Intervención desde el modelo cognitivo-comportamental en una paciente con trastorno evitativo de la personalidad: un estudio de caso
| datacite.rights | http://purl.org/coar/access_right/c_16ec | spa |
| dc.contributor.advisor | Sánchez Villegas, Milgen | |
| dc.contributor.advisor | Nader Orfale, Salua | |
| dc.contributor.author | Fransual Cardona, Katherine | |
| dc.contributor.author | Villarreal Mercado, Milena Del Carmen | |
| dc.date.accessioned | 2023-09-11T20:20:08Z | |
| dc.date.available | 2023-09-11T20:20:08Z | |
| dc.date.issued | 2023 | |
| dc.description.abstract | El trastorno de la personalidad por evitación es un problema de salud mental con prevalencias cercanas al 3% a nivel mundial. Se caracteriza por ser un patrón cognitivo, emocional, comportamental y social que lleva a los individuos que viven con él a evitar o escapar de situaciones que requieran la interacción social por el temor de ser rechazados, juzgados o criticados. El presente trabajo tiene como objetivo describir de manera detallada la intervención desde el modelo cognitivo comportamental en una paciente con trastorno evitativo de la personalidad empleando la metodología de estudio de caso clínico. Se llevaron a cabo 9 sesiones en las cuales se trabajaron aspectos encaminados a tratar las problemáticas identificadas en la paciente, tales como: respuestas de ansiedad y problemas intrafamiliares con la madre. Se llevó a cabo el proceso de evaluación y diseño del plan de intervención a partir de técnicas cognitivo-comportamentales, como: diálogo socrático, registro de pensamientos, flecha descendente, reestructuración cognitiva, respiración diafragmática, entre otros. Como resultados del proceso, se observó una disminución de la sintomatología reportada en el motivo de consulta, propiciando el aumento de la funcionalidad gracias a la adquisición y fortalecimiento de habilidades personales como: resolución de problemas, toma de decisiones, afrontamiento adaptativo, alcanzando mayor autonomía y seguridad en sí misma; Del mismo modo a través de la psicoeducación se logró que la paciente tuviera una mayor comprensión de su diagnóstico y por ende una participación activa en el proceso de intervención. Se pretende que este estudio de caso sea de utilidad para los profesionales en el campo de la salud mental que requieran aportes teóricos basados en la intervención del diagnóstico trastorno de personalidad por evitación. | spa |
| dc.description.abstract | Avoidant personality disorder is a mental health problem with prevalence close to 3% worldwide. It is characterized by a cognitive, emotional, behavioral, and social pattern that leads individuals living with it to avoid or escape from situations that require social interaction for fear of being rejected, judged or criticized. The aim of this paper is to describe in detail the intervention from the cognitive-behavioral model in a patient with avoidant personality disorder using the clinical case study methodology. Nine sessions were carried out in which aspects aimed at treating the problems identified in the patient were worked on, such as: anxiety responses and intrafamily problems with the mother. The process of evaluation and design of the intervention plan was carried out based on cognitive-behavioral techniques, such as: Socratic dialogue, recording of thoughts, descending arrow, cognitive restructuring, diaphragmatic breathing, among others. As a result of the process, a decrease in the symptoms reported in the reason for consultation was observed, leading to increased functionality through the acquisition and strengthening of personal skills such as: problem solving, decision making, adaptive coping, achieving greater autonomy and self-confidence; Likewise, through psychoeducation, the patient had a greater understanding of her diagnosis and therefore an active participation in the intervention process. This case study is intended to be useful for professionals in the field of mental health who require theoretical contributions based on the intervention of avoidant personality disorder. | eng |
