Aliança terapêutica na psicoterapia de crianças: uma revisão sistemática

Autores

  • Cibele Carvalho Universidade do Vale do Rio dos Sinos - UNISINOS
  • Guilherme Pacheco Fiorini Universidade do Vale do Rio dos Sinos - UNISINOS
  • Vera Regina Röhnelt Ramires Universidade do Vale do Rio dos Sinos - UNISINOS

DOI:

https://doi.org/10.15448/1980-8623.2015.4.19139

Palavras-chave:

Aliança terapêutica, psicoterapia, crianças.

Resumo

Este estudo teve como foco a aliança terapêutica na psicoterapia de crianças. A literatura vem apontando a importância da aliança terapêutica no processo psicoterápico, considerando-a um elemento fundamental para o sucesso do tratamento. Foi realizada uma revisão sistemática da literatura, com o objetivo de identificar e analisar estudos sobre a temática. Foram identificados 26 estudos que contemplaram os critérios de inclusão. A revisão revelou um aumento significativo das pesquisas com este foco, na última década, revelando características do paciente, do terapeuta e da família que possuem relação com a qualidade da aliança estabelecida entre terapeuta e paciente. Evidenciou-se, também, a forte associação da aliança terapêutica aos resultados efetivos dos tratamentos. Salienta-se a necessidade de uma melhor conceitualização do fenômeno para a população infantil, como também sua integração com instrumentos que mensurem a aliança terapêutica em toda sua complexidade.

Downloads

Não há dados estatísticos.

Referências

Accurso, E. C., Hawley, K. M., & Garland, A. F. (2013). Psychometric Properties of the Therapeutic Alliance Scale for Caregivers and Parents. Psychological Assessment, 25(1), 244–252. doi: 10.1037/a0030551.

Bickman L, Andrade AR, Lambert EW, Doucette A, Sapyta J, Boyd AS, Rumberger DT…et al. (2004). Youth therapeutic alliance in intensive treatment settings. Journal of Behavioral Health Services & Research, 31(2), 134–148. DOI: 10.1007/BF02287377.

Campbell, A. F., & Simmonds, J. G. (2011). Therapist perspectives on the therapeutic alliance with children and adolescents. Counselling Psychology Quarterly, 24(3), 195-209. doi: 10.1080/09515070.2011.620734.

Chu, B. C., Muniya S. Choudhury, M. S., Shortt, A. L., Pincus, D. B., Creed, T. A.,& Kendall, P. C. (2004). Alliance, Technology, and Outcome in the Treatment of Anxious Youth. Cognitive and Behavioral Practice 11, 44-55. doi: 10.1016/S1077-7229(04)80006-3.

Creed, T. A., & Kendall, P. C. (2005). Therapist Alliance-Building Behavior Within a Cognitive–Behavioral Treatment for Anxiety in Youth. Journal of Consulting and Clinical Psychology, 73(3), 498–505. doi: 10.1037/0022-006X.73.3.498.

Crenshaw, D. A., & Kenney-Noziska, S. (2014). Therapeutic Presence in Play Therapy. International Journal of Play Therapy, 23(1), 31–43. doi: 10.1037/a0035480.

Digiuseppe, R., Linscott, J., Jilton, R. (1996). Developing the therapeutic alliance in child-adolescent psychotherapy. Applied & Preventive Psychology, 5, 85-100. doi: 10.1016/S0962-1849(96)80002-3.

Elvins, R., & Green, J. (2008). The conceptualization and measurement of therapeutic alliance: An empirical review. Clinical Psychology Review, 28, 1167–1187. doi: 10.1016/j.cpr.2008.04.002.

Feinstein, N. R., Fielding, K., Udvari-Solner, A., & Joshi, S. V. (2009). The Supporting Alliance in Child and Adolescent Treatment: Enhancing Collaboration Among Therapists, Parents, and Teachers. American Journal of Psychotherapy, 63(4), 319-344.

