Reformulación de los conceptos de resistencia e incumplimiento en la terapia cognitiva

Autores/as

  • Dense Davis Departament os Psychology, Vanderbilt University, Nashville, Tenesse 37240
  • Steven D. Hollon Departament os Psychology, Vanderbilt University, Nashville, Tenesse 37240 https://orcid.org/0000-0001-5005-3862

DOI:

https://doi.org/10.33898/rdp.v12i46/47.545

Palabras clave:

resistenciaincumplimiento, terapia cognitiva, fracaso del tratamiento

Resumen

A pesar de su éxito general , no todo el mundo responde igual a la terapia cognitiva. Algunos clientes muestran dificultades para llevar a cabo sus tareas y otros parece que ofrecen resistencia. Este artículo considera las estrategias para tratar el incumplimiento pasivo y la resistencia activa dentro de la terapia cognitiva. Generalmente, se argumenta que permanecer dentro del modelo cognitivo facilita el proceso de la terapia –es decir, explorando y trabajando estas creencias y actitudes que fundamentan el incumplimiento y resistencia de la misma forma que se enfocan otras creencias y actitudes problemáticas. También se tienen en cuenta las estrategias para tratar las expectativas poco realistas respecto al ritmo de cambio, los errores de los terapeutas que llevan al incumplimiento y a la resistencia y los casos en los que el modelo terapéutico es simplemente insuficiente.

Descargas

Los datos de descargas todavía no están disponibles.

Citas

Akiskal, H.S. & McKinney, W.T. (1975). Overview of recent research in depression: Ten conceptual models. Archives of General Psychiatry, 32. 285-305.

American Psychiatric Association (1994). Diagnostic and statistical manual of mental disorders (4th ed.-revised): Washington, DC: American Psychiatric Association.

Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavior change. Psychological Review, 84. 191-215.

Baucom, D.H. & Epstein, N. (1990). Cognitive-behavioral marital therapy. New York: Brunner/Mazel.

Beck, A.T. (1963). Thinking and depression: I. Idiosyncratic content and cognitive distortions. Archives of General Psychiatry, 9,624-333.

Beck, A.T. (1964). Thinking and depression: II. Theory and Therapy. Archives of General Psychiatry, 10, 561-571.

Beck A.T. (1970). Cognitive therapy: Nature and relation to behavior therapy. Behavior Therapy, 1,184-200.

Beck, A.T. (1976). Cognitive therapy and the emotional disorders. New York: International University Press.

Beck, A.T. (1988a). Cognitive approaches to panic disorder: Theory and therapy. In S. Rachman & J.D. Maser (Eds.), Panic: Psychological perspectives (pp.91-109) Hillsdale, NJ: Lawrence Erlbaum Associates.

Beck, A.T. (1988b). Love is never enough. New York: Harper & Row.

Beck A.T. & Emery, G. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.

Beck, A.T., Freeman, A., Pretzer, J., Davis, D., Fleming, B., Ottaviani, R., Beck, J., Simon.

K., Pradesky, C., Meyer, J., Trexler, L. (1990). Cognitive therapy of personality disorders. New York: Guilford Press.

Beck, A.T., Rush, A.J., Shaw, B.F., & Emery, G. (1979). Cognitive therapy of depression: A treatment manual. New York: Guilford Press.

Beck, A.T., Wright, F.D., Newman, C.F. & Liese, B.S. (1993). Cognitive therapy of substance abuse. New York: Guilford Press.

Beck, J.S. (1995). Cognitive therapy: basics and beyond. New York: Guilford Press.

Beutler, L.E. & Clarkin, E. (1990). Systematic treatment selection: Toward targeted therapeutic interventions. New York: Brunner/Mazel.

Blackburn, I.M., Bishop, S., Glen, A.I.M., Whalley, L.J. & Christie, J.E. (1981). The efficacy of cognitive therapy in depression: A treatment trial using cognitive therapy and pharmacotherapy, each alone and in combination. British Journal of Psychiatry, 139, 181-189.

Burns, D.D. & Nolen-Hoeksema, S. (1991). Coping styles, homework compliance, and the effectiveness of cognitive-behavioral therapy. Journal of Consulting and Clinical Psychology, 59, 305-311.

Burns, D.D. & Nolen-Hoeksema, S. (1992). Therapeutic empathy and recovery from depression in cognitive-behavioral therapy: A structural equation model. Journal of Consulting and Clinical Psychology, 60, 441-440.

