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Revista de la Asociación Española de Neuropsiquiatría

On-line version ISSN 2340-2733Print version ISSN 0211-5735


GONZALEZ PANDO, David et al. Transdiagnosis: origin and implications for mental health care. Rev. Asoc. Esp. Neuropsiq. [online]. 2018, vol.38, n.133, pp.145-166. ISSN 2340-2733.

Transdiagnosis represents an innovation in mental health of great theoretical depth, with important interdisciplinary implications. The background of the model regarding three interrelated problems (dissatisfaction with psychopathological diagnosis, risk of medicalization of everyday life, and high rates of psychopathological comorbidity) is shown. Transdiagnosis emerges at the beginning of the 21st century, when a number of common processes underlying a variety of disorders were found. This approach allows a radical reconsideration of mental health caring, including the understanding of the disorders, their treatment, and the prevention and promotion in mental health. Transdiagnostical care is based on general principles that affect common factors shared by different disorders, offering a more integrated and efficient vision of mental health care. The advantages of organizing nursing care under a transdiagnostic approach are exposed and discussed. The interest is focused on subjective experience and the therapeutic relationship, which implies a return to the origins of mental health nursing. This conception is linked with phenomenology and allows strengthening a humanistic approach to caregiving. The emphasis on common psychopathological processes and interpersonal relationships involves moving towards a more convergent and unified perspective of our interventions, and towards a more integrated and less stigmatizing clinical practice.

Keywords : transdiagnosis; mental health; psychopathology; nursing care.

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