| dc.format.mimetype | spa | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12442/13258 | |
| dc.language.iso | spa | spa |
| dc.publisher | Ediciones Universidad Simón Bolívar | spa |
| dc.publisher | Facultad de Ciencias Jurídicas y Sociales | spa |
| dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 Internacional | eng |
| dc.rights.accessrights | info:eu-repo/semantics/restrictedAccess | spa |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | |
| dc.subject | Trastorno evitativo de la personalidad | spa |
| dc.subject | Apego | spa |
| dc.subject | Ansiedad | spa |
| dc.subject | Problemas intrafamiliares | spa |
| dc.subject | Reestructuración cognitiva | spa |
| dc.subject | Registro de pensamientos | spa |
| dc.subject | Intervención | spa |
| dc.subject | Cognitivo comportamental | spa |
| dc.subject | Estudio de caso | spa |
| dc.subject | Avoidant personality disorder | eng |
| dc.subject | Attachment | eng |
| dc.subject | Anxiety | eng |
| dc.subject | Intrafamilial problems | eng |
| dc.subject | Cognitive restructuring | eng |
| dc.subject | Thought recording | eng |
| dc.subject | Intervention | eng |
| dc.subject | Cognitive-behavioral | eng |
| dc.subject | Case study | eng |
| dc.title | Intervención desde el modelo cognitivo-comportamental en una paciente con trastorno evitativo de la personalidad: un estudio de caso | spa |
| dc.type.driver | info:eu-repo/semantics/masterThesis | spa |
| dc.type.spa | Trabajo de grado máster | spa |
| dcterms.references | Alden, L. E., Laposa, J. M., Taylor, C. T., & Ryder, A. G. (2002). Avoidant personality disorder: Current status and future directions. Journal of personality disorders, 16(1), 1-29. | eng |
| dcterms.references | American Psychiatric Association. (2014). DSM-5: Manual diagnóstico y estadístico de los trastornos mentales. American Psychiatric Association. | spa |
| dcterms.references | Antúnez, Z., & Vinet, E. V. (2012). Escalas de depresión, ansiedad y estrés (DASS-21): Validación de la versión abreviada en estudiantes universitarios chilenos. Terapia psicológica, 30(3), 49-55. | spa |
| dcterms.references | Barach, P. M. (1991). Multiple personality disorder as an attachment disorder. Dissociation: Progress in the Dissociative Disorders. | eng |
| dcterms.references | Beck, A. and Freeman, A. (1990). CognitiveTherapy of personality disorders. Guilford | eng |
| dcterms.references | Beck, A. T., Steer, R. A., & Brown, G. K. (1987). Beck depression inventory. Harcourt Brace Jovanovich. | eng |
| dcterms.references | Beck, A. T., Butler, A. C., Brown, G. K., Dahlsgaard, K. K., Newman, C. F., & Beck, J. S. (2001). Dysfunctional beliefs discriminate personality disorders. Behaviour research and therapy, 39(10), 1213-1225. | eng |
| dcterms.references | Beck, A. T., Hollon, S. D., Young, J. E., Bedrosian, R. C., & Budenz, D. (1985). Treatment of depression with cognitive therapy and amitriptyline. Archives of general psychiatry, 42(2), 142-148. | eng |
| dcterms.references | Beltrán, M. D. C., Freyre, M. Á., & Hernández-Guzmán, L. (2012). El Inventario de Depresión de Beck: Su validez en población adolescente. Terapia psicológica, 30(1), 5-13. | spa |
| dcterms.references | Bowlby, J. (1979). The bowlby-ainsworth attachment theory. Behavioral and Brain Sciences, 2(4), 637-638. | eng |
