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Il ruolo della terapia psicodinamica e gli ostacoli alla sua diffusione
Titolo Rivista: PSICOTERAPIA E SCIENZE UMANE 
Autori/Curatori: Susan G. Lazar 
Anno di pubblicazione:  2021 Fascicolo: 4  Lingua: Italiano 
Numero pagine:  18 P. 605-622 Dimensione file:  366 KB
DOI:  10.3280/PU2021-004004
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


Dalle ricerche emerge che la terapia psicodinamica è efficace in modo specifico per pazienti con disturbi di personalità, disturbi cronici d’ansia e depressivi e anche disturbi cronici complessi. Inoltre, la frequenza settimanale e la durata della terapia hanno effetti positivi indipendenti tra loro. Uno degli ostacoli alla diffusione della terapia psicodinamica è il fatto che vengono preferiti i trattamenti brevi, in particolar modo la terapia cognitivo-comportamentale (CBT), considerata spesso il gold standard (cioè la terapia migliore che ci sia) nonostante i problemi che sono stati rilevati nelle metodologie delle ricerche sperimentali, nella validità dei risultati in suo favore, nella generalizzabilità dei risultati e nei metodi diagnostici utilizzati. Un altro ostacolo all’erogazione della terapia psicodinamica risiede nei protocolli delle compagnie assicurative vigenti in molti Paesi, che guardano al contenimento dei costi anziché fornire ai pazienti un trattamento ottimale; negli Stati Uniti, ad esempio, tradiscono il mandato del Mental Health Parity Act, la legge che obbliga che i limiti massimi di copertura assicurativa per i disturbi mentali non seguano criteri diversi da quelli per i trattamenti ottimali dei problemi medici o chirurgici.


Keywords: Terapia psicodinamica; Disturbi di personalità; Disturbi cronici depressivi e d’ansia; Disturbi cronici complessi; Psicoterapia basata sulle evidenze

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Susan G. Lazar, in "PSICOTERAPIA E SCIENZE UMANE" 4/2021, pp. 605-622, DOI:10.3280/PU2021-004004

   

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