Más allá de la funcionalidad: Crítica a la adaptación sintomática y propuesta de un marco conceptual de restitución estructural desde el metamodelo evolutivo-vivencial del trauma emocional MEV-TE

David Naranjo-Douglas; Carlos Paredes Gallardo; Ninoshka Fasce; Juan Carlos Oyanedel

doi:10.32351/rca.v11.427

Authors

David Naranjo-Douglas San Sebastián University, Chile. https://orcid.org/0000-0002-3289-581X
Carlos Paredes Gallardo Universidad SEK, Chile. https://orcid.org/0009-0005-3594-4073
Ninoshka Fasce Gabriela Mistral University, Chile https://orcid.org/0009-0001-4551-4756
Juan Carlos Oyanedel Andrés Bello University, Chile https://orcid.org/0000-0003-4023-6926

DOI:

https://doi.org/10.32351/rca.v11.427

Política de Crossmark DOI: https://doi.org/10.32351/politica-crossmark

Keywords:

Complex trauma, Structural restitution, MEV-TE, Expropriation of resources, Body budgeting, Biographical insolvency, Regulatory sovereignty, Symptomatic adaptation

Abstract

Contemporary psychotherapy faces a clinical paradox where the drive for technical efficiency has prioritized symptom reduction over restorative depth, validating states of "dysfunctional homeostasis" as benchmarks for success. This study was conducted to challenge the sufficiency of symptomatic adaptation as a therapeutic goal and to propose, within the framework of the Evolutive-Experiential Metamodel of Emotional Trauma (MEV-TE), a paradigm centered on the structural restitution of the Self. To this end, a synthetic-deductive theoretical investigation was carried out via a Critical Narrative Review, auditing the etiological sufficiency of the Diathesis-Stress, Cognitive, Contextual, and Resilience models. Findings reveal that hegemonic frameworks tend to stabilize costly defensive systems—a phenomenon defined here as “false scarring”—without resolving underlying autonomic dysregulation. Consequently, the mechanism of Expropriation of Internal Resources is formalized to explain the subject’s "biographical insolvency," understood as a chronic deficit in the body budget and a diversion of ATP flow toward defense circuits. The significance of these findings lies in the imperative to transition from a "clinic of correction" toward one of "biological hospitality," establishing that true structural health requires reclaiming the organism’s regulatory sovereignty, ensuring that operational functionality is not financed at the expense of the individual’s neurobiological integrity.

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Author Biographies

David Naranjo-Douglas, San Sebastián University, Chile.

PhD in Education and Society, Occupational Psychologist, and Master in People Management and Organizational Development. With more than eighteen years of experience as a university academic and fourteen years leading People Development teams, his work integrates applied research, teaching, and strategic human talent management, linking scientific evidence with effective organizational practices. Member of the Chilean Society of Work and Organizational Psychology (SCHIPTO) and the Chilean Scientific Society for Well-Being Studies (SCICHEB).
Carlos Paredes Gallardo, Universidad SEK, Chile.

Psychologist and Engineer. Principal investigator and developer of the MEV-TE (DDI No. 2025-A-12269). Through "Narrative Biophysics," he applies systems isomorphisms and thermodynamics to model trauma as a system of energy constraints. He proposes the "Expropriation of Internal Resources" as a mechanism for traumatic persistence, translating relational processes into precision metrics (Bonding Impedance and Allostatic Debt) for the recovery of biopsychosocial sovereignty.
Ninoshka Fasce, Gabriela Mistral University, Chile

PhD in Psychology, Clinical and Organizational Psychologist. She has over fifteen years of experience as a university professor and twenty-five years as a consultant in organizational development. Her career integrates applied research, teaching, and strategic human talent management, linking scientific evidence with effective organizational practices. She is a member of the Sociedad Chilena de Psicología del Trabajo y de las Organizaciones (SCHIPTO), the National Career Development Association (NCDA), and Vice President of the Sociedad Científica Chilena de Estudios en Bienestar (SCICHEB)
Juan Carlos Oyanedel, Andrés Bello University, Chile

