<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0870-8231</journal-id>
<journal-title><![CDATA[Análise Psicológica]]></journal-title>
<abbrev-journal-title><![CDATA[Aná. Psicológica]]></abbrev-journal-title>
<issn>0870-8231</issn>
<publisher>
<publisher-name><![CDATA[ISPA-Instituto Universitário]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0870-82312008000100004</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Impacto do exercício de psicoterapia nos psicoterapeutas]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernandes]]></surname>
<given-names><![CDATA[Eugénia]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maia]]></surname>
<given-names><![CDATA[Ângela da Costa]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Universidade do Minho Instituto de Educação e Psicologia Departamento de Psicologia]]></institution>
<addr-line><![CDATA[Braga ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>01</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>01</month>
<year>2008</year>
</pub-date>
<volume>26</volume>
<numero>1</numero>
<fpage>47</fpage>
<lpage>58</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0870-82312008000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0870-82312008000100004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0870-82312008000100004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Neste artigo, as autoras debatem os custos e benefícios do exercício da psicoterapia no próprio psicoterapeuta. Começam por assumir os benefícios da psicoterapia para o cliente, fundamentando o impacto positivo que falar sobre as experiências emocionalmente difíceis ou potencialmente traumáticas pode ter no seu crescimento e mudança. Por outro lado, não esquecendo o carácter relacional da psicoterapia, as autoras debatem o impacto negativo que o acto clínico de escutar relatos terríveis e/ou presenciar a expressão do sofrimento, pode ter no próprio terapeuta. Assumindo o carácter de risco que representa a profissão de psicoterapeuta, mas notando a resiliência de muitos terapeutas, as autoras discutem o outro lado da questão, sublinhando a oportunidade de crescimento e desenvolvimento pessoal e profissional que esta actividade também pode oferecer. Por fim, sugerem um conjunto de cuidados aos terapeutas, a ter em consideração consigo próprios, para prevenir os riscos e potenciar os benefícios do exercício da psicoterapia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[In this paper, the authors discuss therapist&#8217;s costs and benefits from to practice psychotherapy. Assuming the benefits of psychotherapy for clients, they justify the positive impact of talk about emotional hard full or potentially traumatic experiences on their growth and change. Nevertheless, not forgetting the relational character of psychotherapy, the authors discuss the negative impact that the clinical act of listen hard narrations and/or to witness the client&#8217;s suffering, can have on the therapist him self. Assuming psychotherapy as a risk job, but looking at resilient psychotherapists, the authors discuss the others side of question, and underline psychotherapy as an opportunity for personal growth and professional development. Finally they suggest some kinds of self-care indications for therapists, in order to prevent risks and to increased benefits from psychotherapy practice.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Psicoterapeuta]]></kwd>
<kwd lng="pt"><![CDATA[trauma vicariante]]></kwd>
<kwd lng="pt"><![CDATA[crescimento]]></kwd>
<kwd lng="pt"><![CDATA[auto-cuidado]]></kwd>
<kwd lng="en"><![CDATA[Psychotherapist]]></kwd>
<kwd lng="en"><![CDATA[vicarious trauma]]></kwd>
<kwd lng="en"><![CDATA[growth]]></kwd>
