Aliança terapêutica na psicoterapia infantil: adaptação de instrumento e evidências de validade

Autores

DOI:

https://doi.org/10.34019/1982-1247.2025.v19.42705

Palavras-chave:

Adaptação de instrumento, Aliança terapêutica, Crianças, TPOCS-A, Psicoterapia

Resumo

A aliança terapêutica é um importante elemento do processo terapêutico. Para ser analisada, requer instrumentos válidos e confiáveis. O objetivo deste estudo foi desenvolver a adaptação transcultural da Therapy Process Observational Coding System for Child Psychotherapy – Alliance Scale (TPOCS – A) para o português brasileiro e examinar a confiabilidade e as evidências de validade da versão adaptada. A versão brasileira apresentou boa equivalência semântica, idiomática, experiencial e conceitual, fidedignidade do avaliador, boa consistência interna e evidências de validade convergentes. Análise fatorial resultou numa solução de um fator, consoante com estudos internacionais, indicando tratar-se de instrumento válido e confiável para análise da aliança terapeuta-paciente.

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Referências

Ary, D., Jacobs, L. C., & Razavieh, A. (2010). Introduction to research in education. Harcout.

Bordin, E. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research & Practice, 16(3), 252–260. https://doi.org/10.1037/h0085885

Bordin, E. S. (1994). Theory and research on the therapeutic working alliance: New directions. In A. O. Horvath & L. S. Greenberg (Eds.), Wiley series on personality processes. The working alliance: Theory, research, and practice (pp. 13-37). John Wiley & Sons.

Borsa, J. C., Damásio, B. F., & Bandeira, D. R. (2012). Adaptação e validação de instrumentos psicológicos entre culturas: Algumas considerações. Paidéia, 22(53), 423–432. http://dx.doi.org/10.1590/S0103-863X2012000300014

Chethik, M. (2003). Techniques of child therapy: Psychodynamic strategies (2ª ed.). Guilford Press.

Chiu, A. W., McLeod, B. D., Har, K., & Wood, J. J. (2009). Child-therapist alliance and clinical outcomes in cognitive behavioral therapy for child anxiety disorders. Journal of Child Psychology and Psychiatry, 50, 751–758. https://doi.org/10.1111/j.1469-7610.2008.01996.x

Estrada, A., & Russell, R. (1999). The development of the Child Psychotherapy Process Scales (CPPS). Psychotherapy Research, 9(2), 154–166. https://doi.org/10.1093/ptr/9.2.154

Faw, L., Hogue, A., Johnson, S., Diamond, G. M., & Liddle, H. A. (2005). The Adolescent Therapeutic Alliance Scale (ATAS): Initial psychometrics and prediction of outcome in family-based substance abuse prevention counseling. Psychotherapy Research, 15, 141–154. https://doi.org/10.1080/10503300512331326994

Figueiredo, B., Dias, P., Lima, V. S., & Lamela, D. (2016). Working Alliance Inventory For Children And Adolescents (WAI-CA): Development and psychometric properties. European Journal of Psychological Assessment, 35(1), 22–28. https://doi.org/10.1027/1015-5759/a000364

Fjermestad, K. W., McLeod, B. D., Heiervang, E. R., Havik, O. E., Öst, L. G., & Haugland, B. S. (2012). Factor structure and validity of the therapy process observational coding system for Child Psychotherapy–Alliance Scale. Journal of Clinical Child & Adolescent Psychology, 41(2), 246–254. https://doi.org/10.1080/15374416.2012.651999

Goodman, G., & Athey-Lloyd, L. (2011). Interaction structures between a child and two therapists in the psychodynamic treatment of a child with Asperger’s disorder. Journal of Child Psychotherapy, 37(3), 311–326. https://doi.org/10.1080/0075417X.2011.614749

Goodman, G., Midgley, N., & Schneider, C. (2016). Expert clinicians’ prototypes of an ideal child treatment in psychodynamic and CBT: Is mentalization seen as a common process factor? Psychotherapy Research, 26(5), 590–601. https://doi.org/10.1080/10503307.2015.1049672

Greenson, R. R. (2017). The working alliance and the transference neurosis. The Psychoanalytic Quarterly, 34(2), 155–181. (Original publicado em 1965). https://doi.org/10.1002/j.2167-4086.2008.tb00334.x

Halfon, S. (2021). Psychodynamic technique and therapeutic alliance in prediction of outcome in psychodynamic child psychotherapy. Journal of Consulting and Clinical Psychology, 89(2), 96–109. https://doi.org/10.1037/ccp0000620

Greenson, R. R. (2017). The working alliance and the transference neurosis. The Psychoanalytic Quarterly, 34(2), 155–181. (Original publicado em 1965). https://doi.org/10.1002/j.2167-4086.2008.tb00334.x