Sociologist and Business Administrator. He holds a Master’s in Education and Social Sciences, a Master’s in Applied Statistics, and a Doctorate in Law. He is a Full Professor at the Faculty of Education and Social Sciences at Universidad Andrés Bello, and Principal Investigator of the Trajectories and Longitudinal Studies line at the Center for Research for Inclusive Education (PIA–ANID 160009). He has been a visiting researcher at Nuffield College, University of Oxford; Birkbeck College, University of London; University of Girona; University of the Basque Country; University of Buenos Aires; the Max Planck Institute for Foreign and International Criminal Law; and the International Institute for the Sociology of Law in Oñati, Basque Country. He is the author or editor of eight books and more than fifty indexed publications and book chapters. His books include La felicidad de los chilenos I y II. His most recent book is Assessing Judicial Reforms in Developing Countries: Law and Criminal Reform in Chile, published by Springer.

References

Apreda, G. A. (2004). Hacia una integración del estatuto epistemológico de la psiquiatría [Tesis de doctorado, Universidad Nacional de La Plata]. SEDICI. https://sedici.unlp.edu.ar/handle/10915/5380

Arnsten, A. F. T. (2009). Stress signalling pathways that impair prefrontal cortex structure and function. Nature Reviews Neuroscience, 10(6), 410–422. https://doi.org/10.1038/nrn2648

Badenoch, B. (2018). The heart of trauma: Healing the embodied mind in the context of relationships. W. W. Norton & Company.

Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. Guilford Press.

Beebe, B., & Lachmann, F. M. (2014). The origins of attachment: Infant research and adult treatment. Routledge.

Belsky, J., & Pluess, M. (2009). Beyond diathesis stress: Differential susceptibility to environmental influences. Psychological Bulletin, 135(6), 885–908. https://doi.org/10.1037/a0017376

Bobba-Alves, N., Juster, R. P., & Picard, M. (2022). The energetic cost of allostasis and allostatic load. Psychoneuroendocrinology, 146, 105951. https://doi.org/10.1016/j.psyneuen.2022.105951

Bonet, J. L., Martino, P., & Ragusa, A. C. (2023). Fisiopatología del estrés y la inflamación en la depresión y la declinación cognitiva: Apuntes para su tratamiento. Vertex Revista Argentina de Psiquiatría, (Suplemento), 2-13.

Cozolino, L. (2017). The neuroscience of psychotherapy: Healing the social brain (3rd ed.). W. W. Norton & Company.

Damasio, A. (2021). Feeling & knowing: Making minds conscious. Pantheon.

Deci, E. L., & Ryan, R. M. (2000). The "what" and "why" of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 227-268. https://doi.org/10.1207/S15327965PLI1104_01

Denzin, N. K. (2012). The research act: A theoretical introduction to sociological methods. AldineTransaction. https://doi.org/10.4324/9781315134543

Deroncele-Acosta, Á., Brito-Garcías, J. G., Sánchez-Trujillo, M. Á., Delgado-Nery, Y. M., & Medina-Zuta, P. (2023). Método de modelación teórico-práctica en ciencias sociales. Revista Universidad y Sociedad, 15(3), 366-384. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2218-36202023000300366

Ecker, B., Ticic, R., & Hulley, L. (2012). Unlocking the emotional brain: Eliminating symptoms at their roots using memory reconsolidation. Routledge.

Feldman Barrett, L. (2017). How emotions are made: The secret life of the brain. Houghton Mifflin Harcourt.

Fisher, J. (2017). Healing the fragmented selves of trauma survivors: Overcoming self-alienation. Routledge.

Ford, J. D., & Courtois, C. A. (Eds.). (2020). Treating complex traumatic stress disorders in adults: Scientific foundations and therapeutic models (2nd ed.). Guilford Press.

