El cambio de los patrones corporales relacionales en la Terapia Metacognitiva Interpersonal

  1. Antonella Centonze
  2. Felix Inchausti
  3. Angus Macbeth
  4. Raffaele Popolo
  5. Giancarlo Dimaggio
Revista:
Papeles del psicólogo

ISSN: 0214-7823 1886-1415

Año de publicación: 2021

Volumen: 42

Número: 1

Páginas: 21-32

Tipo: Artículo

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Otras publicaciones en: Papeles del psicólogo

Resumen

Las personas con trastornos de personalidad tienden a atribuir significados según patrones mentales estereotipados que les dificultan alcanzar una adaptación y satisfacción social. Estos patrones van más allá de ser meras representaciones cognitivas sobre uno mismo y los demás, sino que están repletos de emociones, disposiciones de conducta y experiencias somáticas. El objetivo principal de este trabajo es presentar cómo la terapia metacognitiva interpersonal trabaja con los patrones corporales a través del uso de imágenes mentales y ejercicios sensoriomotores. Como se expone, este tipo de técnicas ayudan a revisar los componentes corporales de los patrones interpersonales desadaptativos y promueven la aparición de otros nuevos más saludables. Se pretende que los patrones resultantes incluyan aspectos más funcionales que impidan la puesta en marcha de las estrategias de afrontamiento impulsadas por los esquemas problemáticos. A través de la exposición de un caso clínico, se subraya que el trabajo experiencial debe llevarse siempre a cabo en el contexto de una regulación constante de la relación terapéutica que permita detectar cualquier posible impasse o ruptura. Igualmente, se muestra cómo el uso de ciertas técnicas en las fases iniciales puede permitir una formulación más dinámica y enriquecida de los esquemas disfuncionales. Finalmente, se discuten algunas implicaciones clínicas y se sugiere el trabajo experiencial como un componente crucial en el tratamiento de pacientes con problemas interpersonales graves, como ocurre en los trastornos de personalidad

