Silva, Joana Ribeiro da
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Silva
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Joana Ribeiro da
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Joana Ribeiro da Silva
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Concluiu o(a) Doutoramento em Doutoramento em Psicologia Clínica em 2011 pelo(a) Universidade do Minho e Licenciatura em Psicologia, área de pré-especialização em Psicologia Clínica em 2005 pelo(a) Universidade do Minho. É Professora Auxiliar na Universidade Portucalense Infante Dom Henrique, Departamento de Psicologia e Educação.
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CINTESIS.UPT - Centro de Investigação em Tecnologias e Serviços de Saúde
Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS.UPT), former I2P, is an R&D unit devoted to the study of cognition and behaviour in context. With an interdisciplinary focus, namely on Education, Translational and Applied Psychology
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Publicação Acesso Restrito Studying psychotherapy change in narrative terms: The innovative moments method2020-07-27 - Batista, João; Magalhães, Carina; Ferreira, Helena; Fernández-Navarro, Pablo; Gonçalves, Miguel M.; Silva, Joana Ribeiro daThis paper aims to describe the Innovative Moments (IM) Coding System (IMCS), an idiographic and transtheoretical methodology that allows the identification of IMs—markers of changes in the client's initial maladaptive framework of meaning—throughout psychotherapy. The present study introduces the theoretical background underlying this methodology, along with the main empirical findings resulting from former studies that have applied this tool to clinical data. The IMCS application is also detailed: the coding phases, the training steps and inter-rater agreement measures. In order to illustrate the application of IM coding, a case study is presented. Although a partial coding was used, the results are in line with previous research. Discussion is centred on the usefulness of the IMCS for the advance of process research in psychotherapy, and the potential use of this methodology in group format.Publicação Acesso Restrito Mother–infant bonding in the first nine months postpartum: the role of mother’s attachment style and psychological flexibility2023-07-31 - Mateus, Vera; Araújo, Vânia; Xavier, Ana; Vagos, Paula; Palmeira, Lara; Silva, Joana Ribeiro daIntroduction Mother’s bond to the infant in the postpartum period plays an important role in the subsequent mother–infant relationship and the infant’s socio-emotional functioning. Several maternal characteristics, such as attachment style and psychological flexibility, may contribute to the quality of mother–infant bonding, though literature examining these variables is still scarce. The present study aimed to examine the impact of mother’s attachment on mother–infant bonding in the first month postpartum and the mediating role of psychological flexibility on that association. Methods Participants were 226 mothers of an infant up to 9 months old, who reported on their own attachment style (in terms of anxiety, comfort with proximity, trust in others), psychological flexibility (in terms of openness to experience, behavioural awareness, valued action) and mother–infant bonding. Results Results showed that mother’s attachment anxiety predicted a bond with the infant directly and indirectly via mother’s psychological flexibility, specifically through behavioural awareness and valued action. Trust in others had an impact on mother–infant bonding through behavioural awareness, whereas comfort with proximity influenced mother–infant bond indirectly, via valued action. Finally, mothers’ civil status, schooling and number of children were relevant to better understand the variance of our mediating and dependent variables. Discussion Our findings highlight the importance of mother’s attachment and psychological flexibility in promoting the quality of mother–infant bonding, which can inform future intervention programmes targeting modifiable factors, such as psychological flexibility, to promote early positive parent–infant relationships, particularly for single, first-time mothers, with higher levels of education.Publicação Acesso Aberto The longitudinal impact of psychological flexibility and compassion on mother-baby bonding: Care4mmmies study protocol [comunicação oral]2023-03-30 - Mateus, Vera; Palmeira, Lara; Xavier, Ana; Silva, Joana Ribeiro da; Vagos, PaulaBecoming a mother is a life-changing event that is often experienced in a positive way, but may also encompass great vulnerability and uncertainty, with the potential to hinder the mother’s well-being and foster disorganization, particularly for women with attachment difficulties dealing with a difficult infant. Risk factors to the quality of mother-infant emotional bonding are well documented, whereas research into the mothers’ protective and modifiable factors is scarcer. Psychological flexibility and compassion are adaptive emotional regulation strategies that have been linked to the wellbeing and mental health in diverse populations. The current work intends to present the Care4mommies project, which aims to examine whether prenatal maternal compassion (towards others and the self) and psychological flexibility play a protective role in the development of postpartum mother-infant bonding over time and whether this effect remains relevant regardless of mothers’ attachment style and infant temperament. Participants will be