García, M. T. C. (2004). Caracterización y crítica del modelo hegemónico vigente. En Salud e interculturalidad en América Latina: perspectivas antropológicas. Abya-Yala.

Giorgi, A. (2009). The descriptive phenomenological method in psychology: A modified Husserlian approach. Duquesne University Press.

Han, B.-C. (2015). The burnout society. Stanford Briefs.

Herman, J. L. (2015). Trauma and recovery: The aftermath of violence—from domestic abuse to political terror (Ed. revisada). Basic Books. https://psycnet.apa.org/record/2015-30136-000

Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44(3), 513-524. https://doi.org/10.1037/0003-066X.44.3.513

Huertas, R. (2021). Críticas y alternativas en psiquiatría. Los libros de la Catarata.

Koole, S. L., & Tschacher, W. (2016). Synchrony in psychotherapy: A review and an integrative framework for the therapeutic alliance. Frontiers in Psychology, 7, 862. https://doi.org/10.3389/fpsyg.2016.00862

Laborde, S., Mosley, E., & Thayer, J. F. (2017). Heart rate variability and salivary cortisol alterations in response to relative aerobic exercise training load in high-level athletes. Frontiers in Physiology, 8, 301. https://doi.org/10.3389/fphys.2017.00301

Lanius, R. A., Terpou, B. A., & McKinnon, M. C. (2020). The sense of self in the aftermath of trauma: lessons from the default mode network in posttraumatic stress disorder. European Journal of Psychotraumatology, 11(1), 1807703. https://doi.org/10.1080/20008198.2020.1807703

Márquez, L. M. (2010). Modelo de intervención en crisis. Grupo Luria.

Maturana, H. R., & Varela, F. J. (1994). De máquinas y seres vivos: Autopoiesis, la organización de lo vivo. Editorial Universitaria.

Mau, S. (2019). The metric society: On the quantification of the social. Polity Press.

McEwen, B. S. (2012). Brain on stress: How the social environment gets under the skin. Proceedings of the National Academy of Sciences, 109(Supplement 2), 17180-17185. https://doi.org/10.1073/pnas.1121254109

McNally, R. J. (2003). Remembering trauma. Belknap Press of Harvard University Press.

Meaney, M. J. (2001). Maternal care, gene expression, and the transmission of individual differences in stress reactivity across generations. Annual Review of Neuroscience, 24, 1161-1192. https://doi.org/10.1146/annurev.neuro.24.1.1161

Mendiburu Belzunegui, L. (2003). Bioética y psiquiatría [Investigación de Maestría, Instituto de Ciencias de la Educación de la Universidad de Navarra / Hospital de Bermeo].

Ogden, P., Minton, K., & Pain, C. (2006). Trauma and the body: A sensorimotor approach to psychotherapy. W. W. Norton & Company.

Panksepp, J. (1998). Affective neuroscience: The foundations of human and animal emotions. Oxford University Press.

Parra-Giraldo, M., & Astaíza-Martínez, A. F. (2021). Revisión crítica de las perspectivas sociológicas sobre las psicoterapias: aportes para comprender una de las prácticas más influyentes en los modelos del yo contemporáneos. Revista Colombiana de Ciencias Sociales, 12(2), 870-897. https://doi.org/10.21501/22161201.3551

Perry, B. D. (2009). Examining child maltreatment through a neurodevelopmental lens: Clinical applications of the neurosequential model of therapeutics. Journal of Loss and Trauma, 14(4), 240–255. https://doi.org/10.1080/15325020903004350

Picard, M., & McEwen, B. S. (2018). Psychological stress and mitochondria: A conceptual framework. Psychosomatic Medicine, 80(2), 126–140. https://doi.org/10.1097/PSY.0000000000000544

Porges, S. W. (2011). The Polyvagal Theory: Neurophysiological foundations of emotions, attachment, communication, and self-regulation. W. W. Norton & Company.

