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Trattamento integrato: un impianto concettuale per un approccio evidence-based al trattamento del disturbo di personalità
Titolo Rivista: QUADERNI DI PSICOTERAPIA COGNITIVA 
Autori/Curatori: W. John Livesley 
Anno di pubblicazione:  2013 Fascicolo: 33 Lingua: Italiano 
Numero pagine:  33 P. 19-51 Dimensione file:  199 KB
DOI:  10.3280/QPC2013-033003
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


L’evidenza che vi siano diverse terapie efficaci nel trattare il disturbo di personalità e che gli esiti tra i trattamenti sostanzialmente, non differiscano, suggerisce di sostituire le preoccupazioni sull’efficacia terapeutica di specifiche terapie e su quale forma di terapia usare, con un approccio evidence-based che combini i metodi che funzionano di tutte le terapie. Viene proposta una struttura concettuale per selezionare ed integrare metodi di trattamento eterogenei e organizzarli in modo coordinato. La struttura è costituita da due elementi principali: 1) un metodo per concettualizzare il disturbo di personalità sulla base di conoscenze empiriche inerenti la struttura, l’eziologia, lo sviluppo e la stabilità della patologia di personalità, da usare come guida per selezionare gli interventi e pianificare la sequenza in cui saranno usati; 2) un modello di cambiamento terapeutico basato sull’analisi della letteratura generale dei risultati della psicoterapia e studi specifici sui trattamenti del disturbo di personalità. Questa struttura prevede che il trattamento integrato sia organizzato intorno a dei principi generali di cambiamento condivisi da tutte le terapie efficaci e integrato con metodi di trattamento più specifici, provenienti dai diversi approcci e che, di volta in volta, possono essere adattati in funzione delle esigenze di trattamento di casi individuali, per particolari problemi o psicopatologie. La distribuzione organizzata di un insieme così eterogeneo di interventi può essere realizzata tramite l’impiego di uno schema delle fasi di trattamento che propone di trattare una specifica sintomatologia e le relative problematiche, secondo una via sistematica e metodica che tenga conto della loro stabilità e del potenziale di cambiamento.


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W. John Livesley, in "QUADERNI DI PSICOTERAPIA COGNITIVA" 33/2013, pp. 19-51, DOI:10.3280/QPC2013-033003

   

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