A importância da aliança terapêutica para a superação dos desafios clínicos na terapia cognitivo-comportamental: um estudo de caso

Abstract

This study was the result of experiences in the Supervised Internship of Emphasis II, carried out at the Psychology Service of the Federal University of Recôncavo da Bahia - UFRB, where the Ambulatory for Attention to People Living with Chronic Conditions (APC) is inserted, which works as a permanent extension program. Clinical challenges have a great impact on the development of the therapeutic process, requiring proper identification of treatment problems, detection of their severity and their origin. These situations raise the need to assess the extent of these problems in order to decide what to do to work on these issues. Thus, it is essential to build a solid therapeutic alliance so that the patient feels that he is in a welcoming environment and that the therapist is competent and understanding, favoring his effective involvement in the treatment. In this sense, the present work has the main objective of presenting cases exploring the importance and effectiveness of the therapeutic alliance for overcoming clinical challenges and progress of therapy from the perspective of the Cognitive-Behavioral Theory. From the case reports, it is discussed about patients who demand a longer interaction time to establish a more solid therapeutic alliance and, consequently, a better engagement in the therapeutic process.