| dcterms.references | Bowlby, J., & Ainsworth, M. (2013). The origins of attachment theory. Attachment theory: Social, developmental, and clinical perspectives, 45(28), 759- 775. | eng |
| dcterms.references | Burnham, D. L., Gladstone, A. I., & Gibson, R. W. (1969). Schizophrenia and the Need-Fear Dilemma. International Universities Press. | eng |
| dcterms.references | Caballo, V. E. (2004). Manual de trastornos de la personalidad (Descripción, evaluación y tratamiento). Síntesis, S.A. | spa |
| dcterms.references | Caballo, V. E., & Prieto-Comelin, A. (2002). El trastorno de Personalidad por Evitación en los Albores del Siglo XXI. | spa |
| dcterms.references | Carr, S. N., & Francis, A. J. P. (2009). Do early maladaptive schemas mediate the relationship between childhood experiences and avoidant personality disorder features? A preliminary investigation in a non-clinical sample. Cognitive Therapy and Research, 34(4), 343–358. | eng |
| dcterms.references | Centonze, A., Popolo, R., MacBeth, A., & Dimaggio, G. (2021). Building the alliance and using experiential techniques in the early phases of psychotherapy for avoidant personality disorder. Journal of clinical psychology, 77(5), 1219-1232. | eng |
| dcterms.references | Coid, J., Yang, M., Tyrer, P., Roberts, A., & Ullrich, S. (2006). Prevalence and correlates of personality disorder in Great Britain. The British journal of psychiatry : the journal of mental science, 188, 423–431. https://doi.org/10.1192/bjp.188.5.423 | eng |
| dcterms.references | Cox, B. J., Turnbull, D. L., Robinson, J. A., Grant, B. F., & Stein, M. B. (2011). The effect of avoidant personality disorder on the persistence of generalized social anxiety disorder in the general population: results from a longitudinal, nationally representative mental health survey. Depression and anxiety, 28(3), 250- 255. | eng |
| dcterms.references | Cruz, E. R., Rico, L. D., & Bermúdez-Jaimes, M. E. (2016). Las prácticas de crianza y su relación con el vínculo afectivo. Revista Iberoamericana de Psicología, 9(2), 113-124. | spa |
| dcterms.references | Devany, K., & Poerwandari, E. K. (2020). Integrating cognitive-behavioral therapy and gratitude therapy for treating somatic symptom disorder with schizoidavoidant personality features: a case report. Jurnal Psikologi Ulayat, 7(2), 113-121. | eng |
| dcterms.references | Drago, A., Marogna, C., & Jørgen Søgaard, H. (2016). A review of characteristics and treatments of the avoidant personality disorder. Could the DBT be an option?. International Journal of Psychology and Psychoanalysis. | eng |
| dcterms.references | Eikenaes, I., Hummelen, B., Abrahamsen, G., Andrea, H., & Wilberg, T. (2013). Personality functioning in patients with avoidant personality disorder and social phobia. Journal of personality disorders, 27(6), 746-763. | eng |
| dcterms.references | Ekselius, L., Tillfors, M., Furmark, T., & Fredrikson, M. (2001). Personality disorders in the general population: DSM-IV and ICD-10 defined prevalence as related to sociodemographic profile. Personality and individual differences, 30(2), 311-320. | eng |
| dcterms.references | Emmelkamp, P. M., Benner, A., Kuipers, A., Feiertag, G. A., Koster, H. C., & van Apeldoorn, F. J. (2006). Comparison of brief dynamic and cognitive– behavioural therapies in avoidant personality disorder. The british journal of psychiatry, 189(1), 60-64. | eng |
| dcterms.references | Fernández, M. Á. R., García, M. I. D., & Crespo, A. V. (2012). Manual de técnicas de intervención cognitivo conductuales. Desclée de Brouwer. | spa |
