantes (oito mulheres e um homem), com idade igual ou superior a 33 anos, em fase de termino de atendimento psicoterapico. Realizou-se entrevista individual semiestruturada para avaliar eficacia adaptativa, estagio de mudanca e sintomas psicopatologicos. Utilizaram-se a Escala Diagnostica Adaptativa Operacionalizada Redefinida (EDAO-R), a Escala de Estagios de Mudanca (EEM) e a Escala de Avaliacao de Sintomas (EAS-40). Os resultados sugerem ser possivel esperar abrandamento dos sintomas psicopatologicos e progresso nos estagios de mudanca. A qualidade da configuracao adaptativa e mais resistente a melhoras. A alianca terapeutica positiva e a disposicao do paciente como agente da propria mudanca podem ter sido relevantes nos resultados das psicoterapias, ainda que nao diretamente avaliados. Sao necessarias pesquisas longitudinais para o acompanhamento dos processos desde o inicio.

Mudança em psicoterapia: Indicadores genéricos e eficácia adaptativa

Este trabajo presenta propuesta de combinacion entre el criterio de la eficacia de adaptacion con la Lista Jerarquica de Indicadores Genericos de Cambio (LJIGC), para comprender mejor como las personas cambian en psicoterapia. Una breve revision de los factores de cambio que apuntalan la teoria generica de cambio que subyace la LJIGC es inicialmente presentada. La Lista presenta una secuencia ideal de lo que ocurre se la psicoterapia obtiene exito y permite observar empiricamente los indicadores a lo largo de las sesiones. La eficacia de adaptacion comprende las respuestas de la persona con relacion a las dificultades y vicisitudes de la vida. Se sugiere que existe una asociacion entre la cualidad de la eficacia de adaptacion y la posibilidad del paciente avanzar para los niveles mas elevados de la jerarquia de los Indicadores Genericos, asi como, el avance en la jerarquia de los indicadores corresponde a cambios en la eficacia de adaptacion. Investigaciones son sugeridas para evaluar mejor estas hipotesis.

Momentos-chave e natureza das intervenções do terapeuta em psicoterapia breve psicodinâmica

The study aimed to evaluate possible associations between nature of the therapist intervention and the patient response, in key-moments of different phases of the psychotherapeutic process. This is a case-based research, with an exploratory character. We have analyzed transcripts of early sessions (1st and 2nd sessions), middle (6th and 7th sessions) and end (10th and 11th sessions) of brief psychodynamic psychotherapy, with Model of Cycles Therapeutic (TCM) and classification of Therapeutic Interventions (IT). TCM is a computerized method of analysis that identifies key moments of the process, named therapeutic cycles. The IT were classified into expressive and supportive. The results suggest that interventions are modulated by the responses of the patient and the specific tasks of the therapist, regardless of stage. Also no association was observed between cycles and the rapeutic modality of intervention. Some limitations concerning the applied instruments are pointed as source of possible bias.

Produção científica de Elisa Yoshida: contribuições para o campo das psicoterapias (1990/2013)

Psychotherapy research field in Brazil and its exponents need visibility. The aim of this study was to present and analyze part of the scientific production of the Brazilian researcher Elisa Medici Pizão Yoshida through a narrative review. Information reported on the researchers curriculum lattes were analyzed, as well as academic publications available online or physically. Elisa Yoshida published 65 articles on scientific journals between 1990 and 2013. These articles reported results from researches conducted in the Post-Graduation Department in Psychology of the Pontifical Catholic University of Campinas (PUC). The average number of publications during the 23 years she worked at PUC was 2.8 (SD = 1.52) articles/year. The publication of articles with specific focus on research reports on psychotherapies corresponded to 49% (n = 32) of the analyzed production. Analyzing the researchers trajectory and academic production, it was observed the development of a consistent and coherent career, with clear objectives, that started with concerns that came from clinical practice in Brazil. Over time, integration of clinical practice and knowledge production consolidated and she was nominated president of the Latin American chapter of the Society for Psychotherapy Research (2007-2008). Concerns with the development of a body of knowledge in line with the Brazilian reality and empirically based characterized

Change in psychotherapy: generic indicators and adaptive efficacy

Este trabajo presenta propuesta de combinacion entre el criterio de la eficacia de adaptacion con la Lista Jerarquica de Indicadores Genericos de Cambio (LJIGC), para comprender mejor como las personas cambian en psicoterapia. Una breve revision de los factores de cambio que apuntalan la teoria generica de cambio que subyace la LJIGC es inicialmente presentada. La Lista presenta una secuencia ideal de lo que ocurre se la psicoterapia obtiene exito y permite observar empiricamente los indicadores a lo largo de las sesiones. La eficacia de adaptacion comprende las respuestas de la persona con relacion a las dificultades y vicisitudes de la vida. Se sugiere que existe una asociacion entre la cualidad de la eficacia de adaptacion y la posibilidad del paciente avanzar para los niveles mas elevados de la jerarquia de los Indicadores Genericos, asi como, el avance en la jerarquia de los indicadores corresponde a cambios en la eficacia de adaptacion. Investigaciones son sugeridas para evaluar mejor estas hipotesis.

