Proposição de um Guia para Plantão Psicológico na Terapia Cognitivo-Comportamental

Abstract

Psychological Duty (PD) presents itself as an important assistance resource in the field of mental health. Cognitive-Behavioral Therapy (CBT) can be integrated into the PD model, since the emphasis on immediate and focal care, characteristic of the shift, corroborates the principles of CBT. The present study aimed to understand the interactions between the two fields through the analysis of medical records recorded by psychology interns who worked in the PD modality using CBT as an approach. The data analyzed enabled the construction of a Guide to cognitivebehavioral practices in Psychological Duty, a theoretical-practical support instrument for supervising teachers and psychology interns. This is a retrospective documentary research with a mixed qualitative-quantitative and descriptive nature. Five documents from patients treated at a Psychology School Service at the Federal University of Bahia – Campus Anísio Teixeira were analyzed. The document inclusion plan for data collection used followed the criteria: 1) documents used in the Psychology School Service to record care in PP (Medical Record and Monthly Medical Record Evolution Form); 2) records referring to services that used the theoretical approach of CBT; and 3) scientific articles, theses and dissertations on the topics of PD and TCC. For data analysis, Bardin's thematic and frequency content analysis was used. In describing the data in the medical records, it was possible to analyze the characterization of the clientele, identifying aspects such as the majority of male patients and variability in the age group. Regarding data from the Monthly Medical Record Evolution Form, it was observed that all consultations occurred in a single session. Categories such as session duration, demand, psychological instruments and reasons for termination were not identified. The content analysis of the complaint resulted in the following categories: forwarding source; difficulties; medication use; health condition; core beliefs; worries; and violence. Regarding interventions, psychoeducation and empathic understanding were identified. Such results indicate the use of few specific intervention techniques of the CBT approach. Furthermore, some difficulties in analyzing medical records, such as lack of information and records in different fields, were obstacles to accessing accurate information. With the data analyzed, it was possible to develop the following products: (1) Empirical Research Report Article; (2) Guide to Cognitive- Behavioral Practices in Psychological Duty.