{"title":"The Metaphor of Dissociation: Teleological, Phenomenological, Structural, Dynamical","authors":"E. Nijenhuis","doi":"10.3280/QPCOA.V0I44.8150.G416","DOIUrl":"https://doi.org/10.3280/QPCOA.V0I44.8150.G416","url":null,"abstract":"Dissociation as used in psychology and psychiatry is a troubled conceptual metaphor. The main problems include conflicting definitions and a lack of internal consistency of some of these formulations. Trying to mend the situation, Van der Hart, Nijenhuis and Steele (2006) revisited Janet's original definition of dissociation, and referred to it as \"structural dissociation of the personality\". This term is not meant to suggest that \"structural dissociation\" involves a particular kind of dissociation as is sometimes thought. To prevent or repair further misunderstanding, in the present article I highlight four inherent features of dissociation of the personality: teleological, phenomenological, structural, and dynamical. The article alsoaims to bridge some metaphors that are commonly described and understood as dichotomies, implying dualisms that plague philosophy, science, and clinical practice. For example, personality is understood as an organism-environment system, involving subjects and \"objects\" (that may be other subjects) as co-dependent and co-constitutive partners. Regarding matter (brain/body) and mind as attributes of one substance reflects an attempt to avoid the problems of philosophical (substance) dualism, as well as the one-sidedness of philosophical materialism and idealism. The generation, maintenance, and elaboration ofdissociation is analyzed in terms of causing, that is, the mutual manifestation of a network of reciprocal powers. The joint analyses involve an enactive approach to life, and intend to achieve further conceptual clarity and consistency of the metaphor of dissociation.","PeriodicalId":117083,"journal":{"name":"QUADERNI DI PSICOTERAPIA COGNITIVA","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125066366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Value of Hypnosis in the Resolution of Dissociation: Clinical Lessons from World War I on the Integration of Traumatic Memories","authors":"O. Hart","doi":"10.3280/QPC44-2019OA8148","DOIUrl":"https://doi.org/10.3280/QPC44-2019OA8148","url":null,"abstract":"Some World War I clinicians related the symptoms of traumatized servicemen to an underlying dissociation of their personality, consisting of two prototypical conditions: one involving functioning in daily life (inspired by Myers, whose work is also discussed in this article, and which will be labeled apparently normal part of the personality [ANP]) and one involving fixation in the traumatic experience and related attempts at defense (emotional part of the personality [EP]). These authors described two dissociative patterns. As illustrated in this article, one pattern consisted in the presentation of a dominant ANP suffering from constant or frequent intrusions from EP. The other pattern consisted in repeated complete alternations between ANP and EP. Instead of the use of purely symptom-oriented approaches, for the dissociative symptoms to be really resolved, an integration of traumatic memory in the personality, that is, between EP and ANP had to take place. These clinicians used hypnosis to access the traumatic memory and EP and to foster such integration; they agreed on the importance of the quality of the therapeutic relationship in this regard. However, they differed in opinion and practice as to the need to assists patients in their expression of traumatic emotions during this process. When the trauma was related merely to war experiences, such therapeutic processes took place within a simple phase-oriented treatment model, while in the presence of a history of previous trauma and related dissociation of the personality, this model had more complex applications. This is similar to modern treatment approaches of the sequelae - such as a complex dissociative disorder - of chronic (childhood) traumatization.","PeriodicalId":117083,"journal":{"name":"QUADERNI DI PSICOTERAPIA COGNITIVA","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133864498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"L'EMDR nel trattamento del trauma complesso","authors":"Paola Castelli Gattinara, A. Onofri","doi":"10.3280/qpc44-2019oa8152","DOIUrl":"https://doi.org/10.3280/qpc44-2019oa8152","url":null,"abstract":"Questo lavoro affronta il trattamento del trauma complesso utilizzando il modello di rielaborazione adattiva dell'informazione (AIP). Tale modello, che è alla base dell'approccio