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1.
Pap. psicol ; 40(2): 89-100, mayo-ago. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-183639

RESUMO

La Práctica (Clínica) Basada en la Evidencia se define como la integración de la mejor investigación disponible con la pericia clínica y las características, preferencias y cultura del paciente. Del mismo modo, la variable terapeuta empieza a mostrar su influencia decisi-va en el resultado de los tratamientos psicológicos. En este trabajo se pone el énfasis en la figura del terapeuta en el contexto del pro-grama de formación PIR de especialistas en Psicología Clínica de nuestro Sistema Nacional de Salud. Se revisan los constructos pericia, efectos del terapeuta y se presenta la Práctica Deliberada como un sistema de entrenamiento que puede ayudar a mejorar los resultados de los clínicos y sus tratamientos. Se realizan recomendaciones concretas para mejorar el modelo de supervisión durante la residencia PIR y se discuten algunas de las implicaciones y limitaciones del estado actual de la cuestión


Evidence-based (clinical) practice is the integration of the best available research with clinical expertise in the context of patient characteristics, culture and preferences. Similarly, the therapist factor is beginning to show its decisive influence on the outcome of psychological treatments. This paper emphasizes the therapist factor in the context of the PIR training program of Clinical Psychology specialists within our National Health System. Expertise and therapist effects are reviewed and deliberate practice is presented as a training system that can help clinical psychologists to improve their outcomes and treatments. Specific recommendations are made to improve the supervision model during PIR training and the implications and limitations of the topic are discussed


Assuntos
Humanos , Psicologia Clínica/métodos , Psicoterapia/métodos , Aptidão/fisiologia , Competência Clínica , Processos Psicoterapêuticos , Psicologia Clínica/instrumentação , Prática Clínica Baseada em Evidências , Sistemas Nacionais de Saúde
2.
Artigo em Inglês | IBECS | ID: ibc-183854

RESUMO

Members of the Sikh Khalsa who make their residence in the United States represent a psychologically underserved and understudied population. A lack of awareness of psychological services contributes to this status; however, the challenges inherent in reconciling cultural norms within the United States with the native cultures of immigrant populations should not be neglected. As a consequence of the paucity of ethnically Sikh psychotherapists, the number of therapists with a competent cultural understanding of this population is limited. By sharing the insights and observations culled from dialogue with members of a Sikh community recovering in the wake of a national tragedy, we present our insights and an approach to therapeutic intervention developed to facilitate future psychotherapeutic endeavors both in Sikh communities and other ethnic minorities at large. The model developed in this study identifies demographic issues, therapeutic approach, gender bias, language, confidentiality, peer support, and immigrant status as the most important factors when treating this population. Ultimately, it is our intention to elevate awareness of some of the idiosyncratic complexities involved in treatment and research of this underserved minority group, particularly as our population continues to diversify


No disponible


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Grupos Minoritários/psicologia , Transtornos Mentais/terapia , Psicoterapia/estatística & dados numéricos , Transtornos de Estresse Pós-Traumáticos/terapia , Saúde das Minorias Étnicas , Processos Psicoterapêuticos , Índia/etnologia , Religião e Psicologia , Competência Cultural , Emigrantes e Imigrantes/psicologia , Estados Unidos/epidemiologia , Terrorismo/psicologia , Sobreviventes/psicologia
3.
Rev. psicoanál. (Madr.) ; 34(85): 125-137, 2019.
Artigo em Inglês | IBECS | ID: ibc-189813

RESUMO

Fundamentalmente el psicoanálisis trata de la verdad; su tarea es analizar la relación analítica de manera profunda y verdadera y nada lo muestra mejor que el intento de enseñarlo. El trabajo con candidatos y analistas ha fortalecido mi convicción de que, para trabajar eficazmente como analista, se necesita una profunda confianza personal en el proceso psicoanalítico basada en la experiencia íntima de que la confrontación con el inconsciente en los propios análisis ha sido algo decisivo y positivo. Este hecho fomenta la confianza en el impacto saludable de lo que yo llamo la veracidad del psicoanálisis. Sin embargo, esta sincera búsqueda de la verdad en ocasiones está bloqueada por miedos inconscientes por parte del analista. Se produce entonces fácilmente una transmisión de inseguridad y de desmentida, como resultado de un trauma mutuamente desmentido. Sándor Ferenczi ha sido el primero en llamar la atención sobre esta posible colusión peligrosa en su ensayo sobre «La confusión de lenguas entre los adultos y el niño» en 1932. Esta situación puede promover fácilmente falsos desarrollos en los procesos de formación, con el consecuente peligro de inhibir permanentemente el potencial del candidato


