Uztaro

Fobia sozialeko kasu baten aurrean esposizioaren bidez burututako tratamenduaren deskribapena agertzen da artikulu honetan. Pazientea, 22 urteko neska da, eta betidanik herstura sozial handia sentitu du. Tratamenduak 8 saio iraun zituen, talde-formatoan eta bi hilabetez. Saio terapeutikoen barruan, egoera arazotsuenganako esposizioak eta pazienteak saio batetik bestera etxean egin behar zituen lanak izan ziren tratamenduaren muina. Halaber, trebetasun sozialen eta asertibitatearen estrategiak eskaini zitzaizkion pazienteari. Urtebeteko jarraipena egin ondoren, pazienteak hobekuntza nabaria agertzen du, hersturaren eta ekidinaren beherakada behatzen delarik. Bestalde, hobekuntza nabaria da baita ere helburu bezala finkatutako jokabideetan, asertibitatean eta adaptazioan. Kasu honek klinikarako dituen inplikazioak komentatzen dira.

 

The treatment of one social phobia case with exposure is described in this paper. The patient, a 22 year-old single woman, was suffering from heavy social anxiety since adolescence. The treatment was developed in eight clinical group sessions for a period of two months. The exposure treatment involved the sufferer repeteadly confronting the situations that evoke fear for prolonged periods until the distress subsides, and the patient records intra-sessions exposure-tasks as daily homework. Social-skills and assertive strategies were given to the patient. After one year followup the patient had improved a lot, achieving an important reduction in social anxiety and evitation, and an improvement in target problems, assertiveness and global adjustment. The implications of this case for clinical research and practice are discussed.