Referencias bibliográficas

  • American Psychiatric Association [APA] (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). APA.
  • Blackwell, E.S. (2017). Mental imagery: From basic research to clinical practice. Journal of Psychotherapy Integration, 29, 235–247. https://doi.org/10.1037/int0000108
  • Briñol, P., Petty, R.E. y Wagner, B. (2009). Body posture effects on self-evaluation: A self-validation approach. European Journal of Social Psychology, 39, 1053–1064. https://doi.org/10.1002/ejsp.607
  • Carney, D.R., Cuddy, A. J. y Yap, A. J. (2015). Review and summary of research on the embodied effects of expansive (vs. contractive) nonverbal displays. Psycholog ica l Sc ience , 26, 657–663. https://doi.org/10.1177/0956797614566855
  • Carney, D.R., Cuddy, A.J. y Yap, A.J. (2010). Power posing: Brief nonverbal displays affect neuroendocrine levels and risk tolerance. Psychological Science, 21, 1363–1368. https://doi.org/10.1177/0956797610383437
  • Castro-Alonso, J.C., Paas, F. y Ginns, P. (2019). Embod- ied cognition, science education, and visuospatial processing. En J.C. Castro-Alonso (Ed.), Visuospatial processing for education in health and natural sciences (pp. 175-205). Springer International Publishing. https://doi.org/10.1007/978-3-030-20969-8
  • Cattaneo, L., Caruana, F. y Jezzini, A.G. (2009). Representation of goal and movements without overt motor behavior in the human motor cortex: A transcranial magnetic stimulation study. Journal of Neuroscience, 29, 11134– 11138.
  • Centonze, A., Inchausti, F., Macbeth, A. y Dimaggio, G. (2020). Changing embodied dialogical patterns in metacognitive interhttp://dx.doi.org/10.1037/int0000108
  • Cesario, J. y McDonald M.M. (2013). Bodies in context: Power poses as a computation of action possibility. Social Cognition, 3, 260–274. https://doi.org/10.1521/soco.2013.31.2.260
  • Cesario, J., Jonas, K.J. y Carney, D.R. (2017). CRSP special issue on power poses: What was the point and what did we learn? Comprehensive Results in Social Psychology, 2, 1–5. Doi: https://doi.org/10.1080/23743603.2017.1309876
  • Coles, N.A., Larsen, J.T. y Lench, H.C. (2019). A meta-analysis of the facial feedback literature: Effects of facial feedback on emotional experience are small and variable. Psychological Bul let in, 145, 610–651. https://doi.org/10.1037/bul0000194
  • Credé, M. y Phillips, L.A. (2017). Revisiting the power pose effect. Social Psychological and Personality Science, 8, 493– 499. https://doi.org/10.1177/1948550617714584
  • Damasio, A.R. (1994). Descartes’ error: Emotion, reason and the human brain. New York, US: Putnam. https://doi.org/10.1177/00030651970450030301
  • Damasio, A.R. (1995). Toward a neurobiology of emotion and feeling: Operational concepts and hypotheses. Neuroscientist, 1, 19–25. https://doi.org/10.1177/107385849500100104
  • Decety J., (1996). The neurophysiological basis of motor imagery. Behavioural Brain Research, 77,1–2, 45-52.
  • Dimaggio, G., Fiore, D., Salvatore, G. y Carcione, A. (2007). Dialogical relationship patterns in narcissistic personalities: session analysis and treatment implications. Journal of Constructivist Psychology, 20, 23–51.
  • Dimaggio, G., Montano, A., Popolo, R. y Salvatore, G. (2015). Metacognitive Interpersonal Therapy for personality disorders: A treatment manual. Rout ledge. https://doi.org/10.4324/9781315744124
  • Dimaggio, G., Ottavi, P., Popolo, R. y Salvatore, G. (2020). Metacognitive Interpersonal Therapy: Body, imagery and change. Routledge.
  • Dimaggio, G., Popolo, R., Ottavi, P. y Salvatore, G. (2018). Metacognitive Interpersonal Therapy as a dialogical practice. Experiential work in session with personality disorders. In A. Konopka, H.J.M. Hermans, M.M. Gonçalves (Eds.), Handbook of Dialogical Self Theory and psychotherapy: Bridging psychotherapeutic and cu l tura l t radi t ions. London, UK: Rout ledge. https://doi.org/10.4324/9781315145693
