Dissociative psychopathological dimension and developmental trauma

Journal title PSICOBIETTIVO
Author/s Benedetto Farina,, Giovanni Liotti
Publishing Year 2018 Issue 2018/3 Language Italian
Pages 13 P. 183-195 File size 152 KB
DOI 10.3280/PSOB2018-003018
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Dissociation is a term indicating Dissociative Disorders DSM category, a cluster of symptoms and trauma based psychopathological processes hampering the integration of mental functions. Dissociative processes cause dissociative symptoms that could dominate some disorders like Dissociative Disorders but also spread to other disorders worsening the prognosis. The wide diffusion of dissociative symptomatology in many disorders, clinical observations and supporting experimental data about the effects of childhood adversities, suggest the presence of a dimensional psychopathology associated with developmental trauma worsening therapies outcome and that requires specific skills for an appropriate treatment.

Keywords: Dissociation; Developmental Trauma; Attachment Disorganization; Complex PTSD

  1. Amaral do Espirito Santo H.M., Pio-Abreu J.L. (2007) “Dissociative disorders and other psychopathological groups: exploring the differences through the Somatoform Dissociation Questionnaire (SDQ-20)”, Rev. Bras. Psiquiatr., 29 (4): 354-358. DOI: 10.1590/S1516-44462006005000039
  2. Amdur R.L., Liberzon I. (1996) “Dimensionality of dissociation in subjects with PTSD”, Dissociation, 9(2): 118-124
  3. Andersen S.L., Tomada A., Vincow E.S., Valente E., Polcari A., Teicher M.H. (2008) “Preliminary evidence for sensitive periods in the effect of childhood sexual abuse on regional brain development”, J. Neuropsychiatry Clin. Neurosci., 20(3): 292-301.
  4. APA (1994) Diagnostic and Statistical Manual of Mental Disorders IV (4th ed.), American Psychiatric Association, Washington DC (trad. it.: DSM-IV Manuale diagnostico e statistico dei disturbi mentali, Masson, Milano, 1996)
  5. APA (2000) Diagnostic and Statistical Manual of Mental Disorders IV-TR (4th ed.), American Psychiatric Association, Washington DC (trad. it.: DSM-IV TR Manuale diagnostico e statistico dei disturbi mentali – Text Revision, Masson, Milano, 2002)
  6. Bremner J.D., Brett E. (1997) “Trauma-related dissociative states and longterm psychopathology in posttraumatic stress disorder”, J. Trauma Stress, 10 (1): 37-49
  7. Brown R.J. (2006) “Different types of ‘dissociation’ have different psychological mechanisms”, J. Trauma Dissociation, 7(4): 7-28.
  8. Brown R.J., Cardena E., Nijenhuis E., Sar V., van der Hart O. (2007) “Should conversion disorder be reclassified as a dissociative disorder in DSM-V?”, Psychosomatics, 48(5): 369-378.
  9. Bryant R.A. (2010) “The complexity of complex PTSD”, Am. J. Psychiatry, 167(8): 879-881.
  10. Carlson E.A., Yates T.M., Sroufe L.A. (2009) “Dissociation and the Development of the Self”, in Dell P., O’Neil J.A. (eds.), Dissociation and Dissociative Disorders: DSM-V and beyond, Routledge, New York
  11. Chu J.A. (2010) “Posttraumatic stress disorder: Beyond DSM-IV”, Am. J. Psychiatry, 167(6): 615-617.
  12. Chu J.A., Dill D.L. (1990) “Dissociative symptoms in relation to childhood physical and sexual abuse”, Am. J. Psychiatry, 147(7): 887-892
  13. Classen C.C., Pain C., Field N.P., Woods P. (2006) “Posttraumatic personality disorder: a reformulation of complex posttraumatic stress disorder and borderline personality disorder”, Psychiatr. Clin. North Am., 29(1): 87-112, viii-ix.