<kwd lng="en"><![CDATA[self-care]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[ <p><b>Impacto do exerc&iacute;cio de psicoterapia nos psicoterapeutas </b></p>      <p>&nbsp;</p>      <p align="right">Eug&eacute;nia Fernandes (<a href="#1">*</a><a name="top1"></a>)</p>     <p align="right">&Acirc;ngela da Costa Maia (<a href="#1">*</a><a name="top1"></a>)  </p>         <p>&nbsp;</p>          <p align="center">RESUMO </p>          <p align="justify">Neste artigo, as autoras debatem os custos e benef&iacute;cios    do exerc&iacute;cio da psicoterapia no pr&oacute;prio psicoterapeuta. Come&ccedil;am    por assumir os benef&iacute;cios da psicoterapia para o cliente, fundamentando    o impacto positivo que falar sobre as experi&ecirc;ncias emocionalmente dif&iacute;ceis    ou potencialmente traum&aacute;ticas pode ter no seu crescimento e mudan&ccedil;a.    Por outro lado, n&atilde;o esquecendo o car&aacute;cter relacional da psicoterapia,    as autoras debatem o impacto negativo que o acto cl&iacute;nico de escutar relatos    terr&iacute;veis e/ou presenciar a express&atilde;o do sofrimento, pode ter    no pr&oacute;prio terapeuta. Assumindo o car&aacute;cter de risco que representa    a profiss&atilde;o de psicoterapeuta, mas notando a resili&ecirc;ncia de muitos    terapeutas, as autoras discutem o outro lado da quest&atilde;o, sublinhando    a oportunidade de crescimento e desenvolvimento pessoal e profissional que esta    actividade tamb&eacute;m pode oferecer. Por fim, sugerem um conjunto de cuidados    aos terapeutas, a ter em considera&ccedil;&atilde;o consigo pr&oacute;prios,    para prevenir os riscos e potenciar os benef&iacute;cios do exerc&iacute;cio    da psicoterapia. </p>          <p><I>Palavras-chave</I>: Psicoterapeuta, trauma vicariante, crescimento, auto-cuidado.  </p>     <p>&nbsp;</p>          <p align="center">ABSTRACT </p>          ]]></body>
<body><![CDATA[<p align="justify">In this paper, the authors discuss therapist&rsquo;s costs    and benefits from to practice psychotherapy. Assuming the benefits of psychotherapy    for clients, they justify the positive impact of talk about emotional hard full    or potentially traumatic experiences on their growth and change. Nevertheless,    not forgetting the relational character of psychotherapy, the authors discuss    the negative impact that the clinical act of listen hard narrations and/or to    witness the client&rsquo;s suffering, can have on the therapist him self. Assuming    psychotherapy as a risk job, but looking at resilient psychotherapists, the    authors discuss the others side of question, and underline psychotherapy as    an opportunity for personal growth and professional development. Finally they    suggest some kinds of self-care indications for therapists, in order to prevent    risks and to increased benefits from psychotherapy practice. </p>          <p><I>Key words</I>: Psychotherapist, vicarious trauma, growth, self-care. </p>     <p>&nbsp;</p>      <p>Texto completo dispon&iacute;vel apenas em PDF.</p>       <p>Full text only available in PDF format.</p>        <p>&nbsp;</p>      <p align="center">REFER&Ecirc;NCIAS </p>             <!-- ref --><p>Astin, M. (1997). Traumatic therapy: How helping rape victims affects me as a therapist.  <I>Women and Therapy, 20</I>, 101-109. &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000020&pid=S0870-8231200800010000400001&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><p>Bohart, A. C., Elliott, R., Greenberg, L., &amp; Watson, J. (2002).  Empathy. In J. C. Norcross (Ed.), <I>Psychotherapy Relationships that work: therapist  contributions and responsiveness to patients </I>(pp. 89-108). Oxford:  Oxford University Press. </p>      <p>Bruner, J. S. (1986). <I>Actual minds, possible worlds</I>. Cambridge,  MA: Harvard University Press. </p>      ]]></body>
