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by Marina Altmann de Litvan (Editor)
C mo podemos, los analistas, evaluar si el an lisis est generando transformaciones en nuestros pacientes? El Comit del Proyecto IPA sobre Observaci n Cl nica y Pruebas ofrece una herramienta: El Modelo de los Tres Niveles para Observar las Transformaciones del Paciente (3-LM); Una gu a para refinar, conceptualizar y sistematizar las observaciones cl nicas sobre las transformaciones del paciente. Busca mejorar las observaciones cl nicas, haci ndolas m s precisas y tiles para la realizaci n de pruebas te ricas y la construcci n de teor as a trav s de un an lisis sistem tico del material cl nico.
Tiempo de Cambio: Indagando las transformaciones en psicoan lisis - el modelo de los tres niveles se centra en la cuesti n de c mo observar los cambios en el psicoan lisis. Se presenta el modelo y el resultado de haber trabajado con la herramienta 3-LM, que se ha aplicado a pacientes adultos, adolescentes y ni os, as como en la formaci n anal tica.
La LM-3 va de la cl nica a la teor a, de la teor a impl cita a expl cita, de hip tesis incuestionables a hip tesis revisadas y enriquecidas por el trabajo sobre el material cl nico despu s de su discusi n por varios participantes con diferentes perspectivas. En primer lugar, el 3-LM intenta hacer una cuidadosa caracterizaci n del paciente y sus problemas y capacidades cuando el/ella entra en el an lisis. Luego, observa los momentos posteriores de su tratamiento y los cambios positivos o negativos que se han producido durante el tratamiento, lo que no ha cambiado, la relevancia de los cambios y c mo se explican los cambios. En cada grupo se elaboran informes en los que se indican las convergencias y divergencias que surgieron durante la discusi n grupal.
Aproximadamente 700 analistas de diferentes partes del mundo han participado en estos grupos de observaci n cl nica. Ellos han encontrado que esta herramienta ha demostrado ser til y amigable para los analistas, ya que rescata y revalora la riqueza de la experiencia cl nica entre analista y paciente. Tambi n nos permite a los analistas ejercer nuestras habilidades y agudeza cl nica, as como adquirir precisi n al comunicar nuestro trabajo. Nos proporciona una forma de monitorear nuestro trabajo de una manera m s sutil y meticulosa, ofreciendo una segunda mirada al material para el beneficio tanto del analista como del paciente.
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