<?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>1130-5274</journal-id>
<journal-title><![CDATA[Clínica y Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Clínica y Salud]]></abbrev-journal-title>
<issn>1130-5274</issn>
<publisher>
<publisher-name><![CDATA[Colegio Oficial de la Psicología de Madrid]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1130-52742019000300005</article-id>
<article-id pub-id-type="doi">10.5093/clysa2019a21</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La intervención familiar domiciliaria en psicosis: análisis cualitativo de los cambios observados tras la psicoterapia]]></article-title>
<article-title xml:lang="en"><![CDATA[Domiciliary family intervention in psychosis: qualitative analysis of changes noticed after psychotherapy]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palma]]></surname>
<given-names><![CDATA[Carol]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gomis]]></surname>
<given-names><![CDATA[Ona]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Farriols]]></surname>
<given-names><![CDATA[Núria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Frías]]></surname>
<given-names><![CDATA[Álvaro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gregorio]]></surname>
<given-names><![CDATA[Miriam]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palacio]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Horta]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aliaga]]></surname>
<given-names><![CDATA[Ferrán]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barón]]></surname>
<given-names><![CDATA[Francisco J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Universitat Ramon Llull, Barcelona  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<aff id="A02">
<institution><![CDATA[,Centre de Salut Mental de Mataró Consorci Sanitari del Maresme ]]></institution>
<addr-line><![CDATA[Mataró Barcelona]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>30</volume>
<numero>3</numero>
<fpage>147</fpage>
<lpage>154</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1130-52742019000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1130-52742019000300005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1130-52742019000300005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El objetivo del estudio actual es evaluar los cambios en la estructura, la dinámica familiar y la comunicación durante una intervención familiar domiciliaria con pacientes diagnosticados de trastornos del espectro psicótico que muestran resistencia al tratamiento. Se incluyeron en el estudio un total de 12 familias (36 participantes) con descendencia diagnosticada de trastorno psicótico. Para la recopilación de datos se utilizaron diferentes técnicas cualitativas con el fin de triangular la información que proviene de cada una de ellas: un cuestionario de preguntas abiertas y un cuestionario más profundo para los observadores. Los dos ejes que explican la dinámica relacional más estrechamente ligada a la resistencia al tratamiento de estos pacientes fueron el &#8220;clima de confianza-desconfianza&#8221; y la &#8220;ambiguidad claridad-comunicación&#8221;. Estos indicadores pueden cambiar dinámicamente e interactuar entre sí con el fin de mejorar el clima familiar y la comunicación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The aim of the current study is to assess the changes in the structure, family dynamics, and communication during a domiciliary family intervention with patients diagnosed with psychotic spectrum disorders showing resistance to treatment. A total of 12 families (36 participants) with offspring diagnosed with psychotic disorder were included. For data collection, different qualitative techniques were used in order to triangulate information coming from each of them: a questionnaire of open questions and a deepening questionnaire for the observers. The two axes that explain the relational dynamics most closely linked to the treatment resistance of these patients were &#8220;trust-distrust climate &#8220; and &#8220;clarity-communicational ambiguity&#8221;. These indicators can dynamically change and interact with each other for the benefit of improving family climate and communication.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Family therapy]]></kwd>
<kwd lng="es"><![CDATA[Domiciliary intervention]]></kwd>
<kwd lng="es"><![CDATA[Psychosis]]></kwd>
<kwd lng="es"><![CDATA[Low adherence to treatment]]></kwd>
<kwd lng="en"><![CDATA[Terapia familiar]]></kwd>
<kwd lng="en"><![CDATA[Intervención domiciliaria]]></kwd>
<kwd lng="en"><![CDATA[Psicosis]]></kwd>
<kwd lng="en"><![CDATA[Baja adherencia al tratamiento]]></kwd>
</kwd-group>
</article-meta>
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