Fundamentally, psychoanalysis deals with truth. It is tasked with exploring the analytic relationship in a deep and truthful way and nothing demonstrates this better than the attempt to teach it. Work with candidates and analysts has strengthened my conviction that to work effectively as an analyst requires a profound personal trust in the psychoanalytic process based on one's own intimate experience that the confrontation with the unconscious in analysis has been decisively significant and positive. This fact fosters trust in the healthy impact of what I call the 'veracity' of psychoanalysis. However, this sincere quest for truth is at times blocked by unconscious fears on the part of the analyst. Uncertainty and disavowal can then easily be transmitted as a result of a mutually-denied trauma. Sándor Ferenczi was the first to draw attention to this hazardous potential collusion in his essay "Confusion of. the t?~gues" (1932). T~is situation can easily foster false developments m trammg processes, with the consequent risk of permanently inhibiting the candidate's potential


La psychanalyse traite fondamentalement de la vérité; sa tâche est d' analyser la relation analytique de maniere profonde et véntable et nen ne le montre mieux que la tentative de le transmettre. Le travail avec des candidats et des analystes a renforcé ma conviction suivant laquelle, pour travailler efficacement comme analyste, on a besoin d'une profonde confiance personnelle dans le processus psychanalytique basée sur l'expérience intime que la confrontation avec l'inconscient dans les analyses personnelles a été quelque chose d'important et de positif. Ce fait renforce la confiance dans l'impact sain de ce que j'appelle la véracité de la psychanalyse. Toutefois, cette sincere recherche de la vérité est bloquée a certaines occasions par des peurs inconscientes de la part de l' analyste. Il se produit alors facilement une transmission d'insécurité et de déni, comme résultat d'un traumatisme mutuellement dénié. Sándor Ferenezi a été le premier a attirer l' attention sur cette possible collusion dangereuse dans son essai sur «La confusion des langues» en 1932. Cette situation peut promouvoir facilement de faux développements dans les processus de formation, avec le danger conséquent d'inhiber de façon permanente le potentiel du candidat


Assuntos
Humanos , Terapia Psicanalítica/métodos , Interpretação Psicanalítica , Medo/psicologia , Contratransferência , Revelação da Verdade , Trauma Psicológico/psicologia , Terapia Psicanalítica/educação , Processos Psicoterapêuticos
4.
Rev. psicoanál. (Madr.) ; 34(85): 223-246, 2019.
Artigo em Espanhol | IBECS | ID: ibc-189818

RESUMO

A partir de un caso clínico, desarrollo el presente trabajo en y desde el vínculo transf ero-contratransf erencial, con un material que permite reflexionar sobre aquello que, desde el discurso del sujeto, nos induce a pensar- sentir-actuar: contenidos no simbolizados, vehiculizados por palabras portadoras de significados no atravesados por la falta, que ponen a prueba nuestra disponibilidad psíquica para acompañar en un proceso de paulatinas transformaciones de la omnipotencia infantil. Funcionamiento que anega al paciente en intensos sentimientos de terror y le aprisiona en un mundo cerrado e incestuoso, con graves consecuencias para su desarrollo. Solo aspirando a ser protagonista activo de la historia pasada y presente, el sujeto puede abrirse a la perspectiva de futuro, como consecuencia de la renuncia a anhelos inalcanzables


Drawing from a clinical case, this article is elaborated in and from the transference/ countertransference link. The case material provides an insight into that which, from the standpoint of the discourse of the subj ect, induces us to think-feel-act. These unsymbolised contents, conveyed through words bearing meaning not permeated by lack, test our psychic availability to accompany the patient in a process of gradual transformations of infantile omnipotence, a functioning that floods the patient with intense feelings of terror and imprisons her in a closed-off and incestuous world, with severe developmental consequences. Only by aspiring to be an active protagonist of history - past and present - is the subject able to make way for the future perspective, as a consequence of the renunciation of unattainable wishes


