Rupturas en la alianza terapéutica y su asociación con cambio y abandonos tempranos en psicoterapia

  • Rocío Tamara Manubens Universidad de Buenos Aires
  • Andrés Roussos
  • Julieta Olivera Ryberg
  • Juan Martín Gómez Penedo
Palabras clave: Investigación psicológica; efectos psicológicos; diferencia individual.

Resumen

Con el objetivo de estudiar los procesos de rupturas en la alianza terapéutica y su vínculo con los cambios terapéuticos y abandonos tempranos en psicoterapia. Se analizaron quince pacientes de psicoterapia diagnosticados con trastornos emocionales y divididos en tres grupos, cada uno con cinco participantes: pacientes que abandonaron, que presentaron mejorías clínicas y que no presentaron mejorías. Las primeras cuatro sesiones de los participantes fueron analizadas por cuatro jueces usando el Sistema de Ranqueo y Resolución de Rupturas-Argentina mediante un método consensual. Posteriormente se analizaron patrones diferenciales de rupturas y resoluciones en los grupos. Se observó un promedio de 1,18 (DE= 1,74) rupturas por sesión, encontrando una proporción equitativa de rupturas de retirada (54,72%) y confrontación (45,28%). El grupo de los pacientes que mejoraron presentó mayor tasa de rupturas resueltas (ratio= 0,50) que el grupo de pacientes sin cambio (ratio= 0,30). No se observaron diferencias entre las rupturas del grupo de abandono y los otros dos grupos. Los resultados sugieren que las rupturas en la alianza no implican una amenaza en sí mismo a los tratamientos (en términos de proceso temprano y de abandonos). Sin embargo, la resolución de dichas rupturas podría favorecer mejores respuestas tempranas. 

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Publicado
2018-07-22
Cómo citar
Manubens, R., Roussos, A., Olivera Ryberg, J., & Gómez Penedo, J. (2018). Rupturas en la alianza terapéutica y su asociación con cambio y abandonos tempranos en psicoterapia. ACADEMO Revista De Investigación En Ciencias Sociales Y Humanidades, 5(2). Recuperado a partir de http://revistacientifica.uamericana.edu.py/index.php/academo/article/view/296
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