Resultados en psicoterapia individual de adultos desde la perspectiva de los Sistemas Dinámicos

Palabras clave

psicoterapia de adultos
revisión sistemática
proceso y resultados
sistemas dinámicos adult psychotherapy
systematic review
process and outcomes
dynamical systems

Cómo citar

Mellado, A., Tomicic, A., Martínez, C., & Krause, M. (2022). Resultados en psicoterapia individual de adultos desde la perspectiva de los Sistemas Dinámicos: una revisión sistemática. Terapia Psicológica, 40(2), 231-256. Recuperado a partir de


Existe un variado número de investigaciones que emplea nociones de la perspectiva de sistemas dinámicos (SD) para describir procesos de cambio en psicoterapia, conceptualizándolo como un sistema no lineal autoorganizado que presenta procesos emergentes y variaciones estructurales. Se realizó una revisión sistemática de la investigación en psicoterapia individual con pacientes adultos abordada desde esta perspectiva. La revisión se sustentó en la metodología PRISMA rastreando los principales conceptos de la perspectiva SD aplicados a la psicoterapia individual de adultos (entre 1997 y 2019), en los idiomas inglés y español, utilizando las bases de datos electrónicas PsycINFO y ProQuest. La selección final incluyó 34 estudios, tanto estudios de caso como estudios naturalistas, que abordaron diferentes variables de proceso y resultado de la psicoterapia. Los resultados resaltan la forma en que dichos conceptos ayudan a comprender el cambio de los pacientes como un proceso no lineal, destacando sus características de autoorganización, transiciones desde estados que generan sufrimiento psicológico a estados más saludables, y la formación de patrones emergentes en diferentes etapas de la psicoterapia. Se discuten algunos aspectos derivados (p.e. rol de la alianza, y de las intervenciones clínicas) que pueden ser abordados en el trabajo terapéutico.



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