Application of the Toy Metaphor in Existential Therapy: A case study of intimate partner violence and post traumatic anxiety
DOI:
https://doi.org/10.5944/rdp.v34i124.35632Keywords:
trauma, existential therapy, anxiety, toy metaphorAbstract
This case study presents a new therapeutic tool that uses the toy metaphor in an existential orientation supported by phenomenological method. The existential dimension of clients’ problems within their life context explains the appearance of symptoms as part of a complex psychological response with multiple connections. The therapy assists in locating points where conflict has settled and its symbolic translation into a toy metaphor. The relationship between the symbol and reality reorients the change, taking its strength from a collaborative discourse between client and therapist. This therapeutic technique is presented here in a case of intimate partner violence in which a young university student was suffering from the traumatic effects of a relationship in which she was abused by her partner. The results of pre-post measures and a two-month follow-up showed that the therapy diminished anxiety symptoms, somatizations and indicators of post traumatic stress.
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Bobes, J., Calcedo-Barba, A., García, M., François, M., Rico-Villademoros, F., González, M. P., Bascarán, M. T. y Bousoño, M. (2000). Evaluación de las propiedades psicométricas de la versión española de cinco cuestionarios para la evaluación del trastorno de estrés postraumático. Actas Esp Psiquiatr, 28(4), 207-218.
Bustos, E. (2000). La metáfora: ensayos transdisciplinares. Fondo de Cultura Económica.
Cirillo, L. y Crider, C. (1995). Distinctive therapeutic uses of metaphor [Usos terapéuticos distintivos de la metáfora]. Psychotherapy: Theory, Research, Practice, Training, 32(4), 511-519. https://doi.org/10.1037/0033-3204.32.4.511.
Clark, A. y Chalmers, D. (1998). The extended mind [La mente extendida]. Analysis, 58(1), 7-19.
Clarke, J. K. (2014). Utilization of clients’ metaphors to punctuate solution-focused brief therapy interventions: A case illustration [Utilización de metáforas de clientes para puntuar intervenciones de terapia breve centradas en soluciones: una ilustración de caso. Contemporary Family Therapy: An International Journal, 36(3), 426-441. https://doi.org/10.1007/s10591-013-9286y
Cohn, H. (1997). Existential thought and therapeutic practice [Pensamiento existencial y práctica terapéutica]. Sage.
Davidson, J. R., Book, S. W., Colket, J. T., Tupler, L. A., Roth, S., David, D., Hertzberg, M., Mellman, T., Beckham, J. C., Smith, R. D., Davison, R. M., Katz, R. y Feldman, M. E. (1997). Assessment of a new self-rating scale for post-traumatic stress disorder [Evaluación de una nueva escala de autoevaluación para el trastorno de estrés postraumático]. Psychological medicine, 27(1), 153-160. https://doi.org/10.1017/S0033291796004229
De Botton, A. (2013). Las consolaciones de la filosofía. Taurus.
Derogatis, L. R. (1975). The SCL-90-R [El SCL-90-R]. Clinical Psychometric Research.
Derogatis, L. R., Yevzeroff, H. y Wittelsberger, B. (1975). Social class, psychological disorder, and the nature of the psychopathologic indicator [Clase social, trastorno psicológico y naturaleza del indicador psicopatológico]. Journal of consulting and clinical psychology, 43(2), 183-191. https://doi.org/10.1037/h0076514
García-Haro, J., García-Pascual, H. y González González, M. (2018). Cuando los síntomas no dejan ver el sentido. Viaje existencial al centro de la psicoterapia. Revista de Psicoterapia, 29(109), 39-67. https://doi.org/10.33898/rdp.v29i109.227
Gibbs, R. W. y Macedo, A. C. P. S. D. (2010). Metaphor and embodied cognition [Metáfora y cognición encarnada]. DELTA: Documentação de Estudos em Lingüística Teórica e Aplicada, 26, 679-700. https://doi.org/10.1590/S0102-44502010000300014
Gebler, F. A. y Maercker, A. (2014). Effects of including an existential perspective in a cognitive-behavioral group program for chronic pain: A clinical trial with 6 months follow-up [Efectos de incluir una perspectiva existencial en un programa grupal cognitivo-conductual para el dolor crónico: un ensayo clínico con 6 meses de seguimiento]. The Humanistic Psychologist, 42(2), 155-171. https://doi.org/10.1080/08873267.2013.865188
González de Rivera, J. L., de las Cuevas, C., Rodríguez, M. y Rodríguez, F. (2002). SCL-90-R. Cuestionario de 90 síntomas. Manual Adaptación Española. TEA.
Gomila, A. (2009). Cambio de marcha en ciencia cognitiva: Cognición corpórea. Ciencias Cognitivas, 3(2), 49-51.
Hampe, B. (2017). Metaphor: Embodied cognition and discourse [Metáfora: cognición y discurso encarnados]. Cambridge University Press.
