1,720,990 research outputs found
"Organizzazione di personalità, disturbi della personalità e reazioni emotive dei clinici: Una ricerca empirica clinicamente utile"
No full textThe aim of this study was to explore the relationship between the emotional reactions of clinicians and patients' level of personality organization and personality style diagnosis, assessed by the Psychodynamic Diagnostic Manual-2 (PDM Task Force, 2017).
We asked 232 clinicians to assess one patient each using the Psychodynamic Diagnostic Prototypes-2 (Gazzillo, Genova, & Lingiardi, 2014) and to complete the Therapist Response Questionnaire (Betan, Heim, Zittel-Conklin, & Westen, 2005). Patients' level of personality pathology was positively associated with helpless and overwhelmed responses and negatively with positive responses.
Parental and disengaged responses were associated with schizoid, anxious and dependent personalities. Parental and criticized responses were associated with narcissistic personalities, while their depressed versions were positively associated with parental reactions, but negatively with positive reactions. Parental and overwhelmed responses were associated with counter-dependent and passive- aggressive dependent personalities; the latter also with criticized reactions. Disengaged responses were associated with depressive personalities, particularly with their introjective subtypes, and with obsessive-compulsive and somatizing personalities. Overwhelmed reactions were associated with relational self-defeating and hysterical/histrionic personalities; the latter also with sexualized reactions. Finally, sexualized and helpless reactions were connected to hypomanic personalities.
These findings seem to support the idea that emotional reactions can be useful for understanding patients' personality features
Interpersonal guilt and transference dimensions: an empirical investigation
No full textSome of the authors that studied the relation between transference and psychopathology belongs to the San Francisco Psychotherapy Research Group. They did their research following the Control Mastery Theory model (CMT; Weiss, 1993; Silberschatz, 2005). According to the authors, Personality is a predictor of the quality of Transference but this relation is also influenced, and mediated, by Interpersonal Guilt. Guilt may be the source of both defenses and transference, and the patient uses it to protect himself and his therapist from dangers. Following this theory, Guilt, interpreted like interpersonal and prosocial, is a dysfunctional emotion when fed by Pathogenic Beliefs (erroneous assumptions that bring the person to explain his behavior like necessary to avoid guilt feelings and disloyalty) and it may be a Transference manifestation or its organizer. The patient may idealize, sexualize or devaluate his therapist; he may be worried about being a source of pain for his analyst, in the same way he was worried, once, about causing pain to his relatives (Bush, 2005). The aim of this study is to empirically investigate the relation between Interpersonal Guilt and Transference. The measures used in this study are the Interpersonal Guilt Rating Scale – 15 (Gazzillo et al., in press) to assess Guilt; and the Personality Relationship Questionnaire (Bradley et al., 2005; Tanzilli et al., 2017), to assess the transference. Preliminary analysis shows a significant relation between Survivor Guilt and Hostile transference dimension, as well as between Omnipotence Guilt and Positive/working alliance transference dimension; between Separation and Survivor Guilt and Anxious/preoccupied transference dimension and between Separation Guilt and Sexualized transference dimension. These results confirm the hypothesis that guilt, as interpersonal emotion, is primarily related to transference that is, by definition, a prosocial phenomena that distinguish the therapeutic situation
Il Merton Gill Single Case Study: La valutazione del processo psicoanalitico con le Scale del Processo Analitico (APS) e con le Scale dell’Interazione Dinamica (DIS).
No full textRicerca su processo ed esito di un caso singolo condotto da Merton Gill negli anni '7
Personality organization, personality styles, and the smotional reactions of treating clinicians
No full textThis study explores the relationship between clinicians’ emotional reactions and patients’ level of personality organization and personality style assessed according to the Psychodynamic Diagnostic Manual-2 (Lingiardi & McWilliams, 2017). Level of personality pathology was positively associated with helpless and overwhelmed responses and negatively with positive responses. Parental and disengaged responses were associated with schizoid, anxious and dependent personalities. Parental and criticized responses were associated with narcissistic personalities; their depressed versions were positively associated with parental reactions, but negatively with positive reactions. Parental and overwhelmed responses were associated with counter-dependent and passive-aggressive dependent personalities; the latter also with criticized reactions. Disengaged responses were associated with depressive personalities, particularly with their introjective subtypes, obsessive-compulsive and somatizing personalities. Overwhelmed reactions were associated with relational self-defeating and hysterical/histrionic personalities, the latter also with sexualized reactions. Sexualized and helpless reactions were connected to hypomanic personalities. Findings show that emotional reactions can be useful for understanding personality feature
Individuazione dei fattori di cura che determinano l’efficacia delle psicoterapie psicodinamiche nel trattamento di pazienti nevrotici.