  • First, M. B., Spitzer, R. L., Gibbon, M., Williams, J. B. W., Davies, M., Borus, J. y . . . Roun-saville, B. (1995). The Structured Clinical Interview for DSM-III-R Personality Disorders (SCID-II). Part II: Multi-site test-retest reliability. Journal of Personali ty Disorders, 9, 92–104, https://doi.org/10.1521/pedi.1995.9.2.92
  • Gazzillo, F., Genova, F., Fedeli, F., Curtis, J. T., Silberschatz, G., Bush, M. y Dazzi, N. (2019). Patients’ unconscious testing activity in psychotherapy: A theoretical and empirical overview. Psychoanalytic Psychology, 36, 173. https://doi.org/10.1037/pap0000227
  • Gendlin, E.T. (1981). Focusing. Bantam Books. Gonçalves, M.M., Ribeiro, A.P., Mendes, I., Alves, D., Silva, J., Rosa, C., Batista, J. Navarro-Fernández, P. y Braga, C. (2017). Three narrative-based coding systems: Innovative moments, ambivalence and ambivalence reso lu t ion. Psychotherapy Research, 3, 270–282. https://doi.org/10.1080/10503307.2016.1247216
  • Gronau, Q.F., Van Erp, S., Heck, D.W., Cesario, J., Jonas, K.J. y Wagenmakers, E.J. (2017). A Bayesian model-averaged meta-analysis of the power pose effect with informed and default priors: The case of felt power. Comprehensive Resul ts in Social Psychology, 2, 123–138. https://doi.org/10.1080/23743603.2017.1326760
  • Hackford, J., Mackey, A. y Broadbent, E. (2019). The effects of walking posture on affective and physiological states during stress. Journal of Behavior Therapy and Experimental Psychiatry , 62, 80–87. https://doi.org/10.1016/j.jbtep.2018.09.004
  • Hackmann, A., Bennett-Levy, J. y Holmes, E.A. (2011). Oxford guide to imagery in cognitive therapy. Oxford, UK: Oxford University Press.
  • Hepach, R., Vaish, A. y Tomasello, M. (2015). Novel paradigms to measure variability of behavior in early childhood: Posture, gaze, and pupil dilation. Frontiers in Psychology, 6, 858. https://doi.org/10.3389/fpsyg.2015.00858
  • Hermans, H.J.M., Kempen, H.J. y Van Loon, R.J. (1992). The dialogical sel f : Beyond individualism and rationalism. American Psychologist, 47, 23–33. https://doi.org/10.1037/0003-066X.47.1.23
  • Hermans, H.J.M. y Dimaggio, G. (Eds.) (2004). The dialogical sel f in psychotherapy. Brunner-Rout ledge. https://doi.org/10.4324/9780203314616
  • Hitchcock, C., Werner-Seidler, A., Blackwell, S.E. y Dalgleish, T. (2017). Autobiographical episodic memorybased training for the treatment of mood, anxiety and stress-related disorders: A systematic review and metaanalysis. Clinical Psychology Review 52, 92–107 https://doi.org/10.1016/j.cpr.2016.12.003
  • Holmes, E. A., Mathews, A., Dalgleish, T. y Mackintosh, B. (2006). Positive interpretation training: Effects of mental imagery versus verbal training on positive mood. Behav iour Therapy, 37, 237–247. https://doi.org/10.1016/j.beth.2006.02.002
  • Inchausti, F., García-Poveda, N.V., Ballesteros-Prados, A., Ortuño-Sierra, J., Sánchez-Reales, S., Prado-Abril, J., Aldaz-Armendáriz, J.A., Mole, J., Dimaggio, G., Ottavi, P. y Fonseca-Pedrero, E. (2018a). The effects of metacognitionoriented social skills training on psychosocial outcome in schizophrenia-spectrum disorders: A randomized controlled trial. Schizophrenia Bulletin, 44, 1235–1244. https://doi.org/10.1093/schbul/sbx168
  • Inchausti, F., García-Poveda, N.V., Ortuño-Sierra, J. y Balleshttps://doi.org/10.1080/10720537.2020.1717117 teros-Prados, A. (2017). Metacognitive abilities in adults with substance abuse treated in therapeutic community. Adicciones, 29, 74–82. https://doi.org/10.20882/adicciones.719.
  • Inchaust i , F., Moreno-Campos, L., Prado-Abri l , J., Sánchez Reales, S., Fonseca Pedrero, E., Macbeth, A., Popolo, R. y Dimaggio, G. (2020). Metacognitive Interpersonal Therapy in group for personality disorders: Preliminary results from a pilot study in a public mental health setting. Journal of Contemporary Psychotherapy. https://doi.org/10.1007/s10879-020-09453-9