A partir d'un cas clinique, je développe le travail présent dans et a partir du lien transféro-contratransferentiel, avec un matériel qui permet réfléchir sur ce qui, partant du discours du sujet, nous induit a penser-sentir-agir: contenus non symbolisés, véhiculasses par des mots porteurs de sens non traversés par le manque, qui mettent a l' épreuve notre disponibilité psychique pour accompagner dans un processus les transformations progressives de la toute-puissance infantile. Fonctionnement que plonge le patient dans d'intenses sentiments de terreur et l'emprisonne dans un monde fermé et incestueux, avec de séveres conséquences pour son développement. Seulement en aspirant a étre protagoniste actif de l'histoire passée et présente, le sujet pourra s'ouvrir a la perspective de futur, comme conséquence du renoncement a des aspirations inatteignables


Assuntos
Humanos , Masculino , Criança , Interpretação Psicanalítica , Terapia Psicanalítica/métodos , Transferência Psicológica , Contratransferência , Transtorno do Espectro Autista/terapia , Processos Psicoterapêuticos , Teoria da Construção Pessoal , Ego , Psicologia do Self
5.
Rev. Asoc. Esp. Neuropsiquiatr ; 38(134): 473-489, jul.-dic. 2018. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-176430

RESUMO

En el presente trabajo, los autores Investigan qué factores terapéuticos grupales (FTG) son los de mayor importancia para los participantes de psicoterapia de grupo. Una adaptación del cuestionario Yalom fue completada por 88 usuarios de un servicio ambulatorio de salud mental, analizándose las diferencias según características sociodemográficas, diagnóstico y la valoración de los conductores grupales. A nivel jerárquico, la universalidad, el altruismo y la cohesión fueron los FTG más valorados; por el contrario, la conducta imitativa y los factores existenciales fueron los que menos. Aquellos usuarios con un mayor nivel de estudios valoraron significativamente la reactualización familiar, sin observarse diferencias en la edad ni el sexo. El diagnóstico de un trastorno del espectro de la esquizofrenia presentó una elevada correlación con la cohesión, la catarsis y la universalidad. Las valoraciones de los terapeutas concuerdan de forma significativa con las de la muestra. La evaluación de los FTG permite que los terapeutas contemplen aquellos elementos que más favorecen a los usuarios en su proceso psicoterapéutico y en su mejora del bienestar


In the present work, the authors investigate which group therapeutic factors (GTF) are the most important for group psychotherapy participants. 88 users of an outpatient mental health service completed an adaptation of the Yalom's questionnaire. Differences regarding sociodemographic characteristics, diagnosis and assessment of the group therapists were analyzed. At the hierarchical level, universality, altruism and cohesion were the most valued GTF; while identification and existential factors were the least ones. Those users with a higher level of studies valued the family reenactment significantly, without observing differences regarding age or sex. The diagnosis of a schizophrenia spectrum disorder showed a high correlation with cohesion, catharsis, and universality. The therapists' scores correlated significantly with the sample scores. The evaluation of the GTF allows therapists to contemplate those elements that are most helpful for the users in their psychotherapeutic process and in the improvement of their well-being


Assuntos
Humanos , Psicoterapia de Grupo/métodos , Processos Psicoterapêuticos , Transtornos Mentais/terapia , Resultado do Tratamento , Satisfação do Paciente/estatística & dados numéricos , Relações Profissional-Paciente , Psicometria/instrumentação , Esquizofrenia/terapia
6.
Int. j. psychol. psychol. ther. (Ed. impr.) ; 18(3): 371-384, oct. 2018. tab, graf
Artigo em Inglês | IBECS | ID: ibc-174412

RESUMO

This research established a definition of cultural competency from the perspective of the psychologists using mixed methodology. In Study 1 (N= 9) participants were interviewed and asked how they conceptualize cultural competency; three emergent themes were identified: awareness, knowledge, and skills. Based on the results from Study 1, a survey was created for Study 2 and completed by psychologists (N= 142). Results from a confirmatory factor analysis did not support cultural competency as a 3-dimensional construct. A post-hoc exploratory factor analysis suggested that cultural competency is best conceptualized as a 2-dimensional construct consisting of knowledge/awareness and skills. Results suggest that the knowledge needed to work with diverse populations is more than simply knowing about the major cultural groups in the United States; a more sophisticated level of knowledge is needed as there are many cultures and sub-cultures


