EMDR como possibilidade de psicoterapia para o luto: um estudo de caso instrumental coletivo

• Ano de defesa: 2019
• Autor(a) principal: Silva, Daniela Reis e
• Orientador(a): Franco, Maria Helena Pereira
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Pontifícia Universidade Católica de São Paulo
• Programa de Pós-Graduação: Programa de Estudos Pós-Graduados em Psicologia: Psicologia Clínica
• Departamento: Faculdade de Ciências Humanas e da Saúde
• País: Brasil
• Palavras-chave em Português: EMDR; Dessensibilização e reprocessamento através dos movimentos oculares; Luto
• Palavras-chave em Inglês: Terapia do luto; Eye movement desensitization and reprocessing; Bereavement; Grief therapy
• Área do conhecimento CNPq: CNPQ::CIENCIAS HUMANAS::PSICOLOGIA
• Link de acesso: https://tede2.pucsp.br/handle/handle/22167

This qualitative exploratory research is configured as a collective instrumental case study. A consistent bibliographic review was conducted on the use of EMDR with bereaveds. Given the need to deepen the knowledge about the subject, the research was designed to collaborate in the knowledge of the use of EMDR in bereavement. Six participants aged 33 to 52 volunteered to participate from their own perception that they needed help in the bereavement after the death of a loved one for at least two years. The initial evaluation was performed to verify the pertinence of their participation, observing the clinical care of the EMDR, as well as the objectives of the psychotherapeutic process and the survey of the targets to be worked through the treatment plan. As instruments were used the Initial Clinical Assessment (AI), Hogan Grief Reaction Checklist (HGRC), Dissociation Experience Scale – II (DES- II), Beck Depression Scale (BDI), Treatment Plan (PTr), Basic Protocol EMDR, Clinical Records, Final Clinical Assessment (FA), Field Diary and Personal Notes. After the initial evaluation, complaints were raised with a grief focus for the establishment of an individual PTr. Each participant performed between 8 to 10 sessions, and after the end of the intervention had their final evaluation. In the first analysis, the cases were studied individually. In the second analysis, a multiple case study was performed. The comparisons of the assessments provided by the application of HGRC, DES-II and BDI were in agreement with the qualitative results observed in all the participants, in the reduction of the disadaptive memory disturbance, namely: reduction or remission of several physical symptoms; relief when perceiving the accommodation of the worked memory; emergence of positive memories; organization of memories building meaning and/or personal growth; balance between loss orientation and restoration orientation; the emergence of an internal representation indicating the development of a continuous link. In conclusion, EMDR proved to be adequate as a psychotherapeutic intervention for working with variations of complicated grief that composed this collective instrumental case study. Thus, this research has become an important collaboration for the knowledge of the use of EMDR as an intervention with the bereaved