Prática controlada: medidas continuadas e produção de evidências empíricas em terapias analítico-comportamentais / Controlled Practice: continued measurements and production of empirical evidences in behavior-analytic therapies.

AUTOR(ES)

Roosevelt Riston Starling

DATA DE PUBLICAÇÃO

2010

RESUMO

Aiming to establish public and empirically based controls for the therapist-practitioner"s clinical verbal behavior, a model of Evidence Based Psychological Practice, called Controlled Practice, was adapted, tested and explored in real-world conditions of application. This model is based on a specific arrangement of the therapeutic procedures and on five instruments for collecting qualitative and quantitative pre-intervention information and empirical data and for collecting continued empirical data on the client"s level of psychological distress, on the therapeutic relationship"s quality and on the client"s level of performance at therapeutic tasks along the first 20 sessions of behavior-analytic oriented psychological treatments of 34 clients (10 males, 33,3 ± 14,2 yrs., and 24 females, 35,6 ± 9,9 yrs.) in three different towns. The therapies were delivered by three experienced therapists and four inexperienced. Results indicates that this model of controlled practice may anchor the practitioner verbal behavior (his/her clinical and theoretical interpretations and judgments) on empirically based indexers that are, at the same time, sensitive to the short, medium and long-term evolution of the therapy and may provide clinically and socially relevant public evidences of the treatment"s intermediate and outcome results. Through the analysis of the time-series collected results also suggested that the client"s evaluation of his/her level of psychological distress, his/her engagement in the therapeutic tasks and his/her appraisal of the therapeutic relationship may respond to independent controls and/or to idiosyncratic variables. A discussion of the theory of measurement, measurement scales and measures in psychology and psychotherapy is presented and some suggestions for future researches are offered.

ASSUNTO(S)

behavior therapy prática baseada em evidência evidence based practice clinical psychology psicoterapia-estudo e ensino análise do comportamento terapia comportamental psychotherapy study and teaching behavior analysis psicologia clínica

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