  14. Clerici C.A., Veneroni L. (2011) Ipnosi animale: immobilità tonica e basi biologiche di trauma e dissociazione, Aracne, Roma
  15. Cloitre M., Cohen L.R., Koenen K.C. (2006) Treating survivors of Childhood Abuse: Psychotherapy for the interrupted life, Guilford, New York
  16. Cloitre M., Stovall-McClough K.C., Nooner K., Zorbas P., Cherry S., Jackson C.L., Gan W., Petkova E. (2010) “Treatment for PTSD related to childhood abuse: a randomized controlled trial”, Am. J. Psychiatry, 167(8): 915-924.
  17. De Bellis M.D. (2005) “The psychobiology of neglect”, Child Maltreat, 10(2): 150-172
  18. Dutra L., Bureau J.F., Holmes B., Lyubchik A., Lyons-Ruth K. (2009) “Quality of early care and childhood trauma: a prospective study of developmental pathways to dissociation”, J. Nerv. Ment. Dis., 197(6): 383-390.
  19. Ellenberger H.F. (1970) La scoperta dell’inconscio (trad. it.: Bollati Boringhieri, Torino, 1976)
  20. Farina B., Mazzotti E., Pasquini P., Mantione M.G. (in print) “Somatoform and Psychoform Dissociation among Women with Orgasmic and Sexual Pain Disorders”, Journal of Trauma and Dissociation
  21. Felitti V.J. (2009) “Adverse childhood experiences and adult health”, Acad. Pediatr., 9(3): 131-132.
  22. Fonagy P., Target C. (2008) “Attaccamento, trauma e psicoanalisi: dove la psicoanalisi incontra le neuroscienze”, in Jurist E.L., Slade A., Bergner S. (eds.), Da mente a mente (trad. it.: Raffaello Cortina, Milano)
  23. Freinkel A., Koopman C., Spiegel D. (1994) “Dissociative symptoms in media eyewitnesses of an execution”, Am. J. Psychiatry, 151(9): 1335-1339
  24. Green J.G., McLaughlin K.A., Berglund P.A., Gruber M.J., Sampson N.A., Zaslavsky A.M., Kessler R.C. (2010) “Childhood adversities and adult psychiatric disorders in the national comorbidity survey replication I: associations with first onset of DSM-IV disorders”, Arch. Gen. Psychiatry, 67(2): 113-123.
  25. Haaland V.O., Landro N.I. (2009) “Pathological dissociation and neuropsychological functioning in borderline personality disorder”, Acta Psychiatr. Scand., 119(5): 383-392.
  26. Harden C.L. (1997) “Pseudoseizures and dissociative disorders: a common mechanism involving traumatic experiences”, Seizure, 6(2): 151-155. DOI: 10.1016/S1059-1311(97)80070-
  27. Herman J.L. (1992a) “Complex PTSD: A syndrome in survivors of prolonged and repeated trauma”, Journal of Traumatic Stress, 5(3): 377-391
  28. Herman J.L. (1992b) Guarire dal Trauma: affrontare le conseguenze della violenza, dall’abuso domestico al terrorismo (trad. it.: Edizioni Scientifiche MaGi, Roma)
  29. Herman J.L. (2009) “Foreword”, in Courtois C., Ford J.D. (eds.), Treating Complex Traumatic Stress Disorders, Guilfrod Press, New York, pp. xiii-xvii
  30. Holmes E.A., Brown R.J., Mansell W., Fearon R.P., Hunter E.C., Frasquilho F., Oakley D.A. (2005) “Are there two qualitatively distinct forms of dissociation? A review and some clinical implications”, Clin. Psychol. Rev., 25(1): 1-23
  31. Howell E.F. (2005) The Dissociative Mind, The Analytic Press, Hillsdale, NJ, USA
  32. Krystal H. (1988) Affetto, trauma, alessitimia, MaGi, Roma, 2007
  33. Lanius R.A., Vermetten E., Loewenstein R.J., Brand B., Schmahl C., Bremner J.D., Spiegel D. (2010) “Emotion modulation in PTSD: Clinical and neurobiological evidence for a dissociative subtype”, Am. J. Psychiatry, 167(6): 640-647.