<body><![CDATA[<p>Burton, M., &amp; Topham, D. (1997). Early loss experience in psychotherapists,  church of England clergy, patients assessed for psychotherapy, scientists, and  engineers. <I>Psychotherapy Research, 7</I>, 275-300. </p>      <p>Chafe, W. (1990). Some thins that narratives tell us about the mind. In B. K. Britton,  &amp; A.D. Pellegrini (Eds.), <I>Narrative Thought and narrative Language </I>(pp. 79-98).  Hillsdale, NJ: Lawrence Erlbaum. </p>      <p>Charney, A. E., &amp; Pearlman, L. A. (1998). The ecatasy and the agony: The impact  of disaster and trauma work on the self of the clinician. In P. Kleespies (Ed.),  <I>Emergency psychological services: The evaluation and management of life-threatening behaviour </I> (pp. 418-435). New York: The Guilford Press. </p>      <p>Conrad, D. J., &amp; Perry, B. D. (2000). The cost of caring. <I>Child Trauma  Academy&rsquo;s Interdisciplinary Education Series,  </I>http://www.bem.tmc.edu/cta/Cost_ofCaringI.htm. </p>      <p>Crothers, D. (1995). Vicarious traumatization in work with survivors  of childhood trauma. <I>Journal of Psychological Medicine, 15</I>, 64-67. </p>      <p>Danieli, Y. (1988). Confronting the unimaginable: psychotherapists&rsquo;  reactions to victims of Nazi Holocaust. In J. P. Wilson, Z. Harel, &amp; B. Kahama (Ed.),  <I>Human adaptation to extreme stress &ndash; From the Holocaust to Vietnam </I>(pp. 219-238).  London: Plenum. </p>      <p>Edelwich, J., &amp; Brodsky, A. (1980). <I>Burnout: Stages of disillusionment  in the helping professions</I>. New York: Human Sciences Press. </p>      <p>Elliott, D. M., &amp; Guy, J. D. (1993). Mental health professionals versus  non-mental health professionals: Childhood trauma and adult functioning.  <I>Professional Psychology: Research and Practice, 24</I>, 83-90. </p>      <p>Fernandes, E. M. (2001). <I>Encontro de narrativas terap&ecirc;uticas</I>.  Braga: CEEP.-UM. </p>      <p>Figley, C. R. (1995). Compassion fatigue as secondary traumatic stress disorder:  An overview. In C. R. Figley (Ed.), <I>Compassion fatigue: Coping with secondary  traumatic stress disorder in those who treat the traumatized </I>(pp. 1-20).  New York: Brunner/Maze. </p>      ]]></body>
<body><![CDATA[<p>Fussel, F. W., &amp; Bonney, W. C. (1990). A comparative study of childhood  experiences of psychotherapists and physicists: Implications for clinical practice.  <I>Psychotherapy, 27</I>, 505-512. </p>      <p>Ghahramanlou, M., &amp; Brodbeck, C. (2000). Predictors of secondary  trauma in sexual assault trauma counselors. <I>International Journal of Emergency  Mental Health, 2</I>, 229-240. </p>      <p>Gomes, R., &amp; Cruz, J. (1999). <I>Estudo do stress e do burnout no  exerc&iacute;cio profissional da psicologia em Portugal</I>. Braga:  Centro de Estudos de Investiga&ccedil;&atilde;o e Psicologia, Universidade do Minho. </p>      <p>Guy, J. D. (1987). <I>The personal life of the psychotherapist</I>. New York: Wiley. </p>      <p>Harber, K. D., &amp; Pennebaker, J. W. (1992). Overcoming traumatic memories.  In S. Christianson (Ed.), <I>The handbook of emotion and memory. Research and theory </I> (pp. 359-387). New Jersey: Lawrence Erlbaum Associates. </p>      <p>Hayes, J. A., Gelso, C. J., Van Wagoner, S. L., &amp; Diemer, R. A. (1991).  Managing countertransference: what the experts think. <I>Psychological Reports,  69</I>, 138-148. Herman, J. (1992). <I>Trauma and recovery</I>. New York: Basic Books. </p>      <p>Hesse, A. R. (2002). Secondary trauma: how working with trauma survivors  affects therapists. <I>Clinical Social Work Journal, 30</I>, 293-309. </p>      <p>Horowitz, M. J. (1986). <I>Stress response syndromes</I>. New York: Jason Aronson. </p>      <p>Jenkins, S. R., &amp; Baird, S. (2002). Secondary traumatic stress and  vicarious trauma: a validational study. <I>Journal of Traumatic Stress, 15</I>,  423-432. </p>      <p>Levine, J. (1996). Oklahoma City: The Storytelling of a disaster.  <I>Smith College Studies in Social Work, 67</I>, 21-38. </p>      ]]></body>
