¿Desconexión cerebral o descriminación interoceptiva?una revisión del modelo de la disregulación de G. Schwartz

  1. Pérez Álvarez, Marino 1
  2. García Vega, Elena 1
  3. González Menéndez, Ana 1
  1. 1 Universidad de Oviedo
    info

    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

Zeitschrift:
International journal of psychology and psychological therapy

ISSN: 1577-7057

Datum der Publikation: 2001

Ausgabe: 1

Nummer: 2

Seiten: 191-204

Art: Artikel

Andere Publikationen in: International journal of psychology and psychological therapy

Zusammenfassung

El artículo tiene como objetivo reformular el síndrome de desconexión cerebral propuesto por Schwartz (1983) en términos conductuales y funcionales, los mismos con los que de hecho se está interviniendo fructíferamente en la comprensión de otros problemas de salud. Como punto de partida, se revisan las relaciones entre hostilidad y desarrollo de hipertensión que supuestamente avalan la integración psicobiológica del síndrome propuesto. Se discute después la pertinencia conceptual de la desconexión cerebral, se citan estudios neuropsicológicos que ponen en tela de juicio la pretendida lateralización hemisférica asociada a las emociones y se proponen explicaciones alternativas al síndrome dentro de una lógica analítico-funcional.

Bibliographische Referenzen

  • Alexander, F. (1939). Emotional factors in essential hypertension. Psychosomatic Medicine, 1, 153- 216.
  • Benotsch, E.G., Christensen, A.J. y Mckelvey, L. (1997). Hostility, social support, and ambulatory cardiovascular activity. Journal of Behavioral Medicine, 20, 2, 163-176.
  • Bermúdez, J. y Pérez, A. (1989). Análisis procesual de la personalidad. En E. Ibáñez y V. Pelechano (Eds), Personalidad (Vol. 9). Madrid: Pirámide.Brody, H. (1973). The systems view of man: Implications of medicine, science, and ethics. Perspectives in Biology and Medicine, 17, 71- 91.
  • Catania, A., Matthews, B. y Shimoff, E. (1990). Properties of rule-governed behavior and their implications. En D. Blackman y H. Lejeune (Eds), Behavior Analysis in Theory and Practice. Contributions and Controversies (pp. 215-230). Londres: Erlbaum.
  • Cox, D.J., Clarke, W., Gonder-Frederick, L., Polh, S., Hoover, C., Snyder, A, Zibelman, L., Carter, W., Bobbit, S. y Pennebaker, J. (1985). Accuracy of perceiving blood glucosse levels in IDDM. Diabetes Care, 8, 529-536.
  • Croog, S.H. y Levine, S. (1982). Life after a heart attack: Social and psychological factors eight years later. New York: Human Science Press.
  • Davidson, R.J. (1993). Cerebral asymmetry and emotion: conceptual and methodological conundrums. Cognition Emotion, 7, 115-138.
  • Davidson, R.J. e Irwin, W. (1999). The functional neuroanatomy of emotion and affective style. Trends in Cognitive Sciences, 3, 11-21.
  • Dembroski, T., MacDougall, J., Costa, P. y Grandits, G. (1989). Components of hostility as predictors of sudden death and myocardial infarction in the Multiple Risk Factor Intervention Trial. Psychosomatic Medicine, 51, 514-522.
  • Engel, G. (1977). The need for a new medical model: a challenge for biomedicine. Science, 196, 129- 136.
  • Espnes, G.A. y Opdahl, A. (1999). Associations among behaviour, personality, and tradicional risk factors for coronary Heart disease: A study at a primary health care center in mid-Norway. Psychological Reports, 85, 505-517.
  • Everson, S., Goldberg, D.E., Kaplan, G.A., Julkunen, J. y Salonen, J.T. (1998). Anger expression and incident hypertension. Psychosomatic Medicine, 60, 730-735.
  • Freixa, F. (1991). Tratamiento psicológico de la adicción al alcohol. En G. Buela-Casal y V.E. Caballo (Eds.), Manual de Psicología Clínica Aplicada. Madrid: Siglo XXI.
  • Galin, D. (1974) Implications of left-right cerebral lateralization for psychiatry: A neurophysiological context for unconscious processes. Archives of General Psychiatry, 9, 412-418.
  • Gil Roales-Nieto, J. (1996). La adicción como conducta. Variables diferenciadoras y dimensiones de interés. En J. Gil Roales-Nieto (Ed.), Psicología de las adicciones. Granada: Némesis.
