[KNAPP] - Terapia Cognitivo Comportamental na prática psiquiátrica

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Note
O caos traz a instabilidade cognitiva de seus pressupostos, fora isso, é estável.
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O autor afirma que alguns pacientes possuem facilidade em identificar seus pressupostos, outros levam tempo, portanto o terapeuta precisa ir no ritmo do paciente de modo que o mesmo não se sinta desqualificado em acompanhar o tratamento.
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Note
O ato imaginativo também é um instrumento útil ao terapeuta. Muitos pacientes têm dificuldade de continuar com a imaginação que toca nos seus maiores receios. O profissional de acordo com o autor, pode ajudar o paciente a ir mais além, o questionamento ''O que de pior poderia acontecer'' torna-se útil na medida que o paciente procura barreiras para não pensá-lo. Com muita surpresa, os pacientes veem que o que aconteceu na vida real é muito diferente do imaginado virtualmente.
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Note
O teste histórico busca reavaliar os anos que foram significativos para o paciente. Knapp ao citar Padesky, diz que este último recomenda o profissional a usar o teste histórico após o paciente ter feitos progressos com o registro de crença nuclear, onde ele aprende a olhar sob uma outra perspectiva, mais real e menos negativa a sua crença nuclear. Os anos nesse teste histórico serão divididos de forma cronologica na vida do paciente, ambos irão investigar tanto eventos e pessoas significativas para o paciente. Muitas vezes o paciente pode ter focado apenas em ações negativas e ignorado outras que foram positivas numa certa idade.
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A técnica do '' e se'' leva tempo devido a sua complexidade. O autor parte de uma explicação social de que o ser humano é passível de aprendizado e portanto, pode aprender, assim como desaprender o que lhe foi ensinado. A flexibilidade do aprender pode permitir que o sujeito, insatisfeito como ele está, possa ao menos tentar ser alguém oposto do que é, agindo como se fosse outra pessoa. Um índivíduo com inseguranças, pode juntamente com o terapeuta, rever pontos onde ele se sente frágil, e treinar um modo onde o paciente possa agir de um modo menos inseguro. Uma outra pessoa. Se o paciente assim consegue, isso prova que ele é passível de melhoras.
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