Corpo e Autolesionismo: spunti di riflessione sui Disturbi dell’Alimentazione e sull’Autolesionismo in tempi di pandemia da SARS CoV-2

Titolo Rivista RIVISTA SPERIMENTALE DI FRENIATRIA
Autori/Curatori Franco Scita, Paolo Artoni
Anno di pubblicazione 2022 Fascicolo 2022/3 Lingua Italiano
Numero pagine 19 P. 105-123 Dimensione file 229 KB
DOI 10.3280/RSF2022-003006
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FrancoAngeli è membro della Publishers International Linking Association, Inc (PILA)associazione indipendente e non profit per facilitare (attraverso i servizi tecnologici implementati da CrossRef.org) l’accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche

Nel periodo pandemico da SARS-CoV-2, molti individui hanno vissuto profondi mutamenti nel loro vivere quotidiano. Questi cambiamenti hanno coinvolto non solo la nostra quotidianità ma anche il numero e le manifestazioni psicopatologiche che i clinici si trovano a dover affrontare. Un dato allarmante è l’aumento della frequenza di disturbi dell'alimentazione così come del fenomeno del Non-Suicidal Self Injury (NSSI) negli adolescenti. Sembra esserci un comune denominatore tra queste due manifestazioni psicopatologiche, un filo conduttore, tra il corpo e il gesto autolesivo, nel corso del tempo nella nostra società "consumistica": l’abbandono del tempo lento, riflessivo, introspettivo in favore della velocità e dell'alacrità dell'azione, che analizza e inganna rapidamente e immediatamente. L’offerta di una soluzione immediatamente pronta e disponibile, come il nuovo oggetto da conseguire e possedere, certamente lenisce il disagio, ma allo stesso tempo esilia il soggetto dal suo vero Sé, si allontana dalla sua ruvidezza, smussa gli spigoli senza tuttavia livellarli. In un'epoca in cui il trascorrere del tempo appare e deve essere sempre più veloce e più tumultuoso per far fronte al tempo che viene ulteriormente accelerato verso un obiettivo indefinito, secondo una pratica consumistica che non può consentire pause o rallentamenti, il corpo "fisico e materiale" sempre immediatamente disponibile si afferma come un luogo privilegiato ed esclusivo da cui versare l'unguento lenitivo, la "pozione magica" che risulta drammaticamente disfunzionale.;

Keywords:Disturbi dell'alimentazione, Non-Suicidal Self Injury, Corpo, Tempo, Adolescenza, Covid-19.

  1. Calugi S, el Ghoch M, Dalle Grave R. Body checking behaviors in anorexia nervosa. International Journal of Eating Disorders 2017; 50 (4), 437-41.
  2. Calugi S, el Ghoch, M, Conti M, Dalle Grave R. Preoccupation with shape or weight, fear of weight gain, feeling fat and treatment outcomes in patients with anorexia nervosa: A longitudinal study. Behaviour Research and Therapy; 105, 63–68.
  3. Wu F, Zhao S, Yu B, Che Y, Wang W, Song Z et al. A new coronavirus associated with human respiratory disease in China. Nature 2020; 579 (7798): 265-269.
  4. Hassan I, Mukaigawara M, King L, Fernandes G, Sridhar DH. Hindsight is 2020? Lessons in global health governance one year into the pandemic. Nature Medicine 2021; 27 (3): 396-400.
  5. [Sher L. The impact of the COVID-19 pandemic on suicide rates. QJM 2020; 113 (3): 707-712.
  6. Heitzman J. Impact of COVID-19 pandemic on mental health. Psychiatria Polska 2020; 54 (2): 187-198. DOI: 10.12740/PP/120373
  7. Vindegaard N, Benros ME. COVID-19 pandemic and mental health consequences: systematic review of the current evidence. Brain, Behavior, and Immunity 2020; 89 531-542
  8. The Lancet Psychiatry. COVID-19 and mental health. Lancet Psychiatry 2021; 8 (2): 87. DOI: 10.1016/S2215-0366(21)00005-5
  9. Todisco P, Donini LM. Eating disorders and obesity (ED&O) in the COVID-19 storm. Eating and Weight Disorders – Studies on Anorexia, Bulimia and [8] Obesity 2020; 26: (3): 747-750.