| dcterms.references | Frandsen, F. W., Simonsen, S., Poulsen, S., Sørensen, P., & Lau, M. E. (2020). Social anxiety disorder and avoidant personality disorder from an interpersonal perspective. Psychology and Psychotherapy: Theory, Research and Practice, 93(1), 88-104. | eng |
| dcterms.references | García, P. S. (2011). El vínculo afectivo de apego: investigación y desarrollo. Acción psicológica, 8(2), 5-7. | spa |
| dcterms.references | Gjerde, L. C., Czajkowski, N., Røysamb, E., Ørstavik, R. E., Knudsen, G. P., Østby, K., ... & Reichborn‐Kjennerud, T. (2012). The heritability of avoidant and dependent personality disorder assessed by personal interview and questionnaire. Acta Psychiatrica Scandinavica, 126(6), 448-457. | eng |
| dcterms.references | Grant, B. F., Hasin, D. S., Stinson, F. S., Dawson, D. A., Chou, S. P., Ruan, W. J., & Pickering, R. P. (2004). Prevalence, correlates, and disability of personality disorders in the United States: results from the national epidemiologic survey on alcohol and related conditions. The Journal of clinical psychiatry, 65(7), 948–958. https://doi.org/10.4088/jcp.v65n0711 | eng |
| dcterms.references | Hageman, T. K., Francis, A. J., Field, A. M., & Carr, S. N. (2015). Links between childhood experiences and avoidant personality disorder symptomatology. International Journal of Psychology and Psychological Therapy, 15(1), 101-116. | eng |
| dcterms.references | Hummelen, B., Ulltveit-Moe Eikenæs, I., & Wilberg, T. (2022). Is the alternative model for personality disorders able to capture avoidant personality disorder according to Section II of the DSM–5? A systematic review. Personality Disorders: Theory, Research, and Treatment, 13(4), 412. | eng |
| dcterms.references | Jackson, H. J., & Burgess, P. M. (2000). Personality disorders in the community: a report from the Australian National Survey of Mental Health and Wellbeing. Social psychiatry and psychiatric epidemiology, 35, 531-538. | eng |
| dcterms.references | Jerde L.C., Czajkowski N., Røysamb E., Ørstavik R.E., Knudsen G.P., Østby K., Torgersen S., Myers J., Kendler K.S. y Reichborn-Kjennerud T. (2012). The heritability of avoidant and dependent personality disorder assessed by personal interview and questionnaire. Revista Acta Psychiatr Scand,126, 448.457. | eng |
| dcterms.references | Kahn, E. (1931). Psychopathic personalities. | eng |
| dcterms.references | Kretschmer, E. (2013). Physique and Character: An Investigation of the Nature of Constitution and of the Theory (Vol. 10). Routledge. | eng |
| dcterms.references | Kvarstein, E. H., Antonsen, B. T., Klungsøyr, O., Pedersen, G., & Wilberg, T. (2021). Avoidant personality disorder and social functioning: A longitudinal, observational study investigating predictors of change in a clinical sample. Personality Disorders: Theory, Research, and Treatment, 12(6), 594. | eng |
| dcterms.references | Lampe, L., & Sunderland, M. (2015). Social phobia and avoidant personality disorder: similar but different?. Journal of personality disorders, 29(1), 115-130. | eng |
| dcterms.references | Maillard, P., Pellaton, J., & Kramer, U. (2019). Treating comorbid depression and avoidant personality disorder: The case of Andy. Journal of clinical psychology, 75(5), 886-897. | eng |
| dcterms.references | Martínez-Priego, C., Salgado, D., & Anaya-Hamue, M. E. (2014). Desarrollo de la personalidad y virtudes sociales: relaciones en el contexto educativo familiar. Educación y Educadores, 17(3), 447-467. | spa |
| dcterms.references | May-Chahal, C., & Cawson, P. (2005). Measuring child maltreatment in the United Kingdom: A study of the prevalence of child abuse and neglect. Child abuse & neglect, 29(9), 969-984. | eng |
