CONTROL DE LA CONDUCTA POR MEDIO DE LA TERAPIA RACIONAL EMOTIVA EN PACIENTES CON TRASTORNO MIXTO ANSIOSO DEPRESIVO CON MANEJO MEDICAMENTOSO
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2017-06
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Universidad de Guayaquil Facultad de Ciencias Psicológicas
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El siguiente análisis de casos se realizó en el Dpto. de Psicología del Centro de Salud “B” del Ala de Combate N.- 22 de la Fuerza Aérea Ecuatoriana desde el mes de febrero hasta junio del 2017, se identificaron seis casos clínicos de pacientes con trastorno mixto ansioso depresivo en tratamiento mixto, en donde se enfocó el refuerzo en el control de conducta mediante la Terapia Racional Emotiva, la metodología es cualitativa fenoménica asociado al método explicativo-descriptivo; en el procedimiento instrumental se utilizó una matriz de análisis documental de historias clínicas, obteniendo los siguientes resultados principales en relación al objetivo general y objetivos específicos evidenciando la importancia en la remisión casi total del cuadro clínico en un 85% promedio según la (EEAG) de 3 a 9 meses con prognosis favorable y disminución del medicamento, se determinó los factores tensionantes con indicadores primarios en el área personal, pareja, familiar, laboral y médica, y las áreas socioeconómica y legal secundariamente, se identificó creencias irracionales de autocondena, catastroficación, absolutismo, falta de tolerancia al fracaso y frustración, tremendismo, sobregeneralización, dificultad en diferenciar emociones negativas saludables vs emociones negativas perturbadoras, falta de flexibilidad. Y se concluyó describiendo la aplicación de técnicas de control de conducta, autocontrol, revelación, autodeterminación y autorrealización, solución de problemas, observación clínica, reforzamiento, autoconocimiento y autocrecimiento, autoeficacia y autorregulación; desde la (TREC) el modelo ABC, el debate filosófico, la refutación, la imaginación racional emotiva, proyección en el tiempo, ejercicio para atacar la vergüenza, insight cognitivo conductual, intelectual, afectivo y emocional
The following case analysis was conducted in the Department of Psychology of the Health Center "B" of the Combat Wing No. 22 of the Ecuadorian Air Force from February to June 2017, six clinical cases of patients were identified. with mixed anxious depressive disorder in mixed treatment, where the reinforcement in behavioral control was focused through Rational Emotive Therapy, the methodology is qualitative phenomenal associated with the explanatory-descriptive method; in the instrumental procedure a matrix of documentary analysis of clinical histories was used, obtaining the following main results in relation to the general objective and specific objectives evidencing the importance in the almost total remission of the clinical picture in an 85% average according to the (EEAG) of 3 to 9 months with favorable prognosis and medication decrease, stress factors were determined with primary indicators in the personal area, couple, family, work and medical, and the socio-economic and legal areas secondarily identified irrational beliefs of self-condemnation, catastrophication, absolutism, lack of tolerance to failure and frustration, tremendismo, overgeneralization, difficulty in differentiating negative healthy emotions vs negative disturbing emotions, lack of flexibility. And it was concluded describing the application of techniques of behavior control, self-control, revelation, self-determination and self-realization, problem solving, clinical observation, reinforcement, self-knowledge and self-growth, self-efficacy and self-regulation; from the (TREC) the ABC model, the philosophical debate, the refutation, the emotive rational imagination, projection in time, exercise to attack shame, cognitive behavioral, intellectual, affective and emotional insight
The following case analysis was conducted in the Department of Psychology of the Health Center "B" of the Combat Wing No. 22 of the Ecuadorian Air Force from February to June 2017, six clinical cases of patients were identified. with mixed anxious depressive disorder in mixed treatment, where the reinforcement in behavioral control was focused through Rational Emotive Therapy, the methodology is qualitative phenomenal associated with the explanatory-descriptive method; in the instrumental procedure a matrix of documentary analysis of clinical histories was used, obtaining the following main results in relation to the general objective and specific objectives evidencing the importance in the almost total remission of the clinical picture in an 85% average according to the (EEAG) of 3 to 9 months with favorable prognosis and medication decrease, stress factors were determined with primary indicators in the personal area, couple, family, work and medical, and the socio-economic and legal areas secondarily identified irrational beliefs of self-condemnation, catastrophication, absolutism, lack of tolerance to failure and frustration, tremendismo, overgeneralization, difficulty in differentiating negative healthy emotions vs negative disturbing emotions, lack of flexibility. And it was concluded describing the application of techniques of behavior control, self-control, revelation, self-determination and self-realization, problem solving, clinical observation, reinforcement, self-knowledge and self-growth, self-efficacy and self-regulation; from the (TREC) the ABC model, the philosophical debate, the refutation, the emotive rational imagination, projection in time, exercise to attack shame, cognitive behavioral, intellectual, affective and emotional insight
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CONDUCTA, TERAPIA RACIONAL EMOTIVA EN PACIENTES, TRASTORNO MIXTO ANSIOSO DEPRESIVO, MANEJO MEDICAMENTOSO