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Previous issue date: 2008-02-13 === The stress field has been studied so much where data have demonstrated that in average, more than half of the population of big cities present stress. Stress comes from inner factors (vulnerabilities) and outer ones (environment demands), however, when it is worked on the treatment area itself, it has been observed that some individuals present a sort of persistent behavior which take them to be involved in stressful situations. It is regarded as Lipp nominated: Lives Themes. It is presented on this term a purpose of diagnosis and enlargement of the concept on Lives Themes, grounded on the cognitivebehavioral approach. It was also developed a theorist model of cognitive basis that could explain the problematic of lives themes on chronic stress, such model purposes the individual once attracted by a discriminative stimulus, he activates a scheme which figures out the reality, stirring a sort of inappropriate behavior that takes him to get involved in a stressful situation once there is no appropriate audience of coping , it comes up stress and everything is explained by a belief. Nine participants were evaluated, all of them on chronic stress, where there were five from a physiotherapy clinic-school and others from a psychotherapy private office, all of them under physical and psychological illnesses. They were evaluated through a semi-structured interview, Inventory on Stress Symptoms for adults by Lipp, Inventory of Life and Questionnaires of Schemes by Young. It was made from the purposed theorist model, a model of conceptualization on the Lives Themes, from which all the cases were studied and evaluated. The group s analysis let us to identify the self-sacrifice schemes and inflexible standards as the strongest (hardest) ones and the failure scheme as the weakest one, what enabled to infer that people under chronic stress tend to turn to others, with top-high goals and do not accept failures. It was also observed the presence of factors of behavior and parenthood practices on the development of maladaptative initial schemes which seem to fit the retraced standards of stress, and furthermore, it was also identified the broken (inappropriate) learning of strategies of coping , which turns more difficult the individual under Lives Themes, get rid of this stressful situation, as well as the presence of a discriminative stimulus which stirs the retraced standards of behavior that takes the individual to stressful situations. Finally, it was confirmed the presence of dysfunctional belief that justifies for the individual his situation of being involved constantly in the same stressful situation. The results pointed for the maintenance of the initial hypothesis purposed on the Lives Themes, as well as corroborated for the theorist model purposed. === A ?rea de stress tem sido muito estudada, dados demonstram que em m?dia, mais da metade da popula??o das grandes cidades brasileiras apresentam stress. O stress adv?m de fatores internos (vulnerabilidades) e externos (demandas do ambiente), por?m, quando se trabalha na ?rea de tratamento do mesmo, observa-se que alguns indiv?duos apresentam um padr?o de comportamento persistente que os levam a se envolverem em situa??es estressoras, trata-se do que Lipp denominou de Temas de Vida. Apresenta-se neste trabalho uma proposta de diagn?stico e amplia??o do conceito de temas de vida fundamentada na abordagem cognitivo-comportamental. Desenvolveu-se um modelo te?rico de base cognitiva que pudesse explicar a problem?tica de temas de vida no stress cr?nico, tal modelo prop?e que o indiv?duo atra?do por um est?mulo discriminativo ativa um esquema que interpreta a realidade, acionando um padr?o de comportamento inadequado que o leva a envolver-se na situa??o estressora; n?o havendo repert?rio adequado de coping, surge stress e tudo ? explicado por uma cren?a. Foram avaliados nove participantes, todos com stress cr?nico, sendo cinco de uma cl?nica escola de fisioterapia e quatro de um consult?rio particular de psicoterapia, todos com comorbidades f?sicas e psicol?gicas comuns ao stress cr?nico. Os participantes foram avaliados por meio de entrevista semi-estruturada, Invent?rio de Sintomas de stress para Adultos de Lipp, Invent?rio de Qualidade de Vida e Question?rio de Esquemas de Young. Elaborou-se, a partir do modelo te?rico proposto, um modelo de conceitualiza??o de casos de temas de vida, a partir do qual todos os casos estudados foram avaliados. A analise do grupo permitiu identificar os esquemas de auto-sacrif?cio e padr?es inflex?veis como os mais fortes e o esquema de fracasso como mais fraco o que possibilitou inferir que as pessoas com stress cr?nico tendem a voltar-se aos outros, com metas muito altas e n?o admitem fracasso. Observou-se a presen?a de fatores de temperamento e de pr?ticas parentais no desenvolvimento de esquemas iniciais desadaptativos que parecem modular os padr?es recorrentes de stress observados, al?m disso, identificou-se a aprendizagem inadequada de estrat?gias de coping, que dificultam o indiv?duo com temas de vida sair da situa??o estressora, bem como a presen?a de um est?mulo discriminativo que aciona o padr?o recorrente de comportamento que leva o indiv?duo a situa??es estressoras. Finalmente, confirmou-se a presen?a de uma cren?a disfuncional que justifica para o indiv?duo a sua situa??o de envolver-se constantemente nas mesmas situa??es de stress. Os resultados apontaram para sustenta??o das hip?teses iniciais propostas na teoria de temas de vida, bem como corroboraram o modelo te?rico proposto.
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