ABSTRACT
OBJECTIVE: Patients with Post-Traumatic Stress Disorder (PTSD) present a variety of symptoms, with different intensities, causing impairments in the individual, social and occupational functioning areas. The aim of this study was to understand the psychodynamic functioning of patients with PTSD, exploring the relationship between symptom severity, quality of life, subjective suffering, conflicts and psychic structure regarding sociodemographic characteristics, styles and defensive mechanisms. METHODS: This is a cross-sectional quantitative study with 60 participants. The following were used: sociodemographic questionnaire, the Operationalized Psychodynamic Diagnosis-2 (OPD-2) and the Defensive Style Questionnaire (DSQ-40). RESULTS: Participants had moderate to high symptom severity, with significant subjective suffering and isolation. The main conflict was Need for care x Self-sufficiency and the level of Total Structure was moderate/low. The use of immature, neurotic, and mature defensive styles was observed. More primitive personality structures, more rigid defenses and greater dependence were found in patients with history of past trauma. Other mental disorders were also associated. CONCLUSION: OPD-2 was effective to assess the psychodynamic functioning characteristics of patients with PTSD. Therapeutic treatment should focus on the psychic structure and not only on symptom control. Prevention strategies should target vulnerability factors and strengthening of protective factors.
ABSTRACT
El presente estudio, de carácter psicosociológico, está basado en el análisis del relato de una joven docente, a partir de la aplicación del Algoritmo David Liberman. En el curso del mismo intentaremos mostrar la complementariedad de conceptos provenientes del psicoanálisis y el sociopsicoanálisis para dar cuenta del complejo proceso a lo largo del cual la narradora se desprende de la autoridad parental, y se asume como un sujeto social consciente de su proyecto de vida.(AU)
The present study, of psycho-sociological characteristics, is based on the narration of a young teacher, analysed by application of the David Liberman algorithm. In the course of the analysis, the complementarity of concepts derived from Psychoanalysis and from Socio-psychoanalysis will try to be demonstrated, in order to account for the complex process throughout which the narrator frees herself form parental authority and takes on a social identity aware of her life project.(AU)