No disponible


Assuntos
Humanos , Competência Cultural , Diversidade Cultural , Processos Psicoterapêuticos , Psicoterapia/estatística & dados numéricos , Empatia , Fatores Culturais , Relações Interpessoais , Resultado do Tratamento , Grupos Minoritários/psicologia , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Psicologia
7.
Cuad. psiquiatr. psicoter. niño adolesc ; (65): 35-46, ene.-jun. 2018. tab
Artigo em Espanhol | IBECS | ID: ibc-173912

RESUMO

La dimensión clínica de la Teoría del Apego permanece insuficientemente desarrollada, pero pueden encontrarse interesantes propuestas actuales en este ámbito. Abordamos los principios básicos que deben sostener un acercamiento clínico a la Teoría del Apego: situar el apego en el conjunto de sistemas motivacionales, atender a los distintos niveles de seguridad que comprende (físico, emocional, cognitivo) y considerar los procesos de autoregulación dañados por fallos en las relaciones de apego. Abordamos el papel de las narrativas en el desarrollo infantil, y su uso para evaluar las construcciones internas del apego; finalmente exponemos con detalle el uso de la Attachment Story Completion Test (ASCT) como instrumento útil para su evaluación


Clinical dimension of Attachment Theory is still illdeveloped, but interesting current proposals can be found. Basic principles necessary to bear a clinical approach to Attachment Theory are explained: placing attachment among other motivational systems, paying attention to the different safety levels included in attachment (physical, emotional, cognitive) and taking into account self-regulation processes which could be hampered by failures in attachment. The role of narratives in child development, and its utility to assess attachment internal models are considered; finally, a detailed account of the use of Attachment Story Completion Test (ASCT), as an useful assessment tool, is presented


Assuntos
Humanos , Criança , Apego ao Objeto , Poder Familiar/psicologia , Síndrome da Criança Espancada/psicologia , Processos Psicoterapêuticos , Terapia Narrativa , Educação Infantil/psicologia , Psicometria/instrumentação , Avaliação de Eficácia-Efetividade de Intervenções , Teoria Psicológica
8.
Cuad. psiquiatr. psicoter. niño adolesc ; (65): 95-103, ene.-jun. 2018.
Artigo em Espanhol | IBECS | ID: ibc-173919

RESUMO

Se plantean reflexiones acerca del sentimiento de intimidad y su correlato, la tolerancia a la experiencia de soledad, en los y las adolescentes de hoy, que viven bajo uno de los ideales centrales de las sociedades contemporáneas, al menos en el mundo desarrollado, que es el de la exteriorización, tanto de aspectos corporales como del mundo psíquico interno. Desde el nacimiento, apoyándose en lo biológico, en las necesidades y la experiencia de dependencia, el ser humano organiza su psiquismo estableciendo límites entre su mundo interno y la realidad externa. Entre las primeras adquisiciones del bebé, la capacidad de estar solo, será precursora del espacio de intimidad que le acompañara a lo largo de la vida, y será un elemento inevitable y necesario para apoyar las trasformaciones identitarias, tanto corporales como psíquicas, del proceso adolescente. Se abordan, asimismo, aspectos relativos a la experimentación de la intimidad en situaciones de soledad y al pasar a ser compartida, incluyéndose las relaciones terapéuticas con su especificidad durante el periodo de la adolescencia


Reflections are made about the feeling of intimacy and its correlate, the tolerance to the experience of loneliness, in the adolescents of today, who live under one of the central ideals of contemporary societies, at least in the developed world, which is the one of the exteriorization, as much of corporal aspects as of the internal psychic countries. From birth, relying on the biological, in the needs and experience of dependence, the human being organizes his psyche establishing limits between his inner world and external reality. Among the baby's first acquisitions, the ability to be alone will be the precursor of the space of intimacy that will accompany him throughout his life, and will be an inevitable and necessary element to support the identity transformations, both corporal and psychic, of the adolescent process. Aspects related to the experience of intimacy in situations of loneliness and the experience of sharing it are also addressed, including the therapeutic relationships with their specificity during adolescence


