986 resultados para Functional analytic psychotherapy


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La fibromialgia es un síndrome doloroso crónico de alta complejidad en su diagnóstico (que hasta la fecha es clínico) y en su manejo. Se caracteriza por la presencia simultánea de numerosos problemas psicológicos en los pacientes, de los cuales se reconoce su asociación con el síndrome pero no la direccionalidad de la asociación. En consecuencia, la atención de las personas que lo desarrollan requiere del despliegue de numerosos esfuerzos interdisciplinarios, con un alto fracaso terapéutico y una mayor cronificación de los síntomas. La Terapia Cognoscitivo Comportamental ha demostrado ser una valiosa herramienta para el abordaje eficaz de las necesidades afectivas, emocionales y comportamentales de esta población. En consecuencia, el presente trabajo de grado tuvo como objetivo realizar una revisión de la literatura hallada en las bases de datos especializadas, sobre la evidencia de las Terapias de Cognoscitivo Comportamentales de Tercera Generación en el manejo de la fibromialgia. Se seleccionaron tres de estas terapias, a saber: la Terapia de Aceptación y Compromiso (TAC), la Terapia Cognoscitiva Basada en Mindfulness (TCBM) y la Psicoterapia Analítica Funcional (PAF). En primer lugar se presenta un breve recorrido histórico de la Terapia Comportamental con el fin de apreciar las diferencias y las similitudes de la Terapia Comportamental en sus tres generaciones. Posteriormente se presenta cada una de las tres terapias seleccionadas, contextualizándolas en cuanto a sus objetivos y evidencia empírica en el campo de la Psicología de la Salud y en específico del dolor crónico y de la fibromialgia. Finalmente, se presentan algunas conclusiones generales y se discute sobre su eficacia y el papel del en estas, en especial para el manejo de la persona con fibromialgia.

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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

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In the first wave, behaviorists questioned the conventional wisdom that inner experience was relevant to understanding human behavior. In the 1970s, cognitive-behavioral theories emphasized the importance of the cognitive element, not just the environment, in explaining and modifying behavior. The third wave is drawn from advances in basic and applied behavior analysis of language, Eastern mystical traditions, and less empirically oriented therapeutic approaches. Examples include Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), Functional Analytic Psychotherapy (FAP), and Mindfulness Based Cognitive Therapy (IBCT). This study reports a survey of clinicians and non-clinicians who self-identify with second or third wave approaches, and a group of undergraduate psychology students intended to represent a layperson or folk psychological approach. Their preferences, in the context of 10 clinical vignettes, among 5 different therapeutic responses or interventions that included "ACT-like," "cognitive," and commonsense or "neutral" options were measured. Third wave-oriented respondents exhibited more consistency than others in their preference for interventions that match their self-identified theoretical orientation, however the author suggests that construction of the vignettes may have influenced this result.

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A graduate psychology student reflects upon the experience of learning psychodynamic psychotherapy exclusively in the classroom. The majority of undergraduate psychology students have scant, and frequently inaccurate, exposure to psychodynamic psychotherapy. This appears to heavily influence students’ choice of postgraduate programs, and to reduce the likelihood that they will expose themselves to psychodynamic therapy at any stage of their careers. It is hoped that the original insights provided by this reflection will inform the development of psychodynamic psychotherapy teaching material that can be imparted effectively in undergraduate programs, even when access to patients and supervisors is not possible, so that more students are inspired to study psychodynamic psychotherapy in postgraduate programs.