Chadwick, P.D.J. & Lowe, C.F. (1990). Measurement and modification of delusional beliefs. Journal of Consulting and Clinical Psychology, 58, 225-232.

Clark, D.M. (1986). A cognitive approach to panic. Behavior Research and Therapy, 14, 283-294.

Clark, D.M. (1994). Cognitive therapy for panic disorder. In, B.E. Wolfe & J.D. Maser (Eds.), Treatment of panic disorder: A consensus development conference (pp. 121-132). Washington, DC: American Psychiatric Press.

Darley, J.M. & Fazio, R. (1980). Expectancy confirmation processes arising in the social interaction sequence. American Psychologist, 35, 867-881.

Elkin, I., Shea, M.T., Watkins, J.T., Imber, S.D., Sotsky, S.M., Collins, J.F., Glass, D.R., Pilkonis, P.A., Leber, W.R., Docherty, J.P., Fiester, S.J. & Parloff, M.B. (1989). Nimh Treatment of Depression Collaborative Research Program: I. General effectiveness of treatment. Archives of General Psychiatry, 46, 971-982.

Emery, G. (1981). Cognitive therapy with the elderly. In G. Emery, S.D. Hollon & R.C. Bedrosian (Eds.), New directions in cognitive therapy (pp. 84-98). New York: Guilford Press.

Freeman, A. Pretzer, J., Fleming, B. & Simon, K. (1990). Clinical applications of cognitive therapy. New York: Plenum Press.

Gallagher, D.E. & Thompson, L.W. (1982). Treatment of major depressive disorders in older adult outpatinets with brief psychotherapies. Psychotherapy: Theory, Research and Practice, 19, 482-490.

Hollon, S.D. & Beck, A.T. (1979). Cognitive therapy for depression. In P.C. Kendall & S. D. Hollon (Eds.), Cognitive-behavioral interventions: Theory, research, and procedures (pp. 153-203). New York: Academic Press.

Hollon, S.D. & Beck, A.T. (1994). Cognitive and cognitive-behavioral therapies. In A.E. Bergin & S.l: Garfield (Eds.), Handbook of psychotherapy and behavior change (4th edition, pp. 428-466). New York: Wiley.

Hollon, S.D., Derubeis, R.J., Evans, M.D., Wiemer, M.J., Garvey, M.J., Grove, W.M. &

Tuason, V.B. (1992). Cognitive therapy and pharmacotherapy for depression: Singly and in combination. Archives of General Psychiatry, 49, 774-781.

Hollon, S.D., Shelton, R.C. & Davis, D.D. (1993). Cognitive therapy for depression: Conceptual issues and clinical efficacy. Journal of Consulting and Clinical Psychology, 61, 270-275.

Hollon, S.D., Shelton, R.C. & Loosen, P.T. (1991). Cognitive therapy in relation to pharmacotherapy for depression. Journal of Consulting and Clinical Psychology, 59, 88-99.

Jarret, R.B., Giles, D.E., Guillon, C.M. & Rush, A.J. (1991). Does learned resourcefulness predict response to cognitive therapy in depressed outpatients? Journal of Affective Disorders, 23, 223-229.

Kingdon, D.G & Turkington, D. (1991). The use of cognitive behavior therapy with a normalizing rationale in schizophrenia: Preliminary report. Journal of Nervous and Mental Disease, 179, 207-211.

Kirmayer, L.J. (1990). Resistance, reactance and reluctance to change: A cognitive attributional approach to strategic interventions. Journal of Cognitive Psychotherapy, 4, 83-104.

Klein, D.F. (1974). Endogenomorphic depression: A conceptual and terminological revision. Archives of General Psychiatry, 31, 447-454.

Kovacs, M., Rush, A.T., Beck, A.T. & Hollon, S.D. (1981). Depressed outpatients treated with cognitive therapy of pharmacotherapy: A one-year follow-up. Archives of General Psychiatry, 38, 33-39.

Mahoney, M.J. (1977). Reflections on the cognitive-learning trend in psychotherapy. American Psychologist, 32, 5-13.

Mahoney, M.J. (1991). Human change processes. New York: Basic Books.

Neimeyer, R.A. & Feixas, G. (1990). The role of homework and skill acquisition in the outcome of group cognitive therapy for depression. Behavior Therapy, 21, 281-292.