  • Gil Roales-Nieto, J. y Vílchez Joya, R. (1993). Diabetes. Intervención Psicológica. Madrid: Eudema.
  • Goldman, H., Kleinman, K.M., Snow, M.Y., Bidus, D.R. y Korol, B. (1974). Correlation of diastolicblood pressure and signs of cognitive dysfunction of the nervous system. Disease Nervous System, 35, 571-572.
  • Goldman, H., Kleinman, K.M., Snow, M.Y., Bidus, D.R. y Korol, B. (1975). Relationship between essential hypertension and cognitive functioning: effects of biofeedback. Psychophysiology, 12, 569-573.
  • Gutmann, M. y Benson, H. (1971). Interaction of environmental factors and systemic arterial blood pressure: a review. Medicine, 50, 543-551.
  • Gur, R. y Gur, R. (1975). Defense mechanisms, psychosomatic symptomatology, and conjugate lateral eye movements. Journal of Consulting and Clinical Psychology, 43, 416-420.
  • Harburg, E., Erfurt, J.C., Chape, C. et al (1973). Socioecological stressor areas and black-white blood pressure: Detroit. Journal of Chronic Diseases, 26, 595-611.
  • Harburg, E., Blakelock, E.H. y Roeper, J. (1979) Resentful and reflective coping with arbitrary authority and blood pressure: Detroit. Psychosomatic Medicine, 41, 189-202.
  • Harburg, E., Glieberman, L., Rusell, M. y Cooper, M.L. (1991). Anger-coping styles and blood pressure in black and white males: Buffalo, New York. Psychosomatic Medicine, 53, 153-164.
  • Hecker, M., Chesney, M., Black, G. y Frautschi, N. (1988). Coronary-prone behaviours in the Western Collaborative Group Study. Psychosomatic Medicine, 50, 153-164.
  • Helmers, K., Posluszny, D. y Krantz, D. (1994). Associations of hostility and coronary artery disease: A review of studies. En A. Siegman y T. Smith (Eds.), Anger, Hostility and the Heart (pp. 67- 96). Hillsdale New York: Erlbaum.
  • Hunt, J.C. y Strong, C.G. (1973). Renovascular hypertension: mechanisms, natural history and treatment. En J.H. Laragh (Ed), Hypertension Annual: Mechanism, Methods and Management (pp. 35- 45). New York: Dun-Donnelly.
  • Irwin, W., Davidson, R.J., Lowe, M.J., Mock, B.J., Sorensen, J.A. y Turski, P.A. (1996). Human amygdala activation detected with echo-planar functional magnetic resonance imaging. NeuroReport, 7, 1765-1769.
  • Knight, R.G., Chisholm, B.J. Paulin, J.M., Waal-Manning, H.J. (1991). The Spielberger anger expression scale: factor structure and correlations with blood pressure. En C.D. Spielberger, I.G. Sarason, J. Strelau y J.M. Brebner (Eds), Stress and Anxiety (pp. 167-173). New York: Hemisphere.
  • Koskenvuo, M., Kaprio, J., Rose, R., Kesäniemi, A., Sarna, S. Heikkilä, K. y Langinvainio, H. (1988). Hostility as a risk factor for mortality and ischemic heart disease in men. Psychosomatic Medicine, 50, 330-340.
  • Lahad, A., Heckbert, S.R., Patrick, D.L. y Psaty, B.M. (1996). Hostility, aggression and the association with hypertension in post-menopausal women. Journal of Human Hypertension, 10, 115-121.
  • Lalonde, M. (1974). A new perspective on the health of canadians. Office of the Canadian Minister of National Health and Welfare. Ottawa: Government of Canada.
  • Langley, L.L. (1965). Homeostasis. New York: Reinhold.
  • Luciano, M.C. (1992). Algunos significados aplicados de los tópicos de investigación básica conocidos como “relaciones de equivalencia”, “decir-hacer” y “sensibilidad e insensibilidad” a las contingencias. Análisis y Modificación de Conducta, 18, 805-879.
  • Markovic, J.H., Matthews, K.A., Kannel, W.B., Cobb, J.L. y D´Agostino, R.B. (1993). Psychological predictors of hypertension in the Framingham study. Is there tension in hypertension? Journal of American Medical Association, 270, 2439-2433.
  • Miller, S.B., Dolgoy, L., Friese, M. y Sita, A. (1996). Dimensions of hostility and cardiovascularresponse to interpersonal stress. Journal of Psychosomatic Research, 41, 81-95
  • Myrtek, M. (2001). Meta-analyses of prospective studies on coronary heart disease: type-A personality, and hostility. International Journal of Cardiology, 79, 245-251.
