INVESTIGADORES
KORMAN Guido Pablo
congresos y reuniones científicas
Título:
Implementing a psychoeducational approach for PNES (psychogenic non epilectic seizures) in a public hospital. Preliminary observations on the experience in Buenos Aires (Argentina)
Autor/es:
SARUDIANSKY, MECEDES; ARECO, MARÍA MARTA; TENRREYRO, CRISTINA; LANZILLOTTI, ALEJANDRA; SCÉVOLA, LAURA; KOCHEN, SILVIA; D´ALESSIO, LUCIANA; KORMAN, GUIDO PABLO
Lugar:
Philadelphia
Reunión:
Congreso; 46th Annual Meeting of the Society for Psychoterapy Research; 2015
Institución organizadora:
Society for Psychotherapy Research
Resumen:
The therapeutic approach of psychogenic non epilectic seizures (PNES) represents a challenge for professionals in many disciplines, given the complexity of their symptoms and frequent psychiatric comorbidity. Many authors agree that PNES patients are reluctant to consider that emotions can be the cause of their suffering. However, when this explanation is accepted, it can have significant consequences on the future of the crisis and result in improvements. For this reason, different authors carried out psychoeducational programmes, in order for patients to achieve a better control over their crisis, accepting the psychogenic factors, and acknowledging the triggering events. One of the main aspects pointed out by members of the team were the difficulties around the understanding of the contents of psychoeducation. The patients beliefs regarding the disease (e.g. causal hypothesis), systematically interfered with the psycho-educational interventions that tried to emphasize the psychological etiology of their condition. It is necessary to take into account cultural and social features while implementing interventions in a multicultural context as that of the public health system in Argentina. Beliefs about health and illness play a primary role in the patients attributive models, which impacts their choice of therapeutic strategies, and adherence to them. It is also necessary to train professionals in the treatment of this condition. All patients admitted to the Centre of Epilepsy at Ramos Mejía Hospital (CERMH) receiving PNES diagnosis were consecutively selected during 2014. Diagnosis of PNES was confirmed by professionals of the CERMH through VEEG. 10 patients were diagnosed with PNES. 5 of them had access to an individual educational intervention, consisting of three monthly meetings. Subsequently, a discussion of the shared experience of implementation was conducted among the members of the team to identify the difficulties recorded in each of the cases during this type of intervention. One of the main aspects pointed out by members of the team were the difficulties around the understanding of the contents of psychoeducation. The patients beliefs regarding the disease (e.g. causal hypothesis), systematically interfered with the psycho-educational interventions that tried to emphasize the psychological etiology of their condition. It is necessary to take into account cultural and social features while implementing interventions in a multicultural context as that of the public health system in Argentina. Beliefs about health and illness play a primary role in the patients attributive models, which impacts their choice of therapeutic strategies, and adherence to them. It is also necessary to train,