AÑO DE D E LA DIVERSIFICACIÓN DIVERSI FICACIÓN PRODUCTIVA Y DEL FORTALECIMIENTO FORTALECIMIENTO DE LA EDUCACIÓN UNIVERSIDAD PERUANA LOS ANDES
FACULTAD DE CIENCIAS DE LA SALUD
CARRERA PROFESIONAL DE PSICOLOGÍA
MEMORIA DE INTERNADO I Y II
PRESENTADO POR INTERNA
: CINTIA VANESA PEREZ CERRON
CÓDIGO
: A96472G
ASESOR DE SEDE
: PS. MADELEINE PALOMINO VENTO
ASESOR DE UNIVERSIDAD
: PS. JULIAN SERVA SERVA CARHUALLANQUI
FECHA DE INICIO
: 02 DE SETIEMRE DEL 20!4
FECHA DE T"RMINO
: #! DE AGOSTO DEL 20!$
HUANCAYO- PERU
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COORDINADORA DE PR/CTICAS
PRE PROFESIONALES UPLA
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DEDICATORIA
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AGRADECIMIENTO
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INTRODUCCIÓN
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INDICE
DEDICATORIA INTRODUCCIÓN INDICE
I.
INFORMACIÓN GENERAL……………………………………………....6 I.1 I.2 I.3 I.4 I.5 I.6 I.7 I.
II.
CENTRO DE INTERNADO……………………………………………6 NOMBRE DE LA INTERNA…………………………………………...6 ASESOR DEL CENTRO DE INTERNADO………………………….6 ASESOR DE LA UNIVERSIDAD……………………………………..6 HORARIO……………………………………………………………......6 PERIODO INTERNADO ……………………………………………....6 AREA…………………………………………..………………..............6 POBLACION DE TRABA!O……………………………………………………………….6
DIAGNOSTICO SITUACIONAL…………………………………………..6 II.1 UBICACIÓN Y DIRECCIÓN DEL CENTRO DE INTERNADO……………………………………………………………6 II.2 CARACTERISTICAS DE LA INFRAESTRUCTURA……………………………………..................6 II.3 BREVE RESE"A HISTORICA……………………………………….# II.4 DIAGNOSTICO DEL CENTRO DE PRACTICAS………………………………………………..................# II.5 ORGANI$ACIÓN FUNCIONAL……………………………………..11 II.6 CARACTERISTICAS DEL AREA PSICOLOGICA……………….15
III.
ACTIVIDADES DEL A"O REALI$ADO SEG%N PLAN DE TRABA!O…………………………………………………………………..16 III.1 RESUMEN DE CUADROS Y GRAFICOS………………………….67 PACIENTES ATENDIDOS EN EL PERIODO DE INTERNADO -
S&'() G&)&*+…………………………………………….67
-
S&'() E,-,…………………………………………….67
III.2 72
S&'() T*-/+*)+ M&)/-0……………………………..6 S&'() *&- E-0-,-……………………………..71
REA DE ACTUALI$ACIÓN………………………………………
III.2.1 ASISTENCIA A SEMINARIOS……………………… 72 III.2.2 REVISIONES BIBLIOGRAFIAS……………………………………….73 III.2.3 TRABA!O MONOGRAFICO…………………………11 III.3
AREA DE PROYECCIÓN SOCIAL III.3.1 CHARLAS REALI$ADAS…………………………….12
IV.
CONCLUSIONES…………………………………………………………126
V.
RECOMENDACIONES……………………………………………………127
VI.
ESTUDIO DE CASO……………………………………………………….12
VII.
BIBLIOGRAFIA…………………………………………………………….153
VIII.
ANEOS…………………………………………………………………….154 E!EMPLARES DE TEST UTILI$ADOS…………………………………154
I.- INFORMACION GENERAL
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FUNDAMENTACION 1. PLAN DE ACTIVIDAD DEL INTERNADO Parte de la formación del psicólogo y como requisito fundamental de nuestra carrera, se debe llevar a cabo las prácticas pre-profesionales en las áreas o ramas de formación del psicólogo, es por ello que se ace necesario reali!ar dicas prácticas pre profesionales durante "2 meses que equivale dos ciclos acad#micos de $ meses cada uno. %l finali!ar este dos periodos se concluyera la carrera de psicolog&a cumpliendo un el
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III ACTIVIDADES REALI:ADAS SEG;N EL PLAN DE TRA3A
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•
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Investigar
todo relacionado a la estimulación
temprana en las cuatro áreas. 2.(.2 Sist$0#ti1#ci*n &$ Conc$7tos : Esti0,#ci*n T$07%#n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
%$# 0ot%i1: E% )& =&*)*'&' '( -,>(1%( ? '(%)&&1%(B )& ,,1'*+&*3+B ,-&1 ,%&% ,+ ),% '(',%B (% '(*1 =&(1 &*>*'&'(% '( -,1**'&' @*+& ? -,1**'&' 1(%&. P&1& (%*-)&1 (%& 51(& (% +((%&1*, '(;&1 <( () +*, ('& (),1&1 % (+,1+, %*(-1( ? &+', 1(%(( *(1,% )-*(% <( =&? <( ,),&1 &1& )& %(1*'&' '() +*,.
%$# socio-$0ocion# S,+ )&% ((1*(+*&% '( %,*&)*&*3+ ? &@(*>&% '() +*, <( =&(+ <( %( ('& *+(1&1 & + 1, '( (1%,+&% %*+ +*++ 1,)(-&. P&1& (%*-)&1 (%& 51(& %( '(( (+(1 + ,-)(, &,?, '( ),% &'1(% &1& <( )( 1*+'(+ &) +*, &1*,B &-,1B %(1*'&'B &(+*3+ ?& <( ),% &'1(% %,+ ),% 1*-(1,% (+(1&',1(% '( >+),% &@(*>,%.
%$# co!niti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
INTELIGENCIA.- E% )& &&*'&' '( ),% %(1(% =-&+,% '( ,'(1 1,(%&1 )& *+@,1-&*3+ 1,>(+*(+( '() -('*,B &% ,-, &-*+ '( 1(,(1)& '() ((1*,1. L& *+()*(+*& (% &), <( '((+'( '( )&% (%11&% *+(1+&% '() (1(1, ? '( % *+(11()&*3+ ,+ () -+', ((1*,1. E+1( >&1*&% ,%**)*'&'(%B &<())& ,*3+ -5% &(1&'& &1& )& 1(%,)*3+ '( + 1,)(-&. E+ (%( %(+*',B &( '*%*+*1)& '( )& %&*'1&B (+ &+, <( (%& )*-& (% &+ %,), +& &-)&*3+ '( ,+,*-*(+,B -*(+1&% <( )& *+()*(+*& *-)*& =&(1 () -(;,1 %, '( + %&(1 1(>*,. N, ,%&+(B () -,', &1& *'(+*@*&1 )& &)*'&' '( %(1 *+()*(+( =& %*', (+,1-(-(+( '(&*',.
No%0#i&#&. E) ,+(, '( +,1-&)*'&' %( ,1&+*& '( &(1', & &1, (1%(*>&% @+*,+&)(%:
- N,1-&)*'&' ,-, S&)'. U+& ,+'& (%& '(+1, '( ),% )-*(% '( )& +,1-&)*'&'
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
At#ci*n # # R$#i&#& . C&&*'&' '( + *+'*>*', &1& 1(&*,+&1 &+( )&% %*&*,+(% 1(&)(% '( )& >*'& %*+ @&)%*@*&1 )&% ,+'**,+(% '() -('*,B +* %% 1,*&% 1()&*,+(% *+(1(1%,+&)(% -('*&+( )& *-&*+&*3+B () %,&1 '(%*(1,B )& +(&*3+ '( )& 1(&)*'&'B )& 1&*,+&)*&*3+ ? ,1&% @,1-&% '( &,(+&, , &, *)%*3+.
A!,&o. E% +& &*>*'&' *+(+%& , @(1(B '( %*& &&1**3+ ? '( '(%&11,)), ? 1*%*% 15*'&%. O(%, & 13+*, , '( '1&*3+ (1%*%(+( '( )&1& '1&*3+.
A!%$si*n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
Est%,ct,%# &$ # P$%son#i&#& .
L& (1%,+&)*'&' (+(+'*'& ,-, + %*%(-&
,1*(+&',1 ? -,*>&',1 '() ,-,1&-*(+, (% +& (%11& , ,+;+, ,1&+*&', '( '*%,%**,+(% &1& )& &*3+. E% ,+ 1(%(, &) %;(,B + %*%(-& *+(1*,1B *(+( *(1& ,1&+*&*3+B (1, +, ('( ,-1(+'(1%( %*+, (+ ,+%&+( *+(11()&*3+ ,+ ),% ))&-&',% %*%(-&% ((1*,1(% @%*,%B %*,)3*,%B %,*&)(%B )1&)(%K. D(%'( () +, '( >*%& *,)3*, () ,1&+*%-,B (+ &'& +& '( %% *+(1&*,+(% ,+ ),% (1,% ? (+(1&% '() -('*,B &%*-*)& %,% & % 1,*& (%11&B & )& >( <( %( &,-,'& & )&% %*&*,+(%. E+ &+, &) %*%(-& , (%11& *+(1*,1 '( )& (1%,+&)*'&' '( &(1', & )& (,1& '( L(1%= 97K %( *(+(+ +*>()(% %(1(%,% & )& >( ,,1'*+&',% (+1( % ,1 %(%, &1*@**&)-(+( %(&1&',% ,+ @*+(% '*'5*,% U+ +*>() , @,+', 1,@+', , @,+', >*&) *+,+%*(+( U+ +*>() , @,+', (+',-*, &) <( ,11(%,+'(+ )&% (-,*,+(%B (%&',% '( 5+*-,B (+'(+*&%B '*%,%**,+(% =(=&% ,+%*(+(% (1, 1,('(+(% '() @,+', +, ,+%*(+(. E) +*>() '( )& *+(1&*3+ ,+ () %*%(-& ((1*,1B ',+'( @)*15+ ,',% ),% +*>()(%B , %(& () 51(& '() ,+&, *+(1(1%,+&) ? ,1 (+*-& () +*>() '( )& %1&(%11& (1%,+&)B (+%&-*(+, , >,)+&' ,+%*(+(B )& (%@(1& '( )& *+**&*>& '() ?, ,+%*(+(.
R#s!os &$ T$07$%#0$nto . E) (-(1&-(+, %( 1(@*(1( & ),% @(+3-(+,% &1&(1%*,% '( )& +&1&)(& (-,*,+&) '( + *+'*>*',B *+)?(+', %% %%(**)*'&' & )& (%*-)&*3+ (-,*,+&)B )&% @(1& ? )& >(),*'&' ,+ <( &,%-1&+ & 1,'*1 %% 1(%(%&%B % (%&', '( =-,1 1(,+'(1&+( ? ,'&% )&% ()*&1*'&'(% '( @)&*3+ ( *+(+%*'&' (+ () (%&', '( =-,1 ,+%*'(1&',% (%,% @(+3-(+,% ,-, '((+'*(+(% (+ 1&+ &1( '( )& (%11& ,+%**,+&) ? 1(',-*+&+(-(+( =(1('*&1*,%.
P$%son#i&#& E% +& (%11& '( &15(1 %*,)3*, <( =&( 1(@(1(+*& &) ,+;+, '( 1&%,% '*%*+*>,% '( + *+'*>*',. E) ((1, '( ,1*(+ (%&',+*'(+%( G,1',+ A)),1 =& '(@*+*', & )& +,*3+ '( (1%,+&)*'&' ,-, &<())& &)*+(&*3+ '*+5-*& '( ),% %*%(-&% %*,@%*,% <( (1-*( (%&)((1 + -,', (%(@*, '( &&1 ? '( (+%&1. E%& ,1&+*&*3+B %,%*(+( A)),1B >&1& '( + *+'*>*', & ,1, ?& <( '((+'( '( )& )&%( '( &'&&*3+ &) (+,1+, <( (%&)(& &'& (1%,+&.
In$st#)ii&#& E0ocion# E%&*)*'&' E-,*,+&) N(1,**%-,K. E+ () (1(-, '( *+(%&*)*'&' (-,*,+&) (+(-,% (1%,+&% ?&% (-,*,+(% %,+ )5*)(%B @(1(%B '( &&1**3+ @5*) (%&% (1%,+&% %,+ %(+%**>&%B *11*&)(%B &+%*,%&%B *+<*(&%. E+ () (1(-, '( (%&*)*'&' (-,*,+&) (+(-,% (1%,+&% ?&% (-,*,+(% %,+ (%&)(%B '( &&1**3+ '*@*) %,+ &)-,%B +*@,1-(%B &&*)(% (+ %% (%&',% &@(*>,%B %(1,% ? ,+@*&)(%. E) +(1,**%-, , *+(%&*)*'&' (-,*,+&) ,+%*?( + *, '( 1(&*3+ &1&(1*&', ,1 (*&*)*'&' ( *+(%&*)*'&' (-,*,+&) *+(+%&B &;& ,)(1&+*& &1& () %1(%%B 1&+ (+%*3+ (+ %*&*,+(% '( &-(+&& ? >)+(1&*)*'&' &1& )&% +(1,%*%. P,%*)(-(+( %(& '( +&1&)(& ,+%**,+&). H&1& +& (%1(=& 1()&*3+ (+1( )& &*>*'&' ? )& )&*)*'&' '() %*%(-& >((&*>,B ? () +(,1***%-, , (-,*>*'&' -('*',% ,-, +'*( '( ,+'&.
COGNITIVO.- (% &<()), <( (1(+(( , <( (%5 1()&*,+&', &) ,+,*-*(+, "%(B & % >(B (% () -), '( *+@,1-&*3+ <( %( '*%,+( 1&*&% & + 1,(%, '( &1(+'*&;( , & )& ((1*(+*&. INCLUSIÓN.- %( >( ,-, () 1,(%, '( *'(+*@*&1 ? 1(%,+'(1 & )& '*>(1%*'&' '( )&% +((%*'&'(% '( ,',% ),% (%'*&+(% & 1&>% '( )& -&?,1 &1**&*3+ (+ () &1(+'*&;(B )&% )1&% ? )&% ,-+*'&'(%B ? 1('*(+', )& ()%*3+ (+ )& ('&*3+.
