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Hoy por hoy, el tratamiento de un paciente con psicosis o cualquier trastorno mental crónico requiere un enfoque asistencial con su familia. Desde hace más de dos décadas, el grupo de trabajo del Hospital Universitario de Stavenger, en Noruega, ha estado desarrollando métodos de psicoeducación y trabajo grupal con las familias de estos pacientes con resultados sobresalientes: por ejemplo, han mostrado que es posible reducir el porcentaje de recaídas a menos del 40 por ciento en comparación con los pacientes que reciben tratamientos tradicionales, o que los tratamientos psicosociales favorecen el mantenimiento de un empleo normalizado y mejorías considerables en la calidad de vida, lo que significa que los tratamientos integrados, biopsicosociales, son los que están dando mejores resultados en cuanto a efectividad-coste. La guía de Bloch Thorsen y sus colaboradores introduce en todos los tipos de técnicas familiares utilizables en la psicosis desde una perspectiva cognitivo-conductual bastante ecléctica: trabajo unifamiliar, trabajo multifamiliar y grupos psicoeducativos. A muchos podría parecerles que detrás de estas páginas hay asuntos muy discutibles. Evidentemente, así es. Sin embargo, puede que, para este libro, ello no sea un problema, sino una ventaja: si es discutible y estimula la discusión... Pues bienvenido sea.
This book shows how psychological and social interventions can help people with psychosis. It brings together both theoretical chapters that contribute to the reconceptualization of psychosis and clinical cases illustrating how contemporary psychotherapeutic intervention models can be applied in the treatment of this mental health condition, with reflections, strategies and practical guidelines demonstrating how these models can inform professional practice in mental healthcare. Chapters brought together in this volume aim to reflect a paradigm shift in psychosis care. They present person-centered models that lead to a way of seeing, understanding and treating psychosis that is very different from the traditional biomedical model. Current authors and approaches are revolutionizing an outdated model trapped in purely pharmacological actions and tautological explanations of a biological nature, where symptom control is the basic and fundamental form of approach, and in which psychotherapeutic actions take second place as subsidiary to the former. Approaches such as Acceptance and Commitment Therapy, Acceptance and Recovery Therapy by Levels, Open Dialogue, Compassion-Centered Therapy or the Hearing Voices movement, to name but a few of those presented in this book, represent a journey of self-knowledge and learning for those recovering from psychosis, and have an intense transformative potential for the therapeutic team. The fundamental principle that guides this book is to share models belonging to psychology that aim at personal development while respecting the needs, values and goals of each person, and that can be adopted by any professional or student of clinical psychology, psychiatry, nursing, social work or any other discipline searching for more humanistic approaches to treat psychosis.
Aunque continúen siendo el principal desafío de la psiquiatría, y no digamos de la psicoterapia, hace tiempo que las psicosis han dejado de estar de moda, o, al menos, de ocupar la posición emblemática que ostentaron desde los inicios de la era psiquiátrica moderna. Un contrasentido semejante, que ni merece ser calificado de paradoja, sólo es posible por la frivolidad mercantilista que preside la aparición y desaparición de "productos de gran actualidad" en un terreno como la salud mental que, por definición, debiera estar a salvo de tales fluctuaciones. Parece que los mercados, tanto el de los psicofármacos como el de las servidumbres mediáticas que inevitablemente los acompañan, necesiten una periódica renovación de las entidades psicopatológicas que dan de qué hablar. La clasificación de los trastornos mentales y sus supuestas raíces biológicas han sido dos bestias negras de la epistemología sistémica que, referidas a las psicosis, se convierten en sendos problemas insoslayables. Por otro lado, afortunadamente, los avances en las neurociencias han acabado por desactivar la vieja polémica entre geneticistas y ambientalistas. Este libro pretende aportar unos elementos de reflexión sobre las psicosis, que parten de la evidencia clínica de su compleja realidad. Juan Luis Linares nos lo escribe desde una posición integradora, aunque su condición de psicoterapeutas le conduce a "ocuparse de la relación". Y, por cierto, a sacarle el máximo partido a lo que ello comporta, tratándose de los complejos y fascinantes procesos relacionales del universo psicótico.
Multi-Family Therapy (MFT) involves the bringing together of different families in a therapeutic context in order to work jointly to overcome each of their specific and very individual problems. This innovative book combines the theory and concepts of MFT with detailed practical examples of techniques and exercises which have been proven to help with problematic children, teenagers and adults. In this book, Asen and Scholz discuss how MFT has been developed over the past 30 years and has been applied nationally and internationally across a range of settings with a variety of clients, including: Children and teenagers who are excluded from school; Multi-problem families with abuse and violence who challenge social workers and the legal system; and Children, teenagers, and adults who present with mental health issues. "Multi-Family Therapy: Concepts and Techniques" is written for professionals in mental health, social work, and education. Its unique pragmatic approach makes it an essential guide for anyone wishing to employ MFT.
If a troubled family contains the resources to solve its own problems, then why not bring such families together, to share their experiences and support each other? This is the approach of the Marlborough Family Service, the institution at the forefront of development for child-protection cases, school-based interventions and family therapy for ethnic-minority communities for over twenty years. In this book three long-standing staff members describe for the first time their innovative work with a range of family problems, from marital violence and child abuse to educational problems and eating disorders.
Berlin Free University is an imagination of what a building might be - a building designed to function as a piece of the city, adapting to the needs of its users while generating opportunities for social interaction. The university offers a window onto the politicized and optimistic discourse of the Sixties and Seventies, but at the same time illuminates contemporary debates around large projects of infrastructure and public space. This extensive study of the building combines texts with a visual survey containing specifically commissioned photographs as well as archive material, plans and construction details.
How do biological and environmental factors influence the development of childhood and adolescent disorders? There has been a substantial increase of interest in research into child and adolescent psychopathology. In this book, Cecilia Essau brings together contributions from the UK, the US and Canada to provide a comprehensive summary of the information available on the subject. Beginning with an introduction to general issues related to child and adolescent psychopathology, including theoretical models of normal and abnormal development, each chapter goes on to address the issues associated with specific disorders, such as: oppositional defiant disorder and conduct disorder attention-deficit/hyperactivity disorder eating disorders substance use disorders somatoform disorders. The contributors present a thorough overview of each disorder, including discussion of definition and classification, epidemiology, risk factors, comorbidity, course, outcome and prevention. Child & Adolescent Psychopathology will be welcomed by all mental health professionals seeking a reliable source of scientifically and clinically relevant information on the nature and treatment of child and adolescent disorders.
Shows how Lefebvre's theory of space developed out of direct engagement with architecture, urbanism, and urban sociology.
Multifamily Therapy Group for Young Adults with Anorexia Nervosa describes a new and innovative family-centered outpatient Multifamily Therapy Group (MFTG) approach called Reconnecting for Recovery (R4R) for young adults with anorexia nervosa that is based on a relational reframing of eating disorders. Developed in concert with young adults and their families and informed by clinical observations, theory, and research, R4R is designed to help young adults and family members learn the emotional and relational skills required to avoid or repair relationship ruptures for continued collaboration in recovery. The book begins with an overview of anorexia nervosa, MFTG treatment approaches, and the development of R4R and moves into a session by session review of R4R including session goals, exercises and handouts. Protocols, case vignettes, and other materials help translate the theory and research underlying this multifamily therapy group model into practice. This treatment manual provides readers with explicit guidance in how to develop and conduct an outpatient R4R MFTG and a deeper understanding of the nature, purposes, and processes that characterize one.
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