Newman, C. (1994). Understanding client resistance: Methods for enhancing motivation to change. Cognitive and Behavioral Practice, 1, 47-69.

Nisbett, R. & Ross, L. (1980). Human inference: Strategies and shortcomings of social judgment. Englewood Cliffs, NJ: Prentice-Hall

Persons, J.B. (1989). Cognitive therapy in practice: A case formulation approach. New York: WW. Norton.

Persons, J.B. & Burns, D.D. (1985). Mechanisms of action in cognitive therapy: The relative contributions of technical and interpersonal interventions. Cognitive Therapy and Research, 9,539-557.

Persons, J.B., Burns, D.D. & Perloff, J.M. (1988). Predictors of dropout and outcome in cognitive therapy for depression in private practice setting. Cognitive Therapy and Research, 12, 557-575.

Primakoff, L., Epstein, N. & Covi, L. (1986). Homework compliance: An uncontrolled variable in cognitive therapy outcome research. Behavior Therapy, 17, 433-446.

Propst, L.R. (1980). The comparative efficacy of religious and nonreligious imagery for the treatment of mild depression in religious individuals. Cognitive Therapy and Research, 4, 167-178.

Ross, L. (1977). The intuitive psychologist and his shortcomings. In L. Berkowitz (Ed.), Advances in experimental social psychology (Vol. 10, 99. 173-220). New York: Academic Press.

Rush, A.J., Bech, A.T., Kovacs, M. & Hollon, S.D. (1977). Comparative efficacy of cognitive therapy versus pharmacotherapy in outpatient depressives. Cognitive Therapy and Research, 1, 17-37.

Safran, J.D. & Segal, Z.V. (1990). Interpersonal process in cognitive therapy. New York: Basic Books.

Scahchter, S. & Singer, J.E. (1962). Cognitive, social, and psychological determinants of emotional state. Psychological Review, 69, 379-399.

Seligman, M.E.P. (1975). Helplessness: On depression, development, and death. San Francisco: Freeman Press.

Shea, M.T., Elkin, I., Imber, S.D., Sotsky, S.M., Watkins, J.T., Collins, J.F., Pilkonis, P.A.,

Beckham, E., Glass, D.R., Dolan, R.T., & Parloff, M.B. (1992). Course of depressive symptoms over follow-up: Findings from the National Institute of Mental Health Treatment of Depression Collaborative Research Program. Archives of General Psychiatry, 49, 782-787.

Shelton, R.C., Hollon, S.D., Purdon, S.E. & Losen, P.T. (1991). Biological and psychological aspects of depression. Behavior Therapy, 22, 201-228.

Simons, A.D., Lustman, P.J., Wetzel, R.D. & Murphy, G.E. (1985). Predicting response to cognitive therapy of depression: The role of learned resourcefulness. Cognitive Therapy and Research, 9, 79-89.

Smith, B. & Sechrest, L. (1991). Treatment of aptitude X treatment interactions. Journal of Consulting and Clinical Psychology, 59, 233-244.

Sue, S. (1998). In search of cultural competence in psychotherapy and counseling. American Psychologist, 53, 440-448.

Tanaka-Matsumi, J., Seiden, D., & Lam, K.N. (1996). The culturally informed functional assessment (CIFA) interview: A strategy for cross-cultural behavioral practice. Cognitive and Behavioral Practice, 3, 215-233.

Thompson, L.W. & Gallagher, D. (1984). Efficacy of psychotherapy in the treatment of late life depression. Advances in Research and Therapy, 6, 127-139.

Wachtel, P.L. (1982). Resistance: Psychodynamic and behavioral approaches. New York: Plenum Press.

Woody, G.E., Luborsky, L. McLellan, A.T., O’Brien, C.P., Beck, A.T., Blaine, J., Hermna, I., & Hole, A. (1983). Psychotherapy for opiate addiction? Archives of General Psychiatry, 40, 639-645.

Wright, J. & Davis, D. (1994). The therapeutic relationships in cognitive-behavioral therapy: Patient perceptions and therapist responses. Cognitive and Behavioral Practice, 1, 25-45.

Publicado

2001-07-01

Cómo citar

Davis, D. ., & Hollon, S. D. . (2001). Reformulación de los conceptos de resistencia e incumplimiento en la terapia cognitiva. Revista De Psicoterapia, 12(46/47), 51–72. https://doi.org/10.33898/rdp.v12i46/47.545