Development of Brazilian prototypes for short-term psychotherapies

Abstract Introduction: The Psychotherapy Process Q-Set (PQS) prototype method is used to measure the extent to which ideal processes of different psychotherapies are present in real cases, allowing researchers to examine how adherence to these models relates to or predicts change. Results from studies of short-term psychotherapies suggest that the original psychodynamic prototype is more suitable for studying psychoanalysis and long-term psychodynamic psychotherapy than its time-limited counterparts. Furthermore, culture probably influences how therapies are typically conducted in a given country. Therefore, it seems appropriate to develop Brazilian prototypes on which to base studies of short-term psychodynamic and cognitive-behavioral processes in this country. Objective: To develop prototypes for studying processes of short-term psychotherapies and to examine the degree of adherence of two real psychotherapy cases to these models. Methods: Expert clinicians used the PQS to rate a hypothetical ideal session of either short-term psychodynamic psychotherapy (STPP) or cognitive-behavioral therapy (CBT). Ratings were submitted to Q-type factor analysis to confirm the two groups. Regressive factor scores were rank ordered to describe the prototypes. These ideal models were correlated with ratings of actual therapy processes in two complete psychotherapy cases, one STPP and the other CBT. Results: Agreement levels between expert ratings were high and the two ideal models were confirmed. As expected, the PQS ratings for actual STPP and CBT cases had significant correlations with their respective ideal models, but the STPP case also adhered to the CBT prototype. Conclusion: Overall, the findings reveal the adequacy of the prototypes for time-limited therapies, providing initial support of their validity.

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Uncovering Interaction Structures in a Brief Psychodynamic Psychotherapy

Paidéia (Ribeirão Preto) ◽

10.1590/1982-43272664201613 ◽

2016 ◽

Vol 26 (64) ◽

pp. 255-263

Author(s):

Fernanda Barcellos Serralta

Keyword(s):

Psychodynamic Psychotherapy ◽

Treatment Phase ◽

Term Treatment ◽

Psychotherapy Process ◽

Short Term ◽

Successful Case ◽

Long Term Treatment ◽

Type Factor ◽

Analysis Of Variation

Abstract Interaction structures refers to the repetitive ways of interaction between the patient-therapist dyad over the course of treatment. This construct is operationalized by the repeated application of the Psychotherapy Process Q-Set (PQS) to psychotherapy sessions. Studies in this line of research have so far focused only on long-term treatment. The present study examines whether interaction structures can be detected empirically in short-term psychotherapies. All sessions (N = 31) of a successful case of brief psychodynamic psychotherapy were coded with the Psychotherapy Process Q-Set (PQS). The application of Q type factor analysis procedures with varimax rotation revealed five interaction structures: resistance, alliance, facing depression, expectation of change, and introspection and hearing. The analysis of variation of these structures over the course of the treatment showed that these interactions are nonlinear, may be positively or negatively protruding in different sessions, or be predominant at some treatment phase.

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Psychotherapy

10.1093/med/9780199326075.003.0017 ◽

2014 ◽

Author(s):

David D. Olds ◽

Fredric N. Busch

Keyword(s):

Dialectical Behavior Therapy ◽

Psychodynamic Psychotherapy ◽

Behavioral Therapy ◽

Cognitive Behavioral ◽

Traumatic Memories ◽

Ego Functions ◽

Behavioral Conditioning ◽

And Behavior ◽

Transference Focused Psychotherapy

The psychoanalytic psychotherapies, which include brief psychodynamic psychotherapy, psychoanalysis, long-term psychoanalytic psychotherapy, transference focused psychotherapy, mentalization based treatment, and panic focused psychodynamic psychotherapy, are based on the underlying theory that symptoms stem from unconscious traumatic memories or conflicts about sexual and aggressive wishes as well as maladaptive or self-destructive behavior patterns that are unconsciously repeated. The cognitive-behavioral psychotherapies, which include cognitive-behavioral therapy and dialectical behavior therapy, are based on the assumption that symptoms arise from maladaptive patterns of cognition and behavior that are learned via behavioral conditioning. Interpersonal psychotherapy, family therapy, and group therapy can be regarded as multiple-person therapies that view symptoms as arising from problems in relations between and among people. Crisis intervention and other supportive psychotherapies provide patients with advice and education to enhance coping skills and ego functions.

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Development of Brazilian prototypes for child psychodynamic psychotherapy and cognitive-behavioral therapy

Trends in Psychiatry and Psychotherapy ◽

10.1590/2237-6089-2018-0053 ◽

2019 ◽

Vol 41 (2) ◽

pp. 149-158

Author(s):

Guilherme Pacheco Fiorini ◽

Vera Regina Röhnelt Ramires

Keyword(s):

Factor Analysis ◽

Cognitive Behavioral Therapy ◽

Psychodynamic Psychotherapy ◽

Child Psychotherapy ◽

Behavioral Therapy ◽

Diagnostic Category ◽

Externalizing Disorders ◽

Cognitive Behavioral ◽

Varimax Rotation ◽

Type Factor

Abstract Introduction This study developed Brazilian psychodynamic psychotherapy (PDT) and cognitive-behavioral therapy (CBT) prototypes for children with internalizing disorders (ID) and externalizing disorders (ED). Method Eighteen Brazilian experts in PDT (n = 9) and CBT (n = 9) rated the 100 items of the Child Psychotherapy Q-Set (CPQ) describing a hypothetical typical session based on their respective theoretical backgrounds for children with ID. They then rated the same items describing a hypothetical typical session for children with ED. A Q-type factor analysis with varimax rotation was performed. Results Expert correlations were high within each theoretical approach and each diagnostic category. The factor analysis identified three independent factors. CBT ratings concentrated on one factor, while PDT ratings loaded onto one factor describing treatment of children with ID and another factor describing treatment of children with ED. Conclusion The sole CBT prototype reflected a general conceptualization of this approach and was undifferentiated regarding treatment of children with ID and ED. The PDT prototype for children with ID provided evidence of a process focused on interpretation, while the PDT prototype for children with ED characterized a supportive process with attention to the therapeutic relationship. This infers greater variation in the PDT setting for children with different conditions.

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