QUANDO O RESPONDER ANTIGO TORNA-SE UM COMPORTAMENTO NOVO: DESCRIÇÃO DE UM PROCESSO DE MUDANÇA CLÍNICA

Supondo que a mudanca clinica esta estreitamente relacionada ao tipo de classe que e enfraquecida ou fortalecida, conforme a sistematizacao feita pela Psicoterapia AnaliticaFuncional (FAP), recorreram-se aos conceitos de Modelagem, Diferenciacao e Inducao para analisar e discutir um processo de mudanca comportamental na clinica. O objetivo do estudo foi descrever um processo de mudanca clinica em que a classe de resposta considerada problema transforma-se em uma classe de resposta relacionada a melhora. O metodo consistiu em analisar 15 sessoes iniciais realizadas com uma cliente atendida em uma clinica-escola publica. Os resultados expoem quatro dimensoes identificadas, as quais foram sendo diferenciadas ao longo do processo terapeutico. Discutiu-se o processo de mudanca clinica, considerando dimensoes do responder que sofreram diferenciacaodo longo da terapia.(AU) The main assumption of this study was that clinical change is related to a response class that lacks strength while another gains it, according to the Functional Analytic Psychotherapy (FAP). The concepts of Modeling, Differentiation and Induction were used to analyse and to discuss a clinical change process. The aim of this study was to describe a clinical change process in which theso-called problematic response turns into a type of response related to improvement. Clinical relevant behaviors (CRB) were registered in protocols, filed in during each session by the therapist and by a trained observer. Then, CRB was examined in order to identify the dimensions that were being selected within sessions until a new operant class had been installed. The results show four dimensions that were being differentiated during the therapy. The clinical change processwas discussed, considering the dimensions of response that suffered differentiation and the relevance of the client/therapist relationship in such change.(AU)