<body><![CDATA[<p>Mahoney, M. J. (1991). <I>Human change processes: The scientific foundations  of psychotherapy</I>. New York: Basic Books. </p>      <p>Maia, A. M. (1998). <I>Narrativas prot&oacute;tipo e organiza&ccedil;&atilde;o  do conhecimento na depress&atilde;o</I>. Tese de doutoramento apresentada  &agrave; Universidade do Minho. </p>      <p>Mandler, J. (1984). <I>Scripts, stories and scenes: Aspects of schema theory</I>.  Hillsdale, NY: Earlbaum. </p>      <p>McCann, L., &amp; Pearlman, L. A. (1999). Vicarious Traumatization: A  framework for understanding the psychological effects of working with victims.  <I>Journal of Traumatic Stress, 3</I>, 131-149. </p>      <p>Miller, L. (1998). Our own medicine: traumatized psychotherapists and  the stresses of doing therapy. <I>Psychotherapy, 35</I>, 137-146. </p>      <p>Newman, D. A., &amp; Gamble, S. J. (1995). Issues in the professional  development of psychotherapists: countertransference and VT in the new  trauma therapist. <I>Psychotherapy, 32</I>, 341-247. </p>      <p>Orlinsky, D., Ambuhl, H., Ronnestad, H., Davis, J., Gerin, P., Davis, M.,  Willutzki, U., Botermans, J. F., Dazord, A., Cierpka, M., et al. (1999).  Development of psychotherapists: concepts, questions, and methods of a  collaborative international study. <I>Psychotherapy Research, 9</I>, 127-153. </p>      <p>Pearlman, L. A., &amp; MacIan, P. S. (1995). Vicarious traumatization:  an empirical study of the effects of trauma work on trauma therapists.  <I>Professional Psychology: Research and Practice, 26</I>, 558-565. </p>      <p>Pearlman, L. A., &amp; Saakvitne, K. (1995a). <I>Trauma and therapist:  Countertransference and vicarious traumatization in psychotherapy with incest  survivors</I>. New York: W. W. Norton. </p>      <p>Pearlman, L. A., &amp; Saakvitne, K. (1995b). Treating therapists with  vicarious traumatization and secondary traumatic stress disorders. In C. R.  Figley (Ed.), <I>Compassion fatigue: Coping with secondary traumatic stress  disorder in those who treat the traumatized </I>(pp. 150-177). New York:  Brunner/Mazel. </p>      ]]></body>
<body><![CDATA[<p>Pennebaker, J. W. (1989). Confession, inhibition and disease. In L. Berkowitz  (Ed.), <I>Advances in experimental social psychology </I>(Vol. 22, pp. 211-244).  New York: Academic Press. </p>      <p>Pennebaker, J. W., Hughes, C. F., &amp; O&rsquo;Heeron, R. C. (1987).  The psychophysiology of confession: Linking inhibitory and psychosomatic processes.  <I>Journal of Personality and Social Psychology, 52</I>, 781-793. </p>      <p>Pennebaker, J. W., Colder, M., &amp; Sharp, L. K. (1990). Accelerating the coping  process. <I>Journal of Personality and Social Psychology, 58</I>, 528-537. </p>      <p>Petrie, K. J., Booth, R. J., &amp; Pennebaker, J. W. (1998). The immunological  effects of thought suppression. <I>Journal of Personality and Social Psychology, 75</I>,  1264-1272. </p>      <p>Polkinghorne, D. (1988). <I>Narrative knowing and the human sciences</I>.  