La Psicoterapia, artículo en inglés...

Hello to everybody@

Today I would like to talk to you about Psychotherapy. As many of you have discovered psychotherapy is a treatment of a psychological nature, that is: verbal psychotherapy. The causes by which people consult psychotherapy may be emotional disturbances in affection that make them suffer or behavioral disorders derived from such alterations. These people could also consult for physical or medical reasons such as headaches or migraines, problems in the gastrointestinal tract, heart, circulatory system, respiratory system, disorders of the nervous system (such as sleep disorder) or simply because for all-purpose people don’t know how to deal with difficult situations that arise in life.

But, we might also seek prevention with psychotherapy in the sense that there might be possible inadequacies 
or “abnormalities” in the development of the human being progress. These could cause some kind of imbalance 
or uncertainty to life because the behavior of human beings is never determined by a single cause, but depends on a multitude 
of different factors or circumstances that unite and enhance each other, such as our genetics or our most closerelationships, 
such us our life in the family, with friends, etc.along with experiences, learning and inner behavior that have been integrated 
into our character or personality development. Not to be forgotten the influences of the social and cultural context in which 
we havegrown!

In my opinion, the relationship between the psychotherapist and the patient is the curative factor in this treatment, 
this is confirmed by the current and revised binding theories. We could also add to this therapeutic factor the 
therapeutic pedagogy that is given when we give advice and guidance to these processes for supporting and under-standing our 
work in psychotherapy.
A fundamental point that we have to understand when going through a psychotherapeutic process is to understand 
the concept of psychic conflict; That is, the notion of intrapsychic conflict, which is when emotional disturbances are a direct 
consequence of difficulties, pressures, obstacles from our “internal world”.

Therefore, we not only act in a psychotherapy as counselors trying to influence people to follow this or that behavior but 
we intend to cancel or counteract the harmful consequences of this conflict in the subject who suffers.
 Therefore psychotherapy will be performed under the following terms:
• Psychotherapy is done with a subject who is assumed to be affected by a psychic conflict.
• The psychotherapist will perform the therapy with complete discretion, that is, with full confidentiality.
• The purpose of psychotherapy will be to withdraw, to make disappear or to counteract the harmful effects of that 
conflict turn out to be harmful.
• Psychotherapy will be performed with a technique previously determined by the therapeutic frameworktoward 
the psychologist orientation.
• It will be done with explicit knowledge between both parties, with the professional dissent within the terms 
of his deontological code.
• There will be some guidelines for systematization, frequency, duration, external frame, etc. of the psychotherapy, 
previously determined between therapist and patient.
• The personal relationship established between psychotherapist and patient will be the only therapeutic agent used 
in a process of dialogue or comforting conversation.

Just like this we could tell that psychotherapy is that procedure that seeks to resolve intra-psychic conflict or mental conflict 
through the interpersonal relationship between the person who suffers and an expert in this type of help.
At the time of being able to explain what are we talking aboutwhen we say “psychic conflict”, we would say that we are 
directing our attention towards a psychic etiology in which an inadequate evolution of psycho-instinctive or 
psychosocial or educational development was stroke deviant, along with the massive utilization of mental defense mechanisms 
(such as excess of denial or blocking of affections or postponement of affections, dissociation, delusion,  repression, etc.), 
that weakness oneself. Therefore we could feel emotional lability or helplessness that results in childish behavior 
that is not appropriate to the subject's mental age, among other abnormal behaviors.
Other general factors of psychotherapy´s demand that we could list are:

- The reactions of grief in the penalty for the loss of someone or something.
- The isolation or loneliness of individuals in large cities.
- Maternity; The concern of the mother for the future of her son.
- Fatigue and exhaustion; Such as the so-called stress or emotional alterations.
- Labor problems; which can cause us frustration and suffering such as lack of employment or work.
With regard to the latter topic (labor problems) I would like to point out that in all of us there are biological needs for activity, 
not referring to movement along, but to the desire and the endeavor in life, and its dissatisfaction causes restlessness, 
pessimism and apathy, in addition to the natural economic concerns. On the other hand, work is the basis of acceptance 
and self-esteem in terms of psychosocial needs, and the indispensable condition for each individual to feel worthy and 
valuable. The loss of habitual work implies a disintegration of the patterns and lifestyle that the subject draws fromitself, 
which can be catastrophic for some people. In this sense, where I want to arrive is to the conclusion 
that all psychotherapy is a kind of "work". This work we call “psychic-work”, making it so through our own thoughts, 
desires and actions as part of our mental structures that we have being built in. 
Finally, we end up saying that psychotherapy is that procedure that practically “claims assistance” in mental health
 and primary care as in the intervention of anxiety or stress. Also intervening in other clinical matters such as 
agoraphobia, inferiority complex, insecurity, perfectionism, feelings of guilt, divorce, jealousy, 
emotional dependence, difficulty finding a partner, communication problems, problems of coexistence, 
toxic relationships, constant discussions,sex addiction, drug addiction, alcoholism, cocaine, addiction to sex, 
anorgasmia, erectile dysfunction or impotence, paraphilias, sexual intercourse, internet or mobile addiction, 
addiction to work, kleptomania, compulsive shopping, anger management, procasting, depression, apathy, 
existential crisis, personal crisis, bereavement, bipolar disorder, social phobia, assertiveness, 
difficulties to make friends or keep them, fear of social rejection, burn-out syndrome, mobbing, bullying, 
support for first-time parents, fear of childbirth, insomnia, stuttering, physical-psychological abuse, childhood trauma, 
school failure ...

David Norberto Gascón Razé. Psicólogo en Madrid  
Tel: 636 55 45 62 

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