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| Author(s): |
Aline Redressa Boni Rayis Lovo
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | São Paulo. |
| Institution: | Universidade de São Paulo (USP). Instituto de Psicologia (IP/SBD) |
| Defense date: | 2019-07-12 |
| Examining board members: |
Claudia Kami Bastos Oshiro Clemente;
Alessandra Villas Bôas Hartmann;
Liane Dahás Jorge de Souza
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| Advisor: | Claudia Kami Bastos Oshiro Clemente |
| Abstract | |
Anxiety Disorders are the clinical diagnoses that most appear in our society. Among them, Social Anxiety Disorder (SAD) is the most common and it was the object of study of this research. SAD affects individuals from their infancy and compromises a series of social, academic and professional activities, making it difficult to establish interpersonal relationships. The most commonly used treatment is Cognitive Behavioral Therapy (CBT), allied to the use of drugs, with exposure strategies as the main strategy and which, according to studies, reveal an evasion rate of the therapy, as well as difficulty of implementation by the therapist and increased anxiety symptoms due to the aversive character that the exposure may cause. Studies in Functional Analytical Psychotherapy (FAP) pointed out positive results from FAP for some anxiety disorders and hypothesized that this intervention would be a good management for individuals with SAD, since no research was found to evaluate FAP as a treatment for social anxiety until the end of this work. Considering that individuals with SAD tend to present behaviors that evade situations that may lead to negative judgments and assessments, and thus make it difficult to establish links, and that the FAP has as principle to provide changes through the therapeutic relationship, the objective of the present study was to evaluate the efficacy of FAP as a treatment for individuals with SAD and to analyze the clinical change processes involved in the use of FAP. The methodology was the experimental design of a single multiple baseline case. Participants included a therapist / researcher, three adult clients, and three concordance checkers. The intervention occurred with the introduction of the independent variable (FAP) at different times for each participant, according to the phases of the experiment: baseline (Phase A) and introduction of FAP (Phase B). A follow-up session was held one month after the end of the psychotherapy for each participant. Five sessions of each phase were transcribed and categorized for each participant, using the Categorization System of Functional Analytical Psychotherapy (FAPRS), seeking to find the processes involved in clinical changes, with emphasis on the therapeutic relationship. Clients improvements were evaluated and analyzed using the following instruments: Outcome Questionnaire (OQ-45), Beck Depression Inventory (BDI), Liebowitz Social Anxiety Scale (LSAS) and Social Phobia Inventory (SPIN). The results showed that after the introduction of FAP, clinically relevant behaviors of the problem type (CRB1) decreased considerably and clinically relevant behaviors of improvement (CRB2) increased dramatically. The other instruments did not present significant results regarding the use of FAP. Thus, this study scores the efficacy of FAP for the treatment of individuals with SAD as well as multiple baseline delineation in clinical practice research (AU) | |
| FAPESP's process: | 17/04888-7 - Functional analytic psychotherapy as treatment of Social Anxiety Disorder: single-case experimental design |
| Grantee: | Aline Redressa Boni Rayis Lovo |
| Support Opportunities: | Scholarships in Brazil - Master |