Sense of self and psychosis, part 2: A single case study on amniotic therapy

IF 0.9 Q2 PSYCHOLOGY, PSYCHOANALYSIS
M. Peciccia, Alessandro Germani, M. Ardizzi, Livia Buratta, F. Ferroni, C. Mazzeschi, V. Gallese
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Abstract

Abstract Some people diagnosed with schizophrenia show an alteration of the sense of self. From a psychodynamic perspective, it has been hypothesized they have disorders of the integration of self/other identification/differentiation processes. From a neuroscientific view some with this diagnosis present dysfunctions in neural correlates of representation of self from other (the implicit sensorimotor-based bodily self), and self united with other. In “Sense of self and psychosis, part 1” we discussed scientific literature offering empirical evidence for the psychodynamic clinical observations that patients with diagnoses of psychoses didn't receive adequate early infancy parental care and sufficient affective-sensorial/tactile interactions. Introducing parental care/cutaneous interactions seemed relevant in the analytic treatment of psychoses, as the pioneers of the psychoanalytic approach to psychosis suggested. From this theoretical basis we developed amniotic therapy, which reproduces the affective-tactile interactions of early infancy, insufficient in cases of psychosis, and aims at integrating the processes of differentiation and identification. We present a single case study of an experimental intervention plan including amniotic therapy. Results showed increases in interoception and global functioning, with significant decreases in positive symptoms suggesting that amniotic therapy contributes to increasing the protective strength of self-boundaries and integration of identification/differentiation processes.
自我意识与精神病,第2部分:羊膜治疗的个案研究
一些被诊断为精神分裂症的人表现出自我意识的改变。从心理动力学的角度来看,假设他们有自我/他人认同/分化过程整合障碍。从神经科学的角度来看,一些患有这种诊断的人表现出自我与他人(基于内隐感觉运动的身体自我)表征的神经相关功能障碍,以及自我与他人的结合。在“自我意识与精神病,第一部分”中,我们讨论了科学文献,为心理动力学临床观察提供了经验证据,即被诊断为精神病的患者在婴儿期没有得到足够的父母照顾和足够的情感-感官/触觉互动。正如精神病精神分析方法的先驱们所建议的那样,引入父母关怀/皮肤相互作用似乎与精神病的分析治疗有关。从这一理论基础上,我们发展了羊膜疗法,它再现了早期婴儿的情感-触觉互动,在精神病病例中不足,旨在整合鉴别和识别过程。我们提出了一个单一的案例研究的实验性干预计划,包括羊膜治疗。结果显示内感受和整体功能增加,阳性症状显著减少,表明羊膜治疗有助于增强自我边界的保护强度和识别/分化过程的整合。
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来源期刊
International Forum of Psychoanalysis
International Forum of Psychoanalysis PSYCHOLOGY, PSYCHOANALYSIS-
CiteScore
0.80
自引率
28.60%
发文量
22
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