Abstract
This study developed Brazilian psychodynamic psychotherapy (PDT) and cognitive-behavioral therapy (CBT) prototypes for children with internalizing disorders (ID) and externalizing disorders (ED). Eighteen Brazilian experts in PDT (n = 9) and CBT (n = 9) rated the 100 items of the Child Psychotherapy Q-Set (CPQ) describing a hypothetical typical session based on their respective theoretical backgrounds for children with ID. They then rated the same items describing a hypothetical typical session for children with ED. A Q-type factor analysis with varimax rotation was performed. Expert correlations were high within each theoretical approach and each diagnostic category. The factor analysis identified three independent factors. CBT ratings concentrated on one factor, while PDT ratings loaded onto one factor describing treatment of children with ID and another factor describing treatment of children with ED. The sole CBT prototype reflected a general conceptualization of this approach and was undifferentiated regarding treatment of children with ID and ED. The PDT prototype for children with ID provided evidence of a process focused on interpretation, while the PDT prototype for children with ED characterized a supportive process with attention to the therapeutic relationship. This infers greater variation in the PDT setting for children with different conditions.
Highlights
This study developed Brazilian psychodynamic psychotherapy (PDT) and cognitive-behavioral therapy (CBT) prototypes for children with internalizing disorders (ID) and externalizing disorders (ED)
Levels of agreement between the cognitive-behavioral therapists were 0.92 and 0.91, in the same order. These findings indicate that the participants shared highly similar conceptualizations of these prototypical treatment models
This study investigated Brazilian expert clinicians’ prototypical conceptions regarding the PDT and CBT therapeutic processes for children with ID and ED
Summary
This study developed Brazilian psychodynamic psychotherapy (PDT) and cognitive-behavioral therapy (CBT) prototypes for children with internalizing disorders (ID) and externalizing disorders (ED). In an attempt to bridge this gap, researchers have examined the psychotherapeutic process, which consists of assessment of phenomena present throughout these treatments that could be associated with the outcomes, such as the therapists’ interventions and the therapeutic relationships The findings of these studies are relevant to promotion of more effective and parsimonious practices for therapists working in different contexts and from different backgrounds.[3]. Psychotherapy prototypes are descriptions created by expert clinicians of an ideal or typical session for a specific therapeutic approach These descriptions are used to profile the main characteristics of different intervention models (e.g., psychodynamic, cognitivebehavioral) and to assess whether real treatments correspond to their theoretical assumptions.[4,5]
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