A perspetiva dos/as terapeutas acerca da desistência em psicoterapia : um estudo qualitativo
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2023
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A investigação sobre a desistência em psicoterapia tem indicado que se trata de uma
problemática comum na prática profissional dos/as terapeutas, tendo um impacto negativ a
nível pessoal e profissional para os/as mesmos/as. Objetivos: Pretende-se compreender e
analisar o fenómeno da desistência em psicoterapia, na perspetiva dos/as próprios/as
terapeutas, no contexto português. Método: Participaram no presente estudo 12
psicoterapeutas, aos quais se administrou individualmente um questionário
sociodemográfico para obter dados sociodemográficos/profissionais e uma entrevista
semiestruturada. Utilizou-se uma abordagem qualitativa, recorrendo-se à análise temática
dos dados, com recurso ao software NVivo 10. Resultados: Com os resultados foi possível
perceber a perspetiva pessoal de cada terapeuta sobre a desistência dos/as clientes, os
principais fatores de risco da mesma, bem como o impacto que este fenómeno acarreta.
Conclusão: As consequências provenientes do fenómeno da desistência da terapia devem
ser consideradas de forma a diminuir o impacto negativo a nível pessoal, emocional e
profissional. Com o presente estudo foi possível compreender que os fatores de risco
associados aos/às clientes são os mais associados à desistência, segundo os/as participantes,
seguindo-se os dos/as terapeutas e da própria relação terapêutica. Segundo os/as terapeutas,
a desistência da terapia é um fenómeno que deve ser normalizado e que promove o
desenvolvimento pessoal e profissional dos/as mesmos, contudo promove sentimentos
negativos, como a frustração, tristeza e o questionamento. Deste modo a formação,
supervisão e terapia individual revelam-se como essenciais para que os/as terapeutas
adquiram estratégias para lidar com este fenómeno, de forma a preservar o seu bem estar e
saúde psicológica e emocional.
Palavras-chave: Desistência da psicoterapia, terapeutas, impacto, estudo qualitativo, análise
temática
Research on psychotherapy dropout has indicated that this is a common issue in therapists' professional practice, having a negative impact on a personal and professional level for them. Objectives: The aim is to understand and analyze the phenomenon of dropout in psychotherapy, from the perspective of the therapists themselves, in the Portuguese context. Method: Twelve psychotherapists participated in this study, who were individually administered a sociodemographic questionnaire to obtain sociodemographic/professional data and a semi-structured interview. A qualitative approach was used, resorting to thematic analysis of the data, using the NVivo 10 software. Results: With the results, it was possible to perceive the personal perspective of each therapist on the clients' dropout, the main risk factors of the same, as well as the impact that this phenomenon entails. Conclusion: The consequences arising from the phenomenon of dropout from therapy should be considered to reduce the negative impact on a personal, emotional and professional level. With the present study, it was possible to understand that the risk factors associated with the clients are the ones most associated with withdrawal, according to the participants, followed by the therapists and the therapeutic relationship itself. According to therapists, dropping out of therapy is a phenomenon that must be normalized and that promotes their personal and professional development, however it promotes negative feelings, such as frustration, sadness and questioning. In this way, training, supervision and individual therapy are essential for therapists to acquire strategies to deal with this phenomenon to preserve their well-being and psychological and emotional health. Keywords: Dropout from psychotherapy, therapists, impact, qualitative study, thematic analysis
Research on psychotherapy dropout has indicated that this is a common issue in therapists' professional practice, having a negative impact on a personal and professional level for them. Objectives: The aim is to understand and analyze the phenomenon of dropout in psychotherapy, from the perspective of the therapists themselves, in the Portuguese context. Method: Twelve psychotherapists participated in this study, who were individually administered a sociodemographic questionnaire to obtain sociodemographic/professional data and a semi-structured interview. A qualitative approach was used, resorting to thematic analysis of the data, using the NVivo 10 software. Results: With the results, it was possible to perceive the personal perspective of each therapist on the clients' dropout, the main risk factors of the same, as well as the impact that this phenomenon entails. Conclusion: The consequences arising from the phenomenon of dropout from therapy should be considered to reduce the negative impact on a personal, emotional and professional level. With the present study, it was possible to understand that the risk factors associated with the clients are the ones most associated with withdrawal, according to the participants, followed by the therapists and the therapeutic relationship itself. According to therapists, dropping out of therapy is a phenomenon that must be normalized and that promotes their personal and professional development, however it promotes negative feelings, such as frustration, sadness and questioning. In this way, training, supervision and individual therapy are essential for therapists to acquire strategies to deal with this phenomenon to preserve their well-being and psychological and emotional health. Keywords: Dropout from psychotherapy, therapists, impact, qualitative study, thematic analysis
Descrição
Orientação: Dulce Pinto ; coorientação: Ana Rita Conde
Palavras-chave
MESTRADO EM PSICOLOGIA CLÍNICA E DA SAÚDE, PSICOLOGIA, PSYCHOLOGY, PSICOLOGIA CLÍNICA, CLINICAL PSYCHOLOGY, PSICOTERAPIAS, PSYCHOTHERAPIES, PRÁTICAS PROFISSIONAIS, PROFESSIONAL PRACTICES, INVESTIGAÇÃO QUALITATIVA, QUALITATIVE RESEARCH