Investigaciones

Summary

- 04.12.2000 - 

The purpose of this comment is to examine the extent to which the physiopathology of Type 1 DM itself as well as some of the features of it's treatment contribute to the elicitation of specific emotions and cognitive processes that compromise the patients' compliance and outcome.

Features peculiar to this chronic illness and to it's treatment are described with regard to the emotional difficulties and misbeliefs they usually elicit, as seen in our clinical practice.

Emphasis is placed on the fact that the way emotional stress impacts on metabolism as well as on endocrine and immunological responses, conditions the possibility of achieving a good metabolic control, thus compromising the patient's outcome.

A more integrative assessment of the patient is proposed, that accounts for the role of emotion in the construction of cognition and the responsibility of the treating team in that process. This perspective places a challenge on the treating team to take active part in the effort aiming at emotional balance and thus at efficacy of the treatment.

Key words:

Emotion, cognition, stress, compliance. Therapeutic relationship.

bibliografía

1. Groddeck Georg. Considérations de principe sur la psychothérapie. Dans La maladie, l'art e le symbole. Editions Gallimard.1993

2. Groddeck Georg. 1926. Treatment. In The Meaning of Illness. Hoggarth Press, 1977.

3. Losso Roberto H. Mente y Hormonas. Un enfoque psicosomático de la endocrinología. Editorial Docencia. 1983.

4. Rubin RR. Psyching out Diabetes. A positive Approach to Your Negative Emotions. Lowell House. Los Angeles. 1992

5. Damasio A. El error de Descartes.La emoción, la razón y el cerebro humano. Drakontos. Crítica Grijalbo-Mondadori.1996

6. Baringodz, Sara.(comp) Integración de aportes cognitivos a la psicoterapia. Edit. Belgrano, 1997

7. Crick Francis. The Astonishing Hypothesis. The scientific search fore the soul. Touchstone. Simon & Schuster. NY. 1995

8. Ledoux Joseph. The emotional brain. The Mysterious Underppinings of Emotional Life. 9. Touchstone. Simon & Schuster. NY. 1998.

10. Edelman G. Bright air, brilliant fire. On the matter of mind. BasicBooks. A Member of the Perseus Books Group. 1992

Hobson JA. Conciousness. Scientific American Library. NY. 1999

Conlan Roberta (ed) States of Mind. New Discoveries about How Our Brain Make Us Who We Are. John Wiley & Sons. 1999.