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      Abrangência e função da relação terapêutica na terapia comportamental Translated title: Therapeutic relationship scope and function in behaviorial therapy

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          Abstract

          Durante muito tempo os efeitos da terapia comportamental foram atribuídos à correta aplicação de técnicas para tratamento de transtornos específicos, sendo colocada em segundo plano a relação entre cliente e terapeuta. Tendências mais recentes vêm enfatizando as implicações diretas dos aspectos interpessoais do contexto terapêutico para a eficácia da terapia. Este trabalho propõe algumas reflexões práticas que permitem discutir o papel da relação terapêutica em duas funções básicas: como facilitadora da intervenção e como instrumento terapêutico em si. É proposta uma compreensão do relacionamento curativo como uma via de mão dupla na qual o terapeuta influencia o cliente por meio do impacto que o cliente tem sobre ele. É um tipo de relação da qual nem cliente nem terapeuta pode sair sem ser transformado.

          Translated abstract

          The behavioral therapy results had been attributed for a long time to the right application of its techniques, giving sparse attention to the client-therapist relationship. More recent tendencies have emphasized that interpersonal aspects of the therapeutic context directly affect the therapy outcome. The present paper, reflecting on clinical practice, discusses two basic functions of the therapeutic relation : as a intervention and a therapeutic instrument itself. The curative relationship is analyzed as a two-way road where the therapist influences the client through the impact the client has on the therapist. Neither client nor therapist passes through this experience without being transformed.

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          Most cited references16

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          B. F. Skinner's Science and Human Behavior: its antecedents and its consequences.

          A Catania (2003)
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            O impacto do atendimento sobre a pessoa do terapeuta

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              Learning Theory and Behaviour Therapy

              H EYSENCK (1959)
              It would probably be true to say that the present position in the psychiatric treatment of neurotic disorders is characterized by the following features. (1) With the exception of electroshock, the only method of treatment at all widely used is psychotherapy. (2) In practically all its manifestations, psychotherapy is based on Freudian theories. (3) With the exception of intelligence testing, psychological contributions consist almost entirely in the administration and interpretation of projective tests, usually along psycho-analytic lines. I have argued in the past, and quoted numerous experiments in support of these arguments, that (1) there is little evidence for the practical efficacy of psychotherapy, whether strictly Freudian or “eclectic” (8, 17); (2) that Freudian theories are outside the realm of science because of their failure to be consistent, or to generate testable deductions (10); and (3), that projective tests are so unreliable and lacking in validity that their use, except in research, cannot be defended (16). I shall not here argue these points again; the evidence on which these views are based is quite strong, and is growing in strength every year. I shall instead try to make a somewhat more constructive contribution by discussing an alternative theory of neurosis, an alternative method of treatment, and an alternative way of using the knowledge and competence of psychologists in the attempted cure of neurotic disorders. It need hardly be emphasized that the brief time at my disposal will make it inevitable that what I have to say will sound much more dogmatic than I would like it to be; I have to ask your indulgence in this respect, and request you to bear in mind all the obvious qualifying clauses which, if included in this paper, would swell it to three times its present size.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Journal
                epc
                Estudos de Psicologia (Campinas)
                Estud. psicol. (Campinas)
                PUC-Campinas (Campinas )
                0103-166X
                September 2006
                : 23
                : 3
                : 307-314
                Affiliations
                [1 ] Pontifícia Universidade Católica de Goiás Brazil
                Article
                S0103-166X2006000300010
                10.1590/S0103-166X2006000300010
                18b139b8-107c-44d6-bfca-8118b4574919

                http://creativecommons.org/licenses/by/4.0/

                History

                Analytical psychotherapy,Therapist,Behavior therapy,Psicoterapia analítica,Terapeuta,Terapia comportamental

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