No full textL'obiettivo di questo studio, che si colloca fra gli studi di ultima generazione su processo ed esito delle psicoanalisi (Wallerstein, 2001, 2006), è individuare i fattori terapeutici attivi nelle terapie dinamiche good outcome di pazienti con organizzazione nevrotica di personalità, per i quali la psicoanalisi rappresenta il trattamento d’elezione (Kernberg, 2004).
A partire da un campione di 32 trattamenti analitici interamente audioregistrati e trascritti abbiamo scelto in modo casuale 6 trattamenti, e da questi abbiamo selezionato 60 sedute: 2 all’inizio, 2 dopo due mesi, 2 a metà trattamento, 2 a due mesi dalla fine e le ultime 2 sedute. Tutte le sedute sono state analizzate con: lo Psychotherapy Process Q-Set (Jones, 1985, 2000), per la valutazione del processo terapeutico; il Working Alliance Inventory–Observer (Horvath, 1981, 1982; Horvath, Greenberg, 1989) per la valutazione dell’alleanza terapeutica; la Depth Scale of Session Evaluation Questionnaire (Stiles, Snow, 1984) per la valutazione della profondità dell'elaborazione. Le prime 8 e le ultime 8 sedute di ciascun trattamento sono state poi valutate con la Shedler Westen Assessment Procedure-200 (SWAP; Westen, Shedler, 1999 a, b) per la valutazione della personalità sana e patologica e con la Scala di Valutazione Globale del Funzionamento (VGF; APA, 2000).
I risultati di questo studio mostrano che elementi tecnici specifici, come gli interventi focalizzati sui pattern relazionali tipici del paziente e le interpretazioni centrate su transfert e conflitti sono associati a un miglioramento del funzionamento della personalità del paziente, a una maggiore capacità di elaborazione e a una migliore alleanza terapeutica
Cenni sull'abuso di sostanze
No full textIl capitolo offre una panoramica delle condotte di abuso, descrivendo i quadri psicopatologici da un punto di vista diagnostico, clinico, dinamico e biologico
Patients' crying experiences in psychotherapy: Relationship with the patient level of personality organization, clinician approach, and therapeutic alliance
No full textThe present study sought to further understand patients’ crying experiences in psychotherapy. We asked
64 clinicians to randomly request one patient in their practice to complete a survey concerning crying in
psychotherapy as well as a measure of therapeutic alliance. All clinicians provided information regarding
their practice and patient diagnostic information. Fifty-five (85.93%) patients cried at least once, and 18
(28.1%) had cried during their most recent session. Patients’ frequency of crying episodes in therapy was
negatively related with psychotic level of personality organization, while patients’ tendency to feel more
negative feelings after crying was positively related to lower levels of personality organization. Patients’
feeling more in control after crying was positively related with an interpersonal therapeutic approach,
while patients’ perception of therapists as more supportive after crying was positively related to a
psychodynamic approach. Patients’ tendency to experience more negative feelings after crying was
significantly related with both lower levels of personality organization and patients’ perception of the
therapeutic alliance as weak. In regard to their most recent crying event in treatment, therapeutic alliance
was related to gaining a new understanding of experience not previously recognized by the patient.
Further, patients’ experiences of having never told anyone about their experience related to a crying
episode, as well as their realization of new ideas and feeling of having communicated something that
words could not express was positively related to the goal dimension of alliance. Patients’ perception of
crying as a moment of genuine vulnerability, greater feelings of self-confidence and self-disclosure as
well as having had a therapist response that was compassionate and supportive, was positively related
with the bond dimension of alliance. Clinical implications and future research directions regarding patient
crying experiences in psychotherapy are discussed.The present study sought to further understand patients' crying experiences in psychotherapy. We asked 64 clinicians to randomly request one patient in their practice to complete a survey concerning crying in psychotherapy as well as a measure of therapeutic alliance. All clinicians provided information regarding their practice and patient diagnostic information. Fifty-five (85.93%) patients cried at least once, and 18 (28.1%) had cried during their most recent session. Patients' frequency of crying episodes in therapy was negatively related with psychotic level of personality organization, while patients' tendency to feel more negative feelings after crying was positively related to lower levels of personality organization. Patients' feeling more in control after crying was positively related with an interpersonal therapeutic approach, while patients' perception of therapists as more supportive after crying was positively related to a psychodynamic approach. Patients' tendency to experience more negative feelings after crying was significantly related with both lower levels of personality organization and patients' perception of the therapeutic alliance as weak. In regard to their most recent crying event in treatment, therapeutic alliance was related to gaining a new understanding of experience not previously recognized by the patient. Further, patients' experiences of having never told anyone about their experience related to a crying episode, as well as their realization of new ideas and feeling of having communicated something that words could not express was positively related to the goal dimension of alliance. Patients' perception of crying as a moment of genuine vulnerability, greater feelings of self-confidence and self-disclosure as well as having had a therapist response that was compassionate and supportive, was positively related with the bond dimension of alliance. Clinical implications and future research directions regarding patient crying experiences in psychotherapy are discussed
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