Psicoterapia grupal no transtorno obsessivo-compulsivo

There are few published papers about group psychotherapy for patients with obsessive-compulsive disorder (OCD), and usually restricted psychoeducational, support or cognitive-behavioral approaches. This article describes the experience of group psychotherapy for OCD patients started in 1996 in Botucatu Medical School - Unesp, São Paulo, Brazil. The two-hour sessions occur once a month, with 6 to 10 female patients, and are based on psychodramatic techniques. Psychotropic prescriptions are given after the sessions. In the beginning, aggressive obsessions were more prominent and were reported with much anguish and shame. Gradually, the themes changed from OCD specific issues (symptoms, pharmacological treatment, outcome, need of exposure and response prevention) to deeper and more personal psychodynamic aspects. The psychodramatic approach (techniques of double, mirror, role inversion, search for prymary scenes) has mostly shown: difficulty in accepting their own human mistakes or negative emotions due to excessive personal demands. This seems to generate guilt, low self-esteem, idealization of others, difficulty in enjoying pleasant situations, fear of taking responsibilities and of losing control (madness/aggressiveness). The group has been considered very important by the patients, since sharing experiences helps to diminish feelings of isolation, shame and guilt, stimulates the exposure to feared situations and enhances self-esteem. The fact that all participants have the same disorder favors group cohesion and provides relief, as they see in the others some of their afflictions and are able to share similar feelings and experiences. Many times the burden of the symptoms are dealt with humor. The confidence in such therapeutic setting is helping the identification and resolution of personal conflicts and contributing to the adherence to pharmacological treatment. The group also provides valuable training experiences for resident physicians in psychiatry.

Efficient Team actions

Team is a widely represented phenomenon in sport. Despite this fact, sport psychology has yet to answers the question why some teams deliver more successful Performance and produce higher interpersonal satisfaction among athletes than others. While group cohesion, defined as "a dynamic process which is reflected in the tendency for a group to stick together and remain united in the pursuit of its instrumental objectives and/or for the satisfaction of member affective needs" (Carron, Brawley, & Widmeyer, 1997, p.°213) is considered to be one important factor contributing to performance, cognitive aspects of team performance depict a complementary view. More specifically, attitudes, efficacy beliefs, role understanding, common goals, and communication are present in any group of two or more people playing Sport together. The interactions between these cognitions and motivation, cohesion, performance, and satisfaction in teams sport is yet an under researched area in sport psychology. Reference Carron, A.V., Brawley, L.R., & Widmeyer, W.N. (1997). The measurement of cohesiveness in sport groups. In J.L. Duda (Ed.), Advances in sport and exercise psychology measurement (pp. 213-­226). Morgantown, WV: Fitness Information Technology.

Climas motivacionales, liderazgo y cohesión grupal en contexto deportivo universitario

Objetivos: Conocer las interacciones entrenador-atleta y comprender las practicas de liderazgo, de generación de climas motivacionales y de comunicación entre líderes deportivos y jugadores. Metodología: Metodología de cohorte mixto. Se realizó correlación de variables cuantitativas y se analizaron las experiencias y los sentidos del contexto deportivo con una aproximación cualitativa. Se aplicaron a 31 deportistas universitarios los instrumentos: Clima Motivacional Percibido en el Deporte (PMCSQ-2), Clima en el Deporte (SCQ) y Orientación al Ego y a la Tarea en el Deporte. Para profundizar la información obtenida, se realizaron entrevistas semi-estructuradas a 6 deportistas y 2 entrenadores universitarios. RESULTADOS: Que el deportista sienta confianza en su entrenador se encuentra asociado a que se sienta comprendido y aceptado por él. Que el entrenador genere un clima motivacional orientado hacia el ego está relacionado con que los deportistas tengan orientaciones de meta ego. Los entrenadores utilizan dos estilos de liderazgo opuestos: liderazgo democrático (entrenamientos) y liderazgo autocrático (competiciones) Conclusiones: Cuando el atleta confía en la persona que lo dirige deportivamente, presenta mayor satisfacción deportiva. También, que el entrenador fomente un ambiente de comparación social propicia que los deportistas rivalicen con compañeros de equipo y basen su rendimiento en resultados deportivos obtenidos