| dcterms.references | Millon, T. & Davis, R. (2001). Trastornos de la personalidad en la vida moderna. Masson. | spa |
| dcterms.references | Nordahl, H. M., Vogel, P. A., Morken, G., Stiles, T. C., Sandvik, P., & Wells, A. (2016). Paroxetine, cognitive therapy or their combination in the treatment of social anxiety disorder with and without avoidant personality disorder: a randomized clinical trial. Psychotherapy and psychosomatics, 85(6), 346-356. | eng |
| dcterms.references | Olssøn, I., & Dahl, A. A. (2012). Avoidant personality problems—Their association with somatic and mental health, lifestyle, and social network. A community-based study. Comprehensive psychiatry, 53(6), 813-821. | eng |
| dcterms.references | Oviedo, G. F., Gómez-Restrepo, C., Rondón, M., Borda Bohigas, J. P., & Tamayo Martínez, N. (2016). Tamizaje de rasgos de personalidad en población adulta colombiana. Encuesta Nacional de Salud Mental 2015. Revista colombiana de psiquiatría, 45 Suppl (1), 127–134. https://doi.org/10.1016/j.rcp.2016.08.002 | spa |
| dcterms.references | Pretzer, J. L., & Beck, A. T. (2005). A cognitive theory of personality disorders. | eng |
| dcterms.references | Quirk, S. E., Berk, M., Pasco, J. A., Brennan-Olsen, S. L., Chanen, A. M., Koivumaa-Honkanen, H., Burke, L. M., Jackson, H. J., Hulbert, C., A Olsson, C., Moran, P., Stuart, A. L., & Williams, L. J. (2017). The prevalence, age distribution and comorbidity of personality disorders in Australian women. The Australian and New Zealand journal of psychiatry, 51(2), 141–150. https://doi.org/10.1177/0004867416649032 | eng |
| dcterms.references | Reich, J. (2010). Avoidant personality disorder and its relationship to social phobia. Social Anxiety, 207-222. | eng |
| dcterms.references | Reich, J., & Schatzberg, A. (2021). Prevalence, factor structure, and heritability of avoidant personality disorder. The Journal of Nervous and Mental Disease, 209(10), 764-772. | eng |
| dcterms.references | Reichborn-Kjennerud, T. (2008). Genetics of personality disorders. Psychiatric Clinics of North America, 31(3), 421-440. | eng |
| dcterms.references | Samuels, J., Bienvenu, O. J., Krasnow, J., Wang, Y., Grados, M. A., Cullen, B., ... & Nestadt, G. (2020). General personality dimensions, impairment and treatment response in obsessive–compulsive disorder. Personality and mental health, 14(2), 186-198. | eng |
| dcterms.references | Simons, H. (2011). El estudio de caso: Teoría y práctica. Ediciones Morata. | spa |
| dcterms.references | Simonsen, S., Eikenæs, I. U. M., Nørgaard, N. L., Normann-Eide, E., Juul, S., & Wilberg, T. (2019). Specialized treatment for patients with severe avoidant personality disorder: Experiences from Scandinavia. Journal of Contemporary Psychotherapy, 49, 27-38. | eng |
| dcterms.references | Skewes, S. A., Samson, R. A., Simpson, S. G., & van Vreeswijk, M. (2015). Short-term group schema therapy for mixed personality disorders: a pilot study. Frontiers in psychology, 5, 1592. | eng |
| dcterms.references | Skodol, A. E., Oldham, J. M., Bender, D. S., Dyck, I. R., Stout, R. L., Morey, L. C.,.. . Gunderson, J. G. (2005). Dimensional representations of DSM-IV personality disorders: Relationships to functional impairment. American Journal of Psychiatry, 162(10), 1919–1925 | eng |
| dcterms.references | Sørensen, K. D., Wilberg, T., Berthelsen, E., & Råbu, M. (2020). Subjective experience of the origin and development of avoidant personality disorder. Journal of Clinical Psychology, 76(12), 2232-2248. | eng |
| dcterms.references | Tanaka, Y., Ishitobi, Y., Inoue, A., Oshita, H., Okamoto, K., Kawashima, C., ... & Akiyoshi, J. (2016). Sex determines cortisol and alpha‐amylase responses to acute physical and psychosocial stress in patients with avoidant personality disorder. Brain and Behavior, 6(8), e00506. | eng |
