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Psicothema was founded in Asturias (northern Spain) in 1989, and is published jointly by the Psychology Faculty of the University of Oviedo and the Psychological Association of the Principality of Asturias (Colegio Oficial de Psicólogos del Principado de Asturias).
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Psicothema, 2010. Vol. Vol. 22 (nº 1). 92-98




Intervención en un trastorno depresivo mediante la Psicoterapia Analítica Funcional

Miguel Ángel López Bermúdez, Rafael Ferro García* y Luis Valero Aguayo**

Cepsi Psicólogos, * CEDI y ** Universidad de Málaga

En este trabajo se muestra el análisis e intervención de un trastorno depresivo siguiendo la formulación de la Psicoterapia Analítica Funcional. Esta psicoterapia, basada en los principios del conductismo radical, aborda la conducta verbal de manera funcional, se estructura a partir de una relación terapéutica que cuida especialmente el reforzamiento natural y enfatiza las contingencias que ocurren en el contexto clínico relacionándolas con el contexto natural, el moldeamiento y la equivalencia funcional. Se describe el caso de una mujer de 40 años con trastorno depresivo mayor, y la conceptualización del caso de manera funcional según esta psicoterapia. Se describen las distintas fases de intervención (total de 17 sesiones), detallando ejemplos de la relación terapéutica y el mantenimiento de los resultados a largo plazo. Además de los cambios y la resolución de sus problemas en la vida diaria, la puntuación inicial en BDI-II de 29 puntos cambió a 6 tras los siete primeros meses y se mantuvo en 8 en el seguimiento a los diecisiete meses.

Treatment of a depressive disorder according to Functional Analytic Psychotherapy. This paper presents the analysis and treatment of a depressive disorder according to Functional Analytic Psychotherapy. This form of psychotherapy, which is based on the principles of radical behaviorism, makes functional use of verbal behavior, and is structured upon a therapeutic relationship that pays special attention to natural reinforcement and emphasises the events that may arise in the clinical context, and relates them to a natural context, shaping, and functional equivalence. The paper describes the case of a 40-year-old woman with major depressive disorder, and the functional conceptualization of the case according to this psychotherapy. The different phases of the treatment are described (17 sessions in total), with examples of the therapeutic relationship and of how the results were maintained in the long term. In addition to solving problems and making changes in the patient’s daily life, the initial BDI-II score (29) dropped to 6 points after seven months, and remained at 8 points in the follow-up after 17 months.

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