Fjermestad, K. W., McLeod, B. D., Heiervang, E. R., Havik, O. E., Öst, L. G., & Bente S. M. Haugland, B. S. M. (2012). Factor Structure and Validity of the Therapy Process Observational Coding System for Child Psychotherapy–Alliance Scale. Journal of Clinical Child & Adolescent Psychology, 41(2), 246–254. doi: 10.1080/15374416.2012.651999.

Fox, J. E. (2012). “Co-constructing” Stigma and the Therapist–Parent Alliance. Psychotherapy, 49(1), 38–45. doi: 10.1037/a0022183.

Freud S. (1976). A dinâmica da transferência. In: Edição standart brasileira das obras psicológicas completas de Sigmund Freud. Rio de Janeiro: Imago. (Original publicado em 1912).

Garber, B. D. (2004). Therapist Alienation: Foreseeing and Forestalling Third-Party Dynamics Undermining Psychotherapy With Children of Conflicted Caregivers. Professional Psychology: Research and Practice, 35(4), 357–363. doi: 10.1037/0735-7028.35.4.357.

Garcia, J. A., & Weisz, J. R. (2002). When Youth Mental Health Care Stops: Therapeutic Relationship Problems and Other Reasons for Ending Youth Outpatient Treatment. Journal of Consulting and Clinical Psychology, 70(2), 439–443. doi: 10.1037/0022-006X.70.2.439.

Glenn, J. (1996). Psicanálise e Psicoterapia de Crianças. Porto Alegre: Artes Médicas.

Horvath, A. O. (2001). The Alliance. Psychotherapy: Theory, Research, Practice, Training, 38(4), 365-372. doi: 10.1037/0033-3204.38.4.365.

Hudson, J. L., Kendall, P. C., Chu, B. C., Gosch, E., Martin, E., Taylor, A., & Knight, A. (2014). Child involvement, alliance, and therapist flexibility: Process variables in cognitive-behavioural therapy for anxiety disorders in childhood. Behaviour Research and Therapy, 52, 1-8. doi: 10.1016/j.brat.2013.09.011.

Hughes, A. A., Kendall, P. C. (2007). Prediction of Cognitive Behavior Treatment Outcome for Children with Anxiety Disorders: Therapeutic Relationship and Homework Compliance. Behavioural and Cognitive Psychotherapy, 35, 487–494. doi: 10.1017/S1352465807003761.

Jensen, T. K., Hanne, H., Wenke, G., Svein, M., Sissel, R., & Tjersland, O. A. (2010). What Constitutes a Good Working Alliance in Therapy with Children That May Have Been Sexually Abused? Qualitative Social Work, 9(4), 461–478. doi: 10.1177/1473325010374146.

Jones, E., E., Cumming, J. D., & Horowitz, M. J. (1988). Another look at the nonspecific hypothesis of therapeutic effectiveness. Journal of Consulting and Clinical Psychology, 56(1), 48-55. doi: 10.1037/0022-006X.56.1.48.

Karver, M. S., Handelsman, J. B., Fields, S., Bickman, L. (2006). Meta-analysis of therapeutic relationship variables in youth and family therapy: The evidence for different relationship variables in the child and adolescent treatment outcome literature. Clinical Psychology Review 26, 50– 65. doi: 10.1016/j.cpr.2005.09.001.

Kazdin, A. E., & Durbin, K. A. (2012). Predictors of Child–Therapist Alliance in Cognitive–Behavioral Treatment of Children Referred for Oppositional and Antisocial Behavior. Psychotherapy, 49(2), 202–217. doi: 10.1037/a0027933.

Kazdin, A. E., Marciano, P. L., & Whitley, M. K. (2005). The Therapeutic Alliance in Cognitive–Behavioral Treatment of Children Referred for Oppositional, Aggressive, and Antisocial Behavior. Journal of Consulting and Clinical Psychology, 73(4), 726–730. doi: 10.1037/0022-006X.73.4.726.

Klein M. (1981). Fundamentos psicológicos da análise infantil. In: Psicanálise da criança. São Paulo: Mestre Jou. (Original publicado em 1926).

Langer, D. A., Weisz, J. R., & McLeod, B. D. (2011). Do Treatment Manuals Undermine Youth–Therapist Alliance in Community Clinical Practice? Journal of Consulting and Clinical Psychology, 79(4), 427–432. doi: 10.1037/a0023821.

