RESUMO
Cigarette smoking is the leading cause of preventable death and disability-and thus an issue of considerable importance to psychotherapists. The majority of smoking-cessation programs available to the public uses an effective group format, but it remains underused. Many smokers who seek treatment request individual counseling; however, empirically based individual treatments are still in the early stages of development. High-impact therapy is a form of short-term dynamic psychotherapy adapted by the authors for the treatment of the hard-core smoker. It recognizes that the relationship among smoking, life stressors, personality factors, and psychological disorders is complex, and it intervenes using motivational and defense-challenging techniques. One of the main and distinctive features of this model is the emphasis on emotional arousal to facilitate the mastery of emotional conflict, making this a high-impact form of psychotherapy.
Assuntos
Terapia Cognitivo-Comportamental/métodos , Infarto do Miocárdio/psicologia , Psicoterapia Breve , Abandono do Hábito de Fumar/métodos , Mecanismos de Defesa , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Psicológicos , Prevenção Secundária , Abandono do Hábito de Fumar/psicologia , Resultado do TratamentoRESUMO
The treatment of complex clinical syndromes poses a special challenge to the mental health clinician because of the interactions between the comorbid personality disorders and the clinical syndromes. Advancements in relational diagnosis and in the classification of dysfunctional personologic systems can orient and guide the clinician in making the most of sequential and multiple treatment modalities, and in intervening at systemic fulcrum points. Integrative Relational Therapy offers a model of treatment based on a biopsychosocial framework and systemic principles. In this article, a case example of a Narcissistic Dysfunctional Personologic System is presented and the treatment approach elaborated.