Climas motivacionales, liderazgo y cohesión grupal en contexto deportivo universitario

Objetivos: Conocer las interacciones entrenador-atleta y comprender las practicas de liderazgo, de generación de climas motivacionales y de comunicación entre líderes deportivos y jugadores. Metodología: Metodología de cohorte mixto. Se realizó correlación de variables cuantitativas y se analizaron las experiencias y los sentidos del contexto deportivo con una aproximación cualitativa. Se aplicaron a 31 deportistas universitarios los instrumentos: Clima Motivacional Percibido en el Deporte (PMCSQ-2), Clima en el Deporte (SCQ) y Orientación al Ego y a la Tarea en el Deporte. Para profundizar la información obtenida, se realizaron entrevistas semi-estructuradas a 6 deportistas y 2 entrenadores universitarios. RESULTADOS: Que el deportista sienta confianza en su entrenador se encuentra asociado a que se sienta comprendido y aceptado por él. Que el entrenador genere un clima motivacional orientado hacia el ego está relacionado con que los deportistas tengan orientaciones de meta ego. Los entrenadores utilizan dos estilos de liderazgo opuestos: liderazgo democrático (entrenamientos) y liderazgo autocrático (competiciones) Conclusiones: Cuando el atleta confía en la persona que lo dirige deportivamente, presenta mayor satisfacción deportiva. También, que el entrenador fomente un ambiente de comparación social propicia que los deportistas rivalicen con compañeros de equipo y basen su rendimiento en resultados deportivos obtenidos

Climas motivacionales, liderazgo y cohesión grupal en contexto deportivo universitario

Objetivos: Conocer las interacciones entrenador-atleta y comprender las practicas de liderazgo, de generación de climas motivacionales y de comunicación entre líderes deportivos y jugadores. Metodología: Metodología de cohorte mixto. Se realizó correlación de variables cuantitativas y se analizaron las experiencias y los sentidos del contexto deportivo con una aproximación cualitativa. Se aplicaron a 31 deportistas universitarios los instrumentos: Clima Motivacional Percibido en el Deporte (PMCSQ-2), Clima en el Deporte (SCQ) y Orientación al Ego y a la Tarea en el Deporte. Para profundizar la información obtenida, se realizaron entrevistas semi-estructuradas a 6 deportistas y 2 entrenadores universitarios. RESULTADOS: Que el deportista sienta confianza en su entrenador se encuentra asociado a que se sienta comprendido y aceptado por él. Que el entrenador genere un clima motivacional orientado hacia el ego está relacionado con que los deportistas tengan orientaciones de meta ego. Los entrenadores utilizan dos estilos de liderazgo opuestos: liderazgo democrático (entrenamientos) y liderazgo autocrático (competiciones) Conclusiones: Cuando el atleta confía en la persona que lo dirige deportivamente, presenta mayor satisfacción deportiva. También, que el entrenador fomente un ambiente de comparación social propicia que los deportistas rivalicen con compañeros de equipo y basen su rendimiento en resultados deportivos obtenidos

Climas motivacionales, liderazgo y cohesión grupal en contexto deportivo universitario

Objetivos: Conocer las interacciones entrenador-atleta y comprender las practicas de liderazgo, de generación de climas motivacionales y de comunicación entre líderes deportivos y jugadores. Metodología: Metodología de cohorte mixto. Se realizó correlación de variables cuantitativas y se analizaron las experiencias y los sentidos del contexto deportivo con una aproximación cualitativa. Se aplicaron a 31 deportistas universitarios los instrumentos: Clima Motivacional Percibido en el Deporte (PMCSQ-2), Clima en el Deporte (SCQ) y Orientación al Ego y a la Tarea en el Deporte. Para profundizar la información obtenida, se realizaron entrevistas semi-estructuradas a 6 deportistas y 2 entrenadores universitarios. RESULTADOS: Que el deportista sienta confianza en su entrenador se encuentra asociado a que se sienta comprendido y aceptado por él. Que el entrenador genere un clima motivacional orientado hacia el ego está relacionado con que los deportistas tengan orientaciones de meta ego. Los entrenadores utilizan dos estilos de liderazgo opuestos: liderazgo democrático (entrenamientos) y liderazgo autocrático (competiciones) Conclusiones: Cuando el atleta confía en la persona que lo dirige deportivamente, presenta mayor satisfacción deportiva. También, que el entrenador fomente un ambiente de comparación social propicia que los deportistas rivalicen con compañeros de equipo y basen su rendimiento en resultados deportivos obtenidos