  • Pennebaker, J. (1982). The Psychology of Physical Symptoms. New York: Springer-Verlag.
  • Pennebaker, J., Gonder-Frederick, L., Stewart, H., Elfman, L. y Skelton, J. (1982). Physical symptoms associated with blood pressure. Psychophysiology, 19, 201-210.
  • Pérez Álvarez, M. (1990). Médicos, pacientes y placebos. El factor psicológico en la curación. Oviedo: Pentalfa.
  • Pomerleau, O.C. y Pomerleau, C.S. (1987). A biobehavioral view of substance abuse and adidiction. Journal of Drugs Issues, 17, 111-131.
  • Ribes, E. (1990). Psicología y salud: un análisis conceptual. Barcelona: Martínez Roca.
  • Rosenman, R.H., Friedman, M., Straus, R., Wurm, M., Kositcheck, R., Hahn, W. y Werthssen, N.T. (1964). A predictive study of coronary heart disease. Journal of the American Medical Association, 189, 103-110.
  • Sallis, J.F., Johnson, C.C., Trevorrow, T.R., Kaplan, R.M. y Melbourne, F.H. (1987). The relationship between cynical hostility and blood pressure reactivity. Journal of Psychosomatic Research, 31, 111-116.
  • Schneider, F., Grodd, W., Weiss, U., Klose, U., Mayer, K.R., Nagele, T. y Gur, R.C. (1997). Functional MRI reveals left amygdala activation during emotion. Psychiatry Research (Neuroimaging), 76, 75-82.
  • Schwartz, G.E. (1977). Alteraciones psicosomáticas y biofeedback: Un modelo psicobiológico del desarreglo. En J.D. Maser y M.E.P. Seligman (Eds), Modelos Experimentales en Psicopatología. (pp. 260-294). Madrid: Alhambra.
  • Schwartz, G.E. (1979). The brain as a health care system. En G.C. Stone, F. Cohen y N. Adler (Eds), Health Psychology (pp. 549-571). San Francisco: Jossey-Bass.
  • Schwartz, G. E. (1980). Behavioral medicine and systems theory: a new synthesis. National Forum, 60, 25-30.
  • Schwartz, G. (1982). Testing the biopsychosocial model: the ultimate challenge facing behavioral medicine. Journal of Consulting and Clinical Psychology, 6, 1040-1053.
  • Schwartz, G.E. (1983). Disregulation theory and disease: Applications to the repression/cerebral disconnection/cardiovascular disorder hypothesis. International review of Applied psychology, 32, 95-118.
  • Schwartz, G.E. y Weiss, S.M. (1977). What is Behavioral Medicine? Psychosomatic Medicine, 6, 377-381.
  • Schwartz, G.E. y Weiss, S.M. (1978a). Yale Conference on Behavioral Medicine: a proposed definition and statement of goals. Journal of Behavioral Medicine. 1, 3-12.
  • Schwartz, G.E. y Weiss, S.M. (1978b). Behavioral medicine revisited: an amended definition. Journal of Behavioral Medicine, 3, 249-251.
  • Schwartz, G.E., Shapiro, A.P., Redmond, D.E., Ferguson, D.C., Ragland, D.R. y Weiss, S.M. (1979). Behavioral medicine approaches to hypertension: An integrative analysis of theory and research. Journal of Behavioral Medicine, 2, 311-363.
  • Shapiro, A.P. (1960). Psychophysiologic mechanisms in hypertensive vascular disease. Ann. Int. Med., 53, 64-83.
  • Shekelle, R.B., Gale, M., Ostfeld, A.M. y Paul, O. (1983). Hostility, risk of coronary heart disease andmortality. Psychosomatic Medicine, 45, 109-114.
  • Siegman, A. (1994). From Type A to hostility to anger: Reflections on the history of coronary-prone behavior. En A.
  • Siegman y T. Smith (Eds), Anger, Hostility and the Heart (pp. 1-21). Hillsdale, New York: Erlbaum.
  • Siegman, A.W., Dembroski, T.M. y Ringel, N. (1987). Components of hostility and severity of coronary heart disease. Psychosomatic Medicine, 48, 127-135.
  • Smith, T.W. (1992). Hostility and Health: Current status of a psychosomatic hypothesis. Health Psychology, 11, 139-150.
  • Smith, T.W. y Houston, B.K. (1987). Hostility, anger expression, cardiovascular responsivity, and social support. Bio Psycholol., 24, 39-48.
  • Snyder, R.J. (1986). Gambling swindles and victims. Journal of Gambling Behavior, 2, 50-57.
  • Spicer, J. y Chamberlain, K. (1996). Cynical hostility, anger, and resting blood pressure. Journal of Psychosomatic Research, 40, 359-368.
  • Stone, G.C., Cohen, F. y Adler, N.E. (1979). Health Psychology. San Francisco: Jossey-Bass. Von Bertalanffy, L. (1968). General Systems Theory. New York: Brazilier