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 Early maltreatment and current quality of relational care predict socioemotional problems among institutionalized infants and toddlers2018-10-19 - Baptista, Joana; Marques, Sofia; Martins, Carla; Soares, Isabel; Silva, Joana Ribeiro daThe present study is focused on child socioemotional problems 6 months after institutionalization, by considering the putative predictive role of child maltreatment, of developmental functioning at admission and the following months, and of the quality of institutional relational care. Fifty institutionalized infants and toddlers participated in this study. Child developmental functioning (i.e., cognitive, language, and motor development) was assessed at admission to the institution (Wave 0), and 3 (Wave 1) and 6 months (Wave 2) thereafter. The quality of institutional relational care—operationalized in terms of caregivers’ sensitivity and cooperation—was measured at Wave 2. Caregivers reported on the presence of disturbed socioemotional behaviors at Wave 2. Child gestational age, birth weight, age, and stunted growth at admission to the institution served as covariates. Results revealed significant associations between socioemotional difficulties and lower levels of motor development at Waves 0 and 1, child maltreatment, and less sensitive caregiving. A logistic regression showed that child maltreatment and caregiver insensitivity were the only significant predictors of disturbed socioemotional functioning by the end of 6 months of institutionalization.Publicação Acesso Aberto Innovation and ambivalence: a narrative-dialogical perspective on therapeutic change2018-05 - Gonçalves, Miguel M.; Ribeiro, António P.; Rosa, Catarina; Braga, Cátia; Magalhães, Carina; Oliveira, João Tiago; Silva, Joana Ribeiro daChange is indisputably one of the main goals of psychotherapeutic work. From a dialogical perspective, psychotherapeutic change entails a transformation in the transactional and communicative relationships established in the client’s “inner society of I-positions”. In the present chapter, we summarize the main findings of our narrative-dialogical research program on the processes of change in psychotherapy, privileging three related processes: the emergence of innovation, the occurrence of ambivalence (i.e., rejection of innovation), and 2 ambivalence resolution (i.e., back to innovation again). The systematic empirical study of these processes has been made possible by their operationalization and subsequent development of three process-oriented coding systems, respectively: the Innovative Moments Coding System, the Ambivalence Coding System, and the Ambivalence Resolution Coding System. Additionally, the theoretical and clinical implications of this empirical line of research is discussed and illustrated.Publicação Acesso Aberto Early family adversity, stability and consistency of institutional care and infant cognitive, language and motor development across the first six months of institutionalization2019-11 - Baptista, Joana; Belsky, Jay; Marques, Sofia; Martins, Carla; Silva, Joana Ribeiro daThis study extends research on the effects of institutionalization—by examining the trajectories of cognitive, language and motor development of 64 Portuguese infants and toddlers across the first six months of institutionalization, while determining whether pre-institutional adversities and the stability and consistency of institutional care predict children’s development. At time of enrollment, 23.4%, 32.8% and 31.3% of the children were moderately to severely delayed, respectively, in their cognitive, linguistic and motor functioning. Developmental problems persisted after six months of institutionalization. The accumulation of early pre-institutional adversities predicted cognitive and motor limitations at admission to the institutions, but not variation in subsequent development. The stability and consistency of institutional care also failed to predict developmental growth and change. Children who had never lived with their families of origin showed a better language development at enrollment than their counterparts who had lived with their families of origin before institutionalization. Such advantage was followed by a deceleration in language growth after six months of institutional placement. Results are discussed in terms of short- vs. longer-term effects of institutionalization.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 Tracking narrative change in the context of extremism and terrorism: Adapting the Innovative Moments Coding System2019-07 - Silva, Raquel da; Fernández-Navarro, Pablo; Gonçalves, Miguel M.; Rosa, Catarina; Silva, Joana Ribeiro daExisting models of deradicalisation, countering violent extremism (CVE), and counter-terrorism (CT) have lacked a clear theory of change, as well as robust empirical methodologies. This paper proposes an empirically-based systematic and transparent methodology – the Innovative Moments Coding System (IMCS) – which is empirically sensitive, ethically defensible, and can be of use in the context of research to inform practitioner contexts. Through a case study of former violent militants, we explore the adaptation and usage of this instrument to identify and track self-narrative change in the processes of engagement and disengagement, as well as radicalisation and deradicalisation in the context of violent extremism and terrorism. We illustrate how this methodology has the potential to bring benefits to the work of researchers involved in producing guidelines for disengagement, deradicalisation or risk-reduction interventions.Publicação Acesso Restrito Externalizing metaphors therapy and innovative moments: A four-session treatment group for anxiety2018-03-20 - Mcguinty, Everett F.; Bird, Brian M.; Morrow, Danielle K.; Armstrong, David C.; Silva, Joana Ribeiro daThe zeitgeist for brief services psychotherapy efficacy is well underway within the individual and family therapy treatment modalities. However, this paradigm shift, to produce clinically significant mental health outcomes in a much shorter time, has evolved to a much lesser degree within the treatment group format. Longer-term treatment group protocols typically do not match treatment-seeking behaviors with high dropout rates for clients. The current authors describe a structured, four-session treatment protocol that integrates the tenets of Externalizing Metaphors Therapy (EMT) with Innovative Moments (IMs) in addressing anxiety for children and youth. EMT is based upon the externalization of problems, transformation of metaphoric imagery, and the shifting of underlying maladaptive emotional schemas. It is suggested that treatment outcomes are enhanced through the integration of three IMs between-session exercises.Publicação Acesso Aberto Terapia narrativa de reautoria2018 - Baptista, João; Magalhães, Carina; Pinheiro, Patrícia; Ribeiro, António; Catarina, Rosa; Gonçalves, Miguel M.; Silva, Joana Ribeiro daPublicação Acesso Restrito Three narrative-based coding systems: Innovative moments, ambivalence and ambivalence resolution2017-01 - Gonçalves, Miguel M.; Ribeiro, António P.; Mendes, Inês; Alves, Daniela; Rosa, Catarina; Silva, Joana Ribeiro daNarrative and dialogical perspectives suggest that personal meaning systems' flexibility is an important resource for change in psychotherapy. Drawn from these theoretical backgrounds, a research program focused on the identification of Innovative Moments (IMs)—exceptions to the inflexible meaning systems present in psychopathological suffering—has been carried out. For this purpose, three process-oriented coding systems were developed: The IMs Coding System, the Ambivalence Coding System, and the Ambivalence Resolution Coding System. They allow, respectively, for the study of change, ambivalence, and ambivalence resolution in therapy. This paper presents these coding systems, the main findings that resulted from their application to different samples and therapeutic models, the main current and future lines of research, as well as the clinical applications of this research program.