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Narrare ricordi positivi e negativi di malattia: l'influenza sul tono emotivo e sulla memoria autobiografica
Contributo di ricerc
Countertransference dreams about patients suffering from oncological diseases
Introduction. Very few studies investigated countertransference in psycho-oncological settings and mainly about single case studies reporting emotional responses of therapists. Nevertheless, researches in clinical and psychodynamic psychology field stress the importance of studying countertransference, as well as countertransference dreams, to understand the therapeutic relationship and the patient’s experience of suffering.
The present work aims to discuss results of a qualitative study on narratives about dreams of countertransference in Italian psycho-therapists facing the relationship with patients suffering from an oncological disease.
Methods. 32 Italian psychotherapists of different approach took part in the present study and narrated their countertransference dreams in relation to the therapeutic relationship with a patient suffering from a tumor. Narratives were collected anonymously and analysed by means of an inductive-data driven thematic analysis as theorized by Braun and Clarke.
Results. Four main themes emerged from thematic analysis: the theme “crossing the setting boundaries”, saturating the 67% of collected narratives and defining the presence in dreams of experience of meeting and supporting the patient in their daily life and out of the clinical setting, “feeding the suffering body and the relationship”, referring to dreams about experiences of eating with the patient enjoying the feeding experience and saturating the 23% of narratives, “touching the patient” (54%), in which participants narrated the attempt to feel themselves close to a patient touching and embracing them, and “anguish due to contagion” (18%), referring to psychotherapists’ fear of being sick or being infected by the disease and the treatments symptoms.
In the 58% of narratives two of more themes were co-present. No differences in themes occurrence were found considering participants’ age, length of service or gender.
Discussion. The author discusses results considering psycho-dynamic literature about countertransference and evidence on meanings related to the oncological illness experience and psycho-somatic issues. Future directions of the study and ongoing studies are also reported
Narrating positive and negative memories of illness: The influence on emotional involvement and autobiographical memory
Exploring care relationships: the role of personal narratives and emotional responses
Care relationships have been investigated by means of variables such as satisfaction, trust, compliance and
personality traits related to relationship outcomes. Few studies used narratives and emotional responses to
investigate relationships between health professionals and patients. Starting from the consideration that
narrative is a relational act (Bruner, 2004) and that all relationships are strictly dependent on narrative
among their members (Smorti, 2019), the proposed symposium aims to bring evidence to the use of narrative
and emotional responses in exploring care relationships, comparing different methods of data collection and
data analysis. Five groups of research will present their studies: two groups from Padua and Perugia will
present three studies on analysis of care relationships in psychotherapy as a tool to investigate patients’
trauma, emotional involvement in relation and countertransference experience. Firenze and Salerno will focus
on the use of narratives as a tool to investigate care relationships in medicine and to promote education
to communication and socio-emotional skills. The invited discussant will promote a discussion comparing
and analyzing different methodological uses and roles of personal narratives in exploring relationships of
care contexts
Tringali, D., Fioretti, C., Lauro-Grotto, R., Padilla Muñoz, E.M., Papini, M. (2011). Take care of a child with a brain tumor: The point of view of a physiatrist in a pediatric oncohaematology department. XII national S.I.P.O. conference, Brescia, Italy, 22-25 November 2011
poster in convegn
Scrivere o parlare dei ricordi: il ruolo della narrazione sulla regolazione emotiva
Introduzione. La letteratura ha evidenziato il ruolo essenziale della narrazione nell’influenzare le emozioni legate alla memoria autobiografica. La narrazione consente, infatti, di riorganizzare le esperienze personali e di regolare le emozioni legate ai ricordi spiacevoli. Gli effetti della narrazione dipendono però in larga misura dal contesto in cui essa avviene. È stato dimostrato che la narrazione tramite scrittura porta a molteplici benefici emotivi; al tempo stesso, anche la narrazione orale che avviene con un ascoltatore attento e responsivo, rispetto a una narrazione con un ascoltatore distratto, è benefica. Tuttavia, non abbiamo molti dati in merito al confronto diretto tra scrittura e racconto orale sui processi di regolazione emotiva, né l’ascolto empatico è stato comparato con altre modalità di ascolto diverse dall’ascolto distratto. Lo scopo del presente studio è dare una prima risposta a questi due interrogativi.