pregnant women to be assessed between 22 and 30 weeks of gestation (T0) and when the infant is three (T1) and nine months old (T2). Participants will respond to an online survey that includes sociodemographic information and questionnaires about their compassion and psychological flexibility to be completed at all three assessments. In addition, mothers’ own attachment style will be reported during pregnancy, and infant temperament and mother-infant bonding questionnaires will be administered at T1 and T2. Recruitment will take place through social media advertising, colleagues and acquaintances of the research team members, and family health units attending pregnant women. Data will be analysed using a structural equation modelling approach. Overall, we expect that higher levels of mother’s compassion and psychological flexibility will predict higher quality of mother-infant bonding. In addition, we expect that the impact of less adaptive maternal attachment styles and infant difficult temperament on mother-infant bonding will be moderated by mother’s compassion and/or psychological flexibility. Finally, we expect mother-infant bonding at T2 to be predicted by mothers’ attachment style, compassion and psychological flexibility, infant temperament, and mother-infant bonding previously assessed. The study findings will clarify whether mothers’ compassion and psychological flexibility may be protective for mother-infant bonding, which can inform future studies in designing and testing specific parental interventions to promote a secure mother-infant bond in the postpartum period.Publicação Acesso Aberto A qualitative study of social anxiety and impairment amid the COVID-19 pandemic for adolescents and young adults in Portugal and the US2022-11-24 - Coyle, Samantha; Masia, Carrie; Martin, Grace; Wimmer, Jessica; Kalvera, Avi; Jeyanayagam, Britney; Lekas, Helen-Maria; Ganho-Ávila, Ana; Lima, Luiza; Xavier, Ana; Vagos, Paula; Silva, Joana Ribeiro daThis qualitative investigation explored the social and academic experiences of socially anxious adolescents and young adults in Portugal and the US as they lived through the restrictions imposed by the COVID-19 pandemic. Participants were 10 Portuguese adolescents (mean age = 16.9 years; 50% female) and 7 young adults in the US (mean age = 19.67 years; 71% female; racially/ethnically diverse). Participants completed a semi-structured interview evaluating how the pandemic and social restrictions impacted social anxiety symptoms and associated functional impairment in social and academic domains. Thematic analysis was used to categorize responses across developmental stages and countries. Findings show consistent patterns across cultures, with symptoms of SAD extending to virtual contexts. Participants reported avoidance behaviors that were reinforced by social distancing mandates and declines in academic engagement during remote learning. Anticipatory anxiety about the return to normal social routines was also evident. Schools should be aware of the impact of social confinement on socially anxious students as they return to in person school schedules and social demands.Publicação Acesso Restrito What Can Therapists Learn from Coding Therapy Sessions? Interviewing Clinicians to Explore the Case of Innovative Moments Training2023-09-01 - Fernández-Navarro, Pablo; Batista, João; Silva, Joana Ribeiro daInnovative Moment Coding System (IMCS) has influenced their clinical practice. Participants, that worked both as researchers and therapists, were interviewed using a semi-structured script written for the current study. The interviews explored whether or not coding psychotherapy sessions (participants’ research experience with innovative moments; IMs) had impacted their clinical practice. A descriptive–interpretative qualitative approach was used to analyze the video recordings of the interviews. Four themes identified the effects of coding therapy sessions with IMs in therapists’ clinical practice: (1) increasing attention to clients’ change instances, (2) noticing clients’ development, (3) implementing strategies inspired by the IM model, and (4) identifying hindering situations. Results suggested that coding therapy sessions appears to bring benefits to practice, regardless of the participant’s theoretical orientation. We discuss how coding sessions may bring subtle but valuable additions to therapists’ everyday practice offering better attunement to clients’ micro-processes of change. In particular, IMCS categorization of such processes could present a useful form of feedback for therapist’s interventions or deliberate practice, further developing therapists’ sensitivity to the interplay between change and problem narratives (called double listening).Publicação Acesso Restrito Online Externalizing Metaphor Therapy for Mild-to-Moderate Anxiety2022-05-05 - Tavares, Lúcia; McGuinty, Everett; Silva, Joana Ribeiro da; Vagos, PaulaAnxiety has become more prevalent in recent years, exacerbated by the Covid-19 pandemic, although it remains largely unrecognized and untreated. Thus, there is a need for effective, short, and accessible forms of intervention. Externalizing Metaphor Therapy (EMT) is a post-modern brief treatment for mild to moderate anxiety. Its efficacy is herein analyzed by examining the process and outcomes of a four session online individual therapy with 4 young adults. Qualitative and quantitative data on individual change provides preliminary support for the efficacy of EMT at post-treatment and follow-up. Additionally, EMT therapist’s