Análisis de la importancia del empoderamiento de la enfermedad en pacientes psiquiátricos institucionalizados, mediante la aplicación de la función del terapeuta lo suficientemente bueno.

Abstract

This research arises as a theoretical-practical proposal in response to the transition that the ecuadorian health system is experiencing in the mental area, and it is oriented towards the objectives of the national mental health plan 2017-2023, which combines various disciplines to guarantee outpatient psychiatric treatment processes not be interrupted after deinstitutionalization. Two moments were considered to carrying out this work: First, two theoretical dimensions were developed: relational psychoanalysis and psychorehabilitation model. Next, the investigated data was analyzed to make it converge in a theoretical synthesis which includes the main proposals of each dimension; therefore, it is presented as the bases for an alternative source of intervention. Through psychoanalysis model, linked with the psychorehabilitation approach, to reach deinstitutionalization process, the main importance is given to an agent who acts together with the patient while he/ she reaches the empowerment of his/her disease. This figure is called “the good enough therapist”, because he will be in charge of giving the patient the option of finding a state of health, which means a good emotional development and social integration. This “good enough therapist” uses a lot of techniques according to the particularity of each case, providing the patient the necessary tools, so that he/she will be able to sustain the process of rehabilitation out of the mental health house. All these strategies that will be provided by “the good enough therapist” during the indoor treatment will be progressively interjected and executed in company of a transitional object, which allows managing personal anxieties on the way to a state of health.