Hi7$%#cti/i&#& :E% )& ,+'& <( '(%)*(& + *+'*>*', ? <( %( &1&(1*& ,1 () ((%, '( &*>*'&' <( )& -*%-& -&+*@*(%&. A+<( ,1 %(%, )& =*(1&*>*'&' ('( '&1%( (+ &)<*(1 (1%,+&B (+(1&)-(+(B %()( *)*&1%( &1& '(%1**1 +& ,+'& -? 1,*& (+ ),% +*,% ? <( ,+%*%( ,-, '*;*-,% (+ )& *-,%**)*'&' '( (1-&+((1 <*(,%.
ACTIVIDADES DEL INTERNISTA EN PSICOLOG?A II.LOGROS DE OB!ETIVOS CON INDICADORES EN LAS FUNCIONES. 0entro del )entro de 'stimulación +anitos ágicas +se reali!aron lo ya establecidas 6os servicios que brindan los profesionales.
@A8/,-,& ,& 0- )/&*)-
•
5e reali!ó la observación de a la conducta de cada ni/o.
•
5e reali!ó estimulación de las cuatro áreas básicas.
•
5e reali!o la evaluación psicológica a los ni/os, mediante la aplicación de instrumentos psicológicos.
•
5e reali!o entrevistas a padres de familia.
•
5e reali!o el informe psicológico
•
5e reali!ó talleres, carlas escuelas de padres.
•
5e reali!o )oordinación con los docentes del aula.
•
Participación en la organi!ación de eventos deportivos, culturales, art&sticos y sociales.
•
•
%poyo en materiales auto instructivo de estimulación. 5e apoyó en decoración de todo la institución para
diferentes
eventos sucedidos. •
7tras actividades.
A CONTINUACIÓN
SE DETALLA
LAS ACTIVIDADES
REALI$ADAS DURANTE EL PERIODO DE INTERNADO I 9 II TCNICAS UTILI$ADAS
L- +=&*-8>) 8+0>'8- 's lo fundamental para su recolección de datos y se tiene que acer lo más ob(etivo posible para que nos d# un diagnostico presuntivo de los evaluados, se debe tener en cuenta su aspecto socio cultural, tambi#n se debe acer desde el primer contacto, observándose8 su actitud, postura corporal, su comunicación, gestos, conducta, otros.
L- &)/*&/- 8+0>'8- 5e recolecta y se registra
información más relevante de los
antecedentes de su desarrollo 9personal, familiar.
E0 *&'/*+ 'l cual nos ayuda
a tomar apuntes de lo más resaltante de la
observación, asimismo anotar su apariencia f&sica, lengua(e corporal y su comportamiento en su conte:to.
L- E-0-8>) P8+/*85on instrumentos au:iliares para corroborar los datos obtenidos de las otras t#cnicas de evaluación, miden aspectos cualitativos y cuantitativos, que
permiten evidenciar las particularidades del
estudiante.
A)0 & )/&**&/-8>) ,& *&=- 'l análisis y la interpretación de la pruebas se reali!a con ayuda del manual de cada uno de las pruebas.
P*&)8>) ,-')>/8- 5e reali!a el diagnostico presuntivo con los resultados evaluaciones psicológicas.
de
las
A)-)& 's la reunión de datos relativos de un estudiante, que comprende antecedentes familiares y personales, e:periencias y en particular que se usan para anali!ar su situación y luego proceder con su informe psicológico.
I):+*& P8+0>'8+ 's un documento que contiene todo el traba(o de e:ploración, es esencialmente de análisis, interpretación, discusión sobre la base de la descripción de los resultados que necesariamente derivan de una respuesta de la interrogación -
Ent%$/ist#. P(1-*( (),1&1 ),% @&,1(% (+*,%B (-(1&-(+&)(%B *,)3*,%B '() '(%&11,)),B %,*&)(% ? %*,)3*,% <( =&+ *+@)*', (+ () &*(+(. E+ )& (+1(>*%& %( '(( 1&+%-**1 (-&&B 1(%(,B 1,@(%*,+&)*'&' ( *+(1% =&*& () &*(+(B 1(&+', &% +& &-3%@(1& '( ,+@*&+& <( &+*-( &) &*(+( & =&)&1 ,+ )*(1&' %,1( %% %(+*-*(+,% ? (+%&-*(+,% -5% +*-,%. S( =&+ (%&)(*', '*>(1%&% +*&% '( (+1(>*%& <( ,@1((+ &) &*(+( )& ,,1+*'&' '( 1&+%-**1 ),% %*+,% ? %+,-&% <( (%&)((+ %+'1,-(% ,(+*&)-(+( '(@*+*)(% ? 1&&)(%. A)+&% +*&% %,+ '( &15(1 (+(1&) &1& ,'&% )&% (+1(>*%&% ,1&% (%5+ '*(&'&% &1& &*(+(% (%(@*,%. L,% )+*,% ?&% +*&% '( (+1(>*%& %( &;%(+ & &'& &*(+(B ? ),1&+ ),% 1()&,% ,,1+,%B (-**15+ '*&+3%*,% @*&)(% ? 1(*%,%B (+,+(% ,'15+ 1&(1 & %% &*(+(% (@(*>&-(+(
-
-&+*)&*,+(% &-*(+&)(% , %*,(1&*&. O)s$%/#ci*n.- P(1-*( ,%(1>&1 )&% &1&(1%*&% ((1+&% %*+,%K '( ),% +*,% () & )& %*&*3+ '( (+1(>*%&. E)), +,% &?'& & '((&1 &<()),% %*+,% <( +,% &11,;&1&+ '&,% %,1( + ,%*)( 1&%,1+,. L& ,%(1>&*3+ ,+%*%( (+ (%&1 &) &+, '( )& (1(%*3+ '( )& @& 1**'(B )&*)*'&'B (.KB &% ,-, )& ,%1& ? ,+, -%)&1 '() &*(+(B &% ,-, ),% (-&% <( (+(1&+ (11&*3+ , *+,-,'*'&' '(+1, '( )& (+1(>*%&. H&? <( (+(1 (+ (+& <( '1&+( (%( 1,(%, () )+*, '(( (%&1 &(+, ? %(1 %-&-(+( ,;(*>,B %*+ ))(&1 & '('*1 &)+ '*&+3%*,
'(*', & + %,), %*+, (>*'(+( &1& (%(. 2.'.5 Inst%,0$ntos Utii1#&os -
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ESTRUCTURA DEL INFORME PSICOLÓGICO In+o%0$ Psico*!ico
I DATOS DE FILIACIÓN N,-1( ? A())*', E'&' F(=& '( N&*-*(+, L&1 '( N&*-*(+, G1&', '( I+%1*3+ E%&', C*>*) O&*3+ A&) R(@(1*', P,1 E&-*+&', P,1 S(1>*%&', ,1 F(=& '( E>&)&*3+ II MOTIVO DE CONSULTA III T"CNICAS EVALUADAS IV PRUEAS APLICADAS V OSERVACIONES GENERALES VI AN/LISIS E INTERPRETACIÓN DE LOS RESULTADOS VII CONCLUSIONES
LOS TEST PSICOLÓGICOS UTILI$ADOS ESCALA DE INTELIGENCIA STANFORDBINET FORMA LM )onsiste en una serie de pruebas que emplea diferentes tipos de material, unas veces son est&mulos, otros se presentan en forma gráfica en el protocolo, tras de carácter permanentemente verbal y otras de ob(etos concretos los cuales son utili!ados en la e:ploración de las diferentes edades que mide la escala tales como una ca(a conteniendo8 el tablero de formas e:cavado para tres pie!as separadas triángulo, cuadrado y c&rculo; tres ca(as peque/as y un peque/o gato de (uguete, dibu(o en grande de una mu/eca; doce cubos del mismo tama/o y color; diecioco tar(eta con imágenes de peque/os ob(etos comunes; cartón con perro, locomotora, cama, mu/eca y ti(eras; cartón con ta!a, !apatos, moneda, cucillo, auto, planca; ob(etos como8 silla, llave, tenedor y bandera; ca(a de cuarenta y oco cuentas de formas diferentes y del mismo color; dos cordones con cabecillas metálicas; cuadernillo con dibu(os de animales, figuras geom#tricas, c&rculos de diferentes tama/os, tres láminas de grabados, tar(eta con dibu(os diversos, tres tar(etas con pare(as de dibu(os para comparar, tar(etas de dibu(os incompletos, < tar(etas con dibu(os absurdos, una tar(eta con dos dibu(os, una tar(eta con el grabado de un
cuento; rompecabe!as dos pie!as; una tar(eta con dibu(os de animales; una ca(a con veinte botones blancos y negros; dos palitos cortados; cucara, dedal; sobre peque/o con die! figuras geom#tricas recortadas; seis tar(etitas recortadas, seis tar(etitas con dibu(os diversos; dos o(as de papel cuadrado "< cm doce tar(etitas con dibu(os diversos; dos tar(etas rectangulares una dividida en dos8 un par de cordones de !apatos, un lápi!; tar(eta de vocabulario. )omo complemento del material se incluye un manual de instrucciones y la calificación de la escala y otra de las tablas de las edades y los )I correspondientes a las edades que mide la prueba en mención. % trav#s de todo este material se pone en (uego las diversas funciones intelectuales que e:presan el desarrollo mental del su(eto. 'n la escala de edades que tiene su base en que la superación de la inteligencia supera cada a/o; es as& que las pruebas se agrupan por edades en orden de creciente dificultad y se e:tienden desde la edad de II a/os asta a la del adulto. 'n los primeros niveles de II a/os a = a/os, las prueba están dispuestas cada seis meses; debido a que el desarrollo es muy rápido durante los primeros = a/os; a partir de #ste asta los >I= a/os los niveles están agrupados cada doce meses; los otros oco grupos corresponden al adulto del promedio y adulto superior I, II, y III. )ada nivel contiene seis subtest e:cepto la del adulto medio que tiene oco. 'n las edades inferiores asta los >I= a/os se cuenta con una prueba alternativa cuyo grado de dificultad es equivalente a los subtest que corresponden a la misma edad y pueden reempla!ar a cada uno de ellos que por alguna circunstancia no se puede aplicar. 5i el tiempo no permite no permite aplicar toda la escala, puede recurrirse a la escala abreviada que está constituida por los ? subtest más representativos de cada nivel y que en el manual se les a distinguido con un asterisco.
6a escala de inteligencia de 5tanford-1inet, e:plora las siguientes funciones intelectuales8
COMPRENSIÓN GENERAL8 ':plora si el su(eto es capa! de comprender una situación planteada y si cuenta con (uicio suficiente para darle la solución adecuada. % este tipo de prueba se le conoce como test de sentido comn y nos dice sobre la e:periencia social y cultural del su(eto.
HABILIDAD VISOMOTORA8 ':plora si el su(eto manipulando diversos materiales puede lograr la integración de sus abilidades visuales y motoras. % veces adquiere la forma de una simple actividad imitativa y otra más dif&cil demanda aptitud para anali!ar y sinteti!ar.
RA$ONAMIENTO ARITMTICO8 ':plora la abilidad para identificar, comparar y acer deducciones; se refiere además a la concentración de estructuras internali!adas para allar las relaciones entre los aspectos que presenta el problema.
VOCABULARIO8 ':plora el caudal de información, la abilidad para comprender, as& como, el nivel y proceso del pensamiento.
5egn
apaport el vocabulario e:plora las ideas, recuerdos y relaciones que el su(eto a aprendido y organi!ado para dar significados verbales. 'l logro de esta área depende del medio educativo, cultural y social en el que se desenvuelve el ni/o.
!UICIO Y RA$ONAMIENTO8 'l ra!onamiento nos permite, dadas las premisas, deducir una conclusión. 0e la unión del pensamiento, resulta un (uicio, que se caracteri!a por ser una afirmación apare(ada a un proceso activo, es decir, a una actitud cr&tica. ediante el ra!onamiento el su(eto es capa!a de dar solución a situaciones en conflicto que se le presenta y ante los cuales poco o nado tienen que ver las e:periencias ya que la capacidad para ra!onar puede obrar con datos desconocidos.
ATENCIÓN CONCENTRACIÓN Y MEMORIA8 ':plora la capacidad para centrar la atención sobre un ob(eto que despierta algn inter#s y la concentración es la unificación de la atención para orientarla acia una finalidad.
emoria, consiste en la evocación de imágenes o
conocimientos que se encuentran almacenados en la conciencia. 'stas funciones son medidas a trav#s de los subtest de memoria de ob(etos, retención de d&gitos, repetición de frases, etc.
