EFFECTS OF PARADOX AND EXPECTANCY ON DEFICITS ASSOCIATED WITH DEPRESSION
Resumen
Este estudo testa a eficácia do modelo paradoxal do Mental Research Institute do Palo Alto (MRI) em reverter sintomas clinicamente definidos como correlatos da depressão. A um grupo de 48 (24 homens e 24 mulheres) pacientes deprimidos internados, foram dadas instruções diferenciadas para um exercício de anagramas que se destinava a medir a quantidade de esforço posta na tarefa. O esforço foi, ora encorajado, ora desencorajado ou simplesmente nem mencionado. A condição de desencorajamento se constituía de um paradoxal terapêutico que incluía uma base racional apropriada. Não houve importantes efeitos no esforço e na expectativa que fossem significativos e nenhuma interrelação significante. Não foi encontrada uma relação entre humor e performance nos anagramas. São discutidas implicações para pesquisas futuras, incluindo-se as possíveis dificuldades encontradas em assegurar a aprovação do institucional review boards para pesquisas envolvendo paradoxo.
Descargas
Citas
AMERICAN Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington: American Psychiatric Association.
AMERICAN Psycho Iogical Association. (1973). Ethical principles in the conduct of research with human participants. Washington, D. C.
ASCHER, L. (1979). "Paradoxical intention in the treatment of urinary retention. Behavior Research and Therapy, 17, 267-270.
ASCHER, L. (1981) Employing paradoxical intention in the treatment of agoraphobia. Behavior Research and Therapy, 19, 533-542.
ASCHER, L. & EFRAN, J. (1978). Use of paradoxical intention in a behavioral program for sleep onset insomnia. Journal of Consulting & Clinical Psychology, 46,547-550.
ASCHER, L. & TURNER, R. (1979). Paradoxical intention and insomnia: An experimental investigation." Behavior Research and Therapy, 17, 408-411.
BECK, A. (1967). Depression: Clinical, experimental and theoretical aspects. New York: Harper and Row.
BECK, A. T. & BECK R. W. (1972). Screening depressed patients in family practice: A rapid technique. Postgraduate Medicine, 6, 81-85.
BERGMAN, J. S. (1982). Paradoxical intervention with people who insist on acting crazy. American Journal of Psychotherapy, 2, 214-222.
COYNE, J. C. & SEGAL, L. (1981). A brief, strategic interactional approach to psychotherapy. In J. C. Anchin, & D. J. Kiesler (Eds.), Handbook of interpersonal psychotherapy, New York: Plenum Press.
ERICKSON, M. H. (1954). Indirect hypnotic therapy of a bedwetting couple. Journal of Clinical & Experimental Hypnosis, 2, 171-174.
FEIGHNER, J. P., ROBINS, E., GUZE, S., WOODRUFF, R. A. Jr., WINOKUR, G. & MUNOX, R. (1972). Diagnostic criteria for use in psych iatric research. Archives of General Psychology, 26, 57-63.
FISCH, R., WEAKLAND, J. H. & SEGAL, L. (1982). The tactics of change Doing therapy briefly. Jossey-Bass: San Francisco.
FISH, J. M. (1973). Dissolution of a fused identity in one therapeutic session: A case study. Journal of Consulting & Clinical Psychology, 3, 462-465.
FRANKL, V" E. (1960). Paradoxical intention. American Journal of Psychotherapy, 14,520-535.
G E RZ, H . (1966). Experience with the logotherapeutic technique of paradoxical intention in the treatment of phobic and obsessive-compulsive patients. American Journal of Psychology, 123, 548-553.
HALEY, J. (1976). Problem-solving therapy. New York: Harper and Row.
HALEY, J. (1973). Uncommon therapy: The psychiatric techniques of Milton H. Erickson. New York: Bellantine.
HARE-MUSTIN, R. (1975). Treatment of temper tantrums by a paradoxical intervention. Family Process, 14,481-485.
HARE-MUSTIN, R. (1976). Paradoxical tasks in family the rap y : Who can resist? Psychotherapy, Theory, Research and Practice, 13, 128-130.