Assuntos
Humanos , Adolescente , Comportamento do Adolescente/psicologia , Solidão/psicologia , Privacidade/psicologia , Permissividade , Carência Psicossocial , Transtorno da Personalidade Antissocial/terapia , Processos Psicoterapêuticos , Espaço Pessoal , Relações Interpessoais , Codependência Psicológica , Individualidade , Psicoterapia/métodos
9.
Cuad. psiquiatr. psicoter. niño adolesc ; (65): 111-124, ene.-jun. 2018. ilus
Artigo em Espanhol | IBECS | ID: ibc-173921

RESUMO

En este artículo se reflexiona sobre los grupos terapéuticos en Atención Precoz. Se expone una experiencia grupal llevada a cabo en el CDIAP Equip40 con un grupo de niños pequeños conducido por una psicóloga y una fisioterapeuta. A través de viñetas clínicas, se describe el proceso terapéutico desde una mirada interdisciplinar y se muestran diferentes tipos de intervenciones


This article reflects on therapeutic groups in Early Years. It deals with a group experience carried out at the CDIAP Equip40 with a group of young children conducted by a psychologist and a physiotherapist. Through clinical vignettes, the therapeutic process is described from an interdisciplinary perspective and different types of interventions are shown


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Psicoterapia/métodos , Processos Psicoterapêuticos , Equipe de Assistência ao Paciente/organização & administração , Transtornos Psicomotores/terapia , Avaliação de Resultado de Intervenções Terapêuticas , Psicoterapia de Grupo/organização & administração , Intervenção Médica Precoce/organização & administração , Jogos Recreativos/psicologia , Adaptação Psicológica , Instituições Acadêmicas , Características da Família , Ansiedade de Separação/psicologia
11.
Cuad. psiquiatr. psicoter. niño adolesc ; 2(65,cong): 55-59, ene.-jun. 2018.
Artigo em Inglês | IBECS | ID: ibc-173944

RESUMO

Looking at adolescence from teenagers and parents' point of view might channel different narratives about what this process can be and how they both construe their relationship. The present work is a two stages preliminary research: in the first one both adolescents' and parents' reciprocal constructions about themselves, the others and adolescence were collected. In the second stage authors presented to the same groups of participants their previously collected perceptions, in the form of Perceiver-Element Grid, and interviewed them about their responses to these. This work will share the outcomes of inviting parents and adolescents to 'take the role of the other', to see themselves through the other's eyes. Further both clinical and research applications will be discussed


No disponible


Assuntos
Humanos , Adolescente , Comportamento do Adolescente/psicologia , Teoria da Construção Pessoal , Pais/psicologia , Processos Psicoterapêuticos , Relações Pais-Filho , Poder Familiar/psicologia , Terapia Familiar/métodos , Psicoterapia/métodos , Grupos Focais
12.
Int. j. psychol. psychol. ther. (Ed. impr.) ; 18(2): 235-246, jun. 2018. tab
Artigo em Inglês | IBECS | ID: ibc-174403

RESUMO

The aim of the present study was to identify if a training to favor PG in patients with PTSD (PGT) generates improvement compared to only the application of conventional treatment. The instruments applied were: Maladaptation Scale, Post-Traumatic Stress Disorder Symptom Severity Scale, Psychological Well-Being Scale, and Post-Traumatic Growth Inventory. All 10 participants received Cognitive Processing Therapy (CPT) for PTSD. Two groups were then randomly formed. The PGT was administered to the experimental group and the control group was kept on wait list. The four scales were applied before, after the treatment and again after one year. The experimental group showed an improvement in Psychological Well-Being and was almost statistically significant with respect to PG. However, there were no differences in PTSD symptoms or in maladaptation levels. It is concluded that PGT was effective in increasing psychological well-being for the participants. This study might be improved by increasing the sample size for those who receive PGT be also for PG, which may act as a protective factor against future relapses or other disorders