  • Inchausti, F., Prado-Abril, J., Sánchez-Reales, S., VilagràRuiz, R. y Fonseca-Pedrero, E. (2018b). El trastorno de personalidad por evitación: Una propuesta de tratamiento especializado en la sanidad pública española. Ansiedad y Estrés, 24, 144–153. https://doi.org/10.1016/j.anyes.2018.05.002
  • Jain, F. A. y Fonagy, P. (2020). Mentalizing imagery therapy: Theory and case series of imagery and mindfulness techniques to understand self and others. Mindfulness, 11, 153– 165. https://doi.org/10.1007/s12671-018-0969-1
  • James, W. (1884). What is an emotion? Mind, 9, 188–205. Jeannerod M. (2006). Motor cognition: What actions tell
  • the se l f . Oxford Univers i ty P ress . https://doi.org/10.1093/acprof:oso/978019856965 7.001.0001
  • Konopka, A., Hermans, H.J.M. y Gonçalves, M.M. (Eds.) (2018). Handbook of Dialogical Self Theory and psychotherapy: Bridging psychotherapeutic and cultural traditions. Routledge.
  • Kosslyn, S.M., Ganis, G. y Thompson, W.L. (2001). Neural foundations of imagery. Nature Reviews Neuroscience, 2, 635–642. https://doi.org/10.1038/35090055
  • Laird, J.D. (1974). Self-attribution of emotion: The effects of expressive behavior on the quality of emotional experience. Journal of Personality and Social Psychology, 29, 475–486. https://doi.org/10.1037/h0036125
  • Lecrubier, Y., Sheehan, D. V., Weiller, E., Amorim, P., Bonora, I., Harnett Sheehan, K. y . . . Dunbar, G. C. (1997). The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: Reliability and validity according to the CIDI. European Psychiatry, 12, 224–231. ht tps://doi.org/10.1016/S0924- 9338(97)83296-8
  • Levenson, R.W., Ekman, P. y Friesen, W.V. (1990). Voluntary facial action generates emotion-specific autonomic nervous system activity. Psychophysiology, 27, 363–384. https://doi.org/10.1111/j.1469-8986.1990.tb02330.x
  • Liotti, G. (1994). La dimensione interpersonale della coscienza. Carocci.
  • Lotze, M. y Halsband, U. (2006). Motor imagery. Journal of Physiology, 99, 386–395. https://doi.org/10.1016/j.jphysparis.2006.03.012
  • Lowen, A. (1971). The language of the body. Macmillan General Reference.
  • Luborsky, L. (1984). Principles of psychoanalytic psychotherapy. Basic Books.
  • Luborsky, L. y Crits-Christoph, P. (1998). Understanding transference: The Core Conflictual Relationship Theme Method. Basic Book.
  • Lysaker, P.H. y Lysaker, J.T. (2002). Narrative structure in psychosis: Schizophrenia and disruptions in the dialogical sel f . Theory and Psychology, 12, 207–220. https://doi.org/10.1177/0959354302012002630
  • Mathews, A., Ridgeway, V. y Holmes, E.A. (2013). Feels like the real thing: imagery is both more realistic and emotional than verbal thought. Cognition and Emotion, 27, 217–29. https://doi.org/10.1080/02699931.2012.698252
  • Michalak, J., Troje, N.F., Fischer, J., Vollmar, P., Heidenreich, T. y Schulte, D. (2009). Embodiment of sadness and depression-gait patterns associated with dysphoric mood. Psychosomatic Medicine, 71, 580–587. https://doi.org/10.1097/PSY.0b013e3181a2515c
  • Moran A, Guillot A, MacIntyre T y Collet C. (2012). Re-imagining motor imagery: Building bridges between cognitive neuroscience and sport psychology. British Journal of Psychology, 103, 224–247. https://doi.org/10.1111/j.2044- 8295.2011.02068.x
  • Mori, K. y Mori, H. (2009). Another test of the passive facial feedback hypothesis: When your face smiles, you feel happy. Perceptual and Motor Skil ls, 109, 76-78. https://doi.org/10.2466/PMS.109.1.76-78
  • Nair, S., Sagar, M., Sollers, I.I.I.J., Consedine, N. y Broadbent, E. (2015). Do slumped and upright postures affect stress responses? A randomized trial. Health Psychology, 34, 632– 641. http://dx.doi.org/10.1037/hea0000146
  • Neimeyer, R.A. (2000). Narrative disruption in the construction of self. In R.A. Neimeyer y J.D. Raskin (Eds.), Construction of disorder. Meaning making frameworks for psychotherapy (pp. 207–241). American Psychological Association. https://doi.org/10.1037/10368-000
  • O’Shea H. y Moran A. (2019). Revisiting imagery in psychopathology: Why mechanisms are important. Frontiers in Psychiatry, 10, 457. https://doi.org/10.3389/fpsyt.2019.00457
