The problem of diagnosis in adoption

Journal title PSICOBIETTIVO
Author/s Elisabetta Pizzi
Publishing Year 2024 Issue 2024/2
Language Italian Pages 18 P. 31-48 File size 652 KB
DOI 10.3280/PSOB2024-002003
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In 2018, the World Health Organization (WHO) introduced a new diagnostic category in ICD-11: Complex Post-Traumatic Stress Disorder (Complex PTSD). WHO’s purpose is to focus the attention of clinicians and researchers on the impact that trauma has on a person’s self-organizing system. The diagnosis of complex PTSD can also affect children and adolescents, and is particularly important in cases of multi-traumatized adoptees, such as institutionalized children, to guide their care. Comments are reported to support the importance of making an accurate early diagnosis, the need to use treatments with efficiency data, and to adequately inform and support family members when their loved one shows signs of emotional dysregulation and other trauma symptoms.

Keywords: complex post-traumatic stress disorder, early diagnosis, emotional dysregulation, adoption.

  1. American Psychiatric Association (2013). DSM®. Manuale diagnostico e statistico dei disturbi mentali. Quinta edizione. Milano: Raffaello Cortina, 2014.
  2. Anthony R., Paine A.L., Westlake M., Lowthian E., Shelton K.H. (2020). Patterns of adversity and post-traumatic stress among children adopted from care. Child Abuse & Neglect, 104795.
  3. Bateman A.W., Fonagy P. (2004). Il trattamento basato sulla mentalizzazione. Milano: Raffaello Cortina, 2006.
  4. Carcione A., Nicolò G., Semerari A. (2016). Curare i casi complessi. La terapia metacognitiva interpersonale dei disturbi di personalità. Roma-Bari: Laterza.
  5. Center for Adoption Support and Education. (2012). What does adoption competence mean? Findings from a survey of adoptive parents and other members of the adoption kinship network. Burtonsville: Center for Adoption Support and Education.
  6. Clarkin J.F., Yeomans F.E., Kernberg O.F. (1998). Psychotherapy for Borderline Personality. Hoboken: John Wiley & Sons Inc. (trad. it.: Psicoterapia della personalità borderline. Milano: Raffaello Cortina, 2000).
  7. Cole P.M., Michel M.K., Teti L.O. (1994). The development of emotion regulation and dysregulation: A clinical perspective. Monographs of the Society for Research in Child Development, 59(2-3): 73-100. DOI: 10.2307/1166139
  8. Conradi L., Agosti J., Tullberg E., Richardson L., Langan H., Ko S., Wilson C. (2011). Promising practices and strategies for using trauma-informed child welfare practice to improve foster care placement stability: a breakthrough series collaborative. Child Welfare, 90(6): 207-225.
  9. Damasio A. (1994). Descartes’ Error: Emotion, Reason, and the Human Brain. New York: Putnam Pub Group (trad. it.: L’errore di Cartesio: Emozione, ragione e cervello umano. Milano: Adelphi, 1995).
  10. Dozier M., Bernard K. (2017). Attachment and Biobehavioral Catch-up: addressing the needs of infants and toddlers exposed to inadequate or problematic caregiving. Current Opinion in Psychology, 15: 111-117.
  11. Dimaggio G., Semerari A. (2003). I Disturbi di Personalità Modelli e trattamento Stati mentali, metarappresentazione, cicli interpersonali. Roma-Bari: Laterza.
  12. Felitti V.J., Anda R.F., Nordenberg D., Williamson D.F., Spitz A.M., Edwards V., Koss M.P., Marks J.S. (1998). Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults: The Adverse Childhood Experiences (ACE). American Journal of Preventive Medicine, 14(4): 245-258.
  13. Follan M., McNamara M. (2014). “A fragile bond: Adoptive parents’ experiences of caring for children with a diagnosis of reactive attachment disorder”. Journal of Clinical Nursing, 23(7-8): 1076-1085.
  14. Greeson J.P., Briggs E.C., Kisiel C.L., Layne C.M., Ake G.S., Gerrity E.T., Steinberg A.M., Howard M.L., Pynoos R.S., Fairbank J.A. (2011). Complex trauma and mental health in children and adolescents placed in foster care: findings from the national child traumatic stress network. Child Welfare, 90(6): 91108.
  15. Grotevant H.D., Lo A.Y. (2017). Adoptive parenting. Current Opinionin Psychology, 15: 71-75.
  16. Gunderson J.G (2001). La personalità borderline. Una guida clinica. Milano: Raffaello Cortina Editore 2003.
  17. Gunderson J.G., Hoffman P.D. (2005). Understanding and treating borderline personality disorder: A guide for professionals and family members. Washington, DC: American Psychiatric Press (trad. it.: Disturbo borderline di personalità. Una guida per professionisti e familiari. Springer edizioni, 2010).
