El reloj de arena: una metáfora para reconfigurar la enfermedad renal crónica

Abstract

The present investigation - intervention is ascribed to the Psychology, Family and Networks group related to the Psychology, Human Systems and Mental Health line and to the macroproject Histories and Narratives of the Human Systems in Diversity of Contexts of the Master in Clinical Psychology and of Family of the Santo Tomás University. The general objective was oriented to understand the narrative configuration of the chronic kidney disease experience co-constructed by the actors (diagnosed people and its families) that participate in this context, in relation to the visibility and creation of relational autonomies, vital prospective and possibilities from time recursion symbolized by the metaphor of the hourglass. This clinical phenomenon, is located in the second social order research based on a complex, systemic, constructionist and constructivist perspective. For this matter, a multiple case study was developed in two psychotherapy processes and one consultancy processes established in the Psychological Attention Services of the Santo Tomás University that were developed with conference reasons associated with the chronic kidney disease experience, an unexpected event that confronts the life script of the consulting systems (people). The foregoing was approached from a methodology based on the Milan protocol through thirteen reflective conversational scenarios. The information was systematized qualitatively, using conversational narrative analysis as a processing strategy. The main contributions were oriented to memories favour and alternate stories about the reconfiguration of the narrative continuity to understand that although the facts are not modifiable, the meanings are transformed through the complex, circular and polyphonic time, understanding the crises from new orders of organization, restoring relational autonomies and co-creating future from vital anchors that favour the creation and re-updating of possible worlds. For the actors and contexts, it was important to recognize an ecology of knowledge that promotes a recursive dialogue between subjectivities and co-authors, generating anchors of belonging and visualization of silenced stories. For the Master's Degree, the construction of amplified epistemological understandings from emerging and diverse conversations that shows semiotic, semantic and pragmatic readings in coherence with second-order transformations. Keywords: Narrative experience, relational autonomy, vital prospective, possible worlds, time recursion.