Body Percussion and Team Building through the BAPNE Method

BAPNE Method is a method based on cognitive stimulation integrating music and movement through body percussion. The aim of this research is to explore its whole potential as a tool to build teams. Team building is a philosophy for work design, and since over two decades ago, it defends that obtaining a high performance and organizing efficiency is more useful to perceive employees as interdependent members in a team of work than individuals ones. From this viewpoint, this research advocates that BAPNE Method’s body percussion practice will have an impact on this vision of team work directly. For its own characteristics, body percussion stimulates ways of contact in movement, which ease social ties and, especially, promote group cohesion. Through social, body and, affective dimension; BAPNE Method is capable of developing a shared vision and a single aim, to stimulate team work identity and an atmosphere of trust; and finally, to improve individual communication and satisfaction levels in group tasks.

A multilevel investigation of the mediating role of trust in the relationships between leadership and follower outcomes

The following research project investigated the mediating effects of individual trust in the relationships between eight leadership dimensions and follower motivation and efficacy. The research comprised of a total of three studies of which two are individual level analyses investigating the above relationship for individual followers, while the final study established the relationship between the eight dimensions and collective efficacy and group cohesion. A new measure of trust — collective vertical trust — was developed and tested and formed the mediator for the final study. The findings showed that leadership is indeed mediated through trust on both individual and collective level in the majority of relationships. In addition it was shown that individual and collective vertical trust are significantly related. Finally, the final study showed an absence of a significant relationship between trust on both the individual and collective level and organizational performance. The findings contributed to existing research in various ways: 1) the mediating effect of individual trust was established for eight separate leadership dimensions; 2) the studies established that while the indirect effects of leadership on follower motivation are similar amongst all age groups and levels of work experience, more work experienced individuals draw their beliefs in their abilities (i.e., self-efficacy) from alternative sources than leadership or trust in the leader; 3) a new measure of collective trust —collective vertical trust was established; 4) the mediating effect of collective trust was shown to be crucial in leadership effects on collective efficacy and group cohesion; and finally 5) a leadership measure initially designed for executive leaders was refined and tested for non-executive leaders.

Placing immigrant incorporation: Identity, trust, and civic engagement in Little Havana

Immigrant incorporation in the United States has been a topic of concern and debate since the founding of the nation. Scholars have studied many aspects of the phenomenon, including economic, political, social, and spatial. The most influential paradigm of immigrant incorporation in the US has been, and continues to be, assimilation, and the most important place in and scale at which incorporation occurs is the neighborhood. This dissertation captures both of these integral aspects of immigrant incorporation through its consideration of three dimensions of assimilation – identity, trust, and civic engagement – among Latin American immigrants and American-born Latinos in Little Havana, a predominantly immigrant neighborhood in Miami, Florida. Data discussed in the dissertation were gathered through surveys and interviews as part of a National Science Foundation-funded study carried out in 2005-2006. The combination of quantitative and qualitative data allows for a nuanced understanding of how immigrant incorporation is occurring locally during the first decade of the twentieth century. Findings reveal that overall Latin American immigrants and their American-born offspring appear to be becoming American with regard to their ethnic and racial identities quickly, evidenced through the salience and active employment of panethnic labels, while at the same time they are actively reshaping the identificational structure. The Latino population, however, is not monolithic and is cleaved by diversity within the group, including country of origin and socioeconomic status. These same factors impede group cohesion in terms of trust and its correlate, community. Nevertheless, the historically dominant ancestry group in Little Havana – Cubans – has been able to reach notable levels of trust and build and conserve a more solid sense of community than non-Cuban residents. With respect to civic engagement, neighborhood residents generally participate at rates lower than the overall US population and ethnic subpopulations. This is not the case for political engagement, however, where self-reported voting registration and turnout in Little Havana surpasses that of most benchmarked populations. The empirical evidence presented in this dissertation on the case of Latinos in Little Havana challenges the ways that identity, trust, and civic engagement are conceptualized and theorized, especially among immigrants to the US.