ESCALA DE MADURE$ SOCIAL DE VINELAND A. DESCRIPCIÓN DE LA PRUEBA 6a 'scala de adure! 5ocial de =ineland, fue dise/ada por 'dgard %. 0oll, al observar la e:istencia, de grandes diferencias de la capacidad social de los ni/os de igual cociente intelectual, siendo esta de especial importancia en infantes considerados en categor&as mentales inferiores. @an abido varias publicaciones de la 'scala, desde la aparición de la primera formulación en "A3< asta "A$< con el anual )ondensado. )on el uso de la 'scala se a comprobado, que uno de los puntos más importantes es la entrevista con los padres; incorporando as& a los padres en la evaluación del su(eto e:aminado, el que provee una visión más profunda de los factores de maduración en el entrenamiento del ni/o. 6a escala proporciona una detallada gu&a con respecto a la capacidad que los ni/os muestran para cuidarse a s& mismos, y en la participación de aquellas actividades que llevan el ltimo grado de independencia como adultos. 6os &tems son arreglados de acuerdo a un promedio de creciente dificultad y representan una maduración progresiva en la ayuda y dirección de si misma, locomoción, ocupación, comunicación y sociabilidad. 'sta maduración en la independencia social, puede ser tomada como una medida del desarrollo progresivo en la competencia. 6a construcción de 'scala es similar a la empleada por 1innet y 5imón en su 'scala de medida de la Inteligencia. )ada Btem, es ideado como una representación general del crecimiento de la responsabilidad social que es e:presado en algunas actitudes detalladas,
como
una
e:presión
de
esa
responsabilidad,
consecuentemente, el valor de los &tems, debe ser determinado por la magnitud con que ellos refle(an esta independencia personal en las actividades. 6os &tems de la 'scala an sido designados con las siguientes áreas8 ". %yuda de s& mismo, general alimentación, vestido 2. )omunicación 3. 0irección de s& mismo ?. 6ocomoción <. 7cupación $. 5ociali!ación. 'stos están arreglados en orden del promedio normal de desarrollo progresivo, y numerados en consecuencia aritm#ticas del " al ""C. 'stán distribuidos en grupos de edades de D meses a más de 2< a/os, de acuerdo con el punta(e promedio de edad obtenido para la 'scala como un todo. 'llos. *ratan de evitar medir la inteligencia, destre!a, personalidad, emociones, los resultados espec&ficos de oportunidades del medio ambiente, entrenamiento, incentivo, ábito y otros. 0e presentarse dicos factores, son e:presados en t#rminos de su potencialidad, integrada por el comportamiento social independiente. Para facilitar la aplicación los &tems an sido estrictamente agrupados de acuerdo a la similitud de contenido. 5in embargo cada uno de ellos debe ser tomado como medida general de maduración social. %l agruparse en categor&as (erárquicas, el e:aminador es capa! de aplicar la 'scala con mayor facilidad. % continuación serán descritas cada una de las áreas de la 'scala de adure! 5ocial de =ineland teniendo en cuenta que cada área independiente, no puede constituir una medida confiable y valida de una función especifica. Puesto que en la reali!ación de ellas intervienen mucas funciones. ".
A9,- ,& < + &) '&)&*-0 -0&)/-8>) &/,+ 5e consideran las actividades incluidas tradicionalmente ba(o las categor&as de alimentación, vestido e igiene que incluye8 vestido y
aseo, en las cuales se mide la capacidad del ni/o para reali!ar dicas tareas, solo o con un m&nimo de ayuda. 2. L+8++8>) ide la capacidad del ni/o de trasladarse de un lugar a otro por s& solo, incluye las capacidades de8 caminar, subir y ba(ar escaleras, etc. 3. O8-8>) )onsidera actividades manuales y f&sicas que el ni/o reali!a como8 cortar con ti(eras, usar lápi! o crayola para dibu(ar, ayudar efica!mente en tareas del ogar y otras responsabilidades similares. ?. C+)8-8>) %nali!a la capacidad del ni/o para participar de lo que acontece, a #l o a los demás; para comunicarse con otra persona utili!a el lengua(e; la escritura o la m&mica. 'ste acto requiere el establecimiento de relaciones interpersonales, por lo menos incipientes para que el ni/o pueda entablar dica relación. <. D*&88>) ,& < + efle(a la capacidad del ni/o para valerse por s& solo, cuidarse a s& mismo o a los demás y asumir responsabilidades. +6a independencia social guarda relación con la capacidad progresiva del individuo, para cooperar, comunicar y por ltimo dirigir con eficacia las actividades de otros”. $. S+8-=0,-, 0epende de la capacidad del ni/o, para a(ustarse su comportamiento de acuerdo a las e:igencias sociales del grupo y (ugar el rol que #ste designa, llegando a imbuirse de un sentimiento de unidad, intercomunicación y cooperación.
B. ADMINISTRACIÓN FASE JAK 'ntrevista con la madre de familia de preferencia o una persona que cono!ca lo suficientemente al cliente. 6as preguntas se dirigen a
la madre para que informe si su i(o ace o no las cosas que se le se/alan. '(m. 5abe prender la *=E, con 3 posibilidades F S
F A &8& está aprendiendo
F N+
FASE JBK 6a prueba se empie!a desde una edad inferior a la cronológica, en casos de que algunos de los &tems correspondientes a un grupo reciben el punta(e de menos se procederá a tomar desde un grupo inferior desde todos los &tems del grupo tenga punta(e más. 6a prueba se suspende cuando encontramos que todos los &tems correspondientes a un grupo de edad reciben el punta(e de m enos.
I)/*88+)& -*- 8-0:8-* 0- P*&=P)/-& cuando lo esencial de la pregunta es reali!ado abitual y satisfactoriamente por el ni/o, sin necesidad de coacción indebida o de incentivos artificiales. 5e da un punta(e de más G cuando el ni/o ace siempre lo requerido en la pregunta ".
P)/-& se da este punta(e a aquella pregunta que el ni/o no reali!a nunca, es decir, el ni/o no a alcan!ado la madure! suficiente para reali!ar el &tem D.
P)/-& + &)+ > aquellos punta(es que están en estado de transición o de emergencia, esto es que se reali!an ocasionalmente, pero no ordinariamente. 6o que ace a veces no abitualmente D.<.
C. VALIDACIÓN 6a 'scala es una descripción de actividades y el punta(e no debe ser basado en meras opiniones. 5e a encontrado que la falsa impresión intencionada o no por el su(eto u otros informantes, no presentan mayores dificultades. 0ebido a las e:periencias con los pacientes, se a demostrado que #stos son e:cepcionalmente buenos observadores de sus propios i(os
y al parecer, no tienen dificultad en compartir sus observaciones con el e:aminador, en relación a las preguntas que se les acen, sobre las actividades diarias de sus i(os. Por otra parte, cuando se les interroga respecto a la interpretación de observaciones, o en cuanto a actividades no usuales de la vida diaria, las respuestas suelen ser equ&vocas o poco fidedignas. 0ica situación puede ser controladas a trav#s del #todo de 'ntrevista y 7bservaciones de comportamiento abitual del ni/o y motivando al informante sobre los propósitos de la evaluación con datos veraces que redundarán en beneficio del i(o minusválido
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2.( RESUMEN DE CUADROS Y GRAFICOS ANALISIS CUALITATIVO (@.-TA3LA N ( PACIENTES ATENDIDOS POR GENERO G$n$%o
N
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F
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
2.'.2 T%#)#=os Mono!%6+icos R$#i1#&os TRASTORO !" LA #O!U#TA AL$M"TAR$A% &UL$M$A !"S!" "L "'O(U" #O)$T$*O #O!U#TUAL
Int%o&,cci*n L,% 1&%,1+,% '( )& &)*-(+&*3+ ,-, )& )*-*& +(1>*,%& , )& &+,1(*& +(1>*,%&B %,+ + 1,)(-& 1(*(+( (+ )&% %,*('&'(% *+'%1*&)*&'&%. E) ), & )& *-&(+ ,1,1&) ? )& -,'& '( )& '()&'( @(-(+*+&B *&% '( +(%1& )1& (+ )& )*-& '&'&B &1((+ ()(-(+,% '((1-*+&+(% (+ () %1*-*(+, '( (%,% 1,)(-&% <( &@(&+ & -;(1(%
;3>(+(%. N, ,%&+( ),% @&,1(% <( *+*'(+ (+ % *+**, ? -&+(+*-*(+, %,+ -)*)(%B *+)?(+', &%(,% *,)3*,%B %*,)3*,% ? @&-*)*&1(%. El #resente tra$a%o #retende dar a conocer como se dan los trastornos alimentarios seg&n el enfo'ue cogniti(o conductual) en la #rimera #arte del tra$a%o damos a conocer la descri#ci*n del Trastorno de la Conducta Alimentaria+ ,ulimia seg&n el CIE -. / el DSM I01 R) así como las causas / consecuencias de cada uno de estos trastornos2
E+ )& %(+'& &1( %( 1(%(+& &)+&% T+*&% C,+**>, C,+'&)(% <( &?'&+ & )& (%&*)*&*3+ ? & + 1&&-*(+, &'(&', &1& ),1&1 () &-*, '( ,+'& (+ (%&% (1%,+&% &% -*%-, %( *+)?(+ )&% # @&%(% <( %( %*(+ '(+1, '( )& (1&*&. L& 1*-(1& @&%( (% '(+,-*+&'& () &-*, &)*-(+&1*,8 )& %(+'& @&%( %( ,+,( ,-, C&-*, ,+**>, ? '( )& *-&(+ ,1,1&)8 @*+&)-(+( )& (1(1& @&%( (% )& 1(>(+*3+ '( 1(&'&%. T&-*+ %( 1(%(+& + &%, 15*, <( *(+( ,1 @*+&)*'&' '&1 -5% )(% &(1& '() 1&&;, ,+**>, (+ (%( *, '( &@(*,+(%.
D$+inici*n &$ P%o)$0# E) *+(1% ,1 )& )*-*& N(1>*,%& %( *+**, (+ ),% &,% 70 &) )*&1%( +& %(1*( '( *+@,1-(% '(%1**(+', () %+'1,-( '( &1&,+(% ? 1&%8 (+ (%'*&+(% +*>(1%*&1*&% &-(1*&+&%. E) 1&%,1+, &, &+ -5% )& &(+*3+ ,+ )& )*&*3+ '( + &1), *)&', L& )*-*& N(1>*,%&: +& >&1*&+( +(@&%& '( )& A+,1(*& N(1>*,%&8B (%1*, ,1 () D1. R%()) '( L,+'1(%B +& &,1*'&' (+ () &-, '( )& &+,1(*& +(1>*,%& R%())B !979K.
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
O)=$ti/os G(+(1&)(%: D(%&11,))&1 + 1,1&-& '( 1&&-*(+, '(%'( () (+@,<( C,+**>, C,+'&) '( )& )*-*& N(1>*,%&. E%(@*,%: L,1&1 <( )&% &*(+(% 1(,+,&+ )& *-,1&+*& '() &-*, &)*-(+&1*,. R((%11&1 )& *-&(+ ,1,1&) <( *(+(+ '( % -*%-&%. P1(>(+*1 )&% 1(&'&%.
M#%co T$*%ico C#7it,o I E) DSMIVR %(&1& ',% *,% '( 1&%,1+,% &)*-(+&1*,%B )& )*-*& +(1>*,%& ? )& &+,1(*& +(1>*,%&. S*+ (-&1,B (+ )& -&?,1& '( ),% &%,% %( '*%*+( +& -()& '(
()),%B ,1 ), <( %( )&%*@*&+ &'& +, '( ()),% (+ %1,%. A%B (+ )& &+,1(*& +(1>*,%& %( '*%*+(+ &'1,% 1(%1**>,% ? &'1,% 1(%1**>,,-)%*>,% ',+'( (1,',% 1(%1**>,% %( ,+;&+ ,+ (1,',% )-*,%K. P,1 % &1(B )& )*-*& +(1>*,%& %( '*>*'( (+ &<())&% '( *, 1&*>, ? +, 1&*>,. P,1 )*-,B %( '(%1*(+ ),% 1&%,1+,% '( )& ,+'& &)*-(+&1*& +, (%(*@*&',%. L& )* )*-* -*&& +(1> +(1>*, *,%& %& %( &1& &1& (1 (1* *&& ,1 ,1 )& 1(% 1(%(+ (+* *&& '( &1& &1&, ,+( +(%% ? -, -,', ',%% ,-(+%&,1*,% *+&1,*&',% <( *(+(+ ,1 @*+&)*'&' (>*&1 )& &+&+*& , &-(+, '( (%, ?& <( &1& )&% (1%,+&% <( &'((+ '( (%& (+@(1-('&' )& &,>&),1&*3+ (%5 &%&'& (+ )& %*)(& ? () (%,. L,% *+'*>*',% ,+ )*-*& +(1>*,%& %( (+(+1&+ +,1-&)-(+( '(+1, '() -&1(+ '( (%, ,+%*'(1&', +,1-&)B & (%&1 '( <( &)+,% 1(%(+&+ )*(1&% '(%>*&*,+(% ,1 (+*-& , ,1 '(&;, '(&;, '( )& +,1-&)*'&'. +,1-&)*'&'. S( '(@*+( '(@*+( #t%#c*n ,-, () ,+%-, & ), )&1, '( + (1,', ,1, '( *(-, '( +& &+*'&' '( ,-*'& -? %(1*,1 & )& <( )& -&?,1& '( ),% *+'*>*',% ,-(1&+ ? (%, (% +& '( )&% &1&(1%*&% '( )& (1%,+& )-*&B &'(-5% )(, '( ),% &1&,+(% %()(+ 1(%(+&1%( -,',% ,-(+%&,1*,% *+&1,*&',% ? (+ &%( & (%,% (+'1(-,% ',% *,% '( )*-*&:
-Ti7o P,%!#ti/o . E%( %*, '(%1*( &'1,% )+*,% (+ ),% <( () (+@(1-, %( =& 1,>,&', () >3-*, ? =& =(=, + -&) %, '( )&&+(%B '*1*,% ? (+(-&% '1&+( () (*%,'*,.
-Ti7o no P,%!#ti/o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
E7i&$0ioo!"#. D*@*(1( %3), (+ (<(,% &%(,% ,+ 1()&*3+ & )& &+,1(*& +(1>*,%&. P,1 (;(-),B )& 1()&*3+ (+1( -;(1(%=,-1(% (% '( 9:!B ,+ +& *+*'(+*& '( ! & # (+1( )&% -;(1(% ? &'),% ;3>(+(% (+ (+(1&).
Etioo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
F#cto%$s 7%$&is7on$nt$s . L,% @&,1(% <( 1('*%,+(+ &) '(%&11,)), '( + &'1, '( &+,1(*& +(1>*,%& %,+:
!. T1&%,1+, ,1'(1)*+( )*-1,@(K '( )& (1%,+&)*'&'B ?& <( %&% %,+ (1%,+&% -? *+(%&)(% (-,*,+&)-(+(B ,+ -? ,& ,)(1&+*& & )& @1%1&*3+B ,, 1(@)(*>&% *-)%*>,%K ? -&) -&+(;, '( )& 1&*&. 2. E) %,1((%, , )& ,(%*'&' 1(>*,% 1('*%,+(+ &) '(%&11,)), '( )*-*& (+ + 20 & $0 '( ),% &%,% '( %&. #. L& &+,1(*& +(1>*,%& 1(>*& (% + &+(('(+( 1(-31*', @1((+(B (%(*&)-(+( ),% &'1,% '( *, &+,1(*& 1(%1**>&B @1(+( & ), &) %( '(( '*@(1(+*&1 %* %,+ ',% &'1,% '*%*+,%B (>,)*>&-(+( +, 1*-(1, ? () ,1, '(%% , %* %,+ &)(1+&+(%.
