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      Una experiencia de hospital de día basada en el apego y focalizada en los vínculos Translated title: A day hospital experience based on attachment and focused on bonds

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          Abstract

          Resumen: El presente artículo aborda, de manera específica, la experiencia terapéutica que conforma el Proyecto Ponzano (Hospital de Día Ponzano, perteneciente al Hospital Clínico San Carlos, de Madrid), diseñado para primeros episodios psicóticos y otros trastornos mentales graves; y detalla su diseño teórico, configuración, estructura y funcionamiento diario. Asimismo, presenta y analiza el modelo experimental Psicoterapia Focalizada en los Vínculos (PFV), basado principalmente en la teoría del apego. Esta propuesta terapéutica teórico-práctica está formulada en el marco del Proyecto Ponzano, con rigurosos y contrastados principios teóricos, bajo la dirección del autor, y se encuentra actualmente en proceso de desarrollo e investigación.

          Translated abstract

          Abstract: This article addresses the therapeutical experience that integrates the Ponzano Project (Ponzano Day Hospital, belonging to the Hospital Clínico San Carlos, in Madrid), designed for first psychotic episodes and other serious mental disorders, detailing its theoretical framework, configuration, structure, and day-to-day function. In addition, it introduces and analyzes the experimental model called “Psicoterapia Focalizada en los Vínculos (PFV)”, primarily based on attachment theory. This theoretical and practical proposal is articulated within the Ponzano Project framework, with rigorous and proven theoretical principles, under the direction of the author, and is currently undergoing a process of development and research.

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          Most cited references33

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          A systematic review of attachment and psychosis: measurement, construct validity and outcomes.

          This review sought to identify, summarise and critically evaluate studies that investigated attachment amongst individuals with psychosis. The following computerised databases searched were CINAHL<1980 to December 2012; EMBASE<1980 to December 2012; Ovid MEDLINE (R)<1980 to December 2012; PsychINFO<1980 to December 2012; and Google Scholar<1980 to December 2012. We identified 22 papers describing 21 studies comprising 1453 participants, with a mean age of 35.0 years (range of 12-71 years), of whom 68.4% (n=994) were male. Of our sample, 1112 (76.5%) had a diagnosis of schizophrenia. We found small to moderate associations between greater attachment insecurity (as reflected in anxiety and avoidance) and poorer engagement with services, more interpersonal problems, more avoidant coping strategies, more negative appraisals of parenting experiences and more severe trauma. We also found small to modest associations between attachment insecurity and more positive and negative symptoms and greater affective symptom problems. Attachment theory may be useful as a means of understanding the developmental and interpersonal basis of recovery and adaptation in the context of psychosis. However, further research comprising more representative samples in their first episode and using prospective designs is required. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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            Insecure attachment is associated with paranoia but not hallucinations in psychotic patients: the mediating role of negative self-esteem.

            A growing body of research has investigated associations between insecure attachment styles and psychosis. However, despite good theoretical and epidemiological reasons for hypothesising that insecure attachment may be specifically implicated in paranoid delusions, few studies have considered the role it plays in specific symptoms.
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              • Record: found
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              • Article: not found

              Attachment insecurity, mentalization and their relation to symptoms in eating disorder patients

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                Author and article information

                Journal
                neuropsiq
                Revista de la Asociación Española de Neuropsiquiatría
                Rev. Asoc. Esp. Neuropsiq.
                Asociación Española de Neuropsiquiatría (Madrid, Madrid, Spain )
                0211-5735
                2340-2733
                December 2019
                : 39
                : 136
                : 239-258
                Affiliations
                [2] orgnameInternational Attachment Network España España
                [1] Madrid orgnameHospital Clínico San Carlos orgdiv1Hospital de Día Ponzano España
                Article
                S0211-57352019000200013 S0211-5735(19)03913600013
                10.4321/s0211-57352019000200013
                f6020468-4b30-43e6-8ef8-38cf03e242c5

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License.

                History
                : 09 July 2019
                : 02 December 2019
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 112, Pages: 20
                Product

                SciELO Spain

                Categories
                Dossier: Psicoterapias en el Sector Público

                psicoterapia,attachment,psychotherapy,psychosis,day hospital,apego,psicosis,hospital de día

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