  • Ogden, P. y Fisher, J. (2015). Sensorimotor Psychotherapy. Norton y Company.
  • Oosterwijk, S., Rotteveel, M., Fischer, A.H. y Hess, U. (2009). Embodied emotion concepts: How generating words about pride and disappointment influences posture. European Journal of Social Psychology, 39, 457– 466. https://doi.org/10.1002/ejsp.584
  • Osypiuk, K., Thompson, E. y Wayne, P. M. (2018). Can Tai Chi and Qigong postures shape our mood? Toward an embodied cognition framework for mind-body research. Frontiers in Human Neuroscience, 12, 174. https://doi.org/10.3389/fnhum.2018.00174
  • Pearson, J., Naselaris, T., Holmes, E.A. y Kosslyn, S.M. (2015). Mental imagery: Functional mechanisms and clinical applications. Trends in Cognitive Sciences, 19, 590– 602. https://doi.org/10.1016/j.tics.2015.08.003
  • Perls, F.S., Hefferline, R.F. y Goodman, P. (1994). Gestalt Therapy: Excitement and growth in the human personality. Profile Books.
  • Pilgramm, S., de Haas, B., Helm, F., Zentgraf, K., Stark, R., Munzert, J. y Krüger, B. (2016). Motor imagery of hand actions: Decoding the content of motor imagery from brain activity in frontal and parietal motor areas. Human Bra in Mapping, 37, 81–93. https://doi.org/10.1002/hbm.23015
  • Prado-Abril, J., Gimeno-Peón, A., Inchausti, F. y Sánchez-Reales, S. (2019). Pericia, efectos del terapeuta y práctica deliberada: El ciclo de la excelencia [Expertise, therapist effects and deliberate practice: The cycle of excellence]. Papeles del Psicólogo/Psychologist Papers, 40, 89–100. https://doi.org/10.23923/pap.psicol2019.2888
  • Ranehill, E., Dreber, A., Johannesson, M., Leiberg, S., Sul, S. y Weber, R.A. (2015). Assessing the robustness of power posing: No effect on hormones and risk tolerance in a large sample of men and women. Psychological Science, 26, 653–656. https://doi.org/10.1177/0956797614553946
  • Riskind, J.H. y Gotay, C.C. (1982). Physical posture: Could it have regulatory or feedback effects on motivation and emotion? Motivation and Emotion, 6, 273–298. https://doi.org/10.1007/BF00992249
  • Rizzolatti, G. y Sinigaglia, C. (2016). The mirror mechanism: A basic principle of brain function. Nature Rev iews. Neurosc ince, 17, 757–765. https://doi.org/10.1038/nrn.2016.135
  • Schacter, D.L., Addis, D.R., Hassabis, D., Martin, V.C., Spreng, R.N. y Szpunar, K.K. (2012). The future of memory: Remembering, jmagining, and the brain. Neuron, 76, 677–694. https://doi.org/10.1016/j.neuron.2012.11.001
  • Semerari, A., Carcione, A., Dimaggio, G., Falcone, M., Nicolò, G., Procacci, M. y Alleva, G. (2003). How to evaluate metacognitive functioning in psychotherapy? The Metacognition Assessment Scale and its applications. Clinical Psychology and Psychotherapy, 10, 238–261. https://doi.org/10.1002/cpp.362
  • Shapiro, L. (2011). Embodied Cognition. Routledge. Simmons, J.P. y Simonsohn, U. (2017). Power posing: P-curving the evidence. Psychological Science. 28, 687–693. https://doi.org/10.1177/0956797616658563
  • Singer, J.A., Blagov, P., Berry, M. y Oost, K.M. (2013). Self-defining memories, scripts, and the life story: Narrative identity in personality and psychotherapy. Journal of Personality, 81, 569–582. https://doi.org/10.1111/jopy.12005
  • Stepper, S. y Strack, F. (1993). Proprioceptive determinants of emotional and nonemotional feelings. Journal of Personality and Social Psychology, 64, 211-220
  • Van der Kolk, B. (2014). The body keeps the score: Mind, brain and body in the transformation of trauma. Penguin.
  • Weiss, J. (1993). How psychotherapy works: Process and technique. Guilford Press.
  • Wells, A. (2009). Metacognitive therapy for anxiety and depression. Guilford Press.
  • Wi lkes, C. , Kydd, R. , Sagar, M. y Broadbent , E . (2017). Upright posture improves affect and fatigue in people with depressive symptoms. Journal of Behavior Therapy and Experimental Psychiatry, 54, 143–149. https://doi.org/10.1016/j.jbtep.2016.07.015