Wednesday, June 9, 2010

What Happened To Sandra Model?

Emotocognitiva: the dysfunctional loop

Psicologia Emotocognitiva: il loop disfunzionale
aggiornamenti sul modello teorico sistemico-relativista proposto dal Dott. Baranello


Con il termine  loop disfunzionale , in psicologia emotocognitiva, intendiamo un processo circolare per il quale la persona o meglio, il sistema di riferimento su cui interveniamo, si trova in un circolo vizioso fatto di comportamenti, pensieri e azioni proprie e del sistema relazionale e sociale in cui esso vive, che anziché risolvere il problema tendono al suo mantenimento e worsening.
This process is consistent with the definition of psychology that we now propose to
science that studies the processes of systemic organization or the science that studies the way and as a system of reference arrange for their own development and maintenance . The psychological organization is defined as dysfunctional at bio-psycho-social does not produce benefit to the reference system.
The loop is so dysfunctional, redundant process that maintains the problem in the here-and-now whatever the hypothetical cases that are initially generated.
This important etiopathogenetic hypotheses by toning remote processes that maintain dysfunctional symptoms, disorders and problems is what has made the quick and effective psychological intervention in the remission of psychological distress.
Psychology emotocognitiva it does not create a clear distinction between determinism and constructivism, but stands as a bridge between these two visions defining itself
relativist .
We have confirmed the existence of bio-psycho-social processes that led to the development of psychopathology, while the resolution of the problem does not arise from recognizing such "causes" but by disrupting the dysfunctional loop that still maintains the problem today and that, as we said, could worsen in the future.
With this conception is the orientation towards the future and Chronic towards the past or the past is used to understand the processes of operation and therefore to provide new tools and representations to the patient or client in order to reorganize in a short time process to be "dysfunctional" to "functional" or by "against me" to "in my favor."
The psychological treatment in this case relies on the most important human emotion that is the sense of volition or the ability of each of us to influence their choices and their lives. This feeling is what "moves" the actions, thoughts and behaviors humans. A defect in the development of this function is the basis of most forms of psychopathology diagnosed today.
present the original scheme, the simplified loop emotocognitiva dysfunctional in psychology and then explain how it works by showing that the majority of clinical disorders such as anxiety disorders such as phobias, panic attacks, obsessions and compulsions, post traumatic stress and problems related to stress, mood changes, somatoform disorders such as hypochondriasis, body dysmorphic, somatization, sexual dysfunctions as disorders of desire, arousal, orgasm and sexual pain, disorders of behavior food which anorexia, bulimia and binge eating, and most of the psychological and psycho-social problems to the most important personality disorders, can be attributed to this pattern of operation and therefore only be treated effectively with the psychological interview. For personality disorders, the concept of the present conflict should be viewed in a more complex than that presented here. The outline of the loop and the concept of dysfunctional conflict will still remain valid in their overall structure.
The diagram shows a working model. The clinician will take into account the complexity of the experience of each individual patient as the only way to disrupt the maintenance of the problem of redundant processes. An intervention psychological, remember, is highly personalized.
As the psychologist can see the etiologic and pathogenetic hypothesis may explain the onset of symptoms and the disturbance (indicated by the letter S in the diagram) only the first time, or the beginning of his evidence . After the appearance of a symptom or a symptom complex that is a mental disorder, a form of psychopathology, or psychological or psycho-social problem, the body begins to implement an action arising from the perception that the symptom represents a problem to solve.
In fact, the symptoms and disorders arise from an attempt to self- we call
involuntary, of the body to resolve the states of tension that are self-perceived (especially in the unconscious) as a threat to the safety of the institution. Symptoms
produce suffering and discomfort.
The response of the person who receives respect to suffering is to reduce this suffering as soon as possible. In fact, the problem is not the symptom but the suffering that this symptom, or disorder that causes such problems.
