Método Microanalítico para Investigar o Ensino de Habilidades Psicoterapêuticas e Processos Narrativo-Emocionais

Lucia Marques Stenzel

doi:10.1590/0102.3772e40406.pt

Authors

Lucia Marques Stenzel Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brasil https://orcid.org/0000-0003-2040-1998

DOI:

https://doi.org/10.1590/0102.3772e40406.pt%20

Keywords:

Narrative-emotion processes, Process-based research, Person-Centered Approach, Therapeutic skills

Abstract

The study proposes a microanalytic sequential process design to investigate humanistic-experiential psychotherapy skills in a training program. An illustrative simulated session was generated during an undergraduate clinical psychology course. External judges utilized the Narrative-Emotion Process Coding System 2.0 (NEPCS 2.0) and the Person-Centered & Experiential Psychotherapy Scale (PCEPS) for microanalytical analysis of the role-play session. The results demonstrate a higher adherence to the person-centered model of empathic reflective responses while showing lower adherence to experiential specificity and psychotherapy decisions guided by narrative-emotion markers. The findings underscore the methodological potential of this investigation in enhancing training programs and contributing to the field of Psychotherapy Change Process Research.

References

Aleixo, A., Pires, A. P., Angus, L., Neto, D., & Vaz, A. (2021). A Review of Empirical Studies Investigating Narrative, Emotion, and Meaning-Making Modes and Client Process Markers in Psychotherapy. Journal of Contemporary Psychotherapy, 51(1), 31-40. https://doi.org/10.1007/s10879-020-09472-6

https://doi.org/10.1007/s10879-020-09472-6

Anderson, T., Stone, S. J., Angus, L., & Weibel, D. T. (2022). Double trouble: Therapists with low facilitative interpersonal skills and without training have low in-session experiential processes. Psychotherapy Research, 32(1), 65-77. https://doi.org/10.1080/10503307.2021.1913293

https://doi.org/10.1080/10503307.2021.1913293

Angus, L. (2012). Toward an integrative understanding of narrative and emotion processes in Emotion-focused therapy of depression: Implications for theory, research and practice. Psychotherapy Research, 22(4), 367-380. https://doi.org/10.1080/10503307.2012.683988

https://doi.org/10.1080/10503307.2012.683988

Angus Narrative-Emotion Marker Lab. (2015). Narrative-emotion processes coding system manual [Unpublished document].

Angus, L., Levitt, H., & Hardtke, K. (1999). The narrative processes coding system: Research applications and implications for psychotherapy practice. Journal of clinical psychology, 55(10), 1255-1270. https://doi.org/b9w8jm

https://doi.org/b9w8jm

Angus, L. E., & Greenberg, L. S. (2011). Working with narrative in emotion-focused therapy: Changing stories, healing lives American Psychological Association. https://doi.org/10.1037/12325-000

https://doi.org/10.1037/12325-000

Angus, L., Watson, J. C., Elliott, R., Schneider, K. & Timulak, L. (2015). Humanistic psychotherapy research 1990-2015: from methodological innovation to evidence-supported treatment outcomes and beyond. Psychotherapy Research, 25(3), 330-347. https://doi.org/10.1080/10503307.2014.989290

https://doi.org/10.1080/10503307.2014.989290

Angus, L. E., Boritz, T., Bryntwick, E., Carpenter, N., Macaulay, C., & Khattra, J. (2017). The Narrative-Emotion Process Coding System 2.0: A multi-methodological approach to identifying and assessing narrative-emotion process markers in psychotherapy. Psychotherapy Research, 27(3), 253-269. https://doi.org/10.1080/10503307.2016.1238525

https://doi.org/10.1080/10503307.2016.1238525

De Jaegher, H., & Di Paolo, E. (2007). Participatory sense-making: An enactive approach to social cognition. Phenomenology and the Cognitive Sciences, 6(4), 485-507. https://doi.org/10.1007/s11097-007-9076-9

https://doi.org/10.1007/s11097-007-9076-9

Elliott, R. (2010). Psychotherapy change process research: Realizing the promise. Psychotherapy research, 20(2), 123-135. https://doi.org/10.1080/10503300903470743

https://doi.org/10.1080/10503300903470743

Elliott, R., Watson, J. C., Goldman, R. N., & Greenberg, L. S. (2004). Learning emotion-focused therapy: The process-experiential approach to change American Psychological Association. https://doi.org/10.1037/10725-000

https://doi.org/10.1037/10725-000

Freire, E., Elliott, R., & Westwell, G. (2014). Person Centred and Experiential Psychotherapy Scale (PCEPS): Development and reliability of an adherence/competence measure for person-centred and experiential psychotherapies. Counselling and Psychotherapy Research, 14(1), 220-226. https://doi.org/10.1080/14733145.2013.808682

