Click here to download

Psychotic onset or developmental breakdown. A difficult dilemma
Journal Title: PSICOBIETTIVO 
Author/s: Gianluigi Di Cesare 
Year:  2018 Issue: Language: Italian 
Pages:  17 Pg. 32-48 FullText PDF:  121 KB
DOI:  10.3280/PSOB2018-001003
(DOI is like a bar code for intellectual property: to have more infomation:  clicca qui   and here 


The article, first of all, analyses the deep change caused by the transition from a paradigm of care to one of prevention and then studies the problems resulting from this transformation. The new conceptual model of schizophrenia as neurodevelopmental disorder is described as well as the subsequent research on identifying at-risk mental states referencing SPI-CY. After some clinical vignettes showing the difficulty of applying the traditional diagnostic categories to the teenagers’ mind, an evaluation and intervention model is proposed which focuses on the evolutive dimension and on the new research related to affection regulation.
Keywords: Prevention; At-Risk Mental States; Early Intervention; Developmental Breakdown; Affect Regulation; Neurodevelopment.

  1. Ammaniti M., Gallese V. (2014) La nascita della intersoggettività: lo sviluppo del sé tra psicodinamica e neurobiologia, Raffaello Cortina, Milano
  2. Cahn R. (1991) Adolescence e folie, Presses Universitaires de France, Paris (trad. it.: Adolescenza e follia, Borla, Roma, 1994)
  3. Cocchi A., Meneghelli A. (a cura di) (2012) Rischio ed esordio psicotico: una sfida che continua, Edi-ermes, Milano
  4. Dusi N., Perlini C., Bellani M., Brambilla P. (2012) “Alla ricerca di endofenotipi psicosociali nella schizofrenia: il ruolo innovativo del brain imaging”, Rivista di psichiatria, 47 (2): 76-88., DOI: 10.1708/1069.1171
  5. Fordham M. (1994) Children as Individual, Free Association Books, London (trad. it.: Il bambino come individuo, Vivarium, Milano, 1996)
  6. Frankel R. (1998) The Adolescent Psyche: Jungian and Winnicottian Perspectives, Routledge, New York (trad. it.: L’adolescente in analisi: Prospettive junghiane e winnicottiane, Vivarium, Milano, 2001)
  7. Fusar-Poli P., McGorry Patrick D., M. Kane J. (2017) “Improving outcomes of first-episode psychosis: an overview”, World Psychiatry, 16, 3: 251-265.
  8. Garrabé J. (2005) “Schizofrenia incipiens”, NÓOS, 39, 11, 1: 23-32
  9. Ginot E. (2015) The Neuropsychology of the Unconscious. (trad. it.: Neuropsicologia dell’inconscio, Raffaello Cortina, Milano, 2017)., DOI: 10.1097/NMD.000000000000049
  10. Gore F.M., Bloem P.J.N., Patton G.C. et al. (2011) “Global burden of disease in young people aged 10-24 years: a systematic analysis”, Lancet, 377: 2093-102., DOI: 10.1016/S01406736(11)60512
  11. Griesinger W. (1845) Traité des naladies mentales (trad. francese della seconda edizione: Delahaye, Paris, 1865)
  12. Hafner H., Maurer K. (2005) “Prodromal Symptoms and Early Detection of Schizophrenia”, in Maj M. et al. (eds.), Early Detection and Management of Mental Disorders, John Wiley & Sons, London
  13. Hill D. (2015) Affect Regulation Theory. A Clinical Model. (trad. it.: Teoria della regolazione affettiva. Un modello clinico, Raffaello Cortina, Milano, 2017)
  14. Immordino-Yang M.H. (2016) Emotions, Learning and the Brain. Exploring the Educational Implications of Affective Neuroscience (trad. it.: Neuroscienze affettive ed educazione, Raffaello Cortina, Milano, 2017)
  15. Insel Thomas R. (2010) “Rethinking Schizophrenia”, Nature, 11, 468 (7321): 187-193.
  16. Jeammet P., Ladame F. (1986) La Psychiatrie de l’adolescence aujourd’hui (trad. it.: Psicopatologia dell’adolescenza, Borla, Roma, 1992)
  17. Jung C.G. (1916-1928) “L’Io e l’Inconscio”, in Opere Complete, vol. 7, Bollati Boringhieri, Torino, 1983
  18. Jung C.G. (1928) “Energetica Psichica”, in Opere Complete, vol. 8, Bollati Boringhieri, Torino, 1976.
  19. Laufer M., Laufer, M.E. (1984) Adolescence and Developmental Breakdown. A Psychoanalytic View (trad. it.: Adolescenza e breakdown evolutivo, Bollati Boringhieri, Torino, 1986).
  20. Maggiolini A., Pietropolli Charmet G. (a cura di) (2004) Manuale di psicologia dell’adolescenza: compiti e conflitti, FrancoAngeli, Milano
  21. Malla A., Shah J., Lal S. (2017) “Advances and challenges in early intervention in psychosis”, World Psychiatry, 16, 3: 274-275.
  22. Nicolò A.M., Ruggiero I. (a cura di) (2016) La mente adolescente e il corpo ripudiato, FrancoAngeli, Milano
  23. Owen Michael J., O’Donovan Michael C. (2017) “Schizophrenia and the neurodevelopmental continuum: evidence from genomics”, World Psychiatry, 16, 3: 227-250.
  24. Rapoport J.L., Addington A.M., Frangou S., Psych M.R. (2005) “The neurodevelopmental model of schizophrenia”, Mol Psychiatry, 10, 5: 434-449.
  25. Schore A.N. (2003) Affect Regulation and the Repair of the Self (trad. it.: La regolazione degli affetti e la riparazione del sé, Astrolabio, Roma, 2008)
  26. Schultze-Lutter F., Addington J., Ruhrmann S., Klosterkötter J. (2007) Schizophrenia Proneness Instrument, Adult Version (SPI-A) (trad. it.: Strumento di valutazione per la propensione alla schizofrenia – versione per adulti (SPI-A), Giovanni Fioriti, Roma, 2008)
  27. Schultze-Lutter F., Koch E. (2009) Schizophrenia Proneness Instrument, Child and Youth Version (SPI-CY) (trad. it.: Strumento di valutazione per la propensione alla schizofrenia – versione per bambini e adolescenti (SPI-CY), Giovanni Fioriti, Roma, 2010)
  28. Sommer I.E., Arango C. (2017) “Moving interventions from after to before diagnosis”, World Psychiatry, 16, 3: 275-276.
  29. Steimberg L. (2014) Age of Opportunity. Lessons from the New Science of Adolescence (trad. it.: Il cervello adolescente: l’età delle opportunità, La biblioteca di Repubblica, Roma, 2017)
  30. The Boston Change Process Study Group (2010) Change in Psychotherapy. A Unifying Paradigm (trad. it.: Il cambiamento in psicoterapia, Raffaello Cortina, Milano, 2012)
  31. Van Os J., Kapur S. (2009) Schizophrenia, www.thelancet.com, vol. 374., DOI: 10.1016/S0140-6736(09)60995-

Gianluigi Di Cesare, Psychotic onset or developmental breakdown. A difficult dilemma in "PSICOBIETTIVO" 1/2018, pp. 32-48, DOI:10.3280/PSOB2018-001003

   

FrancoAngeli is a member of Publishers International Linking Association a not for profit orgasnization wich runs the CrossRef service, enabing links to and from online scholarly content