Three studies were conducted stemming from the hypothesis that the neuromediated syncope is rooted into a somatoform dissociative psychopathologic process. The first study was aimed at finding a linkage between a developmental history of early traumatic experiences, dissociative symptoms, and the presence of vasovagal syncope in a sample of 61 patients. In the second study, a psychiatric assessment of 31 patients suffering from vasovagal syncope was conducted, with a particular focus on the ability to identify one’s owns emotions (alexithymia). Finally, the motivational structure of 30 patients suffering from vasovagal syncope was assessed with the AIMIT method, in order to test the hypothesis that in such patients the focus on their somatic symptoms may become a way to compensate for an underlying tendence towards a dissociative breakdown. Pur preliminary seem to confirm the aforementioned hypothesis.
Keywords: Interpersonal Motivational Systems (ISM); neuromediated syncope; dissociation; alexithymia.
Alessia Zangrilli, Maurizio Brasini, Maria Giuseppina Mantione, Fabio Monticelli, The neurally mediated syncope: a psychiatric evaluation and motivational systems in "PSICOBIETTIVO" 1/2015, pp. 89-107, DOI:10.3280/PSOB2015-001006