Caracterización y análisis de la cualidad traumática de las “Narrativas relacionales de violencia” identificadas en la primera fase de un proceso de psicoterapia dinámica interpersonal breve

• Autor: Zolezzi López, María del Rosario
• Formato: tesis de maestría
• Fecha de Publicación: 2023
• Institución: Pontificia Universidad Católica del Perú
• Repositorio: PUCP-Tesis
• Lenguaje: español
• OAI Identifier: oai:tesis.pucp.edu.pe:20.500.12404/29945
• Enlace del recurso: http://hdl.handle.net/20.500.12404/29945
• Nivel de acceso: acceso abierto
• Materia: Psicoterapia dinámica; Trauma psíquico; Violencia contra la mujer--Aspectos psicológicos; https://purl.org/pe-repo/ocde/ford#5.01.00

The present exploratory research employs a single case design with the primary aim of identifying and characterizing the narratives constructed by the client, a victim of intimate partner violence (IPV), in dialogue with her therapist during the initial phase of a Brief Interpersonal Dynamic Psychotherapy (DIT) process (Lemma et al., 2011). Fifteen "Relational Violence Narratives" (RVN) were identified, organized around relational episodes (Luborsky, 1998) previously delimited in the material. The Coding and Assessment System for Trauma Narratives - CASNOT (Fernández-Lansac & Crespo, 2017) was applied to these narratives. This instrument analyzes formal and contentrelated characteristics in texts and audios, associating them with psychological processes such as emotions, memory, and post-traumatic symptomatology. Addressing specific objectives, firstly, the applicability of CASNOT in a psychotherapeutic and culturally distinct context was verified. Secondly, the traumatic quality of the RVNs was assessed by contrasting them with diagnostic criteria for posttraumatic stress disorder from DSM-5 (APA-2013). Three narratives associated with symptomatology were identified. Using statistical tests, these were compared with the other twelve narratives across all dimensions and categories of the instrument. Significant differences were found in the areas of "Detail Richness," "Sensory/Perceptual Processes" (immersive quality), "Memory Consistency" (easily evoked at will), and "Other aspects," with higher scores for RVNs associated with traumatic symptomatology. Furthermore, it was found that these narratives are equally organized and coherent as the other narratives, in line with the basic memory mechanisms theory proposed by the instrument's authors. The results obtained through CASNOT concerning the client's subjectivity align with the therapist's clinical observations expressed on the affective interpersonal focus (IAF), suggesting the instrument's relevance in the field of psychotherapy research. Differences were found between the RVNs and the "Negative Narratives" from the Spanish study, possibly related to cultural factors, client-specific idiosyncrasies, and/or potential limitations of the current work.