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We present a novel account of the theory of commutative spectral triples and their two closest noncommutative generalisations, almost-commutative spectral triples and toric noncommutative manifolds, with a focus on reconstruction theorems, viz, abstract, functional-analytic characterisations of global-analytically defined classes of spectral triples. We begin by reinterpreting Connes's reconstruction theorem for commutative spectral triples as a complete noncommutative-geometric characterisation of Dirac-type operators on compact oriented Riemannian manifolds, and in the process clarify folklore concerning stability of properties of spectral triples under suitable perturbation of the Dirac operator. Next, we apply this reinterpretation of the commutative reconstruction theorem to obtain a reconstruction theorem for almost-commutative spectral triples. In particular, we propose a revised, manifestly global-analytic definition of almost-commutative spectral triple, and, as an application of this global-analytic perspective, obtain a general result relating the spectral action on the total space of a finite normal compact oriented Riemannian cover to that on the base space. Throughout, we discuss the relevant refinements of these definitions and results to the case of real commutative and almost-commutative spectral triples. Finally, we outline progess towards a reconstruction theorem for toric noncommutative manifolds.

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Self-injurious and aggressive behaviours have often been identified as the cause for students’ lack of academic progress, parental distress, health risks and teachers´ low satisfaction levels. Functional analysis has been identified in the research literature as the benchmark of effective treatments for disruptive and/or inappropriate behaviours. The present study was completed with a girl diagnosed with ASD. An experimental functional analysis was conducted identifying the function of self-injurious behaviours and tantrums to be escaping from tasks. A treatment package was consequently put in place integrating several components that aimed at reducing overall levels of inappropriate behaviours. Results showed a clear and meaningful improvement in the student´s overall health and academic progress, as well as in parental involvement, teachers’ satisfaction and school inclusion. These outcomes are discussed in the light of evidence-based experimental procedures based on applied behaviour analysis and more specifically on the functional-analytic literature, which, if put in place consistently, can bring valuable positive changes in the quality of life of individuals with ASD.

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In dieser Arbeit werden nichtüberlappende Gebietszerlegungsmethoden einerseits hinsichtlich der zu lösenden Problemklassen verallgemeinert und andererseits in bisher nicht untersuchten Kontexten betrachtet. Dabei stehen funktionalanalytische Untersuchungen zur Wohldefiniertheit, eindeutigen Lösbarkeit und Konvergenz im Vordergrund. Im ersten Teil werden lineare elliptische Dirichlet-Randwertprobleme behandelt, wobei neben Problemen mit dominantem Hauptteil auch solche mit singulärer Störung desselben, wie konvektions- oder reaktionsdominante Probleme zugelassen sind. Der zweite Teil befasst sich mit (gleichmäßig) monotonen koerziven quasilinearen elliptischen Dirichlet-Randwertproblemen. In beiden Fällen wird das Lipschitz-Gebiet in endlich viele Lipschitz-Teilgebiete zerlegt, wobei insbesondere Kreuzungspunkte und Teilgebiete ohne Außenrand zugelassen sind. Anschließend werden Transmissionsprobleme mit frei wählbaren $L^{\infty}$-Parameterfunktionen hergeleitet, wobei die Konormalenableitungen als Funktionale auf geeigneten Funktionenräumen über den Teilrändern ($H_{00}^{1/2}(\Gamma)$) interpretiert werden. Die iterative Lösung dieser Transmissionsprobleme mit einem Ansatz von Deng führt auf eine Substrukturierungsmethode mit Robin-artigen Transmissionsbedingungen, bei der eine Auswertung der Konormalenableitungen aufgrund einer geschickten Aufdatierung der Robin-Daten nicht notwendig ist (insbesondere ist die bekannte Robin-Robin-Methode von Lions als Spezialfall enthalten). Die Konvergenz bezüglich einer partitionierten $H^1$-Norm wird für beide Problemklassen gezeigt. Dabei werden keine über $H^1$ hinausgehende Regularitätsforderungen an die Lösungen gestellt und die Gebiete müssen keine zusätzlichen Glattheitsvoraussetzungen erfüllen. Im letzten Kapitel werden nichtmonotone koerzive quasilineare Probleme untersucht, wobei das Zugrunde liegende Gebiet nur in zwei Lipschitz-Teilgebiete zerlegt sein soll. Das zugehörige nichtlineare Transmissionsproblem wird durch Kirchhoff-Transformation in lineare Teilprobleme mit nichtlinearen Kopplungsbedingungen überführt. Ein optimierungsbasierter Lösungsansatz, welcher einen geeigneten Abstand der rücktransformierten Dirichlet-Daten der linearen Teilprobleme auf den Teilrändern minimiert, führt auf ein optimales Kontrollproblem. Die dabei entstehenden regularisierten freien Minimierungsprobleme werden mit Hilfe eines Gradientenverfahrens unter minimalen Glattheitsforderungen an die Nichtlinearitäten gelöst. Unter zusätzlichen Glattheitsvoraussetzungen an die Nichtlinearitäten und weiteren technischen Voraussetzungen an die Lösung des quasilinearen Ausgangsproblems, kann zudem die quadratische Konvergenz des Newton-Verfahrens gesichert werden.

