<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2409-8752</journal-id>
<journal-title><![CDATA[Revista Científica de la UCSA]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. ciente. UCSA]]></abbrev-journal-title>
<issn>2409-8752</issn>
<publisher>
<publisher-name><![CDATA[Universidad del Cono Sur de las Américas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2409-87522017000300059</article-id>
<article-id pub-id-type="doi">10.18004/ucsa/2409-8752/2017.004(03)059-070</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Modelos explicativos en psiquiatría]]></article-title>
<article-title xml:lang="en"><![CDATA[Explanatory models in psychiatry]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torales]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barrios]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moreno]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencia Médicas Cátedra de Psiquiatría]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencia Médicas Cátedra de Psicología Médica]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2017</year>
</pub-date>
<volume>4</volume>
<numero>3</numero>
<fpage>59</fpage>
<lpage>70</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2409-87522017000300059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2409-87522017000300059&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2409-87522017000300059&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Variada y sólida evidencia indica que los trastornos de los que se ocupa la psiquiatría involucran procesos causales que actúan en los niveles micro y macro, dentro y fuera del individuo, y que incluyen componentes entendidos desde criterios biológicos, psicológicos y socioculturales. Ningún modelo explicativo que defienda una sola premisa (ya sea biológica, psicológica o sociocultural) es suficiente para dar cuenta y definir por completo a la psiquiatría. Por ende, se destaca que la psiquiatría debe ajustarse a un modelo integrativo, basado en el enfoque holístico biopsicosocial. Esto permitirá el desarrollo de un marco conceptual más práctico y coherente para la práctica psiquiátrica, a través de la integración de diversos elementos. En este artículo de revisión se discutirán los modelos explicativos clásicos en psiquiatría y el modelo integrativo jerárquico biopsicosocial, en el afán de reforzar la noción de que la psiquiatría, en vez de adoptar una sola perspectiva explicativa, como frecuentemente se realiza en las teorías tradicionales, es una ciencia basada en modelos etiopatogénicos pluralistas y de multinivel.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT A variety of solid evidence suggests that psychiatric disorders involve causal processes at the micro and macro levels, both inside and outside the individual, and include components that are understood from biological, psychological and sociocultural criteria. No explanatory model that defends a single premise (whether biological, psychological or sociocultural) is sufficient to fully account for and define psychiatry. Therefore, it is emphasized that psychiatry must conform to an integrative model, based on a biopsychosocial holistic approach. This will allow the development of a more practical and coherent conceptual framework for psychiatric practice, through the integration of various elements. In this review article, we will discuss the classical explanatory models in psychiatry and the integrative biopsychosocial hierarchical model, in an effort to reinforce the notion that psychiatry, instead of adopting a single explanatory perspective, as is often done in traditional theories, is a science based on pluralist and multilevel models of etiology and pathogenesis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[psiquiatría]]></kwd>
<kwd lng="es"><![CDATA[modelos explicativos]]></kwd>
<kwd lng="es"><![CDATA[modelo biopsicosocial]]></kwd>
<kwd lng="en"><![CDATA[psychiatry]]></kwd>
<kwd lng="en"><![CDATA[explanatory models]]></kwd>
<kwd lng="en"><![CDATA[biopsychosocial model]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="book">
<collab>American Psychiatric Association</collab>
<source><![CDATA[Diagnostic and Statistical Manual of Mental Disorders]]></source>
<year>2013</year>
<edition>5a</edition>
<publisher-loc><![CDATA[Arlington VA ]]></publisher-loc>
<publisher-name><![CDATA[APA Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aquilina]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Warner]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[A guide to psychiatric examination]]></source>
<year>2004</year>
<publisher-loc><![CDATA[Londres ]]></publisher-loc>
<publisher-name><![CDATA[PasTest]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[R. D. Laing: un &#8220;rebelde&#8221; que desafió el orden psiquiátrico imperante]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Balbuena Rivera]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista de la Asociación Española de Neuropsiquiatría]]></source>
<year>2011</year>
<volume>31</volume>
<numero>112</numero>
<issue>112</issue>
<page-range>679-91</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Toward a theory of schizophrenia]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bateson]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
<name>
<surname><![CDATA[Jackson]]></surname>
<given-names><![CDATA[D. D.]]></given-names>
</name>
<name>
<surname><![CDATA[Haley]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Weakland]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Behavioral Science]]></source>
<year>1956</year>
<volume>1</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>251-64</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The need for a new medical model: a challenge for biomedicine]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Engel]]></surname>
<given-names><![CDATA[G.L.]]></given-names>
</name>
</person-group>
<source><![CDATA[Science]]></source>
<year>1977</year>
<volume>196</volume>
<numero>4286</numero>
<issue>4286</issue>
<page-range>129-36</page-range><publisher-loc><![CDATA[New York, N.Y. ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eysenck]]></surname>
<given-names><![CDATA[H.]]></given-names>
</name>
<name>
<surname><![CDATA[Rachman]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<source><![CDATA[The causes and cures of neurosis]]></source>
<year>1965</year>
<publisher-loc><![CDATA[Londres ]]></publisher-loc>
<publisher-name><![CDATA[Routledge & Paul]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Foulds]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<source><![CDATA[Personality and personal illness]]></source>
<year>1965</year>
<publisher-loc><![CDATA[Londres ]]></publisher-loc>
<publisher-name><![CDATA[Travistock Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Psicología clínica y psicoterapia: Revisión epistemológica y aportes de la psicología positiva]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gallegos]]></surname>
<given-names><![CDATA[W. L. A.]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista peruana de psicología y trabajo social]]></source>
<year>2013</year>
<volume>2</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>137-54</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Evolución de la psicoterapia en la esquizofrenia]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[García-Cabeza]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
</person-group>
<source><![CDATA[Revista de la Asociación Española de Neuropsiquiatría]]></source>
<year>2008</year>
