Archives of Clinical Psychiatry
Print version ISSN 0101-6083
ELIAS, Ana Catarina Araújo; GIGLIO, Joel Sales; PIMENTA, Cibele Andrucioli de Mattos and EL-DASH, Linda Gentry. Training program about the therapeutical intervention "relaxation, mental images and spirituality" (RIME) to resignify the spiritual pain of terminal patients. Rev. psiquiatr. clín. [online]. 2007, vol.34, suppl.1, pp. 60-72. ISSN 0101-6083. http://dx.doi.org/10.1590/S0101-60832007000700009.
BACKGROUND: This article presents a training program for a therapeutic intervention involving relaxation, mental images and spirituality (RIME), which can be administered to help terminal patients to resignify their spiritual pain. OBJECTIVE: Analysis of a training program based on the understanding of the experience of professionals in the use of RIME intervention and of patients in their resignification of spiritual pain, as revealed during the administration of RIME by trained professionals. METHOD: The participants were a nurse, a female doctor, three psychologists and a volunteer alternative therapist, all experienced in or studying palliative care; they were invited to participate in the training program and were later in charge of caring for eleven terminal inpatients in public hospitals of Campinas, Piracicaba and São Paulo. The theoretical and methodological basis of the study involves action-research and phenomenology. Qualitative results were analyzed by the content analysis utilizing the thematic analysis technique. Quantitative results were analyzed descriptively using the Wilcoxon Test. RESULTS: In the analysis of the professionals, experiences, five categories and fifteen sub-categories were found. In the analysis of the constitution of spiritual pain, we found the idea of fear of death to be the most prevalent, either expressed by negation of the gravity of the clinical prognosis or by the perception of this gravity. After the administration of RIME, statistically significant differences in perceived level of well being (p < 0.0001) were expressed after sessions of RIME. CONCLUSION: The proposed training program proved to be effective in preparing health area professionals for the use of RIME intervention, qualifying them to provide spiritual assistance within an academic perspective. The results suggested that RIME promoted the resignification of spiritual pain in terminal patients.
Keywords : Complementary therapy; palliative care; spirituality; relaxation techniques; near-death experiences.