Assessment system of narrative change validation studies

• Autor(a) principal: Sequeira, Joana
• Data de Publicação: 2015
• Outros Autores: Alarc?o, Madalena
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://repositorio.ismt.pt/xmlui/handle/123456789/467
• topic: Avalia??o - Assessment; Narrativa - Narrative; Mudan?a - Change; Fidelidade e Validade do SAMN - Reliability and Validity of ASNC

Objetivos: O Sistema de Avalia??o da Mudan?a Narrativa (SAMN) caracteriza e avalia as narrativas e as suas mudan?as na terapia em sete dimens?es: singularidades (A), natureza da hist?ria (B) conota??o narrativa (C), relato da hist?ria (D), reflexividade narrativa (E), temas da sess?o (F) e comportamentos alternativos (G). M?todo: O SAMN foi aplicado em 83 sess?es para testar a sua fidelidade e validade: 22 sess?es em terapia familiar sist?mica devido a abuso de subst?ncias (estudo 1); 15 sess?es de terapia familiar e de casal devido a v?rios problemas (estudo 2) e 46 sess?es de terapia familiar devido a neglig?ncia parental, com 18 fam?lias consideradas clientes involunt?rios. Resultados: A fidelidade estimada do SAMN (Kappa de Cohen) variou entre excelente e satisfat?ria. A validade do SAMN ficou estabelecida pela dete??o e avalia??o da narrativa em problemas distintos e modalidades de terapia sist?mica (familiar e de casal). Conclus?es: As singularidades, reflexividade narrativa e a mudan?a nos temas da sess?o (para temas que n?o o problema) foram as dimens?es que mais sofreram altera??es na maioria dos casos de sucesso comparativamente com os insucessos. / Aims: The Assessment System of Narrative Change (ASNC) characterizes and evaluates narratives and their changes in therapy, across seven dimensions: singularities (A), nature of the story (B), narrative connotation (C), telling of the story (D), narrative reflexivity (E), session themes (F) and alternative behaviors (G). Method: The ASNC was applied in 83 sessions to evaluate its reliability and validity: 22 sessions of systemic family therapy related to substance abuse problems (study 1), 15 sessions of couple and family therapy related to several different problems (study 2) and 46 sessions of family therapy related to parental neglect, with 18 non-voluntary families (study 3). Results: The estimated reliability of the ASNC (Cohen?s Kappa) varies between excellent and satisfactory. The validity of the ASNC was established through its accuracy in the narrative evaluation of different problems and therapeutic modalities (family and couple therapy). Conclusions: Singularities, narrative reflexivity and the change in session themes (to nonproblematic themes) were the dimensions that changed the most in cases with good outcomes compared to those with poor outcomes.