Ana Catarina Nunes da Silva

Title: Paradigmatic Complementarity – An integrative metamodel


To present the paradigmatic complementarity model. Paradigmatic complementarity concerns the ability to make a complementary and sequential use of common factors or general principles of change and techniques derived from several specific therapeutic orientations.


In general terms, the PC metamodel is composed by three elements: (1) a theory of adaptation, stressing the pivotal importance of regulating the satisfaction of key psychological needs (14 needs organized in 7 dialectical/complementary polarities), as well as the role played by mood and emotions in signaling the level of this regulation; (2) a theory of disorder, underlining the importance of the concepts of maladaptive schemas, alexithymia and emotional dysregulation as hindering variables in the process of regulating the satisfaction of needs, and finally; (3) a theory of intervention that envisions the therapeutic process as a sequence of 7 phases contemplating the promotion, on the part of the therapist, and capacitation, on the part of the patient, of phase-specific strategic objectives.


An overview of the model is made considering its 4 components: 1) Being in Therapy; 2) The “What” of therapy; 3) The “How” of therapy; and 4) The “When” of therapy.


The relevance for intervention and traininig of an integrative metamodel
is discussed.

Foto Ana Nunes da Silva (2)