O PROCESSO PSICOTERAPÊUTICO PSICODINÂMICO DE UM MENINO COM SINTOMAS INTERNALIZANTES: UMA ANÁLISE COM BASE NO CHILD PSYCHOTHERAPY Q-SET

Internalizing problems are frequent in children, but the active ingredients that make a psychotherapy effective are still poorly understood. This study aimed to analyze the psychodynamic therapeutic process of a school-age boy who presented internalizing symptoms, whose treatment was interrupted after 22 months. Participants were the patient and the therapist. The Child Psychotherapy Q-Set was used to analyze the therapeutic process. The results showed the characteristics of the therapist-patient relationship and its transformations. Factors such as family conflicts, therapeutic alliance with the parents, limitation to the ability to mentor the boy, countertransference, skills, and adjustment of the therapist to the patient impacted the therapeutic process, contributing to the observed outcome. In order to clarify the questions about the effectiveness and mechanisms of change in psychodynamic psychotherapy, and for the establishment of a consistent base of evidence, it is essential to know, in fact, what happens and how it happens in the clinical setting.