  18. Harned M.S. (2022). DBT e Trauma. Il protocollo di esposizione prolungata (DBT PE). Milano: Raffaello Cortina Editore 2023.
  19. Hartinger-Saunders R.M., Jones A.S., Rittner B. (2016). Improving Access to Trauma-Informed Adoption Services: Applying a Developmental Trauma Framework. Journal of Child & Adolescent Trauma, 12(1): 119-130.
  20. Hooley J.M., Hoffman P.D. (1999). Expressed emotion and clinical outcome in borderline personality disorder. American Journal of Psychiatry, 156(10): 15571562.
  21. Linehan M.M. (1993). Cognitive-behavioral treatment of borderline personality disorder. Guilford Press.
  22. Maercker A., Cloitre M., Bachem R., Schlumpf Y.R., Khoury B., Hitchcock C., Bohus M. (2022). Complex post-traumatic stress disorder. Lancet, 400(10345): 60-72. DOI: 10.1016/S0140-6736(22)00821-2
  23. Ogden P., Minton K., Pain C. (2006). Trauma and the body. A sensorimotor approach to psychotheapy, Norton, New York (trad. it.: Il trauma e il corpo. Manuale di psicoterapia sensomotoria. Sassari: Edizioni Istituto di Scienze Cognitive, 2012).
  24. Palacios J., Adroher S., Brodzinsky D., Grotevant H., Johnson D., Juffer F., Martinez-Mora L., Muhamedrahimov R., Selwyn J., Simmonds J., TarrenSweeney M. (2019). Adoption in the service of child protection: An international interdisciplinary perspective. Psychology, Public Policy, and Law, 25(2): 57-72.
  25. Parolin M., Simonelli A., Mapelli D., Sacco M., Cristofalo P. (2016). Parental substance abuse as an early traumatic event. Preliminary findings on neuropsychological and personality functioning in young drug addicts exposed to drugs early. Frontiers in Psychology, 7: 887.
  26. Pluess M., Belsky J. (2011). Prenatal programming of postnatal plasticity? Development and Psychopathology, 23(1): 29-38. DOI: 10.1017/S0954579410000623
  27. Rathus J.H., Miller A.L. (2016). Manuale DBT per adolescenti. Milano: Raffaello Cortina Editore.
  28. Rutter M. (2006). Die psychischen Auswirkungen früher Heimerziehung. In: Brisch K.H., Hellbrügge T. (eds.). Kinder ohne Bindung: Deprivation, Adoption und Psychotherapie (pp. 91-137). Stuttgart: Klett-Cotta.
  29. Rutter M., Colvert E., Krepnner J., Beckett C., Castle J., Groothues C., Hawkins A., O’Connor T.G., Stevens S.E., Sonuga-Barke E.J.S. (2007). Early Adolescent outcomes for institutionally-deprived and non-deprived adoptees. I: disinhibited attachment. Journal of Child Psychology and Psychiatry, 48(1): 17-30.
  30. Rutter M., Kreppner J., Sounga-Barke E.J.S. (2009). Emmanuel Miller Lecture: attachment insecurity, disinhibited attachment and attachment disorders: where do the research findings leave the concepts? Journal of Child Psychology and Psychiatry, 50(5): 529-543.
  31. Schore A.N. (2003). Affect Regulation And The Repair Of The Self. New York London: W.W. Norton & Company (trad. it.: La regolazione degli affetti e la riparazione del Sé, Roma: Astrolabio-Ubaldini, 2008).
  32. Teicher M.H., Samson J.A., Anderson C.M., Ohashi K. (2016). “The effects of childhood maltreatment on brain structure, function and connectivity”. Nature Reviews Neurosciences, 17(10): 652-666.
  33. Verrier N.N. (1993). The Primal Wound: Understanding the Adopted Child. Lafayette: Nancy Verrier (trad. it.: La ferita primaria: Comprendere il bambino adottato. Net Editore, 2007).
  34. Verrier N.N. (2003). Coming home to Self: The Adopted Child Grows Up. Verrier Publishing.
  35. WHO (2018). International classification of deseases 11th revision (ICD-11). Geneva: WHO.
  36. Yeomans F.E., Clarkin J.F., Kernberg O.F. (2015). La terapia focalizzata sul transfert per il disturbo borderline di personalità. Roma: Giovanni Fioriti, 2017.
  37. Young J.E., Klosko J.S., Weishaar M.E. (2007). Schema therapy. La terapia cognitivo-comportamentale integrata per i disturbi della personalità, a cura di A. Carrozza, N. Marsigli e G. Melli. Firenze: Eclipsi.
  38. Zeanah C.H., Smyke A.T., Dumitrescu A. (2002). Attachment disturbances in young children. II: Indiscriminate behavior and institutional care. Journal of the American Academy of Child and Adolescent Psychiatry, 41(8): 983-989. DOI: 10.1097/00004583-200208000-00017
  39. Zanarini M.C. (2000). Childhood experiences associated with the development of borderline personality disorder. Psychiatric Clinics of North America, 23(1): 89-101.

Elisabetta Pizzi, Il problema della diagnosi nelle adozioni in "PSICOBIETTIVO" 2/2024, pp 31-48, DOI: 10.3280/PSOB2024-002003