Metodo. 137 adulti emergenti (M = 22,02 DS = 1,96, 67,2% femmine) hanno rievocato un ricordo spiacevole legato alle Scuole Superiori, scegliendo da una lista di emozioni positive e negative le emozioni legate a questo ricordo. Successivamente, i partecipanti sono stati suddivisi in 4 gruppi: 32 hanno raccontato il loro ricordo a un ascoltatore empatico, 35 a un ascoltatore attento ma non empatico, 35 lo hanno messo per iscritto e 35 hanno riflettuto silenziosamente sul ricordo, senza narrarlo. In seguito, è stato chiesto di attribuire le emozioni relative alla narrazione/riflessione svolta; inoltre, i partecipanti che hanno raccontato il ricordo sono stati valutati sui processi di regolazione emotiva legati alla narrazione, in particolare sull’espressione delle emozioni e sulla rivalutazione cognitiva del ricordo.
Risultati. La narrazione, sia che avvenga per iscritto, sia che avvenga con due ascoltatori con atteggiamenti differenti, produce un aumento delle emozioni positive (traccia di Pillai = 0,10, F(3,133) = 4,99, p < .01, η2 parziale = 0,10) e una diminuzione di quelle negative (traccia di Pillai = 0,08, F(3,133) = 3,99, p < .01, η2 parziale = 0,08) rispetto alla non-narrazione. Inoltre, in tutti e tre i contesti di narrazione, i partecipanti sono riusciti a esprimere liberamente le loro emozioni nel racconto (F(2,101) = 0,37, p = n.s.), ma soltanto quando hanno parlato con un ascoltatore empatico hanno rivalutato cognitivamente il proprio ricordo (F(2,101) = 4,35, p < 0.05).
Discussione e conclusioni. La narrazione, sia che avvenga per iscritto, sia che avvenga in forma di racconto orale condiviso con un ascoltatore, si configura come uno strumento efficace di regolazione emotiva che consente di modificare il tono emotivo spiacevole dei ricordi e di esternare il proprio vissuto. Tuttavia, i ricordi hanno maggiore possibilità di essere rivalutati in una prospettiva positiva soprattutto quando il racconto viene accolto in maniera empatica e co-costruito con un ascoltatore attivo e responsivo
The experience of cancer in childhood: analysis of autobiographical narratives"
poster in atti di convegn
Narrating positive versus negative memories of illness: Does narrating influence the emotional tone of memories?
Psychoncological studies have recognised a reduced autobiographical memory in
cancer patients, furthermore cognitive studies have found that narrative is an effective
instrument to re-elaborate
memories. However, it is still unclear whether narrating
positive versus negative events can have a different impact on autobiographical
memory. The present study aims to explore the emotional experience of autobiographical
memory before and after having narrated negative or positive events
related to the illness. Of 63 oncological patients, 35 were selected for the present
study. Participants completed a Memory Fluency Task twice, before and after having
selected and narrated a positive (PN group) or a negative (NN group) memory
of illness. They also had to attribute one or more emotions to each memory and
to the narrative. The number of emotions and the percentage of emotional tones
in both narrated and non-narrated
memories were assessed. Narrated memories
were more emotionally re-elaborated
than non-narrated
ones. Negative group participants,
more than positive group ones, decreased negative emotions and increased
complex ones. Authors discuss these results claiming that narrating works as a
rehearsal of autobiographical memories in oncological patients and narrating negative
memories eases the emotional re-elaboration
of illnes
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