In order to ensure the reduction of the suffering generated by the problem that the patient puts in place the actions, thoughts and behavior in both personal and psycho-social (in fact it valutato anche cosa fanno gli altri ovvero il comportamento, in risposta al problema, dell'ambiente in cui il paziente vive). Queste azioni vengono definite 
volontarie .
Inizia a generarsi quello che definiamo il 
conflitto attuale.
Il conflitto attuale si genera tra una tendenza involontaria dell'organismo a generare i sintomi e dall'altra una tendenza volontaria dello stesso organismo nel contrastare questi sintomi. Ecco che la persona in genere sperimenta una sensazione che può far dire al paziente "è più forte di me".
Questa esperienza psicofisiologica intacca il "senso di volizione" riducendo the expectation of the organism to be able to go it alone (depressive symptoms secondary to many anxiety disorders are born from this process).
This conflict, however, increases the tension over the central and peripheral nervous system. These tensions soon reach a threshold level (dynamic, different from moment to moment and from person to person) for which the agency will implement the only way I found to resolve tensions, or the symptoms. The involuntary action, as generated by the body, and being the a-specific solution to the tensions experienced by the body, always wins voluntary control over action.
For example, try to hold your breath. At one point, the lack di ossigeno crea delle tensioni nell'organismo che automaticamente ed in modo involontario, costringe la persona a respirare. Questo perché se non si respirasse l'organismo morirebbe. La tendenza dell'organismo è quella di mantenere le proprie funzioni.
I sintomi, il problema, il disturbo, anche se può sembrare assurdo, sono la soluzione che l'organismo mette in atto per risolvere un problema, una tensione psicofisiologica ovvero diremo che i sintomi hanno un senso di esistere e che tale senso non è detto che sia negativo. Mentre è l'azione di controllo di tale soluzione che produce l'aggravamento o il mantenimento del problema.
Come si vede dallo schema il tentativo di risoluzione della sofferenza crea quel conflitto attuale which increases tensions and increases the need for symptom expression (sometimes more violently or with more emphasis).
At this point begins the circular process that we have defined dysfunctional loop. The psychologist can see that now, regardless of the "causes" (hypothetical) that triggered the problem or disorder the first time, now what needs to be resolved is precisely the dysfunctional loop, which must necessarily work on the voluntary actions of the system looking for, For example, to change the perspective of the patient by turning actions aimed at reducing the symptoms (which produce effects only in the short run but worsen the problem later in life) to be "reassuring" a "dannose per il soggetto".
Lo psicologo attraverso tecniche razionali del colloquio psicologico inizierà un processo che deve necessariamente essere rapido (tra le 4 e le 10 sedute anche se il 50% del lavoro va fatto tra la prima e la seconda seduta) che abbiamo definito 
tecnica del primo passo . Si tratta di scardinare il loop disfunzionale ed aprire la strada a nuove e più efficaci soluzioni. Soltanto a questo punto si procede con il trattamento di problematiche e sintomi specifici e quindi al ripristino completo del senso di volizione.
Rompendo lo schema circolare di tipo psico-sociale che mantiene sintomi, problemi, disturbi e disagio in generale, si impedisce  definitivamente  alle ipotetiche cause che hanno generato la prima volta il problema di produrre tali effetti. Il processo è del tutto simile a quello che accade quando un organismo crea anticorpi dopo avere avuto una malattia di origine virale. Infatti lo stesso organismo potrà essere soggetto alle stesse cause ma tali cause non sono più in grado di generare patologia o sintomi. Di fatto la persona è guarita.
Questo è un modello innovativo, molto complesso, e di tipo psicofisiologico.
Quello che infatti attraverso il colloquio psicologico andiamo a riorganizzare sono proprio processi fisiologici. Ricordiamo infatti che un'espressione symptom has always been a change in upstream physiological dysfunction but that this change was made possible by a process of systemic organization we call "psyche." Then we use the same mental processes that led to the physiological changes that produced the symptom or disorder to restore normal values \u200b\u200band then reorganize into a functional and healthy system thus eliminating the noise without the use of drugs.

Baranello, M. (2006)
Emotocognitiva Psychology: the dysfunctional loop.
SRM Psychology Magazine (www.psyreview.org). Rome, March 10, 2006

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