Liber, J. M., McLeod, B. D., Van Widenfelt, B. M., Goedhart, A. W., Leeden, A. J. M. van der., Utens, E. M. W. J., Treffers, P. D. A. (2010). Examining the Relation Between the Therapeutic Alliance, Treatment Adherence, and Outcome of Cognitive Behavioral Therapy for Children With Anxiety Disorders. Behavior Therapy 41, 172–186. doi: 10.1016/j.beth.2009.02.003.

McLeod, B. D. (2011). Relation of the alliance with outcomes in youth psychotherapy: A meta-analysis. Clinical Psychology Review, 31, 603-616. doi: 10.1016/j.cpr.2011.02.001.

McLeod, B. D., & Weisz, J. R. (2005). The Therapy Process Observational Coding System—Alliance Scale: Measure Characteristics and Prediction of Outcome in Usual Clinical Practice. Journal of Consulting and Clinical Psychology, 73(2), 323–333. doi: 10.1037/0022-006X.73.2.323.

Messer, S. B., & Warren, C. S. (1995). Models of brief psychodynamic therapy: a comparative approach. New York: Guilford Press.

Naidu, T., & Behari, S. (2010). The parent-child-therapist alliance: A case study using a strategic approach. Journal of Child and Adolescent Mental Health, 22(1), 41–50. doi: 10.2989/17280583.2010.493674.

Ormhaug, S. M., Wentzel-Larsen, T., Jensen, T. K., & Shirk, S. R. (2014). The Therapeutic Alliance in Treatment of Traumatized Youths: Relation to Outcome in a Randomized Clinical Trial. Journal of Consulting and Clinical Psychology, 82(1), 52–64. doi: 10.1037/a0033884.

Rogers, C. R., Gendlin, G. T., Kiesler, D. V., & Traux, L. B. (1967). The therapeutic relationship and its impact: A study of psychotherapy with schizophrenics. Madison: University of Wisconsin Press.

Shirk, S. R., Karver, M. S., & Brown, R. (2012). The Alliance in Child and Adolescent Psychotherapy. Psychotherapy, 48(1), 17–24. doi: 10.1037/a0022181.

Urwin, C., Anderson, J., Grainger, E., Midgley, N., & Nesic-Vuckovic, T. (2009). Introduction. In: M. Midgley, J. Anderson, E. Grainger, T. Vuckovic-Nesic, & C. Urwin, (Ed.). Child psychotherapy and research:

new approaches, emerging findings. (pp. 1-14). Nova York, NY: Routledge.

Watson, J. C., Greenberg, L. S., & Lietaer, G. (1998). The experiential paradigm unfolding: Relationship and experiencing in therapy. In L. S. Greenberg, J. C. Watson & G. Lietaer (Eds.), Handbook of experiential psychotherapy (pp. 3–27). New York: Guilford.

Weisz, J.R., Doss, A.J., & Hawley, K.M. (2005). Youth psychotherapy outcome research: a review and critique of the evidence base. Annual Review of Psychology, 56, 337-63. doi: 10.1146/annurev.psych.55.090902.141449.

Yalom, I. (2002). The gift of therapy: An open letter to a new generation of therapists and their patients. New York: Harper Collins.

Zack, S. E., Castonguay, L. G., & Boswell, J. F. (2007). Youth Working Alliance: A Core Clinical Construct in Need of Empirical Maturity. Harvard Review of Psychiatry, 15(6), 278-288. doi:10.1080/10673220701803867.

Zetzel, E.R. (1956). Current concepts of transference. International Journal of Psycho-Analysis, 37, 369-376.

Downloads

Publicado

2015-12-08

Como Citar

Carvalho, C., Fiorini, G. P., & Ramires, V. R. R. (2015). Aliança terapêutica na psicoterapia de crianças: uma revisão sistemática. Psico, 46(4), 503–512. https://doi.org/10.15448/1980-8623.2015.4.19139

Edição

Seção

Artigo de Revisão

Artigos mais lidos pelo mesmo(s) autor(es)