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Estudo de investigação em psicologia clínica narrativa. Contributos da terapia narrativa no processo de luto complicado: uma revisão sistemática
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Abstract(s)
Objetivo: O luto complicado é emocionalmente desafiante e causa sofrimento intenso,
requerendo intervenções psicológicas multidimensionais, específicas e adaptadas. Este
estudo visa revisar sistematicamente na literatura os contributos e a eficácia da terapia
narrativa e estratégias construtivistas-narrativas no tratamento deste fenómeno. Método: Foi
realizada uma busca extensiva nas bases de dados Google Scholar, B-On, PubMed, Springer
Link, Taylor and Francis, Web of Science e Science Direct. Foram incluídos estudos
publicados entre 2000-2023 que cumpriram com os critérios de inclusão predefinidos. A
qualidade dos estudos foi avaliada segundo o Método PRISMA. Resultados: Setenta e um
estudos demonstraram a eficácia das intervenções narrativas, construtivistas-narrativas e
cognitivo-comportamentais na reconstrução de significado, integração e ajustamento do luto
complicado para luto normal. Observou-se uma tendência no uso da escrita para alcançar
reduções significativas nos sintomas de luto complicado. Principais Conclusões: O recurso
a estratégias narrativas é fundamental para elaborar, aceitar e reconstruir a perda, integrar a
morte na nova realidade, criar uma nova identidade e manter um vínculo contínuo com o
falecido. Os resultados sugerem benefícios para a prática clínica e comunidade científica.
Mais investigações são necessárias para explorar os contributos da terapia narrativa no luto
complicado no território português.
Objective: Complicated grief is emotionally challenging and causes intense suffering, requiring multidimensional, specific, and tailored psychological interventions. This study aims to systematically review the literature on the contributions and efficacy of narrative therapy and constructivist-narrative strategies in treating this phenomenon. Method: An extensive search was conducted in the databases Google Scholar, B-On, PubMed, Springer Link, Taylor and Francis, Web of Science, and Science Direct. Studies published between 2000-2023 that met the predefined inclusion criteria were included. The quality of the studies was assessed according to the PRISMA Method. Results: Seventy-one studies demonstrated the effectiveness of narrative, constructivist-narrative, and cognitive-behavioral interventions in reconstructing meaning, integrating, and adjusting complicated grief to normal grief. There was a trend in the use of writing to achieve significant reductions in complicated grief symptoms. Main Conclusions: The use of narrative strategies is essential for elaborating, accepting, and reconstructing the loss, integrating death into the new reality, creating a new identity, and maintaining a continuous bond with the deceased. The results suggest benefits for clinical practice and the scientific community. More research is needed to explore the contributions of narrative therapy to complicated grief in Portugal.
Objective: Complicated grief is emotionally challenging and causes intense suffering, requiring multidimensional, specific, and tailored psychological interventions. This study aims to systematically review the literature on the contributions and efficacy of narrative therapy and constructivist-narrative strategies in treating this phenomenon. Method: An extensive search was conducted in the databases Google Scholar, B-On, PubMed, Springer Link, Taylor and Francis, Web of Science, and Science Direct. Studies published between 2000-2023 that met the predefined inclusion criteria were included. The quality of the studies was assessed according to the PRISMA Method. Results: Seventy-one studies demonstrated the effectiveness of narrative, constructivist-narrative, and cognitive-behavioral interventions in reconstructing meaning, integrating, and adjusting complicated grief to normal grief. There was a trend in the use of writing to achieve significant reductions in complicated grief symptoms. Main Conclusions: The use of narrative strategies is essential for elaborating, accepting, and reconstructing the loss, integrating death into the new reality, creating a new identity, and maintaining a continuous bond with the deceased. The results suggest benefits for clinical practice and the scientific community. More research is needed to explore the contributions of narrative therapy to complicated grief in Portugal.
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Keywords
Terapia narrativa Reconstrução narrativa Escrita terapêutica Narrativas Luto complicado Narrative therapy Narrative reconstruction Therapeutic writing Narratives Complicated grief. Psicologia Clínica da Saúde e Bem Estar . Faculdade de Artes e Humanidades