O papel da psicoterapia de grupo na formação do residente em psiquiatria

• Autor(a) principal: Souza, Claudia de Paula Juliano
• Data de Publicação: 2014
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/4676
• topic: Medical education; Residency; Group psychotherapy; Psychodrama; Educação médica; Residência médica; Psicoterapia de grupo; Psicodrama; TOPICOS ESPECIFICOS DE EDUCACAO

The last decades, many interministerial initiatives related to Education and Health, have created a new conception of the teaching-learning process in the health professions. The discipline Group Psychotherapy with a psychodrama approach, inserted in the education of the Resident in Psychiatry of the Program of Medicine Residency in Psychiatry of the Mental Health and Legal Medicine Department at the Medical School of the Federal University of Goiás (PRMP/DSMML/FM/UFG), searches the education of a skilled professional able to work according to the psychosociocultural dimensions and the process health-illness-care with a holistic perspective. This proposition is based on a new paradigm of integrality, which is justified by the possibility of the resident in psychiatry be part of the Unified Health System (SUS) with a critical and reflexive attitude favoring, thus, the construction of a knowledge from an inseparable articulation between theory and practice. GOAL: Analyze, according to the resident and the former student‟s perspectives the role of the teaching in group psychotherapy in their education. METHODOLOY: This is a descriptive and exploratory study with a qualitative approach in medical education. The teaching practice of the group psychotherapy with a psychodrama approach had as study scenario the Psychiatry Ambulatory of the Hospital of Clínicas of the Federal University of Goiás (HC/UFG). The participants of the research were two residents from the second year, two from the third year and two former students from the Medicine Residency Program in Psychiatry. The data were collected through descriptive reports fulfilled by the residents from the second year and through semi-structured interviews with the six participants. The interviews were recorded, transcribed and submitted to the thematic-categorical content analysis according to Bardin‟s method. RESULTS AND DISCUSSION: From the data analysis emerged two categories: The Educational Actions of the Teaching in Group Psychotherapy and the Social Actions in the Teaching of Group Psychotherapy. The analysis of the first category – Educational Actions of the Teaching of Group Psychotherapy –, obtained five subcategories: Doctor-Patient relationship, Cognitive Learning, Affective Learning, Interdisciplinary Dialogue and Personal Development. We discussed these from the participants‟ perspectives related to the role of educational processes in the education, which is important the change of approach in the doctor patient-resident relationship, contributing with his practice and developing the “know-how”. The resident moved from restricting himself to the disease symptomology to a broader perception when he was closer to the patient, according to the psychosociocultural dimensions and the healthsickness process, motivating the integrity in the assistance. It also contributed to his personal development when he released his spontaneity-creativity with the motivation of interlocution between the “know-think” and the “know-feel”. In the second category analysis – Social Actions of the Teaching of Group Psychotherapy -, we obtained two subcategories: Socialization and Meeting. It was discussed from these ones the participants‟ perspectives related to the role of social processes in their education, which it is evident that there is a socio-interactive space between the tutor-resident-group who trained in the resident the aspects of the “know-live”. It was understood that care begins in the suffering dimension, but the psychotherapeutic strategies conducted it to the promotion of therapeutic love. CONCLUSIONS: The teaching of group psychotherapy reveals that it has an educational role, as it contributes with innovation in the practice scenarios, enabling changes in the relationship resident-patient and consolidating the expanded health concept in the integrality perspective. It also reveals its social role, considering its contribution for a socio-interactive approach between tutor-resident-group.