F#cto%$s &$s$nc#&$n#nt$s . L,% 1*+*&)(% @&,1(% '(%(+&'(+&+(% '( (*%,'*,% )-*,% %,+: !. A+,1(*& 1(%1**>& 1(>*&. 2. P1'*'& '( %(1(% <(1*',%. #. S*&*3+ '( (%1% ,-, ,+@)*,% ,+ ),% &'1(%. 4. Q( )& (1%,+& 1(&)*( +& ,-*),+& ,1 ,1,% -,*>,%B ,-,B ,1 (;(-),B ,1 '(1(%*3+B %,)('&'B @1%1&*3+B 1&*&B (+%*3+ ? &11*-*(+,.
F#cto%$s 7$%7$t,#nt$s . L, L,%% @& @&,1 ,1(% (% <( (1 (1( (& &++ + &'1 &'1,, ) )-* -*, , %,+ )&% ,-*),+&% <( ,+'(+ & 1&% >3-*,% ? )&&+(%K , & ,-(+%&*3+ +, 1&*>& ,-, '*(&B &?+, '15%*, ? (;(1**, '15%*,.
Cons$c,$nci#s
Consecuencias Físicas
Cons$c,$nci#s Psico*!ic#s
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&11*-*&%. E%,@&**% ? (+ &)+,% &%,% %+'1,-( '( M&)),1?X(*%%. N(-,+&% &%*1&*>&%. I11()&1*'&'(% -(+%1&)(%.
E/o,ci*n > 7%on*stico.- L& 1(%(%& ,%**>& *+**&) ,11( (+ + $0 & 90 '( ),% &%,% 1&&',%B ), <( '*%-*+?( & )&1, )&, =&%& (1& '() 27 ,-, -5*-,. F*+&)-(+(B '( ),% &*(+(% ,+ +& 1(%(%& ,%**>& & -('*&+, )&, & )&1, )&, %3), + 40 '( ()),% -&+*(+( (%& 1(%(%& ,%**>&. S* )& 1(%(%& @1(+( &) 1&&-*(+, @( +(&*>& )& (>,)*3+ (% %*-*)&1 & )& &+,1(*&B ,+ -,1&)*'&' '() ,1'(+ '() $ &) 20 ,1 -,*>,% %(-(;&+(%B , %(&B ,-)*&*,+(% -'*&% ? %**'*,.
C#7it,o II (.-TERAPIA COGNITIVO CONDUCTUAL
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
(.( C#%#ct$%"stic#s #.- L# TCC $st# 3#s#&# $n $ Mo&$o Co!niti/o &$ # R$s7,$st# E0ocion# . &%&'& (+ )& *'(& '( <( +(%1,% (+%&-*(+,% %&+ @+'&-(+&)-(+( +(%1,% %(+*-*(+,% ? ,+'&%B +, )&% ,%&% ((1+&% ,-, )& (+(B %*&*,+(% , (>(+,%. E) (+(@**, '( (%( )&+(&-*(+, (% <( ,'(-,% &-*&1 )& -&+(1& (+ <( (+%&-,% &1& %(+*1 ? &&1 -(;,1 &+ %* )& %*&*3+ +, &-*&.
).- L# TCC $s R$#ti/#0$nt$ 3%$/$ > &$ Ti$07o Li0it#&o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
'.- APLICACIÓN A 3ULIMIA (.'.- Mo&$o M,ti0o&# &$ o%&$n &$ # 3,i0i# REA COGNITIVA .P1(,&*,+(% ((%*>&% (+ ,1+, &) (%, ? & )&% @,1-&% ,1,1&)(%
.P1(%(+*& '( *'(&% %**'&% .D(%1**3+ ? &(&*3+ '( % &%(, @%*, .S(+%&*3+ '( 1&', '( '(%,+1,) '( ),% (*%,'*,% )-*,% .R(&*3+ (1%,+&) &+( (*%,'*,% )-*,% ? &+&+*& '( (%, .P1(*%&1 1&,+(% %;(*>&% &1& 1'*'&%&+&+*&% '( (%, .O1&% 1(,&*,+(%
REA AFECTIVA .S+,-&% '(1(%*>,%B 1*%(&B 1'*'& '( *+(1% ( *+&*>*'&' .S+,-&% '( &+%*('&' .S(+*-*(+,% '( )&B *1&B (.
REA SOMTICA .A+,&1 )& &))& ? () (%, '() %;(, .C&))&1 () IMC P(%, T&))& &) &'1&',K V&),1 +,1-&) (+1( 2!2$ O(%, Y#0 A+,1(*& !7B$ .C1,+,),&% '( &+&+*&% ? 1'*'&% '( (%, '( -&% '( $ [. .I+>(%*&1 ,+%((+*&% @%*&% '( )& )*-*&: &-(+,11(&B &1*(% '(+&)B =*(11,@*& '( )&%
)5+')&% %&)*>&1(%B 1&%,1+,% '() 1*-, &1'*&,B &)&-1(% -%)&1(%B -&)(%&1
(%,-&&)B (. .P('*1 &+&)*& &1& =*,&)*(-*& ( =*(1&)(-*& .T*, '( '*(& '( )& &*(+( .A%, '( '1,&% ? &),=,)
REA INTERPERSONAL .R()&*,+(% @&-*)*&1(%B )&,1&)(%B ,+ &-*,% ? &1(;& .P1,)(-&% ? ,+@)*,% 1()&*,+&)(% .R(&*3+ '() (+,1+, & )&% 1*%*% )-*&% ?, >3-*,%
REA CONDUCTUAL .D(%1**1 +& 1*%*% *&B '1&*3+B (%*-&1 &),1&% ,+%-*'&% ? @1((+*& '*&1*& ? %(-&+&) .F1((+*& '( >3-*,% .S*&*,+(% '(%(+&'(+&+(% ? -,')&',1&%
.E),1&1 (%1&(*&% '( ,+1,) '() (%, '*1*,%B )&&+(%B 1(%1**,+(%B (;(1**,B 1(-(+(% %(*',%B (.K
C#7it,o III (.-
TRATAMIENTO
MEDIANTE
LAS
TECNICAS
COGNITVO
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
*-&(+ ,1,1&)B =&(1)( (+@1(+( & )&% %*&*,+(% <( )( 1,'(+ -&)(%&1 ? &1(+'(1 & &1(*&1 )&% >(+&;&% <( )( ,@1(( % (1,.
(.(.-F#s$s &$ T%#t#0i$nto Co!niti/o J Con&,ct,# P%i0$%# F#s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
<,sti+ic#ci*n %#1on#&# &$ 0#nt$ni0i$nto &$ os t%#sto%nos. H&(1 >(1 )&1&-(+( )& %*&*3+ (+ )& <( %( (+(+1& () &*(+(B )& &) *(+( +& ()*&*3+ )3*& ? &'(-5% *(+( %,)*3+. R()&*,+&1 )& '*(& ? )& 1(,&*3+ '() (%, ? )& @*1& ,+ )& &;& &,(%*-&. T1&&1 <( ,%(1>( )& >&),1&*3+ '( ,1&% &)*'&'(% (1%,+&)(% <( ,%((. R(,1'&1)( <( *@1& ,'& ,%**)*'&' '( %(1 &(&'& ,1 ),% '(-5% (+ )& ,(+*3+ '( + (%, &;,.
I+@,1-&1 <( )& (1&*& ,-*(+& '(%'( &&;, =&*& &11*&B (% '(*1B ()*-*+&1 >3-*,% %* 1(%(+&B &1&,+(% '( *&) -&+(1&B '*(& 1(%1**>&B 1(,&*3+ ,1 () (%, ? )& @*1&B ? &) @*+. E+ 1*-(1 )&1 (% (%(+*&) 1(&)*&1 ,+ () %;(, +& (+& ,+(&)*&*3+ '() 1,)(-& <( )( (1-*& ,-1(+'(1 ,+ )&1*'&' () 1), >**,%, ? ,1 < -,*>, ()), (1(& () 1,)(-&. S* () %;(, +, ,+%*( (+(+'(1 ), <( )( %('( -? '*@*)-(+( >(15 %(+*', &) )&+ '( 1&&-*(+, <( %( )( 1,,+(B ,+ ), &) (% -? 1,&)( <( ), &&+',+(. &) &-(+&1 )& &,(%*-&.
Est#)$c$% $ #,to %$!ist%o A+*-&1 & ,+@(*,+&1 +& @,1-& '( &, 1(*%1,B ',+'( %(&)(+ & '*&1*, )& &)*-(+&*3+ <( 1(&)*&+B )& =,1&B '3+'( )& ,-(+B %* ), =&(+ %,)&% , +,B %* ))(>&+ & &, %,1(*+(%&%B %* %( 1,>,&+ () >3-*, , ))(>&+ & )& 15*& &)+& ,+'& 1&*>& ? ),% (+%&-*(+,% &) 1(%(, (+ (%( -,-(+, '( )& *+(%&. E) &, 1(*%1,
=&( -5% ,+%*(+( & )& &*(+( '( % %*&*3+B ? '( ),% 1,)(-&% <( )( &&11(& % ,+'& &)*-(+&1&B >&),15+',),% -(;,1.
Est#)$c$% cont%o &$ 7$so s$0#n# L&% &+,1*&% %( (%&+ >&1*&% >((% &) '&. O1&% &%* ++&. L& -('*'& '( (%&)((1 +& (%&'& %(-&+&) (1-*( &&+',+&1 &-,% (1(-,%. S( (%&)(( +& >( & )& %(-&+& ? =&*&)-(+( (% () (1&(& <*(+ ), 1(&)*&.
E&,c#% # %$!,#ci*n &$ 7$so co%7o%# E+1(+&1 (+ () 5)), '() (%, & 1&>% '() +'*( '( -&%& ,1,1&) IMCKB %*5+',), (+ )&% &)&% &) 1(%(,. S( )(% *+@,1-& <( (% )& -(;,1 -('*'& '() (%&', +1**,+&). S( (%&)(( '*%%*3+ '() (%, '(%(&', )**'&'B *'(&)*%-,K ? &'(-5% )&% '*@(1(+*&% (+1( &%(% ,+ 1(%(, &) *'(&) '( ())(&.
\\\\\\P(%,\40K\\\\\
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E&,c#% $ in+o%0#% so)%$ os #s7$ctos n$!#ti/os &$ # &i$t# > #s con&,ct#s 7,%!#ti/#s S( ,-(+&+ ),% 1(% *,% '( '*(&% (-)(&'&% =&*&)-(+(: &?+, , 1&+ 1(%1**3+B (>*&*3+ '( '((1-*+&',% &)*-(+,% 1,=**',%K ? 1(%1**3+ ,&). S( '(&))&+ )&% ,+%((+*&% @%*&% ? %<*&% '( )& '*(& 1(%1**>&. S( (1-*( )& (>*&*3+ '( '((1-*+&',% &)*-(+,%B (1, %( &)*-(+&1&% 1()&1(%.
Est#)$c$% 7#t%*n &$ con&,ct# #i0$nt#%"# %$!,#%
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S( (%&)(( + &13+ '( ,+'& 1()&1 '( &1, , *+, ,-*'&% &) '& '(%&?+,B -('*& -&&+&B &)-(1,B -(1*(+'& ? (+&K.
CONTROL DE ESTÍ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
ALTERNATIVAS AL ATRACÓN Y AL VÓMITO S( *'( &) &*(+( <( ()&,1( +& )*%& '( &*>*'&'(% &1&'&)(%B <( ('&+ %(1>*1 ,-, &)(1+&*>&% &) &1&3+ , &) >3-*,K. E%&% &*>*'&'(% ('(+ *+)*1: •
>*%*&1 , ()(@,+(&1 & &-*,%B
•
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D(%%B &+*-&1)( &1& <( )&% *)*( (+ &+, %*(+& () *-)%, '( '&1%( + &1&3+ , '( >,-*&1.