Halfon, S. (2021). Psychodynamic technique and therapeutic alliance in prediction of outcome in psychodynamic child psychotherapy. Journal of Consulting and Clinical Psychology, 89(2), 96–109. https://doi.org/10.1037/ccp0000620

Karver, M. S., Handelsman, J. B., Fields, J. B., & Bickman, L. (2006). Meta-analysis of relationship variables in youth and family therapy: The evidence for different relationship variables in the child and adolescent treatment outcome literature. Clinical Psychology Review, 26, 50–65. https://doi.org/10.1016/j.cpr.2005.09.001

Kendall, P. C. (1994). Treating anxiety disorders in children: Results of a randomized clinical trial. Journal of consulting and clinical psychology, 62(1), 100–110. https://doi.org/10.1037/0022-006X.62.1.100

Koo, T. K., & Li, M. Y. (2016). A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine, 15(2), 155–163. https://doi.org/10.1016/j.jcm.2016.02.012

Langer, D. A., McLeod, B. D., & Weisz, J. R. (2011). Do treatment manuals undermine youth–therapist alliance in community clinical practice? Journal of Consulting and Clinical Psychology, 79, 427–432. https://doi.org/10.1037/a0023821

Liber, J. M., Van der Leeden, A. J. M., Sauter, F., & Treffers, P. D. A. (2007). Therapeutische alliantie: de TPOCS-A. Een observatie-codeersysteem voor het beoordelen van de band tussen cliënt en therapeut bij kinderpsychotherapie. Kind en Adolescent, 28, 21–32. https://doi.org/10.1007/BF03061007

McLeod, B. D. (2010). Scoring Manual for the TPOCS-A. (Manuscrito não publicado). Virginia Commonwealth University.

McLeod, B. D. (2011). Relation of the alliance with outcomes in youth psychotherapy: A meta-analysis. Clinical Psychology Review, 31(4), 603–616. https://doi.org/10.1016/j.cpr.2011.02.001

McLeod, B. D., & Weisz, J. R. (2005). The therapy process observational coding system-alliance scale: Measure characteristics and prediction of outcome in usual clinical practice. Journal of consulting and clinical psychology, 73(2), 323–333. https://doi.org/10.1037/0022-006X.73.2.323

Pacico, J. C., Hutz, C. S., Schneider, A. M. A., & Bandeira, D. R. (2015). Validade. In C. S. Hutz, D. R. Bandeira, & C. M. Trentini (Eds.), Psicometria. (pp. 71-84). Artmed.

Ramires, V. R. R. & Schneider, C. (2016). Psicoterapia de Crianças: Desenvolvimento da Versão em Português do Child Psychotherapy Q-Set. Psicologia: Teoria e Pesquisa (Brasília. Online), 32(3), 1–10. http://dx.doi.org/10.1590/0102-3772e323218

Roest, J., Helm, P., van der, Strijbosch, E., Brandenburg, M., van, & Stams, G. J. (2016). Measuring therapeutic alliance with children in residential treatment and therapeutic day care: A validation study of the Children’s Alliance Questionnaire. Research on Social Work Practice, 26(2), 212–218. https://doi.org/10.1177/1049731514540478

Schmidt, F. D., Gastaud, M. B., & Ramires, V. R. R. (2018). Interaction structures in the psychodynamic psychotherapy of a girl diagnosed with adjustment disorder. Temas em Psicologia, 26(2), 719–734. https://doi.org/10.9788/tp2018.2-07pt Schneider, C., & Jones, E. E. (2012). Appendix IB. Child Psychotherapy Q-Set. Coding Manual. In R. A. Levy, J. S. Ablon, & H. Kächele (Eds), Psychodynamic Psychotherapy Research: Evidence-Based Practice and Practice-Based Evidence. (pp 611–626). Humana Press.

Shelef, K., & Diamond, G. M. (2008). Short form of the revised Vanderbilt Therapeutic Alliance Scale: Development, reliability, and validity. Psychotherapy Research, 18(4), 433–443. https://doi.org/10.1080/10503300701810801

Shirk, S. R., & Saiz, C. C. (1992). Clinical, empirical, and developmental perspectives on the therapeutic relationship in child psychotherapy. Development and Psychopathology, 4(4), 713–728. https://doi.org/10.1017/S0954579400004946

Shirk, S. R., Karver, M. S., & Brown, R. (2011). The alliance in child and adolescent psychotherapy. Psychotherapy, 48, 17–24. https://doi.org/10.1037/a0022181

Zanon, C., & Hauck, N. (2015). Fidedignidade. In C. S. Hutz, D. R. Bandeira, & C. M. Trentini (Eds.), Psicometria (pp. 85–96). Artmed.

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Publicado

2025-11-18