Homeyer, L. E. y Sweeney, D. S. (2017). Sandtray therapy: A practical manual [Terapia con caja de arena: un manual práctico]. Routledge
Kopp, R. R. y Craw, M. J. (1998). Metaphoric language, metaphoric cognition, and cognitive therapy [Lenguaje metafórico, cognición metafórica y terapia cognitive]. Psychotherapy: Theory, Research, Practice, Training, 35(3), 306-311. https://doi.org/10.1037/h0087795
Kozak, A. (1992). The epistemic consequences of pervasive and embodied metaphor: Applications to psychotherapy [Las consecuencias epistémicas de la metáfora omnipresente y encarnada: Aplicaciones a la psicoterapia]. Theoretical & Philosophical Psychology, 12(2), 137.
Lakoff, G. (2012). Explaining embodied cognition results [Explicación de los resultados de la cognición incorporada]. Topics in Cognitive Science, 4(4), 773-785. https://doi.org/10.1111/j.1756-8765.2012.01222.x
Levitt, H. M., Pomerville, A. y Surace, F. I. (2016). A qualitative meta-analysis examining clients’ experiences of psychotherapy: A new agenda [Un metanálisis cualitativo que examina las experiencias de psicoterapia de los clientes: una nueva agenda]. Psychological Bulletin, 142(8), 801-830. https://doi.org/10.1037/bul0000057
Lloyd, J. (2015). The therapeutic use of metaphor: A heuristic study [El uso terapéutico de la metáfora: un estudio heurístico] [Tesis doctoral, UoM Manchester]. ProQuest Dissertations & Theses Global (2190207843). https://www.proquest.com/dissertations-theses/therapeutic-use-metaphor-heuristic-study/docview/2190207843/se-2
Martínez, E. (2011). Las psicoterapias existenciales. Manual Moderno.
May, R. (1990). Will, decision and responsibility [Voluntad, decisión y responsabilidad]. Review of Existential Psychology and Psychiatry, 20(1-3), 269-278.
Miller, L. E., Howell, K. H. y Graham-Bermann, S. (2014). The effect of an evidence-based intervention on women’s exposure to intimate partner violence [El efecto de una intervención basada en evidencia sobre la exposición de las mujeres a la violencia de pareja]. American Journal of Orthopsychiatry, 84(4), 321-328. https://doi.org/10.1037/h0099840
Millon, T., Millon, C., Davis, R. D. y Grossman, S. (1994). Millon Clinical Multiaxial Inventory-III [Inventario Clínico Multiaxial de Millon-III]. Pearson.
Pérez, V. A. F. y Fiol, E. B. (2005). Introduciendo la perspectiva de género en la investigación psicológica sobre violencia de género. Anales de Psicología, 21(1), 1-10.
Restrepo, J. E. (2018). Cognición corporeizada, situada y extendida: una revisión sistemática. Katharsis, 26, 106-130.
Spinelli, E. (2007). Practising existential psychotherapy. The relational world [Practicando la psicoterapia existencial. El mundo relacional]. Sage.
Stoddard, J. A. y Afari, N. (2014). The big book of ACT metaphors: A practitioner’s guide to experiential exercises and metaphors in acceptance and commitment therapy [El gran libro de las metáforas de ACT: una guía para profesionales de ejercicios experienciales y metáforas en la terapia de aceptación y compromiso]. New Harbinger Publications.
Suzuki, J. Y., Mandavia, A. y Farber, B. A. (2021). Clients’ perceptions of positive regard across four therapeutic orientations [Percepciones de los clientes sobre la consideración positiva a través de cuatro orientaciones terapéuticas]. Journal of Psychotherapy Integration, 31(2), 129–145. https://doi.org/10.1037/int0000186
Van Deurzen, E. y Adams, M. (2011). Skills in existential counselling and psychotherapy [Habilidades en consejería existencial y psicoterapia]. Sage.
Vos, J., Craig, M. y Cooper, M. (2015). Existential therapies: A meta-analysis of their effects on psychological outcomes [Terapias existenciales: un metanálisis de sus efectos sobre los resultados psicológicos]. Journal of Consulting and Clinical Psychology, 83(1), 115-128. https://doi.org/10.1037/a0037167
Vos, J. y Vitali, D. (2018). The effects of psychological meaning-centered therapies on quality of life and psychological stress: A metaanalysis [Los efectos de las terapias psicológicas centradas en el significado sobre la calidad de vida y el estrés psicológico: un metanálisis]. Palliative & Supportive Care, 16(5), 608-632. https://doi.org/10.1017/S1478951517000931
White, M. (2007). Maps of narrative practice [Mapas de práctica narrativa]. W.W. Norton & Co.
Yalom, I. D. (1980). Existential psychotherapy [Psicoterapia existencial]. Basic Books.
Yalom, I. D. y Elkin, G. (2000). Terapia a dos voces. Emecé.
Zatloukal, L., Žákovský, D. y Bezdíčková, E. (2019). Utilizing metaphors in solution-focused therapy [Uso de metáforas en la terapia centrada en soluciones]. Contemporary Family Therapy, 41(1), 24-36. https://doi.org/10.1007/s10591-018-9468-8
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