Manejo clínico general (GPM) para el trastorno limítrofe de la personalidad: un Modelo generalista para América Latina
DOI:
https://doi.org/10.25118/2763-9037.2022.v12.446Palabras clave:
trastorno de personalidad limítrofe, salud pública, manejo de caso, psicoterapia, terapéuticaResumen
Durante muchos años el Trastorno Limítrofe de la Personalidad (TLP) fue considerado una condición intratable. Aun así, diversos tratamientos efectivos basados en la evidencia fueron desarrollados en las últimas décadas, como, Terapia Dialéctica Conductual (DBT), Tratamiento Basado en la Mentalización (MBT) y Psicoterapia Centrada en la Transferencia (TFP), los cuales probaron lo contrario. El problema desde el punto de vista de la salud pública es que la disponibilidad de estas intervenciones es limitada. En este contexto de gran demanda de clínicos entrenados, el Manejo Psiquiátrico General (GPM) y otros abordajes generalistas surgieron. Este artículo revisa la estructura y los principales fundamentos del GPM que orientan a los clínicos no especialistas a planear un tratamiento basado en la medicalización del trastorno, en el gerenciamiento del caso y en intervenciones psicoterapéuticas de apoyo. Nosotros también ilustramos el abordaje con un ejemplo de caso y finalmente, presentamos los desarrollos más recientes, como la integración con el DBT y el GPM para adolescentes (GPM-A).
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Derechos de autor 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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