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Revista de la Asociación Española de Neuropsiquiatría

versión On-line ISSN 2340-2733versión impresa ISSN 0211-5735


OTERO RODRIGUEZ, Juan; ALES PORTILLO, Aurora  y  VUCINOVICH, Nicolás. Groups of discharge for patients with chronic distimia: a psychotherapeutic proposal orientated to the end of treatment. Rev. Asoc. Esp. Neuropsiq. [online]. 2015, vol.35, n.127, pp.527-540. ISSN 2340-2733.

The intention of the author in this article is to think from the psychoanalytic theory and from the clinical experience. and propose a therapeutic plan for patients with distimia chronicle resistants to the treatments. This work includes the following formulations: 1-The patients treated for a long time in the Community Mental Health Units who become chronic in their pathogenic mechanisms have to have an unavoidable final date of treatment 2-we justify the group psychotherapy itself as a last possible phase of the treatment 3-it's done the hypothesis that the discharge will improve the position of resistance to a psychological change. We review the Freudian texts: Analysis Terminable and Interminable, Beyond the Pleasure Principle and the concept "active technique" proposed by Ferenczi. Along the article it is presented the design of the three group psychotherapies done, the followed methodology, the obtained results, the conclusions and the final questions.

Palabras clave : psychoanalysis; dynamic psychotherapy; psychotherapy of group; therapeutic group; distimia; discharge; end of treatment; Public System of Health; Community Mental Health Unit.

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