Hacia un modelo Transdiagnóstico integrador de la Psicopatología externalizante [Towards an Integrative Transdiagnostic Model of the Externalizing Psychopathology]

Authors

DOI:

https://doi.org/10.5944/ap.17.1.25831

Keywords:

Psicopatología, transdiagnóstico, agresión, rumiación, disregulación [Psychopathology, transdiagnostic, aggression, rumination, dysregulation]

Abstract

Resumen

La investigación de las psicopatologías del espectro externalizante ha tenido avances significativos desde modelos transdiagnósticos integradores. En el presente artículo se presenta un análisis de los avances y las direcciones de integración, haciendo un énfasis particular en las principales variables y modelos teóricos considerados relevantes. En primer lugar, se resalta la importancia de una perspectiva dimensional espectral de los diagnósticos, según sus mecanismos etiológicos y mantenedores comunes, no solamente a nivel sintomático sino procesal. Entre las variables con mayor evidencia se presentan la disregulación emocional y la rumiación ira, ambas asociadas a la aparición y modulación de la respuesta agresiva reactiva y proactiva. Al finalizar, se propone la integración de los aportes derivados de la teoría de la sensibilidad al refuerzo y los sistemas de dominancia conductual, en un modelo transdiagnóstico integrador. Esta propuesta involucra los avances teóricos a nivel motivacional como la inhibición y la activación conductual, cuya capacidad explicativa permite comprender las dificultades relativas a la impulsividad, la psicopatía, y la autorregulación emocional y conductual. Estos avances convergen en el marco de investigación de criterio dominante, un verdadero avance en los estudios de la salud mental actual. 

Abstract

Research on externalizing spectrum psychopathologies has had significant advances from integrative transdiagnostic models. This article analyzes the progress and directions of integration, with particular emphasis on the main variables and theoretical models considered relevant. First, the importance of a spectral dimensional perspective of the diagnoses is highlighted based on their common etiological mechanisms and maintainers, not only at the symptomatic level but also at the procedural level. Emotional dysregulation and anger rumination are among the variables with the most evidence, both associated with the appearance and modulation of the reactive and proactive aggressive response. In the end, the integration of the contributions derived from the theory of reinforcement sensitivity, and behavioral dominance systems is proposed in an integrative transdiagnostic model. This proposal involves theoretical advances at the motivational level, such as inhibition and behavioral activation, whose explanatory capacity allows understanding the difficulties related to impulsivity, psychopathy, and emotional and behavioral self-regulation. These advances converge in the dominant criterion research framework, a real breakthrough in current mental health studies.

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Author Biographies

Ronald Toro, Universidad de Almería

Psicólogo Clínico, PhD

Juan García-García, Universidad de Almería

Doctor en Psicología

Flor Zaldivar-Basurto, Universidad de Almería

Doctora en Psicología

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Published

2021-05-11

How to Cite

Toro, R., García-García, J., & Zaldivar-Basurto, F. (2021). Hacia un modelo Transdiagnóstico integrador de la Psicopatología externalizante [Towards an Integrative Transdiagnostic Model of the Externalizing Psychopathology]. Acción Psicológica, 17(1), 73–90. https://doi.org/10.5944/ap.17.1.25831

Issue

Section

Artículos de temática libre [Selection of articles]