Reflexiones sobre la asistencia psicológica y psicoterapéutica a los afectados por el Síndrome del Aceite Tóxico (SAT)

RESUMEN

En este artículo se pone de manifiesto la determinación plurifactorial de los trastornos, en general, y del síndrome del aceite tóxico, en particular, y la imposibilidad de entenderlos a partir de los modelos mecanicistas dominantes en otros tiempos en la Psicología clínica y la medicina. Se realiza una reflexión sobre las características socioculturale s del grupo afectado por SAT, así como, las características físicas y psíquicas de dicho grupo. Para posteriormente proponer un modelo del análisis e intervención a este colectivo desde una perspectiva interdisciplinar, centrado en este caso en los factores psicológicos.     

Apego al lugar,identidad de lugar,sentido de comunidad y participación en un contexto de renovación urbana

Resumen

Este artículo se centra en la participación de vecinos en los asuntos locales (actividades en el barrio, implicación en entidades locales, pertenencia a grupos vecinales) para explicar los vínculos socioespaciales (apego al lugar, identidad de lugar y sentido de comunidad) que ocurren a nivel de barrio. La relación de la participación con el apego al lugar y el sentido de comunidad es explorada en barrios en los que se está llevando a cabo un proceso participativo de regeneración urbana inserto en el programa “Quiero mi barrio” promovido por el Ministerio de Vivienda y Urbanismo chileno. Se seleccionaron cinco barrios (Valparaíso e Illapel, Chile), en los que se aplicaron escalas de apego al lugar, identidad de lugar, sentido de comunidad y participación a una muestra de 995 personas. Los resultados muestran que la participación local está relacionada con el apego al lugar a través del sentido de comunidad.     

Success breeds success,especially when self-efficacy is related with an internal attribution of causality

Resumen

Se exponen algunas observaciones críticas sobre la concepción de la imitación que se suele asumir actualmente en la psicología comparada, ya sea desde perspectivas neopiagetianas, ya sea desde perspectivas más cercanas a la psicología evolucionista. Se sintetizan las premisas desde las cuales ambas estudian la imitación y se recurre a la tradición constructivista en busca de elementos a partir de los cuales valorar las ideas contemporáneas y bosquejar las condiciones de posibilidad de una teoría psicológica de la imitación, entendiendo por tal la que no concibe los procesos imitativos en términos de copias “mentales” de lo que la cultura pone a disposición de los sujetos. Contra la tendencia de numerosos autores que reservan la “verdadera imitación” a la especie humana, tal teoría exige reconocer auténticas capacidades imitativas en otros animales     

Prediction of treatment outcomes and longitudinal analysis in children with autism undergoing intensive behavioral intervention

Outcome prediction is an important component of treatment planning and prognosis. However, reliable predictors of intensive behavioral intervention (IBI) have not been clearly established. IBI is an evidence-based approach to the systematic teaching of academic, social, verbal, and daily living skills to individuals with autism spectrum disorder. Incorporating longitudinal analysis to IBI outcome studies may help to identify outcome predictors of clinical value. Twenty-four children with autism underwent on average two years of IBI and completed language, daily living skills, cognitive, and motor assessments (Early Learning Accomplishment Profile and the Learning Accomplishment Profile-Diagnostic, 3rd edition) every six months. We used multilevel analysis to identify potential longitudinal predictors including gender, age, intervention intensity, intervention duration, total intervention time, and pre-intervention functioning. Results indicated that total intervention time, pre-intervention functioning, and age caused the greatest increase in goodness-of-fit of the longitudinal multilevel models. Longitudinal analysis is a promising analytical strategy to identify reliable predictors of the clinical outcome of IBI.     

Relative effects of reduced weight and increased physical activity on hemoglobin A1c: Suggestions for behavioral treatments

Behavioral treatments for diabetes have often been unsuccessful and may benefit from a better understanding of the relative effects of two common treatment foci – decreased weight and increased volume of physical activity – on blood glucose. Overweight and obese adults (N = 59; M_age = 60 years) with hemoglobin A1c (HbA1c) values consistent with diabetes participated in a 6-month community-based behavioral treatment based on tenets of self-efficacy theory and social cognitive theory. The treatment was associated with significantly increased physical activity, reduced body mass index (BMI), and reduced HbA1c levels (ps < .001). Changes in BMI and physical activity accounted for a significant portion of the variance in change in HbA1c, R² = .13, p = .023. Change in volume of physical activity, β = ?.36, p = .007, but not change in BMI, β = ?.03, p = .792, significantly contributed to the variance in HbA1c change that was accounted for. There was no effect based on the sex of participants. Discussion focused on how findings might impact the efficacy, efficiency, and application of behavioral treatments for diabetes management.     

Évolution permanente des outils et procédures de travail au bloc opératoire : la nécessaire formation au travail en équipe en simulation médicale comme réponse organisationnelle

Currently medical and paramedical studies in France are organised separately. Nurses, doctors and specialists are trained separately with specific programs. Organization and public health policy are in permanent evolution. These changes confront caregivers to insecurity during their daily jobs. In this context, interprofessional cooperation is needed. Medical simulation mannequin are used to train caregivers to technical and non-technical activities in safe environment for students as well as for the patients. It allows teachers to analyse the way the students planned, attempted or carried out their actions, and to study the emotional aspects of stressful work in operating room. We will expose the co-construction, use, evaluation and enhancement of such practices in terms of professional team training.     

Motivational enhancement treatment in outpatient addiction centers: A multisite randomized trial

Background/Objectives: Motivational Enhancement Treatment in Spanish (METS) is a brief intervention aimed at resolving patient ambivalence towards behavior change that has demonstrated efficacy in substance use disorder treatment to reduce use and increase treatment engagement in different populations. In order to have evidence for its implementation in Mexico, a multi-site, randomized, two-arm, controlled clinical trial was conducted at three outpatient addiction treatment centers in the country to compare the effect of METS with Counseling as Usual (CAU). Method: One hundred and twenty patients were randomized to receive three sessions of METS (n = 54) or CAU (n = 66) during the first four weeks of treatment and were assessed during the following 12 weeks. Primary outcome measures were self-reported days of substance use and of treatment services utilization, which were tested using Generalized Estimating Equations. Results: Results associated both conditions with significant changes in substance use over, whereas there were no differences between conditions in substance use or in service utilization. Conclusions: Findings do not support the hypothesis that METS is more effective than CAU, but suggest that brief interventions at treatment initiation may improve patient outcomes.     

Collaborative helping maps: a tool to guide thinking and action in family-centered services

This article highlights "disciplined improvisation" as a metaphor for community-based work with multi-stressed families. It introduces Collaborative Helping maps as a tool that both helps workers think their way through complex situations with families and provides a structure to support constructive conversations between workers and families about challenging situations. The article illustrates this map through a clinical vignette and uses interviews with workers to highlight ways in which the map can both enhance worker thinking and support constructive conversations between workers and families about problems that could easily divide them and lead to polarization and escalating tension.