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Diagnóstico diferencial, Clínica Freudiana

Created by

Leslie Gamez
Leslie Gamez
Guatemala

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Diagnóstico diferencial, Clínica Freudiana

by Leslie Gamez
1

CASO 1 Una joven comienza a presentar parálisis en una pierna sin causa médica aparente. Los estudios neurológicos no muestran daño alguno. Antes de que iniciaran los síntomas, había recibido la noticia de que debía cuidar a un familiar enfermo, situación que le generó gran angustia

2

CASO 3 Una estudiante revisa repetidamente sus trabajos antes de entregarlos, porque siente que si no lo hace algo malo podría ocurrir. Aunque reconoce que su pensamiento es exagerado, no puede evitar realizar este ritual.

3

Un joven acude a consulta porque constantemente siente dolores abdominales intensos sin causa médica. Sin embargo, también refiere que tiene pensamientos repetitivos sobre hacer daño a alguien cercano, lo cual le genera mucha culpa, por lo que realiza pequeños rituales mentales para “evitarlo”

4

Un hombre está convencido de que sus pensamientos no le pertenecen, sino que alguien los introduce en su mente. Además, siente que sus acciones están siendo controladas por una fuerza externa

Explicación

Histeria: conversión del conflicto emocional en síntoma corporal (represión)

Neurosis Obsesiva: pensamiento intrusivo + compulsión + conciencia del absurdo

Neurosis obsesiva: Aunque hay síntoma corporal si predominan obsesiones + compulsiones + culpa ,eso lo diferencia de la histeria

Psicósis: pérdida de realidad / ruptura con lo real (no hay mediación simbólica)

 
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