Psicoterapia analítico funcional y adicciones: una revisión sistemática selectiva

Abstract

This selective systematic review explores the potential of Functional Analytic Psychotherapy (FAP) in the treatment of substance use disorders (SUD). Based on a behavioral approach, it analyzes how FAP, by focusing on transforming interpersonal repertoire and reducing social aversiveness, can offer advantages over traditional interventions that focus solely on abstinence. It describes the conceptualization of Clinically Relevant Behaviors (CRB) and the active role of the therapist in identifying, modeling, and reinforcing new forms of social interaction within the therapeutic space. Through a rigorous search strategy in specialized databases and explicit selection criteria, fundamental studies were identified, but a lack of empirical research isolating the specific effects of FAP on addiction was found. The studies reviewed, although promising, often combine FAP with other approaches, which limits the interpretation of their results. It is concluded that FAP represents a valuable and novel contribution to the treatment of addiction, but future research with robust experimental designs and detailed measurement of therapeutic processes is needed to establish its effectiveness and mechanisms of change