THIS DOI METADATA WAS LAST UPDATED: 2024-01-10 22:44
Full Title
PSICOBIETTIVO
Publisher
FrancoAngeli
ISSN
0392-2952 (Printed Journal)
1972-487X (Online Journal)
Journal Issue Number
1
Journal Issue Designation
1
Journal Issue Date (YYYY/MM)
2015/06
Full Title
valutazione psichiatrica e sistemi motivazionali nella sincope neuromediata
By (author)
First Page
89
Last Page
107
Language of text
Italian
Publication Date
2015/06
Copyright
2015 FrancoAngeli srl
Introduction or preface
Il presente articolo riporta i risultati di tre studi incentrati sull'ipotesi che la sincope neuromediata tragga origine da un processo psicopatologico dissociativo "somatoforme". Il primo studio, condotto su un campione di 61 pazienti, indaga le possibili relazioni tra una storia evolutiva di tipo traumatico, la presenza di sintomi dissociativi e lo sviluppo della sincope vasovagale. Nel secondo studio, è stata condotta una valutazione psichiatrica di 31 pazienti affetti da sindrome vasovagale, con particolare attenzione alla sintomatologia, sia di entità clinica che subclinica, riferita ad aspetti dissociativi o alla difficoltà di identificazione delle proprie emozioni (alessitimia). Infine, nel terzo studio si è rilevato l'assetto motivazionale di 30 pazienti affetti da sincope vasovagale con il metodo AIMIT; l'ipotesi di ricerca è che in tali pazienti una focalizzazione sui propri problemi (sintomi somatici) costituisca una strategia compensatoria a fronte di una tendenza sottostante ad un crollo dissociativo. I risultati confermano in via preliminare le ipotesi avanzate.
Unstructured Citation
American Psychiatric Association (2000) DSM-IV-TR. Diagnostic and Statistical Manual of Mental Disorders (Text Revision), Washington, DC: APA
Unstructured Citation
Bonadies M., Di Trani M., Solano L., Tumbiolo F., Piacentini F., Ammirati F. (2006) “Le caratteristiche psicologiche dei pazienti con diagnosi di sincope vasovagale: studio osservazionale su sessanta soggetti”, G. Ital. Cardiol., 7
Unstructured Citation
Bowlby J. (1989) Una base sicura, Raffaello Cortina, Milano
Unstructured Citation
Bromberg P.M. (2006) Clinica del trauma e della dissociazione, Raffaello Cortina, Milano
Unstructured Citation
Caretti V., Ducci G., Monticelli F., Porcelli P., Banchetti S., Bedeschi L.,
Unstructured Citation
Ciolfi A., Ciulla S., Crapraro G., Lepore M., Pietropaoli E., Zangrilli A.,
Unstructured Citation
Ricci R., Santini M., Schimmenti A. (2009) An empirical study through the use of TSI-A and SCID-D on affective dysregulation, traumatic experiences and dissociative phenomenons in patients with vaso-vagal sindrome.Affect Dysregulation, Traumatic Experiences and Dissociation in Patients with Vaso-vagal Syndrome, XX World Congress on Psychosomatic Medicine, Torino, Italy
Unstructured Citation
Caretti V., Porcelli P., Solano L., Schimmenti A., Bagby M., Taylor G.J. (2011) “Reliability and validity of the Toronto Structured
Interview for Alexithymia in a mixed clinical and nonclinical sample from Italy”, Psychiatry Res., 10.1016/j.psychres.2011.02.015
https://doi.org/10.1037/t29400-000
Unstructured Citation
Damasio A. (2003) Looking for Spinoza: Joy, sorrow, and the feeling brain, Harcourt, Orlando, Fl
Unstructured Citation
Fanselow M.S., Lester L.S. (1988) “A functional behavioristic approach to aversively motivated behavior: predatory imminence as a determinant of the topography of defensive behavior”, in Bolles R.C., Beecher M.D. (eds.), Evolution and learning, Erlbaum, Hillsdale, NJ, pp. 185-211 Janet P. (1929) L’evolution psychologique de la personnalitè, Chaine, Paris
Unstructured Citation
Kauhanen J., Kaplan G.A., Cohen R.D., Salonen R., Salonen J.T. (1994)
Unstructured Citation
“Alexithymia may influence the diagnosis of coronary heart disease”, Psychosomatic Medicine, 56: 237-244
https://doi.org/10.1097/00006842-199405000-00010
Unstructured Citation
LeDoux J.E. (1996) The emotional brain: The mysterious underpinnings of emotional life, Simon and Schuster, New York
Unstructured Citation
Liotti G. (1994/2005) La dimensione interpersonale della coscienza, Carocci, Roma
Unstructured Citation
Liotti G. (2004) “Trauma, dissociation and disorganized attachment: Three strands of a single braid”, Psychotherapy: Theory,