CAM3IO COGNITIVO Y DE LA IMAGEN CORPORAL E+ (%& @&%( %( *+1,'(+ ),% &)*-(+,% 1,=**',% ? %( &-(+& )& *+(%& ,&) '( &),1&% =&%& ))(&1 & + +*>() '( !.00[) ,1 '& .P&1& (%, %&1(-,%:
R$$st%,ct,%#ci*n Co!niti/#: E+ () &%, '( (%&% &*(+(% %( '((&1& ),% (+%&-*(+,% '*%,1%*,+&',%B 1((+*&% *11&*,+&)(%B ((&*>&% ? &1**,+(% (113+(&% <( 1(%(+& 1(%(, '( )& ,-*'& '() (%, ? '( )& @*1&. D( -,', <( %( =&( +& (,%**3+ '(&))&'&B ,+ (;(-),% &+'&+(%B (+ )& %( ()*& )& 1()&*3+ (+1( %*&*3+(+%&-*(+,%(+*-*(+,,+'& &1& '(-,%1&1 ), *-,1&+( <( (% () @*)1, <( =&( () (+%&-*(+, (+ )& 1,'*3+ '( (-,*,+(%. E+ )& =,;& '( &, 1(*%1, %( *'( & )& (1%,+& <( (,+& )& %*&*3+ () (+%&-*(+, '*%,1%*,+&', K B () 1&', (+ <( %( ), 1(( B %*5+',), (+ +& (%&)& '() 0 &) !0 K ? <( &) &, '( +&% =,1&% %( 1&( '( ,11(*1), .U+& >( =(=, B <( &+( () 1&', (+ () <( %( 1(( (%( +(>, (+%&-*(+, B &-*+ (+ +& (%&)& '() 0 &) !0 . E;(-),:
REGISTRO Y CORRECCION DEL PENSAMIENTO DISTORCIONADO SITUACION
C,-(1 + =()&',
PENSAMIENTO
+, ,-, =()&', ,1 <( (+,1'&1( & +, %(1 <( %&)( +& ,-*'&
GRADO DE CREDIILIDAD 0!0K 9 CORRECCCUON DE PENSAMIENTO
%* ,-, +& >( &) -(% =()&', +, 1(,
(+,1'&1 GRADO DE CREDIILIDAD 0!0K 6
T?cnic# &$ R$so,ci*n &$ P%o)$0#s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
'K %&)*1 ? 1&&1 '( %&1 &-*&% ,+>(1%&+', (K ,+>(1%&1 ,+ +& '( )&% =*&% %,1( '(,1(
#. DECIDIR CUAL ES LA ME(1%&1 ,+ +& '( )&% =*&% %,1( '(,1( ? =&(1 &-*&% .L, &%& -? *(+ ? % (%&', '( 5+*-, (% '*%*+,
PREVENCIÓN DE RECAÍDAS E%& (% )& )*-& @&%( '() 1,(%, (1&*, ,1 () &) &1&>(%&15 )& &*(+( %*(+', +& '( )&% -5% *-,1&+(% ?& <( (% (+ (%& @&%( (+ ',+'( ())& '((15 %&)*1 &'()&+( ? ,+(1 (+ 15*& ,', ), &1(+'*', &1& (>*&1 ,%*)(% 1(&'&%B () )& 5) % @&-*)*& ;&1& + &() -? *-,1&+( & 1&>% '() &,?, <( )( 1*+'&1&+. N, %( ('( '(*1 <( +& (1%,+& ,+ + 1&%,1+, &)*-(+&1*, <('&1& 1&'& &1& %*(-1( +& >( (1-*+&'& )& (1&*&B ,-, (% () &%, '( )& -&?,1& '( )&% &*(+(% ?& <( 1,&)(-(+( ())&% &) *&) <( )&% (1%,+&% <( &-*+ %@1(+ (%( *, '( 1&%,1+,%B %(15+ ,'& % >*'& %(+%*)(% & )& *+(%& '( *(1,% *,% '( ,-*'& ? & )& 1(,&*3+ ,1 % &%(, @%*,B '*(+', (+(1 1(&'&%B ), &) +, <*(1( '(*1 <( +((%&1*&-(+( (%&% (1%,+&% (+&+ <( &'((1 '( +(>, () 1&%,1+,B +* <( +, ('&+ %(1 @()*(% ,1 () ,+1&1*, ('(+ %(1 -? @()*(% ? ))(>&1 +& >*'& +,1-&) B %*(-1( (+ &+', %(&+ ,+%*(+(% '( <( ('(+ (*%*1 ,%*)(% 1(&'&%B ?& <( @1(+( & +& %*&*3+ (%1(%&+( ('(+ %(+*1%( (+&'&% & 1(11*1 & ),% >*(;,% -,',% '() 1&%,1+, &1& ), &) (% +((%&1*, <( (%&% (1%,+&% (+&+ %*(-1( 1(%(+( ,', ), &1(+'*', '1&+( () 1,(%, '( )& (1&*& ? ), ,+&+ (+ 15*& &'& >( <( ), 1(<*(1&+B ,1 (;(-), )& +*& '( I+,)&*3+ '( S1(%%8B <( %& (+%(&1 & 1(>(+*1 %*&*,+(% '*@*)(% ? &',&1 )&% (%1&(*&% -&% &'(&'&% &1& =&(1)(% @1(+(. C,-1(+'( + 1*-(1 &%, <( (% >&),1&1 )&% %*&*,+(%B + %(+', &%, <( (% () '( ,+(1 (+ 15*& ,'&% )&% +*&% <( %( =&+ &1(+'*', '1&+( )& (1&*&
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
Conc,sion$s L& (1&*& C,+**>, ,+'&) &?'& & <( )& (1%,+& ,+@1,+( %% (+%&-*(+,% '*%,1%*,+&',% ,+ +& 1(&)*'&' %&+&. E*%(+ >&1*,% 1),% >**,%,% <( %( '&+ (+ (%( *, '( 1&%,1+,%. E) 1&&;, '(( %(1 -)*'*%*)*+&1*,B ?& <( )& (1%,+& %( >& & >(1 &@(&'& (+ >&1*,% 5-*,% &'(-5% '() %*,)3*,. E% +((%&1*, =&(1 +& (+& (+1(>*%&B &1& %&&1 '&,% 1()(>&+(% <( +,% ('&+ ,+@*1-&1 , '(%&1&1 &)+ 1&%,1+, &)*-(+&1*,B ,1 (;(-), ('( %(1 ,+@+'*', ,+ &)+ 1,)(-& '() &&1&, '*(%*>, , &)+& )(%*3+ ,15+*&B &1& (%, &-*+ (% (+, *)*&1 &)+&% (+1(>*%&% (%11&'&%.
3i)io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
2.2 AREA DE PROYECCION SOCIAL
2.2.( CK#%#s R$#i1#&#s •
T&))(1 '( A,?, E-,*,+&) & F&-*)*&1(% '( P&*(+(% ,+ E%<*,@1(+*& D*1**', A:
F&-*)*&1(% '( &*(+(% ,+ (%<*,@1(+*& '() H,%*&) H(1-*)*, V&)'*&+.
Acti/i&#& P%inci7# I In+o%0#ci*n so)%$ # En+$%0$&#&
S( *+**& ,+ +& D*+5-*&B )&% '*+5-*&% >&1&+ '( &(1', & )&% @(=&% 1,1&-&'&%B (%&% (+(1&)-(+( %( &%&+ (+ '*+5-*&% '( *+(1&*3+B '( -,*>&*3+ ? '( *+1,'*3+ '( + (-&.
S( ,-(+& &(1& '() -(+%&;( ? 1(@)(*,+(% '( )& '*+5-*&.
S( 1,('( & '&1 & ,+,(1 )& &1( *+@,1-&*>&.
1(&
Acti/i&#& P%inci7# II L# F#0ii# co0o A!$nt$ T$%#7?,tico
S( *+**& ,+ &)+& +*& '( 1()&;&*3+ 1(>( 1()&;&*3+ -%)&1K.
S( 1,('( & '&1 *+@,1-&*3+ '() &() (1&*, '( )& @&-*)*&.
R('& '( P1(+&% ? ,-(+&1*,%.
An$os T#$% Psico$&,c#cion# &$ A7o>o # F#0ii#%$s &$ P#ci$nt$s con Es,i1o+%$ni# L& (%<*,@1(+*& (% +& (+@(1-('&' -(+&) 1&>(. I-)*& +& (11&*3+ '() @+*,+&-*(+, (1(1&) '( ,1*(+ '(%,+,*',B <( >()>( & ),% &*(+(% >)+(1&)(% &) (%1%B '( &)) <( %* *(+ () 1&&-*(+, @&1-&,)3*, (% -? *-,1&+(B &-*+ ), (% -&+(+(1 (<*)*1&',% ),% +*>()(% '( (%1% _C3-,` E>*&+', &*'(% +(&*>&% ,-, )& 1*&B )& =,%*)*'&' ? )& %,1(1,(*3+.
S,!$%$nci#s G$n$%#$s
I+@,1-&1%( %,1( )& (+@(1-('&'
R(>*%&1 +(%1&% ((&*>&% ,+ () &*(+(
C1(&1 &11(1&% & )& (%*-)&*3+ ((%*>&.
E>*&1 ,+@)*,% ? 1*&% (+1( ),% -*(-1,% '( )& @&-*)*& ? (+ &1*)&1 =&*& () &*(+(.
E>*&1 *+>,)1&*3+ (1(-& ,+ () &*(+( ,%**>& , +(&*>&K.
M&+(+(1 )&% ,-+*&*,+(% (+ + +*>() %*-)(.
A,?&1 () 1*-(+ '( -('*&*3+ '() &*(+(.
N,1-&)*&1 )& 1*+& @&-*)*&1.
At#ci*n # # Con&,ct# Sinto06tic# A+( )&% A)*+&*,+(%:
N, ,+(1 (+ ''& ), <( () &*(+( ,-(+&B 1(%&1)( *-,1&+*&B 1(1%( , '(%&)*@*&1)(.
I+,1&1 , (>*&1 )& ,+>(1%&*3+ %* () &*(+( +, '(%(& =&)&1 '( ()),.
A&1 '( -&+(1& <( 1(& <( %% &)*+&*,+(% %,+ 1(&)(%.
E+ C&-*,:
C,+,(1 3-, ? (+ < )( *+@)?(+ &) &*(+(: _)( '&+ 31'(+(%`.
E>*&1 &-*(+(% 1*',%,%B @&>,1((1 + &-*(+( 1&+<*), ? %*)(+*,%,.
C,-+*&1)( ? =&(1)( >(1 <( %&(-,% ), <( ,?(B <( 1(1((-,%B ()*&1)( <( &%& '(*', & )& %*&*3+ <( &1&>*(%&B 1&+<*)*&1),.
C(+1&1 )& &(+*3+ (+ +& ,+>(1%&*3+ , &*>*'&' '( *+(1% &1& ).
A+( ),% D()*1*,%: N,:
E-(&1%( (+ %&&1)( '( % (11,1.
D*%*1 )&% *'(&% (1&&%.
C,-(+&1 '*%*-)&'&-(+( ,+ ,1,%.
I+(+&1 (+&&1)( %,+*(+', <( (% ,+, , <( +, %( '& (+& '( ), <( &%&B =&*+',)( @&)%&% 1,-(%&% &1& &)-&1),.
E+ C&-*,:
P1(%&1 &(+*3+ & ), <( '*(B &1& (+(+'(1 % &+%*&.
E%=&1 %*+ =&(1 ,-(+&1*,%B =&*+',)( >(1 <( ,-1(+'(-,% <( (%& &%%&', , (+@&'&',.
S(1 %*+(1,% ? )&1,% ,+ ()),%B +, =&(1 @&)%&% 1,-(%&%B -,%1&1 %(1(+*'&' ? ,+@*&+&.
P)&+(&1 ''&% %*+ ))(&1 & '*%*1 ,+ ) &+', ' -(%1&% '( ,'(1 &(&1 )& 1*& '( %% *'(&% '()*1&+(%.
A+( )& A1(%*>*'&': N,:
R(&1),%
E+1&1 (+ )& 1*&B *+%)&1)(%B '*%*1.
A-(+&&1)( ,+ () *+1(%, &) =,%*&).
I+(+&1 '(%&1-&1)( %* ))(>& + &1-& ? &'(-5%B +, %&(-,% 3-, =&(1),.
E+ C&-*,:
A',&1 +& &*' %(1&B 1&+<*)& ? @*1-(B =&)&1)( (+ >, &;& ? +, &-(+&&+(.
D*%-*+*1 ),% (%-),% &-*(+&)(%: )B >,)-(+ '( 1&'*,B >B (.
P1(+&1 %* (%& (+@&'&',B 5) (% () -,*>, ? =&)&1 '() -*%-,.
A%(1&1)( <( +, %,-,% +& &-(+&& &1& ).
D(%(;&1 () -,*)*&1*, ,;(,% ,+ ),% <( %( ('& =&(1 '&, & ) , & ),% '(-5%.
D(;&1)( (%&*, )*1(B +, &&11(&1)(B & -(+,% <( %( 1((+'& %;(&1)(.
N, (1'(1)( '( >*%&B %&(1 %*(-1( ',+'( (%&.
%&1 & )& (1%,+& (+ <*(+ -&% ,+@& &1& <( *+(+( ,+(+(1)&.
S* *(+( + &1-& ? +&'*( %&( <*&1 &1-&% (% -(;,1 ,+&&1 & )& ,)*&.
A+( )& I+&*>*'&': N,:
C)&*)*&1)( ? (=&1)( (+ &1& <( +, =&( )&% ,%&% ,1 <( +, <*(1( , &%&1)( '( >&,.
E**1)( ,%&% <( +, ('( =&(1 (+ % (%&', &&).
D(;&1 <( &%( () '& (+ )& &-& , (+ )& =&*&*3+B ,1 <( &% -,)(%& -(+,%8.
E+ C&-*,:
D&1)( &*>*'&'(% <( 1(&)-(+( ('& =&(1 ? <( %(&+ 1*+&% '*&1*&%.
P1,,+(1)( &)+& &*>*'&' @(1& '() =,&1 <( +, )( (+(1( '(-&%*&', (%1%.
A,-&&1 ),% -(+%&;(% ,+ (%,% ? ,%1&% &'(&'&%.
D(*1 ), <( Q*(1, %*+ &%&1 T(+%*,+(%:
P1*-(1, ' )& *+@,1-&*3+ ,%**>&B ), <( % =& =(=, *(+.
H&& %(*1 )& *+@,1-&*3+ +(&*>& '( +& &)(1+&*>& ,%**>&.
S(& (%(@*, (+ %% ,-(+&1*,%: ,-(+( %,1( )& ,+'&B +, %,1( )& (1%,+&.
E>*( (1(%*,+(% ,-, N+& , S*(-1( , (<*>&)(+(%.
H&& 1(+&% , %(1(+*&%B +, &%&*,+(%.
P)&+(( ),% 1,)(-&%B +, ),% &-)(.
H&& (**,+(%B +, (*(+*&%.
C+1(%( (+ ), &&) ? +, %&<( & 1()*1 )&% ,%&% '(%&%&',.
E1(%( % %&*%@&*3+ ,1 )&% ,%&% <( ) =& =(=, ? <( +, )( '(%&1&'&+.
H&*)*'&'(% &1& R(%,)>(1 P1,)(-&%:
D(@*+*1 () 1,)(-&
P1,,+(1 () -&?,1 +-(1, '( %,)*,+(%
A+&)*&1 )&% %,)*,+(%B >(+&;&% ? '(%>(+&;&% '( &'& +& '( ())&%.
E)(*1 )&-(',1 %,)*3+ , ,-*+&*3+ '( ())&%.
P)&+*@*&1 )& (%& (+ 15*& '( )& %,)*3+ ()(*'&.
V&),1&1 ),% 1(%)&',%.
_C3-, R(,+,(1 +& R(&'&`
C&-*,% (+ () (%&', '( 5+*-,: -5% 1*%(%B -5% %(1*,%B *11*&)(%.
C&-*,% (+ )& ,+'&: C,-,1&-*(+, (1&,: '(%,+@*&',%B 1(1&',%: *+%,-+*,: -5% '( 2 +,=(% %*+ ,'(1 ',1-*1.