  34. Lanius R.A., Vermetten E., Pain C. (2010) The impact of early relational trauma on helath and disease. The hidden epidemic (2009/05/12 ed.), Cambridge University Press, Cambridge, UK
  35. Liotti G. (1992) “Disorganized attachment in the etiology of the dissociative disorders”, Dissociation, 5: 196-204
  36. Liotti G. (1994/2005) La dimensione interpersonale della coscienza , Carocci, Roma
  37. Liotti G. (2004) “Trauma, dissociation and disorganized attachment: Three strands of a single braid”, Psychotherapy: Theory, Research, Practice, Training, 41: 472-486. DOI: 10.1037/0033-3204.41.4.47
  38. Liotti G. (2009) “Attachment and Dissociation”, in Dell P., O’Neil J.A. (eds.), Dissociation and Dissociative Disorders: DSM-V and beyond, Routledge, New York
  39. Liotti G., Farina B. (2011) Sviluppi traumatici: eziopatogenesi, clinica e terapia della dimensone dissociativa, Raffaello Cortina, Milano
  40. Liotti G., Prunetti E. (2010) “Metacognitive deficits in trauma-related disorders: contingent on interpersonal motivational contexts?”, in Dimaggio G., Lysaker P.H. (eds.), Metacognition and severe adult mental disorders: From basic research to treatment, Routledge
  41. Lyons-Ruth K., Jacobvitz D. (2008) “Attachment disorganization: Genetic factors, parenting contexts, and developmental transformation from infancy to adulthood”, in Cassidy J., Shaver P. (eds.), Handbook of attachment: Theory, research, and clinical applications (2nd ed., pp. 666-697), Guilford Press, New York
  42. Main M., Hesse E. (1990) “Parents’ Unresolved Traumatic Experiences are related to Infant Disorganized Attachment Status: Is frightened/frightening parental behavior the linking mechanism?”, in Greenberg M., Cichetti D., Cummings M. (eds.), Attachment in the Preschool Years, University of Chicago Press, Chicago, pp. 121-160
  43. Meares R. (1999) “The contribution of Hughlings Jackson to an understanding of dissociation”, Am. J. Psychiatry, 156(12): 1850-1855
  44. Meares R. (2000) Intimità e alineazione, Raffaello Cortina, Milano, 2005
  45. Nijenhuis E.R. (2009) “Somatoform Dissociation and Somatoform Dissociative Disorders”, in Dell P., O’Neil J.A. (eds.), Dissociation and Dissociative Disorders: DSM-V and beyond, Routledge, New York
  46. Nijenhuis E.R., Spinhoven P., Vanderlinden J., van Dyck R., van der Hart O. (1998) “Somatoform dissociative symptoms as related to animal defensive reactions to predatory imminence and injury”, J. Abnorm. Psychol., 107(1): 63-73
  47. Nijenhuis E.R., van Dyck R., ter Kuile M.M., Mourits M.J., Spinhoven P., van der Hart O. (2003) “Evidence for associations among somatoform dissociation, psychological dissociation and reported trauma in patients with chronic pelvic pain”, J. Psychosom. Obstet. Gynaecol., 24(2): 87-98
  48. Ogawa J.R., Sroufe L.A., Weinfield N.S., Carlson E.A., Egeland B. (1997) “Development and the fragmented self: longitudinal study of dissociative symptomatology in a non-clinical samples”, Development and Psychopathology, 9: 855-879
  49. Porges S.W. (1997) “Emotion: an evolutionary by-product of the neural regulation of the autonomic nervous system”, Ann. N.Y. Acad. Sci., 807: 62-77
  50. Porges S.W. (2001) “The polyvagal theory: phylogenetic substrates of a social nervous system”, International Journal of Psychophysiology, (42): 123-146
  51. Putnam F. (1997) La dissociazione nei bambini e negli adolescenti. Una prospettiva evolutiva (trad. it.: Astrolabio, Roma, 2005)
  52. Rufer M., Fricke S., Held D., Cremer J., Hand I. (2006) “Dissociation and symptom dimensions of obsessive-compulsive disorder. A replication study”, Eur. Arch. Psychiatry Clin. Neurosci., 256(3): 146-150.
  53. Rufer M., Held D., Cremer J., Fricke S., Moritz S., Peter H., Hand I. (2006) “Dissociation as a predictor of cognitive behavior therapy outcome in patients with obsessive-compulsive disorder”, Psychother. Psychosom., 75(1): 40-46. DOI: 10.1159/00008922
  54. Sar V., Akyuz G., Kundakci T., Kiziltan E., Dogan O. (2004) “Childhood trauma, dissociation, and psychiatric comorbidity in patients with conversion disorder”, Am. J. Psychiatry, 161(12): 2271-2276.
