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Inicio Revista Colombiana de Psiquiatría Duelo, duelo patológico y terapia interpersonal
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Vol. 39. Issue 2.
Pages 375-388 (June 2010)
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Vol. 39. Issue 2.
Pages 375-388 (June 2010)
Artículos de revisión/actualización
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Duelo, duelo patológico y terapia interpersonal
Grief, Complicated Grief and Interpersonal Psychotherapy
Visits
2279
Ricardo Millán-González1,
Corresponding author
drmillan@hotmail.com

Correspondencia: Ricardo Millán-González, Apartado postal: 2579-2050, San Pedro, Montes De Oca, Costa Rica
, Nicolás Solano-Medina2
1 Médico psiquiatra, especialista en Psiquiatría de Enlace. Profesor de Psiquiatría de la Universidad de Costa Rica, Unidad de Neurociencias del Hospital Calderón Guardia y Centro Costarricense de Investigaciones Médicas, San Pedro, Montes de Oca, Costa Rica
2 Médico psiquiatra, Pontificia Universidad Javeriana y Clínica La Inmaculada. Bogotá, Colombia
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Resumen
Introducción

El duelo es una reacción emocional normal ante la pérdida de un ser querido o de un estatus humano determinado. El duelo complicado es un constructo independiente que describe un cuadro clínico de mayor duración y gravedad luego de una determinada pérdida y que se considera cualitativamente distinto a los trastornos del afecto. La terapia interpersonal (TI) aborda cuatro elementos principales, uno de ellos el duelo.

Objetivo

Revisar la literatura existente sobre duelo, duelo patológico y tratamiento con terapia interpersonal.

Resultados

Algunos estudios sugieren el logro de efectos adecuados al emplear TI para el manejo de la depresión y otras entidades psiquiátricas, pero son pocos los que se centran en reacciones de duelo propiamente dicho o de duelo patológico.

Conclusiones

La mayoría de estudios de TI no distinguen entre duelo normal y patológico, así como otras entidades psiquiátricas; por lo tanto, se desconoce su utilidad en estos casos y se requiere mayor investigación que contemple estas diferencias para obtener conclusiones más firmes.

Palabras clave:
duelo
psicoterapia
literatura de revisión como asunto
Abstract
Introduction

Grief is a natural reaction human beings face when a loved one dies or a particular status is lost. Complicated grief (CG) is an independent construct that describes greater severity and longer duration as a consequence of a particular loss, which is qualitatively different from mood disorders. Interpersonal psychotherapy (IP) uses four main elements to approach patients, one of which is grief.

Objective

To review the scientific literature regarding grief, complicated grief and its treatment with IP.

Results

There are some studies that support the use of IP in the treatment of depression and other psychiatric conditions, but only a few have addressed grief or CG directly.

Conclusions

Most IP studies do not make the distinction between normal grief, CG and other mood and anxiety disorders. Thus, its real usefulness when facing this scenario is unknown. More research having in mind these differences would yield stronger conclusions.

Key words:
Grief
psychotherapy
literature review
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Conflicto de interés: los autores manifiestan que no tienen ningún conflicto de interés en este artículo.

Copyright © 2010. Asociación Colombiana de Psiquiatría
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