_Q H&(1 &+( +& R(&'&`
C,-+*&1), &) %*<*&1&. S* (%, +, (% ,%*)( &'*1 ,+ () &*(+( & (-(1(+*&.
N, '(( &-(+&&1%( &) &*(+( ,+ () *+1(%,B %( +, (% + &%*,B %*+, & >((% +& &1( +((%&1*& '() 1&&-*(+,.
R(&+'&1 () 1&& -*(+, ,+ )& -('*&*3+.
A+( +& &*' *-1(>*)( , >*,)(+& +, *(1'& )& 1&+<*)*'&'.
IV. CONCLUSIONES
•
L& &(+*3+ 1(&)*&'& & ),% &*(+(% %*(-1( *+)?( +& 1(>( (+1(>*%&B ,+%(1;(1& ? ,1*(+&*3+ %*,)3*& %(+ ), 1(<*(1( () %&1*,.
•
L& -&?,1& '( ),% &*(+(% @(1,+ &'),% ? %( =& 1(<(1*', '( % =*%,1*& (1%,+&) ? @&-*)*&1B ? )&% 1()&*,+(% &&)(% ,+ ),% <( >*>(.
L& -&?,1& '( ),% &%,% '(1*>&',% @(1,+ ,1 (*%,'*,% '(%(+&'(+&+(%
•
-&+*@(%&',% ,+ ,+'&% &,)(%*>&% ? &1(%*>&%. S( 1*+', () &,?, %*,)3*, -('*&+( )&% %*,(1&*&% 1(>(% &1& &'&
•
&*(+( &(+'*',B -('*&+( ),% &))(1(% 1(&)*&',% &1& -(;,1&1 () -&+(;, '( (-,*,+(% ? )& 1()&*3+ ,+ ),% -*(-1,% '( % @&-*)*&. H, +& 1&+ &1**&*3+ ,1 &1( '( ),% @&-*)*&1(% '( )& -&?,1& '(
•
&*(+(%B -,%15+',%( ,)&,1&',1(% (+ ,', ), <( 1(%(& &) 1&&-*(+, @&1-&,)3*, ? P%*,)3*,. S( 1*+', (-&& & &'& &*(+( ,+ -(%1&% '( &@(, ?& <( )& -&?,1& '(
•
()),% ), '(-&+'&+.
V. RECOMENDACIONES •
L& &(+*3+ P%*,)3*& (+ () 51(& '( =,%*&)*&*3+ '(( ,+&1 ,+ + 1,*, %(1>**, ? 1*>&*'&' &1& +, (+(1&1 )& *+,-,'*'&' ? '(%,+@*&+& () ),% &*(+(%.
•
T(+(1 (+ (+& <( () 1,(%, '( (>&)&*3+ P%*,)3*& *(+( <( %(1 &+', () &*(+( %( (+(+1( (+ + (%&', ,+%*(+( (+ ',+'( ),% %+,-&% '()
(*%,'*, =&?&+ '*%-*+*', , '(%&&1(*',B (1, +, '(;&1 1&+%11*1 -=, *(-,. •
C&'& &*(+( '(( %(1 (>&)&', %,)&-(+( (+ () 51(& <( %( 1(<*(1( &1& ))(&1 & + (+ '*&+,%*,B (+*(+', (+ (+& )&% =(11&-*(+&% +((%&1*&% &1& ()),%B '(*', & <( ),% &*(+(% (+(1&)-(+( %( &,&+ , *(1'(+ () *+(1% (+ )& (>&)&*3+.
•
R(&)*&1 1,1&-&% 1(>(% '( 1&&-*(+, P%*,)3*,% &1& ),% 1&%,1+,% -&% @1((+(% <( %( 1(%(+&+ (+ () 51(& '( =,%*&)*&*3+B ,1 <( )& (1-&+(+*& '( ),% &*(+(% (% ,1 ,1&% (-,1&'&% ? (+(1&)-(+( %( >&+ %*+ + 1,3%*, '( -(;,1& , +& ,1*(+&*3+ &'(&'&.
VI. ESTUDIO DE CASO CASO CLINICO
I HISTORIA CLINICA PSICOLOGICA I.( DATOS DE FILIACION : N,-1(% ? A())*',%
: M&1*+& N*,))( G3-( V&)(1*&+,
E'&'
: 2$ &,%
L&1 ? @(=& '( N&*-*(+,
: L*-&B !2 '( -&1, '( !92
G1&', '( I+%1*3+
: S(+'&1*& C,-)(&
E%&', C*>*)
: S,)(1&
O&*3+ A&)
: SO
R()**3+
: M,1-,+&
F(=& '( E>&)&*3+
: 2 '( &,%,B 0#B 04 ? 07 '( %(*(-1( '() 2007
I.' PRO3LEMTICA : P&*(+( A')& ,+ 5+*-, '(1*-*',B *+%,-+*,B *'(&% ? ,+'&% '( &,()*-*+&*3+B '*%-*+*3+ '() &(*,B '()%*,+(%B 1*%*% '( &+%*('&' ,+ &&+',+, '( 1&&-*(+, '1&+( ',% &,% &1,*-&'&-(+(.
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
I.2.( Ti$07o &$ En+$%0$&#&
9 &,% &1,*-&'&-(+(: I+%,-+*,B F&)& '( >,)+&' &1& 1(&)*&1 %% )&,1(% ,*'*&+&% ,-*(+& & 1('*1 %% ,1*,+(% '( &)*-(+,%. S+'1,-( ,%(%*>, ,-)%*>,. $ &,% &1,*-&'&-(+(: D(1(%*3+B =*,1(*&B &+%*('&' ? '()%*,+(%. ! -(% &1,*-&'&-(+(. E*%,'*, A&)
I.2.' Fo%0# &$ Inicio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
I.2.2 S"nto0#s P%inci7#$s D()%*,+(% A+%*('&' H*,1(*& I+%,-+*, E-,&-*(+, A)*& P%(',(1(*,+(% A'**>&% S+'1,-( D(1(%*>, S+'1,-( O%(%*>,C,-)%*>,
I.2.5 F#cto%$s P%$ci7it#nt$s E) @&,1 '(%(+&'(+&+( =& %*', )& %(&1&*3+ '( ),% &'1(% '( )& &*(+(B ? () &&+',+, '( =,&1 ,1 &1( '() &'1(B &% ,-, () +(>, ,-1,-*%, <( @,1-, (%(.
E) (1-&+((1 ,+%&+(-(+( %,)& (+ % =,&1B ?& <( % -&'1( 1&&;&& ,', () '& ? % =(1-&+& (%'*&& +, =&& <*(+ >(& %* ,-& , +,. D1&+( () )*-, *(-,B &) %&(1 <( (%&15 %,)&B ,-*(+&+ & %(+*1%( -&)B ))(&+', (+ ,&%*,+(% & -&+*)&1 -&+*@(%&+', 1*%*% '( &+%*('&'.
I.5 ENFERMEDADES ANTERIORES -
G&%1**% L(>( & )& ('&' '( ! &,%
-
A &1*1 '( ),% !6 &,% 1(@*(1( -&)(%&1(% &%1,*+(%*+&)(%B 1'*'& '() &(*, ? ()), @( *+1(-(+5+',%( 1&'&)-(+(.@&%( P1,'13-*& '( )& (+@(1-('&' &&)K
-
A&)-(+( 1(%(+& )& (+@(1-('&' '( E%<*,@1(+*&.
I.8 HISTORIA PERSONAL I.8.( P%$n#t# > P$%i n#t# F( () 1*-(1 (-&1&, '( )& -&'1( <*(+ (+& )& ('&' '( 24 &,% %(
@(
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
I.8.' In+#nci# S '(%&11,)), P%*,-,,1 @( () (%(1&', '1&+( % *+@&+*& ),1&+', 1(&)*&1 )&% &*>*'&'(% ,11(%,+'*(+(% &1& &'& ('&'. N, &'(*3 '( (+@(1-('&'(% %(>(1&%B % &)*-(+&*3+ '1&+( ),% $ 1*-(1,% -(%(% @( ()%*>& ,+ )(=(
-&(1+&B ,%(1*,1 & ()), %( %-&+ &)*-(+,% 5%*,% *+*1*(+', -(+,% '( +& ,1*3+ +,1-&) (%(1&'&. (%(1&'&. P&%3 P&%3 -&?, -&?,11 *(*(-, , &) *' *'&' &',, '( )& &( &()& )& &( &(1+ 1+&& ?& <( <( %% %% &'1 &'1(% (% 1&&;&&+ ,-(1*,K. L& &()*& (%&& (+'*(+( '( M&1*+& ? )( 1*+'&& &@(, &% -*%-, () &'1( %( -,%1&& &@(,%, (1, (+(1&)-(+( (1&+ (1*,',% ,1,% '( *(-, ),% <( (1-&+(&+ ,+ ())& &) *&) <( )& -&'1(. P,1 ,1, )&', (1*& ,+%&+(% ,+@)*,% (+1( &-,% &'1(% ,', ()), )( (+(1&& %(+*-*(+,% '( 1*%(&. S( &1&(1 &1&(1*3 *3 ,1 %(1 +& +*& %-*%& %-*%&BB *+1,>( *+1,>(1*' 1*'&B &B '(
,&& *+**& , *+**&*> *>& &
1(@)( 1(@)(;& ;&& & 1*% 1*%( (& & (+ % %(- %(-)& )&+ +&B &B &1* &1** *& && & (+ 1&1& 1&1&%% ,&% ,&%*, *,+( +(%% ? %( 1()&*,+&& (+(1&)-(+( ,+ ,&% +*&%. D(-&+'&& &@(, (%(*&)-(+( '() &'1( 1(@*1*(+', )& (1&+& & ). D( *&) -,', 1(%(+, '*@*)&'(% (+ )& &'&&*3+ & +(>&% %*&*,+(% (%(*&)-(+( )&% (%,)&1(%B (1, %( -&+(+& 1(%,+%&)( (+ %% <(=&(1(%.
I.8.2 Ni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
I.8.5 A&o$sc$nci#
E+ ),% *+**,% '( )& &',)(%(+*& &',)(%(+*& % (%&', '( 5+*-, (1& -(+,% -(+,% 1*%(B () &'1( >,)>*3 &) =,&1B ())& 1(@(1& (1-&+((1 &) )&', '( ) ,%(1*,1-(+( ()), %( >( 1+&', ,1 )& 1(&&1**3+ '( ,+@)*,% (+1( ),% &'1(% ? )& %(&1&*3+ '(@*+**>& ,1 -,*>,% '( +& 1()&*3+ (1&-&1*-,+*&) ,1 &1( '( %(B (+(15+',)( (%1% ? @( + '(%(+&'(+&+( '( % &&) (+@(1-('&'. P,1 ,1, )&', %(& %*(+', *+1,>(1*'&B 1(%(1>&'& 1(%(1>&'& ? ,, &1**&*>& &1**&*>& %( )( (1*& ,+ 5+*-, '(&',B '1&+( &)+
*(-,
*+(1(%*3+ (+ %
%(-)&+& ? '(&*-*(+, (+ % ,%1& &% -*%-, &)+&% %*&*,+(% )( (+(1&&+ &+%*('&' &+%*('&' ,&+', ,1 ,1 &*%)&1%( ,, & ,, '() -('*, (1'*(+', () *+(1% ,1 1(&)*&1 &*>*'&'(% 1,*&% '( % ('&'B 1(@*1*(+', (1-&+((1 &) )&', '( % -&'1( '( <*(+ %(+& 1,(*3+. S% 1*-(1,% ,+,*-*(+,% %,1( )& %(&)*'&' ), &, '() C(+1, E'&*>,B %*(+', 1(%(1>&'& (+ () (-& (+1( ),% !6 ? ! &,% >, ',% (+&-,1&',% ,+ <*(+(% +, ))(3 & @,1-&1 @(1(% )&,% &@(*>,% +, =& (+*', ((1*(+*& '( 1()&*,+(% %(&)(%. S 1(+'*-*(+, (%,)&1 @( 1,-('*,.
I.8.8 <,/$nt,& D1&+( ),% *+**,% '( )& ;>(+' =&%& =,? )& &*(+( %( -&+*(+( 1(%(1>&'&B ,+ 5+*-, '*%-*+*',B ,+ ,, *+(1% ? >,)+&' &1& 1(&)*&1 )&,1(% ,11(%,+'*(+(% & % ('&'. E%5+ 1(%(+(% ),% %+,-&% '( )& (+@(1-('&' &&) '( )& &*(+(.
I.8.9 Histo%i# F#0ii#% S @&-*)*& (%& *+(1&'& ,1 4 (1%,+&%: PARENTESCO
SEO
EDAD
INSTRUCCION
OCUPACION
P&'1(
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S(1*,1
C,-(1*&+(
F
49
S(1*,1
C,-(1*&+(
C.G.MK M&'1( N.V.EK
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S(1*,1 I+,-)(&
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A.G.VK E&-*+&'& M.G.VK
D(%1**3+ '( &'& -*(-1, '( )& @&-*)*& ? &*'(%. PADRE PADRE $4 &,%K: &,%K:
E% +& (1%,+& (1%,+& *+(%&)( *+(%&)( (-,*,+&) (-,*,+&)-(+ -(+(B (B '( &15(1 &15(1
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
S( &1&(1* &1&(1*&& ,1 %(1 +& (1%,+& (1%,+& %(1*& ( *11*&)( *11*&)(
1(&*,+& ,+ &+%*('&' &+( &)<*(1 ,+@)*,. M(%1& &@(, & %% =*;&% (1, +, (%&)(( +& &'(&'& ,-+*&*3+ ,+ ())&% &1& -&?,1 &1( '() *(-, 1&&;&+', %( -(%1& ,-)&*(+( &+( ),% ('*',% '( % =*;&%. L& &*' @1(+( & )& (+@(1-('&' '( % =*;& '(%'( + 1*+**, @( '( 1(,&*3+B (1, +, ,'& (%&1 (+'*(+( '( M&1*+& ,1 -,*>,% '( 1&&;, & (%&1 '( ()), )& ))(>&& ,+%&+(-(+( &) -('*,. E+ )& &&)*'&' %( -(%1& ,,(1&',1& ,+ () 1&&-*(+, ? -5% (+'*(+( '( M&1*+&.
