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Autolesiones en la adolescencia: significados, perspectivas y prospección para su abordaje terapéutico

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Autolesiones en la adolescencia: significados, perspectivas y prospección para su abordaje terapéutico

Autor: Teresa Sánchez-Sánchez

Número de Revista de Psicoterapia a la que pertenece el artículo: 110

Coordinador del monográfico: Carlos Mirapeix y Javier Fernández-Álvarez

Details:

"Is Presented a study that is an epidemiological, clinical and hermeneutical approach to the phenomenon of adolescent self-harm. It is almost a viral phenomenon that has deserved a profuse investigation in other countries but scarce in Spain. Investigation’s problem 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 the last twenty years. It begins with a detailed and specific description of Deliberate Non-Suicidal Self-injuries, discriminating them from other clinical pictures or corporal manifestations that have other expressive and ideological intentions. Next, the types and variants of Self-contingent Behaviors are exposed and we detail the epidemiology and the psychic meanings of them. We show the analysis of the motivations and psychological factors most frequently referred to in health and therapeutic centers, observing these from different theoretical perspectives from solvent hermeneutic models. The text progresses exposing the main comorbidities presented by adolescent self-harm, their juxtaposition with frequent clinical disorders in this vital period (abuse and sexual abuse reactions, traumatic experiences, suicide attempts, eating disorder, substance abuse, boundary disorder, attention deficiency hyperactivity disorder, stress...). They propose and balance the perspectives and clinical evaluations that have taken care of this phenomenon (with their respective projections and therapeutic prospects): emotional self-regulation, traumatolysis, identity search, mentalization, dysfunctional vital expression ... Finally, we present some lines of future development of possible value for research 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 the etiopathogenic, symptomatic and other contingent variables to its clinical presentation so that is useful as a first approximate guide to therapists who have to approach adolescents with this worrying manifestation of psychological distress."

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"Is Presented a study that is an epidemiological, clinical and hermeneutical approach to the phenomenon of adolescent self-harm. It is almost a viral phenomenon that has deserved a profuse investigation in other countries but scarce in Spain. Investigation’s problem 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 the last twenty years. It begins with a detailed and specific description of Deliberate Non-Suicidal Self-injuries, discriminating them from other clinical pictures or corporal manifestations that have other expressive and ideological intentions. Next, the types and variants of Self-contingent Behaviors are exposed and we detail the epidemiology and the psychic meanings of them. We show the analysis of the motivations and psychological factors most frequently referred to in health and therapeutic centers, observing these from different theoretical perspectives from solvent hermeneutic models. The text progresses exposing the main comorbidities presented by adolescent self-harm, their juxtaposition with frequent clinical disorders in this vital period (abuse and sexual abuse reactions, traumatic experiences, suicide attempts, eating disorder, substance abuse, boundary disorder, attention deficiency hyperactivity disorder, stress...). They propose and balance the perspectives and clinical evaluations that have taken care of this phenomenon (with their respective projections and therapeutic prospects): emotional self-regulation, traumatolysis, identity search, mentalization, dysfunctional vital expression ... Finally, we present some lines of future development of possible value for research 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 the etiopathogenic, symptomatic and other contingent variables to its clinical presentation so that is useful as a first approximate guide to therapists who have to approach adolescents with this worrying manifestation of psychological distress."
Autolesiones, Clínica, Epidemiología, Motivaciones, Modelos clínicos, Terapia, Self-harm, Clinic, Epidemiology, Motivations, Clinical models, Therapy

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