Manejo clínico geral (GPM) para o transtorno de personalidade borderline: um modelo generalista para a América Latina
DOI:
https://doi.org/10.25118/2763-9037.2022.v12.446Palavras-chave:
transtorno da personalidade borderline, saúde pública, administração de caso, psicoterapia, terapêuticaResumo
Por muitos anos, o Transtorno de Personalidade Borderline (TPB) foi considerado como uma condição de saúde mental intratável. No entanto, diversos tratamentos desenvolvidos nas últimas décadas, como a Terapia Comportamental Dialética (DBT), o Tratamento Baseado na Mentalização (MBT) e a Psicoterapia Focada na Transferência (TFP) provaram o contrário. O problema do ponto de vista de saúde pública é que a disponibilidade dessas intervenções é limitada. Nesse contexto de alta demanda de profissionais treinados, o Bom Manejo Clínico (GPM) e outras abordagens generalistas surgiram. Este artigo revisa a estrutura e os principais fundamentos do GPM que orientam os clínicos não especialistas a planejar um tratamento baseado na medicalização do transtorno, no gerenciamento de caso e em intervenções psicoterapêuticas de suporte. Nós também ilustramos a abordagem com um exemplo de caso e, finalmente, apresentamos desenvolvimentos mais recentes, como a integração de GPM com a DBT e o GPM para adolescentes (GPM-A).
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Copyright (c) 2022 Marcos Signoretti Croci, Marcelo José Abduch Adas Brañas, Carl Fleisher, Teresa Carreño, Maria Dayana Jurado Andia , Eduardo Martinho Júnior , Lois W Choi-Kain
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