Porges, S. W. (2024). Polyvagal Perspectives: Interventions, Practices, and Strategies. W. W. Norton & Company.

Quintana Peña, A. (2006). Metodología de investigación científica cualitativa. En A. Quintana Peña & W. Montgomery (Eds.), Psicología: Tópicos de actualidad (pp. 65-73). Universidad Nacional Mayor de San Marcos.

Raichle, M. E. (2015). The brain's default mode network. Annual Review of Neuroscience, 38, 433–447. https://doi.org/10.1146/annurev-neuro-071013-014030

Ramírez-Navas, J. S. (2022). Diseño, ejecución y redacción de revisiones de la literatura en investigación científica: Una revisión narrativa. Rev. Reciteia, 22, 55-82.

Rose, N. (1999). Governing the soul: The shaping of the private self (2nd ed.). Free Association Books.

Ryan, R. M., & Deci, E. L. (2017). Self-determination theory: Basic psychological needs in motivation, development, and wellness. Guilford Press. https://doi.org/10.1521/978.14625/28806

Schore, A. N. (2019). The development of the unconscious mind. W. W. Norton & Company.

Schore, A. N. (2022). Right brain psychotherapy. W. W. Norton & Company.

Shonkoff, J. P., & Garner, A. S. (2012). The lifelong effects of early childhood adversity and toxic stress. Pediatrics, 129(1), e232–e246. https://doi.org/10.1542/peds.2011-2663

Siegel, D. J. (2020). The developing mind: How relationships and the brain interact to shape who we are (3rd ed.). Guilford Press.

Somano, A. K., & León, A. M. (2020). Métodos teóricos de investigación: Análisis-síntesis, inducción-deducción, abstracto-concreto e histórico-lógico. Universidad de Matanzas.

Southwick, S. M., Charney, D. S., & DePierro, J. M. (2023). Resilience: The science of mastering life’s greatest challenges (3rd ed.). Cambridge University Press. https://doi.org/10.1017/9781009299725

Spence, D. P. (1982). Narrative truth and historical truth: Meaning and interpretation in psychoanalysis. W. W. Norton & Company.

Stolkiner, A. (2021). Prácticas en salud mental. Noveduc.

Sugarman, J. (2015). Neoliberalism and psychological ethics. Journal of Theoretical and Philosophical Psychology, 35(2), 103–116. https://doi.org/10.1037/a0038960

Teicher, M. H., Samson, J. A., Anderson, C. M., & Ohashi, K. (2016). The effects of childhood maltreatment on brain structure, function and connectivity. Nature Reviews Neuroscience, 17(10), 652–666. https://doi.org/10.1038/nrn.2016.111

Thayer, J. F., Ahs, F., Fredrikson, M., Sollers, J. J., & Wager, T. D. (2012). A meta-analysis of heart rate variability and neuroimaging studies: Implications for autonomic regulation and psychosomatic medicine. Neuroscience & Biobehavioral Reviews, 36(2), 747–756. https://doi.org/10.1016/j.neubiorev.2011.11.009

Ungar, M. (2012). Social ecologies and their contribution to resilience. In M. Ungar (Ed.), The social ecology of resilience: A handbook of theory and practice (pp. 13–31). Springer. https://doi.org/10.1007/978-1-4614-0586-3_2

Van der Kolk, B. A. (2015). The body keeps the score: Brain, mind, and body in the healing of trauma. Penguin Books.

Von Bertalanffy, L. (1968). General system theory. New York, 41973(1968), 40.

Wilson, E. O. (1998). Consilience: The unity of knowledge. Vintage Books.

Zubin, J., & Spring, B. (1977). Vulnerability: A new view of schizophrenia. Journal of Abnormal Psychology, 86(2), 103-126. https://doi.org/10.1037/0021-843X.86.2.103