Processos narrativos de mudança em psicoterapia: Estudo de um caso de sucesso de terapia construtivista

Abstract

According to White’s narrative therapy, the identification and amplification of unique outcomes, known as exceptional moments outside the problematic narrative, are crucial processes for change to occur. The Innovative Moments’ Coding System (IMCS) was developed in order to classify these novelty moments – which we call innovative moments (i-moments) – in psychotherapy sessions. This system allows tracking the occurrence of 5 types of i-moments: action, reflection, protest, re-conceptualization and performing change. Our central aim is to highlight the way the different types of i-moments emerge along the therapeutic process. Therefore we present an analysis of the change process of a good outcome case of constructivist therapy, using the IMCS. Congruently with previous studies, re-conceptualization develops from the middle of the therapy with clear upward tendency. Reflection remains stable and consistently salient across initial and intermediate phases, decreasing in the final phase. Action, protest and performing change i-moments are rather absent.