No disponible


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Transtornos de Estresse Pós-Traumáticos/terapia , Terapia Cognitivo-Comportamental/métodos , Processos Psicoterapêuticos , Condicionamento Psicológico , Detecção de Sinal Psicológico , Resultado do Tratamento , Ajustamento Emocional , Trauma Psicológico/terapia , Estudos Retrospectivos
14.
Artigo em Inglês | IBECS | ID: ibc-171372

RESUMO

The essential role of affect and emotion in human behavior, motivation, cognition, and interpersonal interaction is emphasized in various efforts to understand how children develop. However, various theoretical traditions have focused on different features. In this article we focus on the views in attachment theory and the affect consciousness (AC) model/related affect integration perspectives. The attachment theory and the AC perspective/related affect integration perspectives are widely recognized approaches that explicitly focus on the role of affect, cognition, and behavior in the context of others as the main areas in both children’s developmental processes and psychotherapeutic processes. However, these traditions represent both overlapping and contrasting views. On this background we discuss the following questions: 1. How does attachment theory describe the view on affect/emotion, motivation, cognition, and interpersonal interaction, and how do the AC perspective/related affect integration perspectives describe the view on the same subjects? What central theoretical similarities and differences do we find when we compare AC and attachment theory? 2. What role does AC play in attachment, and what role does attachment play in AC? 3. Can the AC perspective/related affect integration perspectives expand and provide nuance to our understanding of the role of affect and emotion in attachment theory, including an understanding of typical and nontypical emotional learning processes? We identified six central AC aspects that can expand our understanding of the function and role of affect and emotion in attachment theory. This understanding is considered central to both practice and research (AU)


No disponible


Assuntos
Humanos , Criança , Desenvolvimento Infantil , Desenvolvimento da Personalidade , Apego ao Objeto , Ajustamento Emocional , Afeto , Processos Psicoterapêuticos , Cognição , Relações Interpessoais
15.
Int. j. psychol. psychol. ther. (Ed. impr.) ; 18(1): 111-141, ene. 2018. tab, ilus
Artigo em Inglês | IBECS | ID: ibc-171375

RESUMO

This meta-analysis aimed to determine the overall effect that psychotherapy has on anxiety disorders and to determine what moderates that effect. Studies were grouped by type (efficacy or effectiveness) and grouped by analysis type (completer or intent-to-treat). Medline was searched for articles published between 2011 and 2014 that related to the treatment of anxiety disorders. An initial search revealed 8056 articles. Of these, 99 articles met inclusion criteria and were included in the final analyses. Overall, manualized psychotherapy outperformed control conditions. In general, psychotherapy for anxiety disorders had a large effect. This effect appeared to be moderated by the use or lack of use of exposure techniques, with greater effects if exposure was used. This finding held particularly true for the treatment of post-traumatic stress disorder. Psychotherapies for anxiety disorders are both efficacious and effective. Exposure techniques enhance the effect of therapies. Future research work is required to determine what else moderates the effect of such therapies (AU)


No disponible


Assuntos
Humanos , Transtornos de Ansiedade/terapia , Psicoterapia/métodos , Transtornos de Estresse Pós-Traumáticos/terapia , Processos Psicoterapêuticos , Resultado do Tratamento
17.
Rev. psicoanál. (Madr.) ; 33(84): 753-777, 2018.
Artigo em Espanhol | IBECS | ID: ibc-182021

RESUMO

La relación del psicoanalista infantil con los padres ha constituido un polémico tema de reflexión para los profesionales. A través del tiempo y según la teoría en que la práctica se fundamente, los padres han sido recibidos en la consulta de diferentes formas, acogidos y escuchados o apartados y desestimados en su palabra, siempre con la intención de facilitar el trabajo terapéutico con el niño. Después de orientar nuestra mirada durante años fundamentalmente alrededor del niño, ampliamos nuestro campo visual para darle un lugar primordial al acontecer de los padres de ese niño, a sus propias historias y prehistorias, prestando atención a la conflictiva intra e intersubjetiva del niño y de sus padres Si la especificidad del psicoanalista es la actitud receptiva y su instrumento la escucha, una escucha abierta, flexible, apoyada sólidamente en una teoría que la orienta, en el caso particular del psicoanálisis con niños, será la doble escucha y la construcción de enlaces