  10. Almeida M, Shrestha AD, Stojanac D, Miller L. J. The impact of the COVID-19 pandemic on women’s mental health. Archives of Women’s Mental Health 2020; 23 (6): 741-748.
  11. Connor J, Madhavan S, Mokashi M, Amanuel H, Johonson N, Pace L et al. Health risks and outcomes that disproportionately affect women during the covid-19 pandemic: a review. Social Science & Medicine 2020; 266.
  12. Tang S, Xiang M, Cheung T, Xiang, Y. Mental health and its correlates among children and adolescents during COVID-19 school closure: The importance of parent-child discussion. Journal of Affective Disorders 2021; 279: 353-60.
  13. Guessoum S, Lachal J, Radjack R, Carretier E, Minassian S, Benoit L et al. Adolescent psychiatric disorders during the COVID-19 pandemic and lockdown. Psychiatry Research 2020; 291.
  14. Jones E, Mitra A, Bhuiyan A. Impact of COVID-19 on mental health in adolescents: a systematic review. International Journal of Environmental Research and Public Health 2021; 18 (5): 1-9.
  15. Gloster A, Lamnisos D, Lubenko J, Presti G, Squatrito V, Consatantinou M et al. Impact of COVID-19 pandemic on mental health: an international study. PLoS One 2020; 15 (12).
  16. Haripersad Y, Kannegiesser-Bailey M, Morton K, Skeldon S, Shipton N, Edwards K. et al. Outbreak of anorexia nervosa admissions during the COVID-19 pandemic. Archives of Disease in Childhood 2021; 106: e15-e15.
  17. Lin J, Hartman-Munick S, Kells M, Milliren C, Slater W, Woods E et al. The impact of the COVID-19 pandemic on the number of adolescents/young adults seeking eating disorder-related care. Journal of Adolescent Health 2021; 69 (4): 660-663.
  18. Otto A, Jary J, Sturza J, Miller C, Prohaska N, Breveder T et al. Medical admissions among adolescents with eating disorders during the COVID-19 pandemic. Pediatrics 2021; 148 (4).
  19. Bruch H. Perceptual and conceptual disturbances in anorexia nervosa
  20. Spettigue W, Obeid N, Erbach M, Feder S, Finner N, Harrison M et al. The impact of COVID-19 on adolescents with eating disorders: a cohort study. Journal of Eating Disorders 2021; 9 (1): 1-8.
  21. Chew Q, Wei K, Vasoo S, Chua H, Sim K. Narrative synthesis of psychological and coping responses towards emerging infectious disease outbreaks in the general population: practical considerations for the COVID-19 pandemic. Singapore Medical Journal 2020; 61 (7): 350.
  22. Rajkumar R. COVID-19 and mental health: A review of the existing literature 2020. Asian Journal of Psychiatry 2020; 52, 102066.
  23. Liang L, Ren H, Cao R, Hu Y, Qin Z, Li C, et al. The effect of COVID-19 on youth mental health. Psychiatric Quarterly 2020; 91 (3): 841-52.
  24. Cao W, Fang Z, Hou G, Han M, Xu X, Dong J. et al. The psychological impact of the COVID-19 epidemic on college students in China. Psychiatry Research 2020; 287: 112934.
  25. Cohen R, Newton-John T, Slater A. The relationship between Facebook and Instagram appearance-focused activities and body image concerns in young women. Body Image 2017; 23: 183-187.
