<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0211-5735</journal-id>
<journal-title><![CDATA[Revista de la Asociación Española de Neuropsiquiatría]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Asoc. Esp. Neuropsiq.]]></abbrev-journal-title>
<issn>0211-5735</issn>
<publisher>
<publisher-name><![CDATA[Asociación Española de Neuropsiquiatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0211-57352021000100229</article-id>
<article-id pub-id-type="doi">10.4321/s0211-57352021000100014</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reflexiones y debates sobre el autismo]]></article-title>
<article-title xml:lang="en"><![CDATA[Reflections and debates on autism]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lasa Zulueta]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,aff1  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>41</volume>
<numero>139</numero>
<fpage>229</fpage>
<lpage>265</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0211-57352021000100229&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0211-57352021000100229&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0211-57352021000100229&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: El artículo plantea algunas reflexiones sobre el lugar del autismo en las diversas clasificaciones psiquiátricas y sobre ciertos posicionamientos que tratan de sacarlo de ellas por juzgarlas estigmatizadoras. Señala ciertas tendencias sociales e ideológicas que afectan a la psiquiatría y que influyen en la creación, supresión y modificaciones de sus diagnósticos, cuestionando su legitimidad para imponerlos. Describe, desde una perspectiva psicodinámica y estructural, aspectos de la psicopatología clínica y propone una comprensión integradora de la etiopatogenia del autismo y del denominado &#8220;neurodesarrollo&#8221;. Postula el valor epistemológico de una psicopatología psicodinámica para una clasificación de los funcionamientos autísticos que tenga en cuenta tanto su estructura psíquica como sus variantes clínicas, así como su utilidad para conducir a intervenciones psicoterapéuticas basadas en una comprensión que debe producirse en un marco relacional aceptado por los afectados y sus familiares. Debate sobre las características individuales y excepcionales de este tipo de tratamientos, y sobre las dificultades de poder evaluarlos conforme a las necesarias exigencias metodológicas actuales y las posibilidades de reproducirlos de manera uniforme y generalizada.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: This article brings up some reflections on the place of autism in different psychiatric classifications and on some stances that intend to exclude it from them because it is considered stigmatizing. It points out some social and ideological tendencies that have an impact on psychiatry and influence in the creation, suppression, and modifications of its diagnoses, calling into question its legitimacy to impose them. It describes, from a psychodynamic and structural perspective, some aspects of clinical psychopathology and proposes an integrative understanding of the etiopathogeny of autism and the so-called &#8220;neurodevelopment&#8221;. It postulates the epistemological value of a psychodynamic psychopathology for a classification of autistic functioning that takes into consideration both its psychic structure and its clinical variants, as well as the usefulness to carry out psychotherapeutic interventions based on an understanding that must take place in a relational framework accepted by both the affected and their families. It discusses the individual and exceptional characteristics of these kinds of treatments, the difficulties to assess them according to the current methodological demands, and the possibilities to reproduce them in a uniform and generalized way.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[autismo]]></kwd>
<kwd lng="es"><![CDATA[clasificaciones psiquiátricas]]></kwd>
<kwd lng="es"><![CDATA[influencias sociales e ideológicas]]></kwd>
<kwd lng="es"><![CDATA[psicopatología psicodinámica]]></kwd>
<kwd lng="es"><![CDATA[&#8220;intervenciones&#8221; terapéuticas versus &#8220;psicoterapia&#8221;]]></kwd>
<kwd lng="en"><![CDATA[autism]]></kwd>
<kwd lng="en"><![CDATA[psychiatric classifications]]></kwd>
<kwd lng="en"><![CDATA[social and ideological influences]]></kwd>
<kwd lng="en"><![CDATA[psycho-dynamic psychopathology]]></kwd>
<kwd lng="en"><![CDATA[therapeutic interventions vs. psychotherapy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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