Trauma and countertransference: development and validity of the Assessment of Countertransference Scale (ACS)

Revista Brasileira de Psiquiatria

Érico De Moura Silveira Júnior²  Guilherme Vanoni Polanczyk¹  Mariana Eizirik¹  Simone Hauck²  Cláudio Laks Eizirik²  Lúcia Helena Freitas Ceitlin² 

[1] ,Hospital de Clínicas de Porto Alegre Center for Study and Treatment of Traumatic Stress Núcleo de Estudos e Tratamento do Trauma Psíquico,Brazil

关键词: countertransference;    trauma victims;    validity;    factor analysis;    contratransferência;    vítimas de trauma;    validade;    análise fatorial;   

DOI  :  10.1590/S1516-44462012000200013

来源: SciELO

【 摘 要 】

OBJECTIVES: The aim of the present study was to investigate the construct validity of the Assessment of Countertransference Scale (ACS) in the context of the trauma care, through the identification of the underlying latent constructs of the measured items and their homogeneity. METHODS: ACS assesses 23 feelings of CT in three factors: closeness, rejection and indifference. ACS was applied to 50 residents in psychiatry after the first appointment with 131 victims of trauma consecutively selected during 4 years. ACS was analyzed by exploratory (EFA) and confirmatory (CFA) factor analysis, internal consistence and convergent-discriminant validity. RESULTS In spite of the fact that closeness items obtained the highest scores, the EFA showed that the factor rejection (24% of variance, α = 0.88) presented a more consistent intercorrelation of the items, followed by closeness (15% of variance, α = 0.82) and, a distinct factor, sadness (9% of variance, α = 0.72). Thus, a modified version was proposed. In the comparison between the original and the proposed version, CFA detected better goodness-of-fit indexes for the proposed version (GFI = 0.797, TLI = 0.867, CFI = 0.885 vs. GFI = 0.824, TLI = 0.904, CFI = 0.918). CONCLUSIONS: ACS is a promising instrument for assessing CT feelings, making it valid to access during the care of trauma victims.

【 授权许可】

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