Cambio en psicoterapia: indicadores genéricos y eficacia de adaptación

Este trabajo presenta propuesta de combinacion entre el criterio de la eficacia de adaptacion con la Lista Jerarquica de Indicadores Genericos de Cambio (LJIGC), para comprender mejor como las personas cambian en psicoterapia. Una breve revision de los factores de cambio que apuntalan la teoria generica de cambio que subyace la LJIGC es inicialmente presentada. La Lista presenta una secuencia ideal de lo que ocurre se la psicoterapia obtiene exito y permite observar empiricamente los indicadores a lo largo de las sesiones. La eficacia de adaptacion comprende las respuestas de la persona con relacion a las dificultades y vicisitudes de la vida. Se sugiere que existe una asociacion entre la cualidad de la eficacia de adaptacion y la posibilidad del paciente avanzar para los niveles mas elevados de la jerarquia de los Indicadores Genericos, asi como, el avance en la jerarquia de los indicadores corresponde a cambios en la eficacia de adaptacion. Investigaciones son sugeridas para evaluar mejor estas hipotesis.

Changes in training-clinic patients: evaluation of the results and processes

This study investigated changes in patients cared for in a Training-Clinic and sought to understand the factors influencing the results of psychotherapeutic practices. The sample was composed of nine participants (eight women and one man) aged 33 years old or older, after they had completed psychotherapy treatment. Semi-structured interviews were conduc- ted to evaluate adaptive efficacy, stage of change, and psychopathological symptoms. The Scale for Efficacy of Adaptation (EDAO-R), the Stage of Change Scales (EEM), and the Symptom Assessment Scale 40 (EAS-40) were used. Data suggest that easing symptoms is possible, as is progressing in stage changes; adaptive efficacy, however, is more resistant to change. Positive therapeutic bonds and the willingness of patients to act as agents of their own change may have been relevant in the psychotherapies outcomes, even though these were not directly evaluated. Longitudinal studies are needed to monitor processes from their beginnings.Este artigo objetivou avaliar mudancas em pacientes atendidos em clinica-escola e compreender possiveis fatores que influenciaram os resultados das psicoterapias. A amostra foi composta por nove participantes (oito mulheres e um homem), com idade igual ou superior a 33 anos, em fase de termino de atendimento psicoterapico. Realizou-se entrevista individual semiestruturada para avaliar eficacia adaptativa, estagio de mudanca e sintomas psicopatologicos. Utilizaram-se a Escala Diagnostica Adaptativa Operacionalizada Redefinida (EDAO-R), a Escala de Estagios de Mudanca (EEM) e a Escala de Avaliacao de Sintomas (EAS-40). Os resultados sugerem ser possivel esperar abrandamento dos sintomas psicopatologicos e progresso nos estagios de mudanca. A qualidade da configuracao adaptativa e mais resistente a melhoras. A alianca terapeutica positiva e a disposicao do paciente como agente da propria mudanca podem ter sido relevantes nos resultados das psicoterapias, ainda que nao diretamente avaliados. Sao necessarias pesquisas longitudinais para o acompanhamento dos processos desde o inicio.

Cambio en pacientes de clínica-escuela: evaluación de resultados y procesos

This study investigated changes in patients cared for in a Training-Clinic and sought to understand the factors influencing the results of psychotherapeutic practices. The sample was composed of nine participants (eight women and one man) aged 33 years old or older, after they had completed psychotherapy treatment. Semi-structured interviews were conduc- ted to evaluate adaptive efficacy, stage of change, and psychopathological symptoms. The Scale for Efficacy of Adaptation (EDAO-R), the Stage of Change Scales (EEM), and the Symptom Assessment Scale 40 (EAS-40) were used. Data suggest that easing symptoms is possible, as is progressing in stage changes; adaptive efficacy, however, is more resistant to change. Positive therapeutic bonds and the willingness of patients to act as agents of their own change may have been relevant in the psychotherapies outcomes, even though these were not directly evaluated. Longitudinal studies are needed to monitor processes from their beginnings.Este artigo objetivou avaliar mudancas em pacientes atendidos em clinica-escola e compreender possiveis fatores que influenciaram os resultados das psicoterapias. A amostra foi composta por nove participantes (oito mulheres e um homem), com idade igual ou superior a 33 anos, em fase de termino de atendimento psicoterapico. Realizou-se entrevista individual semiestruturada para avaliar eficacia adaptativa, estagio de mudanca e sintomas psicopatologicos. Utilizaram-se a Escala Diagnostica Adaptativa Operacionalizada Redefinida (EDAO-R), a Escala de Estagios de Mudanca (EEM) e a Escala de Avaliacao de Sintomas (EAS-40). Os resultados sugerem ser possivel esperar abrandamento dos sintomas psicopatologicos e progresso nos estagios de mudanca. A qualidade da configuracao adaptativa e mais resistente a melhoras. A alianca terapeutica positiva e a disposicao do paciente como agente da propria mudanca podem ter sido relevantes nos resultados das psicoterapias, ainda que nao diretamente avaliados. Sao necessarias pesquisas longitudinais para o acompanhamento dos processos desde o inicio.