EMDR, un approccio evidence based, per il trattamento del PTSD, si è recentemente arricchito integrando sia la teoria dell'attaccamento sia il modello della dissociazione strutturale proposto da Van der Hart (2006). Questa articolazione ha permesso di trattare le memorie traumatiche connesse a quadri psicopatologici molto più complessi come i disturbi dissociativi, quelli borderline di personalità e, più in generale, alla sintomatologia collegata auno sviluppo traumatico.Attraverso esemplificazioni cliniche, verranno illustrate alcune procedure specifiche per affrontare le difese collegate al trauma che mantengono la dissociazione come la fobia dell'attaccamento e del rifiuto, in particolare per quanto riguarda il terapeuta, la fobia delle proprie esperienze interne basata su intense emozioni di vergogna, paura o disgusto, la fobia delle parti dissociative della personalità ecc.","PeriodicalId":117083,"journal":{"name":"QUADERNI DI PSICOTERAPIA COGNITIVA","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127784673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recensioni","authors":"S. Fadda, G. Rampoldi","doi":"10.3280/qpc44-2019oa8153","DOIUrl":"https://doi.org/10.3280/qpc44-2019oa8153","url":null,"abstract":"","PeriodicalId":117083,"journal":{"name":"QUADERNI DI PSICOTERAPIA COGNITIVA","volume":"0817 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126910719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Finalmente abbiamo capito l'importanza di studiare il trauma e la dissociazione","authors":"Benedetto Farina","doi":"10.3280/qpc44-2019oa8147","DOIUrl":"https://doi.org/10.3280/qpc44-2019oa8147","url":null,"abstract":"","PeriodicalId":117083,"journal":{"name":"QUADERNI DI PSICOTERAPIA COGNITIVA","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116238528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F. Russo, Anna Torre, Diana La Rocca, Valeria Semeraro, Rosaria Monfregola, Lorenza Isola
{"title":"Fattori di rischio e fattori di protezione nella genitorialità adottiva","authors":"F. Russo, Anna Torre, Diana La Rocca, Valeria Semeraro, Rosaria Monfregola, Lorenza Isola","doi":"10.3280/qpc2018-043005","DOIUrl":"https://doi.org/10.3280/qpc2018-043005","url":null,"abstract":"","PeriodicalId":117083,"journal":{"name":"QUADERNI DI PSICOTERAPIA COGNITIVA","volume":"23 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120970004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Florindo Sacchi, E. Mercuri, M. Pane, Daniela Chieffo, Benedetto Farina
{"title":"Il profilo dei deficit neuropsicologici cognitivi della malattia di Duchenne: uno studio empirico controllato e le sue ricadute psicoter apiche","authors":"Florindo Sacchi, E. Mercuri, M. Pane, Daniela Chieffo, Benedetto Farina","doi":"10.3280/QPC2018-043003","DOIUrl":"https://doi.org/10.3280/QPC2018-043003","url":null,"abstract":"","PeriodicalId":117083,"journal":{"name":"QUADERNI DI PSICOTERAPIA COGNITIVA","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123202938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E. Vercillo, Giancarlo Santone, Rossella Carnevali
{"title":"Strategie farmaco terapeutiche nei disturbi post-traumatici. L'esperienza su una popolazione di rifugiati","authors":"E. Vercillo, Giancarlo Santone, Rossella Carnevali","doi":"10.3280/QPC2018-043002","DOIUrl":"https://doi.org/10.3280/QPC2018-043002","url":null,"abstract":"","PeriodicalId":117083,"journal":{"name":"QUADERNI DI PSICOTERAPIA COGNITIVA","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126241787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cristiana Patrizi, Valeria Semeraro, Maria Pontillo, Rosaria Monfregola, Lorenza Isola
{"title":"Riflessione sulla diagnosi del perfezionismo in età evolutiva","authors":"Cristiana Patrizi, Valeria Semeraro, Maria Pontillo, Rosaria Monfregola, Lorenza Isola","doi":"10.3280/QPC2018-043006","DOIUrl":"https://doi.org/10.3280/QPC2018-043006","url":null,"abstract":"","PeriodicalId":117083,"journal":{"name":"QUADERNI DI PSICOTERAPIA COGNITIVA","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121437238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"La specificità della memoria autobiografica e il fenomeno dell'ipergeneralizzazione della memoria: note cliniche e di ricerca","authors":"M. Adenzato, Simone Pellegrino, R. Ardito","doi":"10.3280/QPC2018-043004","DOIUrl":"https://doi.org/10.3280/QPC2018-043004","url":null,"abstract":"","PeriodicalId":117083,"journal":{"name":"QUADERNI DI PSICOTERAPIA COGNITIVA","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129638053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}