| dcterms.references | Tillfors, M., Furmark, T., Ekselius, L., & Fredrikson, M. (2004). Social phobia and avoidant personality disorder: one spectrum disorder?. Nordic journal of psychiatry, 58(2), 147–152. https://doi.org/10.1080/08039480410005530 | eng |
| dcterms.references | Torgersen, S., Kringlen, E., & Cramer, V. (2001). The prevalence of personality disorders in a community sample. Archives of General Psychiatry., 58(6), 590–596 | eng |
| dcterms.references | Torgersen, S. (2009). The nature (and nurture) of personality disorders. Scandinavian journal of psychology, 50(6), 624-632. | eng |
| dcterms.references | Torvik, F. A., Welander-Vatn, A., Ystrom, E., Knudsen, G. P., Czajkowski, N., Kendler, K. S., & Reichborn-Kjennerud, T. (2016). Longitudinal associations between social anxiety disorder and avoidant personality disorder: A twin study. Journal of Abnormal Psychology, 125(1), 114. | eng |
| dcterms.references | Trull, T. J., Jahng, S., Tomko, R. L., Wood, P. K., & Sher, K. J. (2010). Revised NESARC personality disorder diagnoses: gender, prevalence, and comorbidity with substance dependence disorders. Journal of personality disorders, 24(4), 412–426. https://doi.org/10.1521/pedi.2010.24.4.412 | eng |
| dcterms.references | Verheul, R., Bartak, A., & Widiger, T. (2007). Prevalence and construct validity of personality not otherwise specified (PDNOS). Journal of Personality Disorders, 21(4), 359–370. | eng |
| dcterms.references | Weinbrecht, A., Schulze, L., Boettcher, J., & Renneberg, B. (2016). Avoidant personality disorder: a current review. Current psychiatry reports, 18, 1-8. | eng |
| dcterms.references | Welander-Vatn, A., Torvik, F. A., Czajkowski, N., Kendler, K. S., Reichborn-Kjennerud, T., Knudsen, G. P., & Ystrom, E. (2019). Relationships among avoidant personality disorder, social anxiety disorder, and normative personality traits: A twin study. Journal of personality disorders, 33(3), 289-309. | eng |
| dcterms.references | Wilberg, T., Karterud, S., Pedersen, G., & Urnes, Ø. (2009). The impact of avoidant personality disorder on psychosocial impairment is substantial. Nordic Journal of Psychiatry, 63(5), 390-396. | eng |
| dcterms.references | Winarick, D., & Bortz, A. (2020). Avoidant personality disorder. The Wiley Encyclopedia of Personality and Individual Differences: Clinical, Applied, and Cross‐Cultural Research, 121-126. | eng |
| dcterms.references | Winsper, C., Bilgin, A., Thompson, A., Marwaha, S., Chanen, A. M., Singh, S. P., ... & Furtado, V. (2020). The prevalence of personality disorders in the community: a global systematic review and meta-analysis. The British Journal of Psychiatry, 216(2), 69-78. | eng |
| dcterms.references | Zimmerman, M., Rothschild, L., & Chelminski, I. (2005). The prevalence of DSM-IV personality disorders in psychiatric outpatients. American Journal of Psychiatry, 162(10), 1911–1918. | eng |
| dcterms.references | Zimmerman, R. D., Boswell, W. R., Shipp, A. J., Dunford, B. B., & Boudreau, J. W. (2012). Explaining the pathways between approach-avoidance personality traits and employees’ job search behavior. Journal of Management, 38(5), 1450-1475. | eng |
| dcterms.references | Zimmermann, P., Alliger-Horn, C., Kowalski, J. T., Plate, S., Wallner, F., Wolff, E., & Strohle, A. (2013). Treatment of avoidant personality traits in a German Armed Forces inpatient psychiatric setting. Military Medicine, 178(2), 213–217. | eng |
| oaire.version | info:eu-repo/semantics/acceptedVersion | spa |
| sb.programa | Maestría en Psicología | spa |
| sb.sede | Sede Barranquilla | spa |