descriptions and participants’ perspectives on the process of change suggests putative mediators of EMT in the transformation process. Future randomized controlled trials using wider samples are needed to confirm these provisional results.Publicação Acesso Aberto Can psychological flexibility discriminate mothers' attachment styles? A study during pregnancy [comunicação oral]2023-07 - Moreira, Susana; Sousa, Mariana; Veloso, Bruna; Palmeira, Lara; Xavier, Ana; Vagos, Paula; Silva, Joana Ribeiro daPsychological flexibility (PF) has been associated with greater well-being, less psychopathology and better parent’s and child’s adjustment (Fonseca et al., 2020; Monteiro et al., 2019). [...]Publicação Acesso Aberto The meaning in loss protocol: A clinical trial of online grief therapy2024-06-28 - Batista, João; Alves, Daniela; Pires, Nuno; Silva, Joana Ribeiro da; Mendes, Inês; Magalhães, Carina; Rosa, Catarina; Oliveira, João Tiago; Gonçalves, Miguel M.; Neimeyer, Robert A.For a minority of the bereaved, the loss of a significant other can trigger an overwhelming emotional reaction and impaired functioning across life domains, known as prolonged grief disorder (PGD). Hence, ongoing efforts have been made to refine existing treatments to increase their efficacy and to accommodate the idiosyncrasies of grief reactions. This study presents the results of an open clinical trial of the feasibility and effectiveness of the Meaning in Loss (MIL) protocol in an online format. The brief intervention of 12 to 16 sessions combines constructivist and narrative strategies to explore and work through impediments to meaning reconstruction in loss. The sample included 25 participants diagnosed with PGD who were treated by six therapists. Baseline and post-therapy comparisons showed a significant improvement in all clinical measures (grief symptomatology, depression and general distress) and an increase of meaning making regarding the loss. Meaning making was found to be a prospective mediator of symptomatic improvement in grief across the course of therapy. These findings suggest the effectiveness of the MIL protocol in decreasing grief specific and associated symptomatology and argue for the relevance of further controlled evaluations of its efficacy. Moreover, results confirm previous findings that meaning making is a relevant factor in the evolution of grief reactions, including in the context of psychotherapy.Publicação Acesso Restrito Understanding Extreme Violent Behavior in Ultra Firms: Exploring Identity Fusion from a Dialogical Perspective2020-03-02 - Silva, R. da; Fernández-Navarro, Pablo; Rosa, C.; Gonçalves, M. M.; Silva, Joana Ribeiro daThis paper explores a dialogical operationalization of identity fusion in the context of football firms. An in-depth life story interview with a longstanding member of a football firm involved in several violent episodes was qualitatively analyzed. The variety of positions of the self (I-positions) as well as the dialogical relations established by such positions were examined under themes associated with identity fusion, in an attempt to understand pro-group radical violent behavior. Results suggest that a core coalition of internal I-positions and external We-positions favoring extreme ultra violence appeared to dominate the participant’s self-system. This coalition seemed to have soft boundaries among the positions compounding it and, at the same time, rigid boundaries with other positions of the self-system, operating as an I-prison, preventing alternative counter-violence voices to be heard and promoter or meta-positions to emerge. Considering that functionally equivalent forms of identity fusion have been identified in radical football violence and terrorism, this knowledge can contribute to tackle the pathways for engaging in extreme violence in favor of a group/organization. Moreover, it can be used to develop more effective programs to promote individuals’ de-fusion from different groups, whenever group adherence proves dysfunctional and risky for themselves and/or others.Publicação Acesso Aberto The role of mother’s prenatal compassion and psychological flexibility in postpartum mother-to-infant bonding [comunicação oral]2023-07 - Mateus, Vera; Veloso, Bruna; Xavier, Ana; Palmeira, Lara; Vagos, Paula; Silva, Joana Ribeiro daThe transition to motherhood encloses several challenges that can hinder women’s psychological well-being and impact mother-baby bonding. Therefore, it is important to investigate which maternal characteristics promote their bond to the infant, especially those that can be modified through targeted interventions. This work aims to examine whether mother’s prenatal compassion and psychological flexibility have an impact on mother-infant bond in the postpartum period. Participants are 298 pregnant women between 22 and 30 weeks of gestation and with a mean age of 32 years old (SD = 4.43). Women completed the Comprehensive Assessment of Acceptance and Commitment Therapy Processes and the Compassion Action and Engagement Scales during pregnancy, whereas mother-infant bonding was measured at 3-months postpartum via the Postpartum Bonding Questionnaire. Data collection of the postpartum assessment is ongoing. We expect that higher levels of mother’s prenatal compassion and psychological flexibility will predict better quality of mother-baby bonding. The study findings can inform future studies in designing and testing specific parental interventions to foster a positive and secure mother-infant bond in the postpartum period.