Um Delineamento Quase-Experimental de Caso Único da Psicoterapia Analítica Funcional para Abuso de Substâncias
Conteúdo do artigo principal
Resumo
This study evaluated the effectiveness of Functional Analytic Psychotherapy (FAP) on clinically relevant behaviors (CRBs) in the context of substance abuse/chemical dependence and identifying the therapeutic components of change. The Functional Analytical Psychotherapy Rating Scale was used to categorize therapist and client behaviors and a Timeline Followback was used to record drug abuse. Two participants were treated in a single case A/A + B quasi-experimental design, where A = Analytical-Behavioral Therapy and A + B = FAP. The results showed that with the introduction of FAP, specifically the therapist’s contingent responding to the participant’s progress, there was a decrease in the use of substances after 3 months for both participants. The participant who spent more time in psychotherapy experienced greater benefits at follow up and a larger reduction in drug use. It was concluded that FAP altered CRBs by positively reinforcing progress in-session and was significantly correlated with improvement out-of-session.
Downloads
Detalhes do artigo
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Os direitos autorais dos artigos publicados na Revista Psicologia: Teoria e Prática pertencem aos autores, que concedem à Universidade Presbiteriana Mackenzie os direitos não exclusivos de publicação do conteúdo.
Referências
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington: American Psychiatric Association. doi:10.1176/appi. books.9780890425596
Banaco, R. A., & Montan, R. N. M. (2018). Terapia analítico-comportamental. In N. A. Zanelatto, & R. Laranjeira (Orgs.). O tratamento da dependência química e as terapias cognitivo-comportamentais: Um guia para terapeutas (2nd ed.) (pp. 115–132). Porto Alegre: Artmed.
Callaghan, G. M., & Follette, W. C. (2008). FAPRS manual: Manual for the functional analytic psychotherapy rating scale. The Behavior Analyst Today, 9(1), 57–97 doi:10.1037/h0100648
Carroll, K. M., & Onken, L. S. (2005). Behavioral therapies for drug abuse. The American Journal of Psychiatry, 168(8), 1452–1460 doi:10.1176/appi.ajp.162.8.1452
Carvalho Neto, M. B. (2002). Análise do comportamento: Behaviorismo radical, análise experimental do comportamento e análise aplicada do comportamento. Interação em Psicologia, 6(1), 13–18. doi:10.5380/psi.v6i1.3188
Gifford, E. V., Kohlenberg, B. S., Hayes, S. C., Pierson H. M., Piasecki, M. P., Antonnucio, D. O., & Palm, K. M. (2011). Does acceptance and relationship focused behavior therapy contribute to bupropion outcomes? A randomized controlled trial of functional analytic psychotherapy and acceptance and commitment therapy for smoking cessation. Behavior Therapy, 42, 700–715. doi:10.1016/j.beth.2011.03.002
Geremias, M. C. G. (2014). Manejo de esquivas emocionais na psicoterapia analítica funcional: Delineamento experimental de caso único. (Unpublished Master’s thesis). Universidade de São Paulo, São Paulo. doi:10.11606/D.47.2014.tde-17032015-150030
Higgins, S. T., Heil, S. H., & Sigmon, S. C. (2007). A behavioral approach to the treatment of substance use disorders. In P. Sturmey (Ed.), Functional analysis in clinical treatment (pp. 261–282). Burlington: Elsevier. doi:10.1016/B978-012372544-8/50015-X
Holman, G., Kohlenberg, R. J., Tsai, M., Haworth, K., Jacobson, E., & Liu, S. (2012). Functional analytic psychotherapy is a framework for implementing evidencebased practices: The example of integrated smoking cessation and depression treatment. International Journal of Behavioral Consultation and Therapy, 7, 58–62. doi:10.1037/h0100938
Kanter, J. W., Manbeck, K., Kuczynski, A. M., Maitland, D. W. M., Villas Bôas, A., & Reyes, M. (2017). A comprehensive review of research on Functional Analytic Psychotherapy. Clinical Psychology Review, 58, 141–156. doi:10.1016/j.cpr.2017.09.01012
Kazdin, A. E. (2003). Research design in clinical psychology (4th ed.). Needham Heights: Ally & Bacon.
Kohlenberg, R. J., & Tsai, M. (1991). Functional analytic psychotherapy: A guide for creating intense and curative therapeutic relationships. New York: Plenum. doi:10.1007/978-0-387-70855-3
Kratochwill, T. R., Hitchcock, J. H., Horner, R. H., Levin, J. R., Odom, S. L., Rindskopf, D. M., & Shadish, W. R. (2013). Single-case intervention research design standards. Remedial and Special Education, 34(1), 26–38. doi:10.1177/0741932512452794
Lima, G. O. (2017). Psicoterapia analítica funcional como tratamento do transtorno de estresse pós-traumático: Delineamento experimental de caso único. (Unpublished Master’s thesis). Universidade de São Paulo, São Paulo. doi:10.11606/D.47.2018.tde06022018-162328
Paul, R. H., Marx, B. P., & Orsillo, S. M. (1999). Acceptance-based psychotherapy in the treatment of an adjudicated exhibitionist: A case example. Behavior Therapy, 30, 149–162. doi:10.1016/S0005-7894(99)80051-3
Sidman, M. (1960). Tactics of scientific research: Evaluating experimental data in psychology. New York: Basic Books. Simões, E. F. (2014). Manejo de metáforas em psicoterapia analítico-comportamental. (Unpublished Master’s thesis). Universidade de São Paulo, São Paulo. doi: 10.11606/D.47.2014.tde-17032015-152454
Sobell, L. C., & Sobell, M. B. (1994). Timeline followback (TLFB) user’s manual. Toronto: Addiction Research Foundation.
Tourinho, E. Z., & Luna, S. V. (Orgs.). (2010). Análise do comportamento: Investigações históricas, conceituais e aplicadas. São Paulo: Roca.
Villas Bôas, A. (2015). Efeitos de análises de contingências sobre comportamentos clinicamente relevantes e sobre mudanças extra sessão. (Unpublished Doctoral dissertation). Universidade de São Paulo, São Paulo. doi:10.11606/T.47.2015.tde-24092015-154310