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      Motivos de consulta e hipótesis clínicas explicativas Translated title: Reasons for consultation and clinical explicative hypothesis

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          Abstract

          Los motivos de consulta implican la demanda que hacen los consultantes acerca de problemas que ellos perciben en su vida diaria; en este estudio se investigó sobre las características de estos y las hipótesis explicativas de 61 casos que fueron atendidos por terapeutas desde una perspectiva conductual, en una institución de servicios psicológicos. Los motivos de consulta más frecuentes se relacionaron con comportamientos agresivos (usualmente presentados en los hombres) y respuestas emocionales intensas (casi siempre reportadas por las mujeres). Además, se encontró que los descriptores usados por los consultantes fueron incluidos en las hipótesis explicativas elaboradas por los terapeutas. Se discute la relevancia del motivo de consulta como elemento guía del proceso terapéutico, la implicación de su asociación con las hipótesis explicativas y la importancia de desarrollar otros estudios que pongan en evidencia la relación entre estos y otras variables.

          Translated abstract

          Reasons for consultation involve consultant's requests about problems they perceive into their lives. This study researched the characteristics of these reasons for consultation and the explicative hypothesis of 61 cases treated by therapists from a behavioral perspective, within an institution for psychological services. The most frequent reasons for consultation were related to aggressive behaviors (usually presented on men) and intense emotional responses (almost always reported by women). Moreover, we found that the descriptors used by consultants were included on the therapists' explicative hypothesis. We discuss the relevance of reasons for consultation to guide the entire psychotherapeutic process, the implication of its association to the explicative hypothesis and the relevance to carry out other studies that uncover the relation between them and other variables.

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          Most cited references44

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          Diagnostic and statistical manual of mental disorders.

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            Bases para la investigación Cualitativa: Técnicas y procedimientos para desarrollar la teoría fundamentada

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              Clinical assessment of affective instability: comparing EMA indices, questionnaire reports, and retrospective recall.

              Traditional self-report measures of psychopathology may be influenced by a variety of recall biases. Ecological momentary assessment (EMA) reduces these biases by assessing individuals' experiences as they occur in their natural environments. This study examines the discrepancy between trait questionnaire, retrospective report, and EMA measures of affective instability in psychiatric outpatients either with a borderline personality diagnosis (n = 58) or with a current episode of major depressive disorder or dysthymia (n = 42). The authors examined the agreement of 3 trait measures of affective instability-the Affective Instability subscale of the Personality Assessment Inventory-Borderline Features scale (L. C. Morey, 1991), the Affect Intensity Measure (R. J. Larsen, E. Diener, & R. Emmons, 1986), and the Affect Lability Scales (P. D. Harvey, B. R. Greenberg, & M. R. Serper, 1989)-and 1 retrospective mood recall task with EMA indices of mood and mood instability. Results indicate only modest to moderate agreement between momentary and questionnaire assessments of trait affective instability; agreement between recalled mood changes and EMA indices was poor. Implications for clinical research and practice and possible applications of EMA methodology are discussed. Copyright 2009 APA, all rights reserved.
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                Author and article information

                Journal
                terpsicol
                Terapia psicológica
                Ter Psicol
                Sociedad Chilena de Psicología Clínica (Santiago, , Chile )
                0718-4808
                April 2012
                : 30
                : 1
                : 25-36
                Affiliations
                [01] orgnamePontificia Universidad Javeriana orgdiv1Grupo de Investigación en Psicología y Salud Colombia
                Article
                S0718-48082012000100003 S0718-4808(12)03000103
                10.4067/S0718-48082012000100003
                a674ae5e-e9ec-4f60-97c0-b63468d166d4

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 20 November 2011
                : 04 May 2011
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 29, Pages: 12
                Product

                SciELO Chile

                Categories
                Artículos Originales

                Reasons for consultation,Motivos de consulta,behavioral model,explicative hypothesis,psychological treatment,intervención psicológica,modelo comportamental,hipótesis explicativa

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