Evolução da perceção de coesão, clima motivacional eficácia coletiva, e competência ao longo da época desportiva em equipas de hóquei em patins

Projeto de Investigação apresentado para a obtenção do grau de Mestre em Psicologia do Desporto e do Exercício

Upplevelser av samarbete, sammanhållning, förtroende och kollegialt stöd i en statlig myndighets virtuella team: En kvalitativ intervjustudie

Studiens syfte var att undersöka individens upplevelse gällande samarbete, gruppsammanhållning, förtroende och kollegialt stöd i ett virtuellt team i jämförelse med ett traditionellt team. Studien genomfördes på en rikstäckande myndighet som arbetat med virtuella team i tio år. I studien deltog sju intervjupersoner varav fyra personer var män och tre personer kvinnor som valdes ut genom ett målstyrt urval. Personerna var mellan 28 och 62 år gamla och hade haft en anställning inom vald organisation under minst två år. Personerna ingick i samma team men hade olika platsbundenheter. Data samlades in genom semi-strukturerade intervjuer och analyserades med hjälp av en kvalitativ innehållsanalys. Resultatet bekräftade tidigare teori om utmaningar i utvecklande av samarbete, gruppsammanhållning, förtroende och kollegialt stöd inom virtuella team. Intervjupersonerna upplevde ett starkare samarbete, gruppsammanhållning, förtroende och kollegialt stöd för de kollegor som var samplacerade och såg därmed ingen nytta av det virtuella teamet. 

Kommunikationens förebyggande funktion på sjuksköterskors upplevda arbetsmiljö : En kvalitativ fallstudie på en psykiatrisk intensivvårdsavdelning

Syftet med studien är att undersöka huruvida kommunikationen mellan medarbetare på en psykiatrisk intensivvårdsavdelning kan fungera som ett förebyggande verktyg för medarbetarnas upplevda psykosociala arbetsmiljö. Studien är genomförd med en kvalitativ metod där empirin har samlats in genom semistrukturerade intervjuer med sju medarbetare på en psykiatriska intensivvårdsavdelning. Empirin har tolkats genom en hermeneutisk ansats. Resultatet av studien visar att den interna kommunikationen mellan medarbetarna har en stor inverkan för den upplevda arbetsmiljön. På grund av den studerade avdelningens stundtals påfrestande och stressiga arbetssituation var de faktorer som påtalades som viktigast för att må bra på arbetet sammanhållning, förtroende, öppen kommunikation och humor. Dessa framkommer genom studien vara kommunikativa verktyg som går att arbeta förebyggande för att främja välmående på arbetsplatsen.

Evolução da perceção de coesão, clima motivacional eficácia coletiva, e competência ao longo da época desportiva em equipas de hóquei em patins

Projeto de Investigação apresentado para a obtenção do grau de Mestre em Psicologia do Desporto e do Exercício

Experiences of COPD patients with existing smoking cessation programs and their preferences for improvement - a qualitative analysis

