Person-based contextual therapy applied to a complex case of schizophrenia

  1. Vallina Fernández, Oscar
  2. Pérez Álvarez, Marino 1
  3. Fernández Iglesias, Purificación 1
  4. Soto Balbuena, Cristina 1
  5. Perona Garcelán, Salvador
  6. García Montes, José Manuel
  1. 1 Universidad de Oviedo
    info

    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

Revista:
Psicothema

ISSN: 0214-9915

Año de publicación: 2014

Volumen: 26

Número: 3

Páginas: 299-307

Tipo: Artículo

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Otras publicaciones en: Psicothema

Resumen

Background:Psychological therapies are becoming more and more important in schizophrenia, and not as mere adjuncts to medication. The psychotherapy of schizophrenia is taking on a new lease of life in the wake of person-based phenomenological and psychological developments. Method: The case in question was a complex one, with variegated symptomatology that had persisted over many years. Approaching the case from the perspective of person-based cognitive therapy allowed us to understand the psychotic symptoms in the biographical context and to apply a therapy focused on the patient's recovery of her sense of self and of life. Results: At the end of the therapy and throughout the 12-month follow-up, the psychotic experiences had practically disappeared, or ceased to be disturbing, and the patient had become re-integrated in social life. Conclusions: Psychotic symptoms take on meaning in the biographical context. Adopting this perspective can aid the psychopathological explanation of the disorder and provide significant therapeutic help, more focused on recovery. Psychological therapy has shown itself to be viable in complex cases treated within the public-sector healthcare context.

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