Psychoanalytic psychotherapy and cognitive-behavioral therapy: is it possible an integration into clinical practice?
DOI:
https://doi.org/10.33448/rsd-v11i10.32730Keywords:
Psychoanalytic Therapy; Cognitive Behavioral Therapy; Integrative psychotherapy.Abstract
Integrative psychotherapy aims to articulate theoretical and methodological knowledge from more than one approach, taking advantage of its potentialities in a complementary way for better treatment effectiveness. This practice has been applied internationally, but much in Brazil. This experience report aims to discuss the possibility of integration between psychoanalytic psychotherapy and cognitive-behavioral therapy based on the analysis of a clinical case. The psychotherapy happened in 2017, totalizing twenty sessions. After the analysis of patient care it was possible to observe that, although each of the theoretical approaches have different methods, both have a mutual goal, which is the emotional well-being of the patient through the development of strategies to deal with their difficulties. It was concluded that the integration of the two approaches in a complementary way and non-reductionist manner might be valuable for clinical application. Studies that show integrative methods and support these approaches on psychotherapeutic practice should be encouraged.
References
Araújo, N. G., & Rubino, J. P. (2018). Avaliação na Psicoterapia: recursos facilitadores. In: N. G. Araújo, J. P. Rubino, & M. I. S. Oliveira (Orgs), Avaliação e intervenção na clínica em terapia cognitivo-comportamental: a prática ilustrada (pp. 49-81). Novo Hamburgo: Sinopsys
Beck, J. (2013). Terapia cognitivo-comportamental: teoria e prática. (2ª ed). Porto Alegre: Artmed.
Boswell, J. F. (2017). Psychotherapy Integration: Research, Practice, and Training at the Leading Edge. Journal of Psychotherapy Integration, 27(2), 225–235. doi:10.1037/int0000055
Brito, W. C., & Canavêz, F. (2016). A memória nos textos iniciais de Freud. Estudos Interdisciplinares em Psicologia, 7(2), 101-122. doi:10.5433/22366407.2016-v7n2p101.
Carvalho, M. R., Malagris, L. E. N. & Rangé, B. (2019). A psicoeducação na Terapia Cognitivo-Comportamental. In: M. R. Carvalho, L. E. N. Malagris & B. Rangé (Orgs.) Psicoeducação em terapia cognitivo-comportamental (pp. 15-28). Novo Hamburgo: Synopsys.
Cordioli, A. V., Alves, L. P. C., Valdívia, L., & Rocha, N. S. (2019). As principais psicoterapias: fundamentos teóricos, técnicas, indicações e contraindicações. In A. V. Cordioli, & E. H. Grevet (Orgs.). Psicoterapias: Abordagens atuais (pp.25-45) (4ª ed). Porto Alegre: Artmed.
Cordioli, A. V., Teche, S. P., & Gomes, F. A. (2019). O paciente e a escolha da terapia. In A. V. Cordioli, & E. H. Grevet (Orgs.). Psicoterapias: Abordagens atuais (pp.78-95) (4ª ed). Porto Alegre: Artmed.
Costa, C. P., Bastos, A. G., Padoan, C, S., & Eizirik, C. L. (2017). Estudos clínicos em psicoterapia psicodinâmica: uma revisão do follow-up das intervenções. Contextos Clínicos, 10(1), 48-59. doi:10.4013/ctc.2017.101.04.
Coutinho, F. C., & Abreu, M. A. (2019). Transtorno de Ansiedade Generalizada. In M. R. Carvalho, L. E. N. Malagris & B. P. Rangé (Orgs.). Psicoeducação em Terapia Cognitivo-Comportamental (pp. 42-55). Novo Hamburgo: Sinopsys
Doorn, K. A., Alfaro, D. K., Fialová, M., & Kamsteeg, C. (2018). Psychotherapy Integration Training Around the Globe: A Personal and Empirical Perspective. Journal of Psychotherapy Integration, 28, 505–520. doi:10.1037/int0000135
Dragioti, E., Karathanos, V., Gerdle, B., & Evangelou, E. (2017). Does psychotherapy work? an umbrella review of meta‐analyses of randomized controlled trials. Acta Psychiatrica Scandinavica, 136(3), 236-246. doi:10.1111/acps.12713
Eizirik, C. L., Aguiar, R., & Schestatsky, S. (2014). Psicoterapia de orientação analítica. (3ª ed.). Porto Alegre: Artmed
.
Eizirik, C. L., Hauck, S., & Cappellari, C. P. C. (2019). Psicanálise e psicoterapia de orientação analítica. In A. V. Cordioli, & E. H. Grevet (Orgs.). Psicoterapias: Abordagens atuais (pp.222-235) (4ª ed). Porto Alegre: Artmed.
Fiorini, H. J. (2004). Teoria e técnica de psicoterapias. São Paulo: Martins Fontes.
Freud, S. (1976). Recomendações aos médicos que exercem a psicanálise. In Obras psicológicas completas (vol. XII, pp.147-159). Edição standard brasileira. Rio de Janeiro: Imago. (Originalmente publicado em 1912).
Freud, S. (1976). Recordar, repetir e elaborar. In Obras psicológicas completas (vol. XII, pp.191-203). Edição standard brasileira. Rio de Janeiro: Imago. (Originalmente publicado em 1914).
Hegenberg, M. (2010). Psicoterapia breve. (3ª ed). São Paulo: Casa do Psicólogo.
Isolan, L., Souza, L. H., & Cordioli, A. V. (2019). Fatores comuns e específicos das psicoterapias. In A. V. Cordioli, & E. H. Grevet (Orgs.). Psicoterapias: Abordagens atuais (pp. 64-77) (4ª ed). Porto Alegre: Artmed.
Knapp, P., & Beck, A. T. (2008). Fundamentos, modelos conceituais, aplicações e pesquisa da terapia cognitiva. Revista Brasileira de Psiquiatria, 30(1). doi:10.1590/S1516-44462008000600002.
Knijnik, D. Z., & Kunzler, L. S. (2014). Psicoeducação e Reestruturação Cognitiva. In: W. V. Melo (Ed), Estratégias psicoterápicas e a terceira onda em terapia cognitiva (pp. 24-55). Novo Hamburgo: Sinopsys.
Messer, S. B. (2019). My Journey Through Psychotherapy Integration by Twists and Turns. Journal of Psychotherapy Integration, 29(2), 73– 83. doi:10.1037/int0000159
Mulder, R., Murray, G., & Rucklidge, J. (2017). Common versus specific factors in psychotherapy: opening the black box. Lancet Psychiatry, 4(12), 953-962. doi:10.1016/S2215-0366(17)30100-1
Neufeld, C. B., & Cavenage, C. C. (2010). Conceitualização cognitiva de caso: uma proposta de sistematização a partir da prática clínica e da formação de terapeutas cognitivo-comportamentais. Revista Brasileira de Terapias Cognitivas, 6(2), 3-36. Retrieved from http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=-S180856872010000200002&lng=pt&tlng=pt.
Norcross, J. C., & Goldfried, M. R. (2005). Handbook of Psychotherapy Integration. (2ª ed.). Nova Iorque: Oxford University Press.
Wachtel, P. L. (2018). Pathways to Progress for Integrative Psychotherapy: Perspectives on Practice and Research. Journal of Psychotherapy Integration, 28(2), 202–212. doi:10.1037/int0000089
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