<volume>28</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>9-25</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García-Valero]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Introducción a la psicofarmacología]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Espert-Tortajada]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<source><![CDATA[Máster en Psicofarmacología]]></source>
<year>2015</year>
<edition>1a</edition>
<page-range>1-62</page-range><publisher-loc><![CDATA[Valencia ]]></publisher-loc>
<publisher-name><![CDATA[Alfa Delta Digital SL]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Toward a philosophical structure for psychiatry]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kendler]]></surname>
<given-names><![CDATA[K. S.]]></given-names>
</name>
</person-group>
<source><![CDATA[The American Journal of Psychiatry]]></source>
<year>2005</year>
<volume>162</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>433-40</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Explanatory Models for Psychiatric Illness]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kendler]]></surname>
<given-names><![CDATA[K. S.]]></given-names>
</name>
</person-group>
<source><![CDATA[The American journal of psychiatry]]></source>
<year>2008</year>
<volume>165</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>695-702</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Laing]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<source><![CDATA[Laing. A Life]]></source>
<year>2006</year>
<edition>2a</edition>
<publisher-loc><![CDATA[Londres ]]></publisher-loc>
<publisher-name><![CDATA[Sutton Publishing]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marr]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<source><![CDATA[Vision: a computational investigation into the human representation and processing of visual information]]></source>
<year>1982</year>
<publisher-loc><![CDATA[San Francisco ]]></publisher-loc>
<publisher-name><![CDATA[W. H. Freeman]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medina-Amor]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Suárez-Guinea]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Losantos-Pascual]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Conceptos de enfermedad mental]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Bravo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Saiz]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bobes]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Manual del Residente en Psiquiatría]]></source>
<year>2010</year>
<edition>1a</edition>
<page-range>13-9</page-range><publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[ENE Life Publicidad]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Sobre el concepto de anormalidad]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Palacio]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<source><![CDATA[Psicología, Psicoanálisis y Conexiones]]></source>
<year>2013</year>
<volume>5</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>1-6</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="book">
<collab>Real Academia Española</collab>
<source><![CDATA[Norma. Diccionario de la Real Academia Española]]></source>
<year>2014</year>
<edition>23</edition>
<publisher-loc><![CDATA[Madrid ]]></publisher-loc>
<publisher-name><![CDATA[Real Academia Española]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Big Pharma and American Psychiatry: The Good, the Bad, and the Ugly]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sharfstein]]></surname>
<given-names><![CDATA[S. S.]]></given-names>
</name>
</person-group>
<source><![CDATA[Psychiatric News]]></source>
<year>2005</year>
<volume>19</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torales]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[Mecanismos de defensa en Psicologia Médica]]></source>
<year>2012</year>
<publisher-loc><![CDATA[San Lorenzo ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Nacional de Asunción]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Principios de Psicofarmacología: una introducción]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torales]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Arce]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<source><![CDATA[Medicina Clínica y Social]]></source>
<year>2017</year>
<volume>1</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>54-99</page-range></nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Torales]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Arce]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
<name>
<surname><![CDATA[Maggi]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<source><![CDATA[La exploración psicopatológica: una introducción a la semiología psiquiátrica]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Asunción ]]></publisher-loc>
<publisher-name><![CDATA[EFACIM]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tyrer]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Bio-psychosocial models of etiology and management]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Bhugra]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Bell]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Burn]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Howes]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<source><![CDATA[The Complete Psychiatry]]></source>
<year>2010</year>
<edition>1a</edition>
<page-range>9-16</page-range><publisher-loc><![CDATA[Londres ]]></publisher-loc>
<publisher-name><![CDATA[RCPsych Publications]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tyrer]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Davidson]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cognitive therapy in personality disorder]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Gabbard]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Gunderson]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Review of Psychiatry: personality disorders]]></source>
<year>2000</year>
<page-range>33-64</page-range><publisher-loc><![CDATA[Arlington VA ]]></publisher-loc>
<publisher-name><![CDATA[APA Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tyrer]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
<name>
<surname><![CDATA[Steinberg]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<source><![CDATA[Models for mental disorder: conceptual models in Psychiatry]]></source>
<year>2005</year>
<edition>4a</edition>
<publisher-loc><![CDATA[Londres ]]></publisher-loc>
<publisher-name><![CDATA[Wiley]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vallejo]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Introducción (II). Modelos psiquiátricos. Noción de normalidad psíquica]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Vallejo]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<source><![CDATA[Introducción a la psicopatología y la psiquiatría]]></source>
<year>2011</year>
<edition>7a</edition>
<page-range>19- 32</page-range><publisher-loc><![CDATA[Barcelona ]]></publisher-loc>
<publisher-name><![CDATA[Elsevier]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Conditioned emotional reactions]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Watson]]></surname>
<given-names><![CDATA[J. B.]]></given-names>
</name>
<name>
<surname><![CDATA[Rayner]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<source><![CDATA[Journal of experimental psychology]]></source>
<year>1920</year>
<volume>3</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-14</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