HERMANA 2# &,%K: S( &1&(1*& ,1 %(1 (1&>(1*'&B ,-+*&*>& (1, 1(%(1>&'& (+ % >*'& (1%,+&) (% *+(1(%*>& (-,*,+&)-(+(B +, %( *+*-*'& &+( ),% ,%*)(% ,+@)*,%. F1(+( & )& (+@(1-('&' '( % =(1-&+& 1(&*,+& ,+ *(1& *+'*@(1(+*& & (%&1 '( <( )( (+(1& + ,, '( 1*%(& &%& (+(1&)-(+( ,&'& (+ %% <(=&(1(% (1%,+&)(%.
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
II. EAMEN DE ESTADO MENTAL '.(.- D$sc%i7ci*n G$n$%# '.(.(.- As7$cto G$n$%# P&*(+( '( %(, @(-(+*+, <( &&1(+& )& ('&' <( -&+*@*(%&B '( ,+(1& %-&-(+(
'()&'& ?
(%&1& &;&.
&'(&'&-(+( >(%*'& -,%1&+', ,1'(+ ? &%(, (1%,+&).
S( 1(%(+&
'.(.'.- O)s$%/#cion &$ Con&,ct# L& &*(+( +, -&+(+& + &'(&', ,+&, >*%&) -*1&'& =&*& &&;,KB % ,%1& (1& 1*'& ? (+,1>&'& (+ ,&%*,+(% 1(%(+&& (-),1 (+ )&% *(1+&%. D(+,& )(+*' (+ % &-*+&1. E) ,+, '( >, (% &;, ? 1*-, &%&',.
'.(.2.- Actit,& H#ci# # E#0in#&o%# M&+>, +& &*' '( 1(%(, '1&+( )& (+1(>*%& (%&)(*+',%( +& &'(&'& (-&&B (1, '1&+( () 1,(%, '( (>&)&*3+ %( -,%1, ,, ,)&,1&',1& ?& <( -&+*@(%&& <( %(+& -=&% +&%(&% ? ',),1 (+ () &',-(+ ), &) +, )( (1-*& (1-&+((1 1&+<*)&. P(1, & -('*'& <( &>&+5&-,% ,+ )&% %(%*,+(% %( -,%1&& (-5*& ? ,)&,1&',1&.
'.'.- H,0o% > A+$cto '.'.(.- H,0o% L& &*(+( (1(%& >,)+&1*&-(+( %% %(+*-*(+,% %()( -&+*@(%&1 %(+*-*(+,% '( 1*%(& ? (-,1 (1**+',%()& '( (%& -&+(1&. E+ &)+&% ,&%*,+(% %( ,1+& -? &+%*,%& ))&&+', &) ))&+, ? '(%(%(1&*3+.
'.'.'.- A+$cto S( (1*( (+ )& &*(+( + (%&', (-,*,+&) &1&(1*&', ,1 &+%*('&'B (-,1 ? 1*%(&.
'.'.2.- Est#&o &$ A&$c,#ci*n &$ A+$cto E*%( ,+1(+*& (+1( () ,+(+*', '() (+%&-*(+, ? )& (1(%*3+ (-,*,+&).
'.2.- C#%#ct$%"stic#s &$ L$n!,#=$ P1(%(+& L(+&;( @+*,+&) ? @*+&)*%*,B ,+, '( >, &;, ? 1*-, &%&',.
'.5.- P$%c$7ci*n
S( =& ,'*', ,%(1>&1 <( )& &*(+( 1(%(+& )(>(% '*@*)&'(% &1& (1**1 &'(&'&-(+( &)+,% (%-),%B ?& <( (*%( )& 1(%(+*& '( %(',&)*+&*,+(% %,-5*&% %*(+( + -&)(%&1 (+ () ,1&+*%-,K ? &'**>&% %*+ (-&1, ),1& -&+(+(1 )& (%&) (+ ),% ,1,% %(+*',%.
'.8.- P$ns#0i$nto '.8.(.- P%oc$so &$ P$ns#0i$nto S( (+(+1&+ )(>(% &)(1&*,+(% (+ () 1,(%, @,1-&) '() (+%&-*(+,B &1&(1*&'& ,1 )& @&)& '( &1&*3+ ? &%,*&*3+ '( %% *'(&%.
'.8.'.-Cont$ni&o &$ P$ns#0i$nto E*%( )& 1(%(+*& '( &)(1&*,+(% (+ () ,+1(, '( %% *'(&%. S( (+(+1&:
P$ns#0i$nto D$,cion# . C&1&(1*&', ,1 )& *'(& @&)%& M( '()( -=, () (%,-&, &+', ,-,8: ?& <( +, (*%( +*++& -,)(%*& 1(&) (+ &)+& &1( '( % (%,-&,.
I&$#s O)s$si/#s . C&1&(1*&'&% ,1 )& *'(& 1(11(+( '( <( >& & -,1*1 ,1 &%& '() -&)(%&1 <( %*(+(.
'.9.- Co!nici*n '.9.(.- Conci$nci# P1(%(+& &)(1&*,+(% (+ )& '&1%( (+& '( )& 1(&)*'&' ((1*,1 ( *+(1*,1K ,+ )&1*'&'.
'.9.'.- O%i$nt#ci*n > M$0o%i# O1*(+&*3+. S( (+(+1& ,1*(+&'& (+ *(-,B (%&*, ? (1%,+&. M(-,1*&. S( &1(*&+ )*(1&% '*@*)&'(% (+ )& 1((+*3+ ? (>,&*3+ '( (%-),% -(-,1*& >*%&) *+-('*&&K. L& -(-,1*& &'**>& %( (+(+1& ,+%(1>&'&B &% ,-, )& -(-,1*& 1(-,& ? 1(*(+(.
'.9.2.- Conc$nt%#ci*n > At$nci*n
E>*'(+*& &)+&% '*@*)&'(% (+ )& (%&*)*'&' '( )& &(+*3+B -&+(+*+',)& ,,% -*+,%B +, ),1&+', ,1 ()), & +& &'(&'& &(+*3+. E%, %( '(( & )& 1(%(+*& '( (%-),% *+(1+,% <( *+(11-(+ () 1,(%, (+%&-*(+,%K.
III.- EVALUACION PSICOLOGICA P&1& ))(&1 &) D*&+,%*, P%*,)3*, '( M&1*+&B %( (>&)&1,+ )&% 51(&% '( P(+%&-*(+,B P(1%,+&)*'&' ? O1&+**'&'.
PRUE3AS PSICOLOGICAS APLICADAS AREAS
PRUEAS PSICOLOGICAS
PENSAMIENTO
T(% '( A%,*&*3+ '( P&)&1&%
PERSONALIDAD
T(% '() D*;, '( )& F*1& H-&+& '( [&1(+ M&=,>(1 T(% '() H,-1( &;, )& L)>*& C(%*,+&1*, C&1&(1,)3*, '( G&%3+ (1(1
ORGANICIDAD
T(% G(%&)*, V*%,-,,1 '( (+'(1 T(% '( R((+*3+ V*%&) '( (+,+ M(-,1*& '( X(=%)(1
INTERPRETACION DE LOS RESULTADOS P$ns#0i$nto E) P1,(%, F,1-&) '() P(+%&-*(+, %( (+(+1& &)(1&',B =&))5+',%( + $# '( 1(%(%&% &%,*&*>&%B ), &) (%& ,1 '(&;, '( ), +,1-&) 0K ), <( *+'*& <( *(+( '*@*)&'(% &1& ))(&1 & )& @&%( '( %+(%*%. A% -*%-, =&? + 4! '( 1(&*,+(% P13*-&% %*(+', )& -&?,1& '( ())&% '( *, 1(@(1(+*&) ? ),<(, '((+*(+', () 1,(%, (+ )& @&%( '( &+5)*%*%. S( =&)), + 6 '( 1(&*,+(% '*%&+(%B )&% &)(% +, &1'&+ 1()&*3+ &)+& ,+ )& &)&1& (%*-), 1(@(1*'&. E) 1%, '() (+%&-*(+, *(+'( & )& (%&*)*'&'.
P$%son#i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
O%!#nici&#& A) (>&)&1 )&% @+*,+(% >*%,,+%1*>&% & 1&>% '( )& ,*& '*1(& '( ),% (%-),% +, %( (+(+1&+ (11,1(% (+ )&% 51(&% (%&*&)(%B -,,1(% ? (1(&) -&+(+*(+', )& (%&) '( )&% -*%-&%. A) (>&)&1 )& -(-,1*& >*%&) *+-('*&& %( &1(&+ )*(1&% '*@*)&'(% (+ )& 1((+*3+ ? (>,&*3+ '( (%-),% %*(+', (%,% '*%,1%*,+&',%. S( &1(*& + )(+, &1(+'*&;( '&', <( % +*>() '( &(+*3+ ? ,+(+1&*3+ ,1 -,-(+,% (% '*%(1%, %*(+', +((%&1*, -&?,1 &+*'&' '( (+%&?,% &1& () ),1, '() ,;(*>,.
IV.- DIAGNOSTICO DEL CASO CLINICO P&1*(+', '(:
-
L,% '&,% ,(+*',% '( )& ,%(1>&*3+ P%*,)3*&.
-
D( )& (+1(>*%& & -*(-1,% '( )& @&-*)*&.
-
L,% 1(%)&',% '( )&% 1(&%.
-
L,% 1*(1*,% '*&+3%*,% '() CIE !0 DSM IV TR
N,% (%&1&-,% 1(@*1*(+', &:
5.(.- C%it$%ios 7#%# $ Di#!nostico s$!n CIE-( QF'.2@ ESUI:OFRENIA INDIFERENCIADA C?&% &1&(1%*&% %,+: S&*%@&( )&% &&% (+(1&)(% &1& () '*&+3%*, '( (%<*,@1(+*&: I'(&% '()*1&+(%B '(*', & )&% %(+%&*,+(% +, 1(&)(% <( %*(+( (+ % (1, (%,-&,K. P1(%(+( '( %+,-&% +(&*>,% &)(% ,-, )& &&& -&1&'&B 1(1&*-*(+, %,*&) ? '*%-*+*3+ '( )& ,-((+*& %,*&). S( (>*'(+*& &-*,% %*+*@*&*>,% (+ % ,+'& (1%,+&) +, ,)(1&1 &)*-(+,% 5%*,%B -5% %* ,),%*+&% )&>&1%( )&% -&+,% ? '*(+(% >&1*&% >((% &) '&K L,% %+,-&% +, %( &;%&+ & +*++, '( ),% *,% F20.0 F20.2. L,% %+,-&% ,('((+ & )& 1(%(+*& '( + &'1, %*3*, '(*', & )& 1'*'& '() ,+&, ,+ )& 1(&)*'&'. - No reúne pautas para la esquizofrenia residual o la depresión postesquizofrénica.
5.'.- C%it$%ios 7#%# $ Di#!nostico s$!n $ DSM IV-TR DIAGNOSTICO MULTIAIAL E
S+,-&% C&1&(1%*,% 1(%(+(% '1&+( +& &1( %*+*@*&*>& '( (1*,',. L& P1(%(+*& P1(%(+*& '( *'(&% '()*1&+(% '()*1&+(% L& P1(%(+*& '( %+,-&% +(&*>,% D*%@+*3+ %,*&) ? )&,1&) '1&+( +& &1( %*+*@*&*>& '() *(-, '(%'( () *+**, '( )& &)(1&*3+. L,% %*+,% =&+ (1%*%*', ,+*+&-(+( ,1 -5% '( %(*% -(%(%B ? ),% %+,-&% 1(%(+(% ,1 -&% -&% '( + -(% I'(&% I'(&% D()*1&+(%B %+,-&% %+,-&% +(&*>,%K. +(&*>,%K. N, -)( ),% 1*(1*,% &1& () *, P&1&+,*'(B D(%,1&+*&', D(%,1&+*&', , C&&3+*,.
E&% '( &&-*, *, ,1 ,1 ())& ())& -*%-*%-&B &B %( %*(+ %*(+( ( -? -? &@( &@(& &'& '& ? &+%* &+%*,% ,%&& &+( &+( )& 1 1* *&& , '(%&1,&*3+B , ,1 )& %(&1&*3+ '( &)*(+. E%&)(( 1()&*,+(% *+(1(1%,+&)(% %&+', &1,&*3+ &1,&*3+ ? 1,(*3+. 1,(*3+.
E
E*'(+*&+ %,+: L& %(&1&*3+ '( ),% &'1(%. E) &'1( & <*(+ M&1*+& <*(1( ? +((%*& -=, >*>( (+ ,1, =,&1 ? *(+( +& +(>& @&-*)*&. E) 1&&;, '( )& -&'1(B <*(+ & &%& '() 1&&;, (1-&+(( -&?,1 &1( '() '& @(1& '( &%& ? &&1(+(-(+( +, (%& )& &+, '( )& %&)' '( M&1*+&.
E&)&*3+ '( )& A*>*'&' G),&) EEGAK
P+&;(: 2 L& ,+'& (%5 ,+%*'(1&)(-(+( *+@)*'& ,1 *'(&% '()*1&+(% ? (*%( +& *+&&*'&' &1& @+*,+&1 (+ )&% 51(&% '( &*>*'&' %,*&) ? (+ &)+&% 51(&% '( )& &*>*'&' (1%,+&).
PRONOSTICO E) P1,+3%*, &1& () &%, '( M&1*+& (% R(%(1>&',: P,1 <( (>*'(+*& -&?,1(% %+,-&% +(&* +( &*>,% >,% '( )& (%<* (%<*,@ ,@1(+ 1(+*&B *&B ),% 5)( 5)(%% %,), %,), %( ,+ ,+1, 1,)&+ )&+ &1*& &1*&)-( )-(+( +( ,+ )& -('*&*3+ +((%*&+', ,1 ()), )&% (1&*&% ? () %,,1( @&-*)*&1. P,1 <( +, %( -(%1& ,)&,1&',1& ,+ )& P%*,(1&*& (>*'(+*&+', &-*,% 1((+*+,% '( (%&',% '( 5+*-,. P,1 <( +, *(+( + (+ %,,1( @&-*)*&1 ? %,*&).