Albany: Suny Press. </p>      <p>Pope, K. S., &amp; Feldman-Summers, S. (1992). National survey of psychologists&rsquo;  sexual and physical abuse history and their evaluation of training and competence in these  areas. <I>Professional Psychology: Research and Practice, 23</I>, 353-361. </p>      <p>Russel, R. L., &amp; van den Brock, P. (1992). Changing narratives schemas in  psychotherapy. <I>Psychotherapy, 29</I>, 344-354. </p>      <p>Saakvitne, K. W., &amp; Pearlman, L. A. (1996). <I>Transforming the pain:  a workbook on vicarious traumatization</I>. London: W. W. Norton. </p>      <p>Sanderson, C. (1997). <I>Counselling adult survivors of child sexual abuse</I>.  London: Jessica Kingsley Publishers. </p>      <p>Sarbin-Farrell, R., &amp; Turpin, G. (2003). Vicarious traumatization: implications  for the mental health of health workers?. <I>Clinical Psychology Review, 23</I>, 449-480. </p>      ]]></body>
<body><![CDATA[<p>Sarbin, T. R. (Ed) (1986). <I>Narrative psychology: The storied nature of  adult conduct</I>. New York: Praeger. </p>      <p>Schauben, L. J., &amp; Frazier, P. A. (1995). Vicarious trauma: the effects  on female counselors of working with sexual violence victims. <I>Psychology  of Women Quarterly, 19</I>, 49-64. </p>      <p>Schnurr, P. P., Ford, J. D., Friedman, M. J., Green, B. L., Din, B. J.,  &amp; Sengupta, A. (2000). Predictors and outcomes of posttraumatic stress  disorder in World War II veterans exposed to mustard gas. <I>Journal of Consulting  and Clinical Psychology, 68</I>, 258-268. </p>      <p>Skovholt, T. M., &amp; Ronnestad, M. H. (1992). Themes in therapist and  counselor development. <I>Journal of Counseling &amp; Development, 70</I>,  505-515. </p>      <p>Smith, J. M., &amp; Pennebaker, J. W. (2001). What are the health effects  of Disclosure? In A. Baum, T. A. Revenson, &amp; J. E. Singer (Eds.),  <I>Handbook of health psychology </I>(pp. 339-348). London: Lawrence Erlbaum Associates. </p>      <p>Tolin, D. F., &amp; Foa, E. B. (2006). Sex Differences in Trauma and  Posttraumatic Stress Disorder: A Quantitative Review of 25 Years of Research.  <I>Psychological Bulletin, 132</I>, 959-992. </p>      <p>van der Kolk, B. A., &amp; Fisler, R. E. (1995). Dissociation and the  fragmentary nature of traumatic memories: overview and exploratory study.  <I>Journal of Traumatic Stress, 8</I>, 505-525. </p>      <p>van der Kolk, B. A. (2003). Posttraumatic stress disorder and the nature of  trauma. In M. S. Solomon, &amp; D. S. Siegel (Eds.), <I>Healing trauma. Attachment,  mind, body and brain </I>(pp. 168-195). New York: W. W. Norton. </p>      <p>van der Kolk, B. A., Hopper, J., &amp; Osterman, J. (2001). Exploring the  nature of traumatic memory: Combining clinical knowledge with laboratory methods.  <I>Journal of Agression, Maltreatment and Trauma, 4</I>, 9-31. </p>      <p>van der Kolk, B. A., Bessel, A., Burbridge, J. A., &amp; Suzuki, J. (1997).  The psychobiology of traumatic memory: clinical implications of neuroimaging  studies. <I>Annuals of the New York Academy of Sciences, 821</I>, 99-113. </p>      ]]></body>
<body><![CDATA[<p>Yassen, J. (1995). Preventing secondary traumatic stress disorder. <I>Compassion  fatigue: Coping with secondary </I><I>traumatic stress disorder in those who  treat the trau</I><I>matized </I>(pp. 178-208). New York: Brunner/Mazel. </p>      <p>&nbsp;</p>     <p>(<a href="#top1">*</a><a name="1"></a>) Departamento de Psicologia, Instituto    de Educa&ccedil;&atilde;o e Psicologia, Universidade do Minho, Braga, Portugal.    E-mail (da primeira autora): <a href="mailto:eugeniaf@iep.uminho.pt">eugeniaf@iep.uminho.pt    </a></p>              ]]></body><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Astin]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Traumatic therapy: How helping rape victims affects me as a therapist]]></article-title>
<source><![CDATA[Women and Therapy]]></source>
<year>1997</year>
<volume>20</volume>
<page-range>101-109</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