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In this paper we conclude the analysis started in [J.M. Arrieta, AN Carvalho, G. Lozada-Cruz, Dynamics in dumbbell domains I. Continuity of the set of equilibria, J. Differential Equations 231 (2006) 551-597] and continued in [J.M. Arrieta, AN Carvalho, G. Lozada-Cruz, Dynamics in dumbbell domains II. The limiting problem, J. Differential Equations 247 (1) (2009) 174-202 (this issue)] concerning the behavior of the asymptotic dynamics of a dissipative reaction-diffusion equation in a dumbbell domain as the channel shrinks to a line segment. In [J.M. Arrieta, AN Carvalho. G. Lozada-Cruz, Dynamics in dumbbell domains I. Continuity of the set of equilibria, J. Differential Equations 231 (2006) 551-597], we have established an appropriate functional analytic framework to address this problem and we have shown the continuity of the set of equilibria. In [J.M. Arrieta, AN Carvalho, G. Lozada-Cruz. Dynamics in dumbbell domains II. The limiting problem, J. Differential Equations 247 (1) (2009) 174-202 (this issue)], we have analyzed the behavior of the limiting problem. In this paper we show that the attractors are Upper semicontinuous and, moreover, if all equilibria of the limiting problem are hyperbolic, then they are lower semicontinuous and therefore, continuous. The continuity is obtained in L(p) and H(1) norms. (C) 2008 Elsevier Inc. All rights reserved.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

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We consider parameter dependent semilinear evolution problems for which, at the limit value of the parameter, the problem is finite dimensional. We introduce an abstract functional analytic framework that applies to many problems in the existing literature for which the study of asymptotic dynamics can be reduced to finite dimensions via the invariant manifolds technique. Some practical models are considered to show wide applicability of the theory. © 2013 Society for Industrial and Applied Mathematics.