P#n T$%#7?,tico
As7$ctos G$n$%#$s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
T%#t#0i$nto F#%0#co*!ico E% (%(+*&) &1& () 1&&-*(+, '( M&1*+&B ?& <( ),% -('*&-(+,% %( *)*&+ &1& () 1&&-*(+, '( ),% (*%,'*,% &',% '( % (+@(1-('&' ? &1& )& 1(>(+*3+ '( @1,% (*%,'*,% ? &1& )& -(;,1& '( ),% %+,-&% (+1( ),% (*%,'*,%. A'(-5% %( (+'15 (+ (+& ),% (%&*)*&',1(% '() (%&', '( 5+*-, ? ,1,% &(+(%. C&( '(*1 <( '*=, 1&&-*(+, ,11(%,+'( +*&-(+( & + M'*, P%*<*&1&.
(.- Est#)$ci0i$nto > M#nt$ni0i$nto &$ Un# Ai#n1# T$%#7?,tic#
E% *-,1&+( (%&)((1 +& &)*&+& (1&*& '( &,?,B ?& <( ()), ,+%*?( )& &%( %,1( ), <( %( %%(+& () 1&&-*(+,B & )& >( (1-*( ,(+(1 +& *+@,1-&*3+ (%(+*&) 1(%(, &) &*(+( ? (1-*( & %( '(%&11,))&1 +& ,+@*&+& (+ () (1&(& ? + '(%(, '( ,,(1&1 ,+ () 1&&-*(+,. D(( =&(1 +& ,+*+*'&' '( &%*%(+*& ,+ () -*%-, (1&(& & ), )&1, '() *(-,B (%, <( ()), @&*)*& (%( 1,(%,. U+& 1()&*3+ '( (%( *, (1-*( &>(1*&1 -5% ,%&% %,1( )& &*(+( ,-, (1%,+& ? ,+,(1 )&% >**%*'(% '() 1&%,1+, & ), )&1, '() *(-, &1& (%& (1%,+& ,+1(&.
'.- Psico$&,c#ci*n Psico$&,c#ci*n L& %*,('&*3+ (% + &1(+'*&;( ((1*(+*&) &(1& '( % -*%-&B '() 1,(%, , 1&%,1+, <( %( &'(( ? )& -(;,1 @,1-& '( &@1,+&1 )&% ,+%((+*&% '( '*=, 1&%,1+,. %& =&(1 &1*( &) %&1*, '( ), <( %( %&( *(+@*&-(+( %,1( % 1,)(-&. S( *+(+& <( (%( ,+,*-*(+, ), &)*<( & )& -(;,1& '( % >*'&B '( % '(%&11,)), (1%,+&) ? '( % +)(, @&-*)*&1. L,% ,;(*>,% %( &1&(1*&+ ,1: P1,,1 P1,,1*, *,+&1 +&1 +& *+@,1*+@,1-&* &*3+ 3+ && &&)* )*&'& &'& %,1( %,1( )& (%<* (%<*,@1 ,@1(+ (+*&B *&B (+@& (+@&*& *&+', +', )& 1()&*3+ (+1( )& >)+(1&*)*'&' *,)3*& ? %*,%,*&) '( ,1*(+ &+ '(%,+,*', ? )& %%(**)*'&' '() &*(+( &) (%1% ? & )& %,1(%*-)&*3+. E+%(&1)( & '*%1*-*+&1 ),% %+,-&% '( )& (+@(1-('&' ? ),% %+,-&% 1,'13-*,% & >&),1&1 )& -('*&*3+ +(1,)*& ,-, + @&,1 '( 1,(*3+. A 1(,+,(1 ),% (@(,% %(+'&1*,% '( (%& -('*&*3+ ? & %&(1 *+@,1-&1 '( ()), &) %*<*&1&. I+1(-(+&1 (+ )& &*(+( )& ,-1(+%*3+ ? =&*)*'&' '( &@1,+&-*(+, '() (%1% &-*(+&)B ,+%*'(15+',), ,-, + @&,1 '( 1*(%,B ;+, &) ,+%-, '( &),=,)B '( '(1*>&',% '( &++&*%B '( ,1,% &)*+3(+,% ? '( ),% &-*,% (+ )&% *1+%&+*&% =&*&)(% '( )& >*'& ,*'*&+&. C1(& C1(&11 +& +& &)*& &)*&+ +&& (+1( (+1( @&-* @&-*)*& )*&1( 1(%% ? 1,@ 1,@(% (%*, *,+& +&)( )(%% ,1*( ,1*(+ +&' &'&% &% & '*%'*%-*+ *+* *11 ),% ),% 1(%(+*-*(+,% ? )&B & &)&+&1 -(&% & ,1, )&, ? & (%&)((1 (%1&(*&% '( &@1,+&-*(+, (+ )&% 1*%*% '&', () &15(1 1(*'*>&+(. I'(+*@*&1 ? ,(+*&1 1(1%,% (+ ),% &@(&',% ? (+ %% @&-*)*&% &1& () '(%&11,)), '( &*>*'&'(% (+ )& >*'& '*&1*&. F,-(+&1 (+ ()),% )& ,+*(+*& ? ,+1,) '( %+,-&% ,%**>,% ? +(&*>,%B +(&*>,%B &% ,-, '( '( ,1,% ,-,1&-*(+,% ,-,1&-*(+,% '*%@+*,+&)(%. '*%@+*,+&)(%.
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
C,"&#t$ O)=$ti/os Es7$c"+icos E>&)&1 () +*>() )1&) ? %% ,+,*-*(+,% (%(@*,% %,1( &+&,-,@*%*,),&B &% ,-, % %*%(-& '( 1((+*&% 1(%(, & )& %&)' ? & )& (+@(1-('&'. A-(+&1 %% ,+,*-*(+,% %,1( ('&*3+ &1& )& %&)'B (%&)(*(+', &%(% 1&*,+&)(% &1& () *'&', '( )& 1,*& %&)' @%*& ? (-,*,+&). I-)&+&1 =5*,% '( &,*'&', '() (1,B *+)?(+', =5*,% '( =**(+(B &)*-(+&*3+ ? '(%&+%,. E%&)((1 &?'&% &1& '*%-*+*1 ,-,1&-*(+,% '( 1*(%, %&+*&1*,: @-&1B ((1 &),=,)B =5*,% '*(*,% *+&'(&',% ,1,%. P1,-,>(1 )& &,%&*%@&*3+ ,1,1&).
M$to&oo!"#
S( *)*&+ (,% (%,)&1(% ,-, & &1& )& ()*&*3+ '( ),% 1*+*&)(% &&1&,% ? %*%(-&% ,1,1&)(%. P&1& &'& %*%(-& %( (+1(&+ +,*,+(% @+'&-(+&)(% '( &+&,-,@*%*,),&. P1(%(+&1)( (%<(-&% ? @*1&% <( *)%1(+ ),% ,+(,% ? =&(1 <( ), 1(1,'& (+ % &'(1+,. S( %& 1&+%-**1 (+ ,'&% )&% %(%*,+(% () -(+%&;( '( <( () (1, (% &), <( @+*,+&B <( (% -&1&>*)),%,B <( (% +& @(+( '( )&(1B <( (% &&%*,+&+( (),1&1 %% ,%**)*'&'(% %(+%,1*&)(%B %(+%&)(%B '( -,>*-*(+,B <( () (1, (% + ,-&(1, &) <( =&? <( *'&1 &'& '& ? &'& +, (% () ;(@( '( % (1,.
E/#,#ci*n P&1 (>&)&1 () +*>() '( &1(+'*&;( ? '( ,-1(+%*3+ %( *)*&+ (%*,+&1*,% 1(@(1*',% & (%,% (-&%. L& (>&)&*3+ (%& '(%*+&'& %,1( ,', &1& 1(@,1&1 ),% ),1,%B -5% <( &1& '(%&&1 (11,1(%. L& (>&)&*3+ %(15 ,+*+&B )&%( & )&%( &'& %(%*3+ %( *+**& =&*(+', 1(+&% &(1& '( ),% (-&% &+(1*,1(%B &+', +, 1((1'( )& *+@,1-&*3+ %( ,11*( '5+',)( *%&% ? %(&)(% '( -5% & -(+,%B =&%& <( ' )& 1((%& ,11(& ? (+,+(% %& (% 1(@,1&'&.
Conci$nci# Co%7o%# O)=$ti/os Es7$c"+icos C,+1**1 & )& ,+*(+*& ,1,1&) '( ),% &*(+(%B &?'5+',)(% & ,1*(+&1%( (+ () (%&*, ? (+ 1()&*3+ & % (1,. E%*-)&1 % 1(,&*3+ ,1 () *'&', ? () *(+(%&1 ,1,1&). E+1(+&1)& (+ + 1,('*-*(+, '( 1()&;&*3+. P1,-,>(1 % *+(1% ,1 &*>*'&'(% @%*&%.
M$to&oo!"# D(( (%&1 '( &(1', & ),% *+(1(%(% ? & )& )1& '( )& &*(+(. L&% &*>*'&'(% '((+ (+(1 (;(1*&1 )&% =&*)*'&'(% %*,-,1*(% ? -,>*-*(+,%: G*-+&%*&B (1(%*3+ ,1,1&)B &1(+'(1 & ;&1 *+ ,+ ? &*)(% '( %&)3+.
L& +*& '( 1()&;&*3+ <( %( *)*&1& '&', & ),% 3*-,% 1(%)&',% (% )& '( J&,%,+. C,+>*(+( ,-(+&1 ,+ &*>*'&'(% <( ,, & ,, *15+ *+1(-(+&+', () ,-1,-*%, '( -,>(1%( ? (1(%&1%( ,1,1&)-(+(B (% +((%&1*, ,@1((1)( %(1*'&' ? (%&),+&1 ),% (;(1**,%.
E/#,#ci*n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
V,n$%#)ii&#& O)=$ti/os Es7$c"+icos F,-(+&1 )& *'(& '( (+@(1-&1 ,-, +& ,+'**3+ '( >)+(1&*)*'&' <( ,)*& &) 1(,+,*-*(+, '( @&,1(% '( 1*(%, ? '( 1,(*3+.B P1,-,>(1 )&% ,+*(+*& '( (+@(1-('&' & 1&>% '() ,+,*-*(+, '( )&% (+@(1-('&'(% %,-5*&%B (1(1&)(% ? -(+&)(%. E+1(+&1 (+ () 1(,+,*-*(+, '( ),% %+,-&% +(&*>,% '( )& (%<*,@1(+*&. E+1(+&1 (+ () &,1(,+,*-*(+, '( ),% %+,-&% 1,'13-*,%. F*;&1 %,% ,-, +& %*&*3+ '( &)(1&.
M$to&oo!"#
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
E/#,#ci*n S( *)*&+ (%*,+&1,% '( ',% &)(1+&*>&% >(1'&'(1, , @&)%,K &1& (>&)&1 '*>(1%,% ,+(,% &(1& '( )&% (+@(1-('&'(% %,-5*&% ? '( %% *'&',%.
A,to$sti0# O)=$ti/os Es7$c"+icos D(%&11,))&1 (+ M&1*+& +& *-&(+ 1(&)*%& '( ())& -*%-&B =&*(+', <( &1(+'& & >&),1&1%( ,%**>&-(+(. R(@,1&1 ,%**>&-(+( &+( () *-&, <( )( 1,'( ,+,(1 -5% 1,@+'&-(+( )& +&1&)(& '() 1&%,1+, <( &'((. F,-(+&1 +& -&?,1 &,,+@*&+& ? &-,1 =&*& % -*%-&. H&(1 <( %( %*(+& ,1)),%& '( %% ),1,%. H&(1 <( %( %*(+& 1(%,+%&)( '( % -*%-& ? <( +, %( %*(+& '((+'*(+(. Q( +, %*(+& )&)( ? &>(1,+&'& '( % 1&%,1+, , (+@(1-('&'.
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E) )&% %(%*,+(% %( (%&)((15+ &*>*'&'(% '*+5-*&% '( ,-,1&-*(+,% 1&*@*&+(% &1& ())&B (+ ',+'( ('& '(-,%1&1 %% =&*)*'&'(%.
S$c,$nci# &$ s$sion$s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
A&K$%$nci# # T%#t#0i$nto O)=$ti/os Es7$c"+icos I+@,1-&1 %,1( )& -('*&*3+ <( ,-&B ,@1(*+',)( + &'1, )&%*@*&,1*,. E+%(&1)( & >&),1&1 )& -('*&*3+ ? () ,+&, ,+ () %*<*&1& ,-, @&,1 '( 1,(*3+. Q( &1(+'& & ,+,( ),% @&,1(% '( 1*(%, '( % ,+'**3+B ,-, () &&+',+, '( )& -('*&*3+B () ,+%-, '( '1,&% ? &),=,)B () (,+(1%( & %*&*,+(% '( (%1%.
M$to&oo!"# P1(&1&1 + -&(1*&) (%1*, ,+ () %**(+( (%<(-&:
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M('*&-(+,% , () 1(*, '( )& 1&+<*)*'&'.
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L*%& '( %+,-&% %(+'&1*,% 1,'*',% ,1 ),% -('*&-(+,% +(1,)*,%K.
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P%$/$nci*n &$ # Ansi$&#& > &$ # D$7%$si*n O)=$ti/os Es7$c"+icos E+%(&1)( & 1(,+,(1 %% (%&',% (-,*,+&)(%B (%(*&)-(+( )& &)(1&B )& 1*%(&B )& &+%*('&' ? )& *1&. E+1(+&1)& &1& <( &,11(*%1( '*>(1%,% %+,-&% '(1(%*>,% ? &+%*,%,%. P1&*&1 +& %(1*( '( 1(1%,% &1& ,-&*1 )& *+1&+<*)*'&'B )& &&& ? )& 1*%(&B 1(1%,% &)(% ,-, )& 1()&;&*3+B *+@%*,+(%B &-*, '( &-*(+(B &+**&*3+ '( ,+%((+*&% ,%**>&%B -%*&. F,-(+&1 (+ )& -('*'& '( ), ,%*)( )& &&*'&' '( &,,+1,).
M$to&oo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VII. ILIOGRAFIA
VIII. ANEOS