  55. Sar V., Taycan O., Bolat N., Ozmen M., Duran A., Ozturk E., Ertem-Vehid H. (2010) “Childhood trauma and dissociation in schizophrenia”, Psychopathology, 43(1): 33-40. DOI: 10.1159/00025596
  56. Schore A.N. (2009) “Attachment trauma and the Developing of Right Brain: origin of Pathological Dissociation”, in Dell P., O’Neil J.A. (eds.), Dissociation and Dissociative Disorders: DSM-V and beyond, Routledge, New York
  57. Spinhoven P., Roelofs K., Moene F., Kuyk J., Nijenhuis E., Hoogduin K., Van Dyck R. (2004) “Trauma and dissociation in conversion disorder and chronic pelvic pain”, Int. J. Psychiatry Med., 34(4): 305-318. DOI: 10.2190/YDK2-C66W-CL6L-N5T
  58. Spitzer C., Barnow S., Freyberger H.J., Grabe H.J. (2007) “Dissociation predicts symptom-related treatment outcome in short-term inpatient psychotherapy”, Aust. N. Z. J. Psychiatry, 41(8): 682-687. DOI: 10.1080/0004867070144914
  59. van der Hart O., Dorahy M. (2006) “Pierre Janet and the concept of dissociation”, Am. J. Psychiatry, 163(9): 1646.
  60. van der Hart O., Nijenhuis E. (2009) “Dissociative Disorders”, in Blaney P., Krueger R. (ed.), Oxford Textbook of Psychopathology, Oxford University Press, New York and Oxford (UK)
  61. van der Hart O., Nijenhuis E., Steele K. (2006) I fantasmi nel Sé (trad. it.: Raffaello Cortina, Milano, 2011)
  62. van der Kolk B.A. (1994) The body keeps the score: memory and the evolving psychobiology of posttraumatic stress. Harv. Rev. Psychiatry, 1(5), 253-265.
  63. van der Kolk B.A. (1996) “The complexity of adaptation to trauma: Self-regulation, stimulus discrimination and characterological development”, in van der Kolk B.A., McFarlane A.C., Weisaeth L. (eds.), Traumatic stress: The effects of overwhelming experience on mind, body, and society, Guilford Press, New York, pp. 182-213
  64. van der Kolk B.A. (2005) “Developmental Trauma Disorder: Toward a rational diagnosis for children with complex trauma histories”, Psychiatric Annals, 35(5): 401-408. DOI: 10.3928/00485713-20050501-0
  65. van der Kolk B.A., Pelcovitz D., Roth S., Mandel F.S., McFarlane A., Herman J.L. (1996) “Dissociation, somatization, and affect dysregulation: the complexity of adaptation of trauma”, Am. J. Psychiatry, 153(7 Suppl.): 83-93
  66. van der Kolk B.A., Roth S., Pelcovitz D., Sunday S., Spinazzola J. (2005) “Disorders of extreme stress: The empirical foundation of a complex adaptation to trauma”, J. Trauma Stress, 18(5): 389-399.
  67. Waller G., Ohanian V., Meyer C., Everill J., Rouse H. (2001) “The utility of dimensional and categorical approaches to understanding dissociation in the eating disorders”, Br. J. Clin. Psychol., 40(Pt 4): 387-397. DOI: 10.1348/01446650116387
  68. Waller N.G., Putnam F.W., Carlson E.B. (1996) “Types of dissociation and dissociative types: A taxometric analysis of dissociative experiences”, Psychological Methods, 1: 300-321
  69. WHO (1992) The ICD-10 Classification of Mental and Behavioural Disorders: Clinical descriptions and Diagnostic Guidelines, World Health Organization, Geneva, Switzerland

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Benedetto Farina,, Giovanni Liotti, Dimensione dissociativa e trauma dello sviluppo in "PSICOBIETTIVO" 3/2018, pp 183-195, DOI: 10.3280/PSOB2018-003018