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The present thesis is concerned with the study of a quantum physical system composed of a small particle system (such as a spin chain) and several quantized massless boson fields (as photon gasses or phonon fields) at positive temperature. The setup serves as a simplified model for matter in interaction with thermal "radiation" from different sources. Hereby, questions concerning the dynamical and thermodynamic properties of particle-boson configurations far from thermal equilibrium are in the center of interest. We study a specific situation where the particle system is brought in contact with the boson systems (occasionally referred to as heat reservoirs) where the reservoirs are prepared close to thermal equilibrium states, each at a different temperature. We analyze the interacting time evolution of such an initial configuration and we show thermal relaxation of the system into a stationary state, i.e., we prove the existence of a time invariant state which is the unique limit state of the considered initial configurations evolving in time. As long as the reservoirs have been prepared at different temperatures, this stationary state features thermodynamic characteristics as stationary energy fluxes and a positive entropy production rate which distinguishes it from being a thermal equilibrium at any temperature. Therefore, we refer to it as non-equilibrium stationary state or simply NESS. The physical setup is phrased mathematically in the language of C*-algebras. The thesis gives an extended review of the application of operator algebraic theories to quantum statistical mechanics and introduces in detail the mathematical objects to describe matter in interaction with radiation. The C*-theory is adapted to the concrete setup. The algebraic description of the system is lifted into a Hilbert space framework. The appropriate Hilbert space representation is given by a bosonic Fock space over a suitable L2-space. The first part of the present work is concluded by the derivation of a spectral theory which connects the dynamical and thermodynamic features with spectral properties of a suitable generator, say K, of the time evolution in this Hilbert space setting. That way, the question about thermal relaxation becomes a spectral problem. The operator K is of Pauli-Fierz type. The spectral analysis of the generator K follows. This task is the core part of the work and it employs various kinds of functional analytic techniques. The operator K results from a perturbation of an operator L0 which describes the non-interacting particle-boson system. All spectral considerations are done in a perturbative regime, i.e., we assume that the strength of the coupling is sufficiently small. The extraction of dynamical features of the system from properties of K requires, in particular, the knowledge about the spectrum of K in the nearest vicinity of eigenvalues of the unperturbed operator L0. Since convergent Neumann series expansions only qualify to study the perturbed spectrum in the neighborhood of the unperturbed one on a scale of order of the coupling strength we need to apply a more refined tool, the Feshbach map. This technique allows the analysis of the spectrum on a smaller scale by transferring the analysis to a spectral subspace. The need of spectral information on arbitrary scales requires an iteration of the Feshbach map. This procedure leads to an operator-theoretic renormalization group. The reader is introduced to the Feshbach technique and the renormalization procedure based on it is discussed in full detail. Further, it is explained how the spectral information is extracted from the renormalization group flow. The present dissertation is an extension of two kinds of a recent research contribution by Jakšić and Pillet to a similar physical setup. Firstly, we consider the more delicate situation of bosonic heat reservoirs instead of fermionic ones, and secondly, the system can be studied uniformly for small reservoir temperatures. The adaption of the Feshbach map-based renormalization procedure by Bach, Chen, Fröhlich, and Sigal to concrete spectral problems in quantum statistical mechanics is a further novelty of this work.

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This paper provides a comprehensive quantitative review of high quality randomized controlled trials of psychological therapies for anxiety disorders in children and young people. Using a systematic search for randomized controlled trials which included a control condition and reported data suitable for meta-analysis, 55 studies were included. Eligible studies were rated for methodological quality and outcome data were extracted and analyzed using standard methods. Trial quality was variable, many studies were underpowered and adverse effects were rarely assessed; however, quality ratings were higher for more recently published studies. Most trials evaluated cognitive behavior therapy or behavior therapy and most recruited both children and adolescents. Psychological therapy for anxiety in children and young people was moderately effective overall, but effect sizes were small to medium when psychological therapy was compared to an active control condition. The effect size for non-CBT interventions was not significant. Parental involvement in therapy was not associated with differential effectiveness. Treatment targeted at specific anxiety disorders, individual psychotherapy, and psychotherapy with older children and adolescents had effect sizes which were larger than effect sizes for treatments targeting a range of anxiety disorders, group psychotherapy, and psychotherapy with younger children. Few studies included an effective follow-up. Future studies should follow CONSORT reporting standards, be adequately powered, and assess follow-up. Research trials are unlikely to address all important clinical questions around treatment delivery. Thus, careful assessment and formulation will remain an essential part of successful psychological treatment for anxiety in children and young people.

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Objective: Neuroimaging studies have highlighted important issues related to structural and functional brain changes found in sufferers of psychological trauma that may influence their ability to synthesize, categorize, and integrate traumatic memories. Methods: Literature review and critical analysis and synthesis. Results: Traumatic memories are diagnostic symptoms of post-traumatic stress disorder (PTSD), and the dual representation theory posits separate memory systems subserving vivid re-experiencing (non-hippocampally dependent) versus declarative autobiographical memories of trauma (hippocampally dependent). But the psychopathological signs of trauma are not static over time, nor is the expression of traumatic memories. Multiple memory systems are activated simultaneously and in parallel on various occasions. Neural circuitry interaction is a crucial aspect in the development of a psychotherapeutic approach that may favour an integrative translation of the sensory fragments of the traumatic memory into a declarative memory system. Conclusion: The relationship between neuroimaging findings and psychological approaches is discussed for greater efficacy in the treatment of psychologically traumatized patients.