Facing and Overcoming Pain Through Scientific Evidence: The Imperative of Exposure as a Psychological Technique for Cognitive Behavioral Treatments in Buenos Aires, Argentina.

IF 1.5 4区 医学 Q2 ANTHROPOLOGY Culture Medicine and Psychiatry Pub Date : 2024-03-01 Epub Date: 2023-08-18 DOI:10.1007/s11013-023-09828-2
Romina Del Monaco
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Abstract

On the basis of a research study on cognitive behavioral psychotherapies conducted between 2016 and 2020, this article analyzes exposure as a psychological technique focused on facing and overcoming distressing situations that interfere with everyday life and cause pain. Said psychotherapies have gained more relevance in Argentina in recent years. Their development and institutionalization continued during the first decades of the new millennium. By the late 1990s, there were social and economic transformations that modified people's lives and produced different types of suffering. In addition, that scenario was set with subjectivity models based on the importance of being autonomous and responsible in different spheres of daily life (including healthcare). Accordingly, current social imperatives such as "you can do it" or "give it another try" become values linked to personal realization that are assimilated by these psychotherapies through techniques such as exposure. In that respect, this article aims at analyzing exposure as a psychological technology with evidence-based epistemological presuppositions and problem-solving models based on the subjects' individual commitment. Unlike most social-anthropological studies that connect the notion of exposure to that of risk, from a cognitive behavioral standpoint, self-exposing and overcoming the cause of distress is associated with a successful therapeutic process. This study used a qualitative methodology, and the technique was the analysis drawn from 30 semi-structured interviews with cognitive behavioral psychologists from the Autonomous City of Buenos Aires, Argentina.

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通过科学证据面对和克服痛苦:在阿根廷布宜诺斯艾利斯,暴露作为认知行为治疗的一种心理技术的必要性。
本文以 2016 年至 2020 年间开展的一项认知行为心理疗法研究为基础,分析了暴露作为一种心理技术,其重点在于面对和克服干扰日常生活并造成痛苦的困扰。近年来,上述心理疗法在阿根廷越来越受到重视。在新千年的头几十年里,这种疗法继续得到发展和制度化。到 20 世纪 90 年代末,社会和经济发生了变革,改变了人们的生活,并产生了不同类型的痛苦。此外,在这种情况下,基于在日常生活的不同领域(包括医疗保健)中自主和负责任的重要性的主体性模式也被设定下来。因此,"你能做到 "或 "再试一次 "等当前的社会要求成为与个人实现相关联的价值观,这些价值观通过暴露等技术被心理疗法所吸收。在这方面,本文旨在将暴露作为一种心理技术进行分析,其认识论预设和问题解决模式均以受试者的个人承诺为基础,并以证据为依据。与大多数将暴露与风险概念联系起来的社会人类学研究不同,从认知行为学的角度来看,自我暴露和克服困扰的原因与成功的治疗过程相关。本研究采用定性研究方法,其技术是从对阿根廷布宜诺斯艾利斯自治市的认知行为心理学家进行的 30 次半结构式访谈中得出的分析结果。
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来源期刊
CiteScore
3.70
自引率
5.90%
发文量
49
期刊介绍: Culture, Medicine, and Psychiatry is an international and interdisciplinary forum for the publication of work in three interrelated fields: medical and psychiatric anthropology, cross-cultural psychiatry, and related cross-societal and clinical epidemiological studies. The journal publishes original research, and theoretical papers based on original research, on all subjects in each of these fields. Interdisciplinary work which bridges anthropological and medical perspectives and methods which are clinically relevant are particularly welcome, as is research on the cultural context of normative and deviant behavior, including the anthropological, epidemiological and clinical aspects of the subject. Culture, Medicine, and Psychiatry also fosters systematic and wide-ranging examinations of the significance of culture in health care, including comparisons of how the concept of culture is operationalized in anthropological and medical disciplines. With the increasing emphasis on the cultural diversity of society, which finds its reflection in many facets of our day to day life, including health care, Culture, Medicine, and Psychiatry is required reading in anthropology, psychiatry and general health care libraries.
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