The child psychoanalyst's relationship with parents has been a contentious subject of reflection for clinicians. Over time and according to the theory underpinning the practice, parents have been received in the consulting room in various ways; welcomed and listened to or set aside, dismissing their words, their accounts dismissed, always with the intention of facilitating the therapeutic work with the child. After years of orienting our view primarily around the child, we are broadening our field of vision to give a central place to the experiences of the parents of that child, to their own histories and prehistories, paying attention to the child's intra- and intersubjective areas of conflict and those of the parents. If the specificity of the psychoanalyst is receptive attitude, then the tool of choice is listening - a listening that is open, flexible and shored up by a theory to orient it. In the particular case of psychoanalysis with children, this would be the perspective of dual listening and the construction of links


La relation du psychanalyste infantile avec les parents a constitué un objet polémique de réflexion de la part des professionnels. Au fil du temps et suivant la théorie sur laquelle repose la pratique, les parents ont été reçus dans le cabinet de différentes façons, accueillis et écoutés ou mis de coté et déniés dans leur parole, toujours avec l'intention de faciliter le travail thérapeutique avec l' enfant. Apres avoir orienté notre regard durant des années, fondamentalement aupres de l' enfant, nous élargissons notre champ visuel pour donner une place primordiale a ce qui arrive aux parents de cet enfant, a leurs propres histoires et préhistoires, en prétant attention au conflit intra et intersubjectif de l'enfant et de ses parents. Si la spécificité de la psychanalyse est l' attitude réceptive et son instrument est l' écoute, une écoute ouverte, flexible, soutenue solidement par une théorie qui l' oriente, dans le cas particulier de la psychanalyse d'enfants, il ságira de la double écoute et la construction de liens


Assuntos
Humanos , Criança , Terapia Psicanalítica/tendências , Narcisismo , Transtornos do Neurodesenvolvimento/terapia , Pais/psicologia , Terapia Narrativa , Psicanálise/tendências , Teoria Psicanalítica , Teoria Freudiana , Interpretação Psicanalítica , Relações Pais-Filho , Relações Profissional-Família , Processos Psicoterapêuticos
18.
Span. j. psychol ; 21: e38.1-e38.14, 2018. tab, graf
Artigo em Inglês | IBECS | ID: ibc-189120

RESUMO

It has been suggested that achieving greater effectiveness in psychotherapeutic treatment requires analyzing what therapists actually do and say, how they do this and when it is done. Based on this approach, in this study we focused on the rules emitted by therapists, since providing rules is thought to be of fundamental importance in promoting effective and efficient clinical change. Specifically, we sought to determine whether the experience level of therapists and the brevity of therapy would be related to patterns of therapist rule emission as categorized by the Category System of Rules emitted by the Therapist (SISC-RULES-T) (Vargas-de la Cruz & Pardo-Cebrián, 2014). Greater therapist experience and shorter therapy duration were found to be reliably predictive of more rule emissions across most rule categories (Z values between: Z = -3.68 and Z = -2.05; p values: p < .05 and p < .001). These variables were also predictive of more emissions of rules that specified all three operant contingency elements (situation, behavior, and consequence) rather than fewer elements (Z = -2.59, p < .05; Z = -2.26, p < .05). In the expert therapists and therapist with shorter cases, there was a nonsignificant tendency for the emission of general and conceptual rules to increase over sessions whereas emissions of concrete and particular rules tended to decrease; the explicitness of the three contingency elements also tended to decrease as treatment progressed. These findings may help to identify verbal characteristics of therapists that could lead to improved therapeutic practice


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Assuntos
Humanos , Adulto , Competência Clínica , Relações Profissional-Paciente , Processos Psicoterapêuticos , Psicoterapia/métodos , Comportamento Verbal , Psicoterapia/normas
19.
Span. j. psychol ; 21: e30.1-e30.7, 2018. tab
Artigo em Inglês | IBECS | ID: ibc-186654