HSU, L. K. G. & LIEBERMAN, S. (1982). Paradoxical intention in the treatment of chronic anorexia nervosa. American Journal of Psychology, 5, 650-653.
JACKSON, D. D. (1963). A suggestion for the technical handling of paranoid patients, Psychiatry, 26, 306-307.
JASTAK, J. F. & JASTAK, S. R. (1964). Short forms of the WAIS and WISC vocabulary subtests. Journal of Clinical Psychology, Monograph Supplement 18, 1-35.
KILPATRICK-TABAK, B., & ROTH, S. (1978). An attempt to reserve performance deficits associated with depression and experimentally induced helplessness. Journal of Abnormal Psychology, 87, 141-154.
KLEIN, D. C. & SELIGMAN, M. E. P. (1976). Reversal of performance deficits and perceptual deficits in learned helplessness and depression. Journal of Abnormal Psychology, 85, 11-26.
LOPEZ, F. & WAMBACH, C. (1982). Effects of paradoxical and self-control directives in counseling. Journal of Counseling Psychology, 2, 115-124.
LUBIN, B. (1965). Adjective check lists for the measurement of depression. Archives of General Psychology, 12,57-62.
MADANES, C. (1984). Behind the One-way mirror: Advances in the practice of strategic therapy. San Francisco: Jossey Bass.
MAIER, S. F. & SELIGMAN, M. E. P. (1976). Learned helplessness: Theory and evidence. Journal of Experimental Psychology, 105,3-46.
MILLER, L. W. & NORMAN, W. H. (1981). Effects of attributions for sucess on the alleviation of learne he Ipless n ess and depression. Journal of Abnormal Psychology, 2, 118-124.
MILLER, W. R. & SELIGMAN, M. E. P. (1973). Depression and learned helplessness in man. Journal of Abnormal Psychology, 82, 62-73.
PALAZZOLl, S. M., BOSCOLO, L., CECCH IN, G. & PRA TA, G. (1978). Paradox and counterparadox. New York: Jason Aronson.
PRICE, K. P., TYRON, W. W. & RAPS, C. S. (1978). Learned helplessness and depression in a clinical population: A test of two behavioral hypotheses: Journal of Obnormal Psychology, 1, 113-121.
RAPS, C. S., REINHAD, K. E. & SELIGMAN, M. E. P. (1980). Reversal of cognitive and affective deficits associated with depression and learned helplessness by mood elevation in patients. Journal of Abnormal Psychology, 3, 342-349.
RELINGER, H., BORNSTEIN P. & MUNGAS, D. (1978). Treatment of insomnia by paradoxical intention: Behavior Therapy, 9, 955-959.
ROHRBAUGH, M., TENNEN, H., PRESS, J., WHITE, L., RASKIN, P., & PICKERING, M. (1977). Paradoxical strategies in psychotherapy, Paper presented at the American Psychological Association. San Francisco, Aug. 1977.
ROSEN, S., Ed. (1981). My voice will go with you: The teaching tales of Milton H. Erickson. New York: W. W. Norton & Co.
SOLYOM. L., GAR Z A - PER E Z, J. LE DWI DG E, B. & SOL YOM, C. (1972). Paradoxical intention in the treatment of obsessive thoughts: A pilot study. Comprehensive Psychology, 13, 291-297.
TRESSELT, M. W. & MAYZNER, M. S. (1966). Normative solution times for a sample of 134 solution words and 378 associated anagrams. Psychonom. Mono. Supp 1, 293-298.
WATZLAWICK, P., BEAVIN, J. H. & JACKSON, D. D. (1967). Pragmatics of human communication. New York: W. W. Norton. WATZLAWICK, P., & COYNE, J. (1974) Depression following stroke: Brief, problem focused treatment. Family Process, 13,141-168.
WATZLAWICK, P., WEAKLAND, J., & FISCH, R. (1974). Change: Principles of problem formation and problem resolution. New York: W. W. Norton.
WEAKLAND, J. H., FISCH, R., WATZLAWICK; P., & BODIN, A. M. (1974). Brief therapy: Focused problem resolution. Family Process 13, 141-168.
ZUK, G. H. (1975). Process and practice in family therapy. Haverford, Penn. Psychiatry and Behavioral Scienc Books.