BACKGROUND: Smoking is a major risk factor for chronic obstructive pulmonary disease (COPD). For current smokers who are diagnosed with COPD, their first treatment option is to stop smoking. Motivation is necessary for long-term smoking cessation; therefore, when designing smoking cessation programs, the patients' needs and preferences should be considered. We focused on COPD patients' experiences with existing smoking cessation programs and evaluated their preferences for the improvement of these programs. METHODS: We conducted 18 guideline-based interviews with COPD patients between April and June 2014 in Germany. Each patient with COPD, who was a current or past smoker and had made at least one attempt to quit smoking in the past 5 years, was included in the study. We audiotaped, verbatim transcribed, and evaluated the interviews, using content analysis. RESULTS: The patients had broad and different experiences with pharmaceutical, behavioral, and alternative approaches that supported or negatively influenced the smoking cessation process. Pharmaceuticals were viewed as an expensive alternative with many side effects although they helped to stop cravings for a few moments. Furthermore, the bad structure and impersonal content of the seminars for smoking cessation negatively influenced group cohesion, and therefore degrading the patients' motivation to stop smoking. Alternative methods, such as acupuncture and hypnosis were mostly ineffective in smoking cessation, but in some cases, served as motivational strategies. CONCLUSION: Negative experiences with smoking cessation were explained by the patients' lack of motivation or resolution. Other negative experiences, such as the structure of seminars for smoking cessation and the high price of pharmaceuticals should be addressed through policy changes to increase the patients' motivation to quit smoking.

Liderança e coesão dos graduados instruendos no curso de Comandos

Este Trabalho de Investigação Aplicada incidiu sobre a “Liderança e Coesão dos Graduados Instruendos no Curso de Comandos”, cujo objetivo principal é a caracterização dos níveis de Liderança e Coesão durante as várias fases do Curso de Comandos. Para a realização deste estudo, foi feita uma intervenção em cada fase do Curso de Comandos (Estágio inicial, Fase Individual, Fase de Equipa, Fase de Grupo) com um Questionário de Competências de Liderança com seis dimensões de Liderança e três fatores critério (Rouco, 2012) inerentes à ação de comando e, um Questionário do Ambiente no Grupo com quatro aspetos (Carron, 1985). Estes Questionários foram aplicados a todos os Graduados Instruendos, Oficiais e Sargentos, que frequentaram o 124º Curso de Comandos, 1º Turno de 2015. Com base nas respostas, foi efetuado o tratamento dos dados num programa estatístico Statistical Package for Social Sciences. Os graduados instruendos no Curso de Comandos obtiveram comportamentos de liderança com valores médios mais elevados nas dimensões associadas à relação com as pessoas. A média com valores mais elevados regista-se na dimensão “Coesão, trabalho de equipa e cooperação”. Acrescenta-se o facto de que, os graduados instruendos, entre a fase inicial e a fase final, mostram grande vontade de cumprir a missão, grande capacidade de tomada de decisão e planeamento e desenvolver a coesão nos grupos. Os graduados instruendos, de um modo geral, percecionam que os níveis de coesão aumentaram desde a segunda fase até à última fase. Apesar da enorme queda de valores entre a primeira fase e a segunda fase, os valores na última fase são tão elevados que para além de compensarem a queda, atingem um limite superior a nove em todos os aspetos da coesão. Conclui-se que os graduados instruendos se sentem em todos os momentos, envolvidos com a interação, as tarefas, a produtividade e os objetivos do grupo. De um modo geral, os comportamentos dos graduados instruendos “Gestão de Conflitos” e “Liderança Participativa e Envolvimento” ao longo do curso de comandos contribuem para os três fatores critério. A capacidade dos graduados instruendos em tomar decisões com coragem e confiança em qualquer situação, a capacidade de avaliarem o ambiente externo e interno do grupo e a capacidade de influenciar e motivar através do exemplo, relaciona-se com a capacidade de obterem desempenhos superiores, com a competência adequada de estabelecer a capacidade de organização e motivação e, ainda, satisfazer o grupo em todo o curso. Podemos dizer que, de todas as fases do curso de comandos, a fase individual é a que apresenta os valores mais baixos nas dimensões da liderança, fatores critério e aspetos da coesão. Isto porque não existe prática de comando por parte do graduado instruendo, o que não permite a prática de liderança, e como nesta fase não existe equipa definida nem grupo, o graduado anda sozinho, o que não permite promover a coesão. Na última fase, a Fase de Grupo, todos os graduados instruendos trabalham pela primeira vez em conjunto, obtendo os valores mais elevados da coesão.