Autolesiones en la adolescenciasignificados, perspectivas y prospección para su abordaje terapéutico
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Universidad Pontificia de Salamanca
info
ISSN: 1130-5142, 2339-7950
Año de publicación: 2018
Título del ejemplar: Avances en psicoterapias transdiagnósticas
Volumen: 29
Número: 110
Páginas: 185-209
Tipo: Artículo
Otras publicaciones en: Revista de psicoterapia
Resumen
Is Presented a study that is an epidemiological, clinical and hermeneutical approach tothe phenomenon of adolescent self-harm. It is almost a viral phenomenon that hasdeserved a profuse investigation in other countries but scarce in Spain. Investigation’sproblem is the understanding of the real dimensions of a complex clinical manifestation,as it has been focused and analysed by the most outstanding authors, especially in thelast twenty years. It begins with a detailed and specific description of Deliberate Non-Suicidal Self-injuries, discriminating them from other clinical pictures or corporalmanifestations that have other expressive and ideological intentions. Next, the types andvariants of Self-contingent Behaviors are exposed and we detail the epidemiology andthe psychic meanings of them. We show the analysis of the motivations and psychologicalfactors most frequently referred to in health and therapeutic centers, observing thesefrom different theoretical perspectives from solvent hermeneutic models. The textprogresses exposing the main comorbidities presented by adolescent self-harm, theirjuxtaposition with frequent clinical disorders in this vital period (abuse and sexualabuse reactions, traumatic experiences, suicide attempts, eating disorder, substanceabuse, boundary disorder, attention deficiency hyperactivity disorder, stress...). Theypropose and balance the perspectives and clinical evaluations that have taken care ofthis phenomenon (with their respective projections and therapeutic prospects): emotionalself-regulation, traumatolysis, identity search, mentalization, dysfunctional vitalexpression ... Finally, we present some lines of future development of possible value forresearch and the therapy of this ‘practice’ of concern among the clinical and non-clinical population of the young generations.The essential purpose is, therefore, to offer an up-to-date and complete status of theetiopathogenic, symptomatic and other contingent variables to its clinical presentationso that is useful as a first approximate guide to therapists who have to approachadolescents with this worrying manifestation of psychological distress.
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