Research, Practice, Training, 41, 4: 472-486
https://doi.org/10.1037/0033-3204.41.4.472
Unstructured Citation
Liotti G., Monticelli F. (2008) I sistemi motivazionali nel dialogo clinico. Il manual Aimit, Raffaello Cortina, Milano
Unstructured Citation
Nemiah J.C., Freyberger H., Sifheos P.E. (1976) “Alexithymia: a view of the psychosomatic process”, in Hill O.W. (ed.), Modern trends in psychosomatic medicine, Butterworths, London, vol. 3, pp. 430-439
Unstructured Citation
Nijenhuis E.R.S. (2007) La dissociazione somatoforme, Astrolabio, Roma
Unstructured Citation
Nijenhuis E.R.S. (2004) Somatoform Dissociation, Phenomena, Measurement and
Unstructured Citation
Theoretical issues, Norton & Company, W.W. New York
Unstructured Citation
Nijenhuis E.R.S., Vanderlinden J., Spinhoven P. (1998) “Animal defensive reactions as a model for trauma-induced dissociative
reactions”, Journal of Traumatic Stress, 11: 243-260
https://doi.org/10.1023/A:1024447003022
Unstructured Citation
Sbardella A., Zangrilli A. (2009) “Mentalizzazione, trauma e patologia mentale: riflessioni teoriche e caso clinico”, in Di Sauro R., Pennella A.R., La mente nella mente. Teoria e clinica della funzione riflessiva, Aracne, Roma
Unstructured Citation
Solano L. (2001) Tra mente e corpo, Raffaello Cortina, Milano
Unstructured Citation
Solano L., Toriello A., Barnaba L., Ara R., Taylor G.J. (2000) “Rorschach interaction patterns, alexithymia, and closeness
to parents in psychotic and psychosomatic patients”, Journal of American Academy of psychoanalysis, 28: 101-116
https://doi.org/10.1521/jaap.1.2000.28.1.101
Unstructured Citation
Steinberg M. (2000) “Advances in the clinical assessment of dissociation: the SCID-D-R”, Bulletin of the Menninger Clinic, 64, 2: 146-163
Unstructured Citation
Steinberg M., Schnall M. (2001) The Stranger in the Mirror. Dissociation n the Mirror, Harper Collins, New York
Unstructured Citation
Stevenson R.L. (1886) Strange case of Dr Jekyll and Mr Hyde, Longmans, Green & co., London
Unstructured Citation
Taylor G.J. (1993) Medicina Psicosomatica e psicoanalisi contemporanea, Astrolabio, Roma
Unstructured Citation
Taylor G.J. (1994) “The alexithymia construct: conceptualization, validation, and relationship with basic dimensions of personality”, New Trends in Experimental and Clinical Psychiatry, 10: 61-74
Unstructured Citation
Taylor G.J., Bagby R.M., Parker J.D.A. (1997) Disorders of affect regulation: Alexithymia in medical and psychiatric illness,
Cambridge University Press, Cambridge
https://doi.org/10.1017/CBO9780511526831
Unstructured Citation
Temoshok L.R. (1987) “Personality, coping style, emotion, and cancer: toward an
Unstructured Citation
integrative model”, Cancer Surveys, 837-57
Unstructured Citation
Van der Hart O., Nijenhuis E.R.S., Steele K. (2011) Fantasmi nel sé, Raffaello Cortina, Milano
Unstructured Citation
Veith I. (1965) Hysteria: The History of a disease, University of Chicago Press, Chicago
Unstructured Citation
Waldstein S.R, Kauhanen, J., Neumann S.A., Katzel L.I. (2002) “Alexithymia and cardiovascular risk in older adults: psychosocial,
psychophysiological, and biomedical correlates”, Psychology and Health, 17: 597-610
https://doi.org/10.1080/08870440290025803
Unstructured Citation
Experience of Shame Scale (ESS) (Andrews, Quian, Valentine, 2002)
Unstructured Citation
McGill Illness Narrative Interview (MINI) (McGill, 2006)
Unstructured Citation
Impact of Event Scale (IES-R) (Weiss, Marmar, 1997)
Unstructured Citation
Inventario delle Esperienze Traumatiche (TEC) (Nijenhuis, Van der Hart, Vanderlinden, Assen-Amsterdam-Leuven)
Unstructured Citation
Hopkins Symptom Checkist (HCSL 25) (Parloff et al. 1954; Rickels et al., 1980).
Unstructured Citation
Structured Clinical Interview for Dissociative for Disorders (SCID-D) (Steinberg, 2000)
Unstructured Citation
Dissociative Experiences Scale Revised (DES-II) (Carlson, Putnam, 1993)
Unstructured Citation
Somatoform Dissociation Questionnaire (SDQ-20) (Nijenhuis, 1999)
Unstructured Citation
Childhood Experiences of Care and Abuse Questionnaire (CECA-Q) (Bifulco et al., 2005)
Unstructured Citation
Toronto Structured Interview for Alexithymia (TSIA) (Bagby et al., 2006)
Unstructured Citation
20 Items Toronto Alexythimia Scale (TAS-20) (Bagby, Parker, Taylor, 1994)