RESUMO

The Outcome Rating Scale (ORS) is an ultra-brief measure of well-being designed to track outcome in psychotherapy. This research studied the psychometric properties of the ORS in a Spanish clinical sample. One-hundred and sixty-five adult participants from different primary care centers of the city of Barcelona were recruited. The psychometric properties of the ORS in the sample were explored and described, comparing them to the properties of other instruments already validated in Spain. Our results showed good reliability (alfa = .91 [.88, .93]; alfa = .96; test re-test correlations from .61 to .84), good validity (convergent validity correlations with distress and symptoms measures from -.32 to -.76), and good sensitivity to change (pre-post comparison through Wilcoxon signed-rank test, Mdnpre = 31.0, Mdnpost = 19.6, z = -7.38, p < .05, r = .42). These results are consistent with previous findings in other countries. We conclude suggesting that the instrument can be applied to monitor outcome in psychotherapy and to test the effectiveness of treatments imparted with Spanish speaking clients. However, further research with the ORS in Spanish could provide more evidence of its psychometric properties


No disponible


Assuntos
Humanos , Psicometria/métodos , Processos Psicoterapêuticos , Resultado do Tratamento , Transtornos Mentais/terapia , Psicometria/instrumentação , Comparação Transcultural
20.
Rev. Asoc. Esp. Neuropsiquiatr ; 37(132): 349-378, jul.-dic. 2017. tab
Artigo em Espanhol | IBECS | ID: ibc-169246

RESUMO

El presente trabajo se centra en los trastornos mentales graves en la adolescencia, y más específicamente en los trastornos de personalidad. La Terapia Dialéctico Conductual (DBT) es uno de los tratamientos con más evidencia para adolescentes con este tipo de trastornos. Entre las terapias contextuales, la DBT se centra en la reducción de los trastornos de conducta graves, haciendo énfasis en el entrenamiento de habilidades. La relación terapéutica es uno de los componentes clave para tratar la patología de personalidad en adolescentes. Asimismo, la combinación con otras terapias contextuales, como la Psicoterapia Analítica Funcional (PAF), permite un mayor efecto de la DBT. El objetivo de este artículo es mostrar cómo la PAF, combinada con estrategias de otras psicoterapias contextuales, supone una mejora clínica en adolescentes con trastornos de personalidad graves. En este artículo se describe la intervención clínica ambulatoria realizada con cuatro adolescentes de entre 13 y 17 años de edad, diagnosticadas de enfermedad mental grave y con criterios de trastornos de personalidad. Los principales síntomas evaluados fueron la impulsividad, los intentos de suicidio, las autolesiones, la auto y heteroagresividad, los síntomas psicóticos y los problemas del yo. El instrumento de medida utilizado fue el Inventario Clínico para Adolescentes de Millon (MACI). Tras una intervención de cuatro meses, se observó un descenso en las escalas clínicas significativas del MACI. También se encontró una mejoría en cognición, tendencias suicidas, regulación emocional y experiencia del yo (AU)


The present work focuses on severe mental disorders in adolescence; and more specifically on personality disorders. Dialectical Behavioral Therapy (DBT) has proven effective in teenagers with these disorders. Among contextual therapies, DBT aims to reduce serious behaviour disorders, emphasizing skills training. The therapeutic relationship is one of the key components of successful treatment of personality pathology in adolescents. DBT has a greater effect combined with other contextual therapies, such as Functional Analytic Psychotherapy (FAP). The purpose of this paper is to show how FAP, in combination with the latest technical advances in other contextual therapies, brings about clinical improvement in adolescents with severe personality disorders. Four teenagers, between 13 and 17 years old, diagnosed with a severe mental disorder and meeting some criteria for personality disorders, received treatment in an outpatient setting. The main symptoms evaluated were: high impulsivity, suicide attempts, self-injury, self and heteroagressivity, psychotic symptoms, and problems of the self. Patients were assessed with the Millon Adolescent Clinical Inventory (MACI). After a four-month intervention, a decrease in the MACI Clinical scales was observed. We also found an improvement in cognition, suicidal tendencies, emotional regulation, and experience of self (AU)


Assuntos
Humanos , Feminino , Adolescente , Psicoterapia de Grupo/métodos , Transtornos da Personalidade/terapia , Psicoterapia/métodos , Transtornos Mentais/terapia , Transtornos do Neurodesenvolvimento/psicologia , Tentativa de Suicídio/psicologia , Atenção Plena/métodos , Terapia de Aceitação e Compromisso/métodos , Assistência de Longa Duração , Processos Psicoterapêuticos , Características da Família
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