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  • 标题:Indicação e concordância em iniciar tratamento durante avaliação inicial para psicoterapia psicodinâmica
  • 本地全文:下载
  • 作者:Marina Bento Gastaud ; Fernando Basso ; Lucas Seiki Mestre Okabayashi
  • 期刊名称:Contextos Clínicos
  • 印刷版ISSN:1983-3482
  • 出版年度:2015
  • 卷号:8
  • 期号:1
  • 页码:2-15
  • 语种:English
  • 出版社:Contextos Clínicos
  • 摘要:This naturalistic and longitudinal study, following 557 outpatients who sought psychodynamic psychotherapy, aimed to verify factors associated with non-indication for psychodynamic psychotherapy and to establish predictors of non-agreement to initiate treatment for patients indicated for this treatment. It found that patients consulting for somatic or att ention problems and/or with a low educational level were less likely to be indicated for psychodynamic psychotherapy; patients perceiving their symptoms as intense were more likely to be indicated for this treatment. The following were the predictors of non-agreement to initiate psychodynamic psychotherapy: low educational level, low family income, diagnosis of schizophrenia, schizotypal or delusional disorders, depressive problems and/or never experiencing psychotherapy. Psychodynamic psychotherapy, as every other treatment, appears to be suitable for a specific group of patients. Unless the technique performed by psychotherapists during psychodynamic psychotherapy’s initial stages is improved, the relevance of referring a non-concordant profi le to this psychotherapeutic modality is herein discussed. Keywords: treatment indication, treatment compliance, suitability, premature discontinuation, psychodynamic psychotherapy.
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