https://doi.org/10.1080/14733145.2013.808682

Friedlander, M. L., Angus, L. E., Xu, M., Wright, S. T., & Stark, N. M. (2020). A close look at therapist contributions to narrative-emotion shifting in a case illustration of brief dynamic therapy. Psychotherapy Research, 30(3), 402-416. https://doi.org/10.1080/10503307.2019.1609710

https://doi.org/10.1080/10503307.2019.1609710

Greenberg, L. S., & Goldman, R. N. (2019). Clinical handbook of emotion-focused therapy American Psychological Association. https://doi.org/10.1037/0000112-000

https://doi.org/10.1037/0000112-000

Hill, C. E. (2020). Helping skills: Facilitating exploration, insight, and action (5th ed.). American Psychological Association. https://doi.org/10.1037/0000147-000

https://doi.org/10.1037/0000147-000

Hill, C. E., Stahl, J., & Roffman, M. (2007). Training novice psychotherapists: Helping skills and beyond. Psychotherapy: Theory, Research, Practice, Training, 44(4), 364. https://doi.org/10.1037/0033-3204.44.4.364

https://doi.org/10.1037/0033-3204.44.4.364

Hill, C. E., Roffman, M., Stahl, J., Friedman, S., Hummel, A., & Wallace, C. (2008). Helping skills training for undergraduates: Outcomes and prediction of outcomes. Journal of Counseling Psychology, 55(3), 359. https://doi.org/10.1037/0022-0167.55.3.359

https://doi.org/10.1037/0022-0167.55.3.359

Lundh, L. G. (2019). Three modes of psychotherapy and their requisite core skills. Counseling and Psychotherapy Research, 19(4), 399-408. https://doi.org/10.1002/capr.12244

https://doi.org/10.1002/capr.12244

Noldus Information Technology. (2015). Observer XT event logging software Leesburg, VA: Noldus Information Technology.

Norcross, J. C., & Lambert, M. J. (2018). Psychotherapy relationships that work III. Psychotherapy, 55(4), 303-315. https://doi.org/10.1037/pst0000193

https://doi.org/10.1037/pst0000193

Paivio, S., & Angus, L. (2017). Narrative processes in emotion-focused therapy for complex trauma American Psychological Association. https://doi.org/10.1037/0000041-000

https://doi.org/10.1037/0000041-000

Pascual-Leone, A. (2018). How clients “change emotion with emotion”: A programme of research on emotional processing. Psychotherapy Research, 28(2), 165-182. https://doi.org/10.1037/0000112-007

https://doi.org/10.1037/0000112-007

Pilnick, A., Trusson, D., Beeke, S., O’Brien, R., Goldberg, S., & Harwood, R. H. (2018). Using conversation analysis to inform role play and simulated interaction in communications skills training for healthcare professionals: identifying avenues for further development through a scoping review. BMC medical education, 18(1), 1-10. https://doi.org/10.1186/s12909-018-1381-1

https://doi.org/10.1186/s12909-018-1381-1

Rogers, C. R. (1963). Toward a science of the person. Journal of Humanistic Psychology, 3(2), 72-92. https://doi.org/10.1177/002216786300300208

https://doi.org/10.1177/002216786300300208

Rogers, C. R., & Kinget, G.M. (1977). Psicoterapia e Relações Humanas. Vol.2. (M. Bizzoto, Trad.) Belo Horizonte: Interlivros(Original publicado em 1965)

Stenzel, L.M. (2020) O roleplay como prática de ensino aprendizagem para a clínica humanista e existencial. In: Anais do IV congresso luso brasileiro de práticas clínicas fenomenológico-existenciais [livro eletrônico]: das bases filosóficas às práticas e pesquisas em psicologia /Rio de Janeiro: IFEN, 2020 (p.300-301). ISBN 978-65-87456-06-

Stenzel, Lucia M. (2021). Habilidades terapêuticas interpessoais: A retomada de Carl Rogers na prática da psicologia baseada em evidências. Psicologia Clínica Psic. Clin., Rio de Janeiro, vol. 33, n. 3, p. 557 - 576 http://dx.doi.org/10.33208/PC1980-5438v0033n03A09

http://dx.doi.org/10.33208/PC1980-5438v0033n03A09

Wampold, B.E. (2015). How important are the common factors in psychotherapy? An update. World Psychiatry, 14(3), 270-277. https://doi.org/10.1002%2Fwps.20238

https://doi.org/10.1002%2Fwps.20238