  26. Termorshuizen J, Watson H, Thormton L, Borg S, Flatt R, MacDermod C et al. Early impact of COVID-19 on individuals with self-reported eating disorders: a survey of ~1,000 individuals in the United States and the Netherlands. International Journal of Eating Disorders 2020; 53: 1780-90.
  27. Castellini G, Cassioli E, Rossi E, Innocenti M, Gironi V, Sanfilippo G et al. The impact of COVID-19 epidemic on eating disorders: A longitudinal observation of pre versus post psychopathological features in a sample of patients with eating disorders and a group of healthy controls. International Journal of Eating Disorders 2020; 53: 1855-62.
  28. Baenas I, Extandi M, Mungula L, Granero R, Mestre.Bach G, Sànchez I et al. Impact of COVID-19 lockdown in eating disorders: a multicentre collaborative international study. Nutrients 2022; 14 (1): 100. DOI: 10.3390/NU14010100/S
  29. Muth L, Level KH, Moll G, Kratz O, Horndasch S. Effects of the COVID-19 Restrictions on Eating Behaviour and Eating Disorder Symptomology in Female Adolescents. International Journal of Environmental Research and Public Health 2022; 19(14): 8480.
  30. Fernández-Aranda F, Casas M, Claes L, Bryan D, Favaro A, Granero R et al. COVID-19 and implications for eating disorders. European Eating Disorders Review 2020; 28 (3): 239-45.
  31. Choukas-Bradley S, Roberts S, Maheux, A, Nesi J. The perfect storm: a developmental–sociocultural framework for the role of social media in adolescent girls’ body image concerns and mental health. Clinical Child and Family Psychology Review 2022; 16, 1-21
  32. Mills J, Musto S, Williams L, Tiggemann M. ‘Selfie’ harm: effects on mood and body image in young women. Body Image 2018; 27: 86-92. DOI: 10.1016/J.BODYIM.2018.08.007
  33. Vall-Roqué H, Andrés A, Saldaña C. The impact of COVID-19 lockdown on social network sites use, body image disturbances and self-esteem among adolescent and young women. Progress in Neuro-Psychopharmacology and Biological Psychiatry 2021; 110: 110293.
  34. Bernard N, Bogat G, Kashy D, Lonstein J, Levendosky A. A. Prenatal and postnatal intimate partner violence, depression, and infant-mother touch. Infant Behavior and Development 2022; 67,
  35. Mateus V, Osório A, Miguel H, Cruz S, Sampaio A. Maternal sensitivity and infant neural response to touch: an fNIRS study. Social Cognitive and Affective Neuroscience 2021; 16 (12), 1256-63.
  36. Marx V, Nagy, E. Fetal behavioral responses to the touch of the mother’s abdomen: a frame-by-frame analysis. Infant Behavior and Development 2017; 47: 83-91.
  37. Norholt H. Revisiting the roots of attachment: a review of the biological and psychological effects of maternal skin-to-skin contact and carrying of full- term infants. Infant Behavior and Development 2020; 60.
  38. Conde-Agudelo A., Díaz-Rossello J. L. Kangaroo mother care to reduce morbidity and mortality in low birthweight infants. Cochrane Database of Systematic Reviews 2016; 8.
  39. Moore E, Bergman N, Anderson G, Medley N. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database of Systematic Reviews 2016; 11.
  40. Mannekote Thippaiah S, Shankarapura Nanjippa M, Gude J, Voyiaziakis E, Patwa S, Biur B. et al. Non-suicidal self-injury in developing countries: A review. International Journal of Social Psychiatry 2021; 67: 472-82. DOI: 10.1177/0020764020943627
  41. Forrester R, Slater H, Jomar K, Mitzman S, Taylor P. Self-esteem and non- suicidal self-injury in adulthood: A systematic review. Journal of Affective Disorders 2017; 221: 172-83.
  42. Brown R, Plener P. Non-suicidal Self-Injury in Adolescence. Current Psychiatry Reports 2017; 19 (3).
  43. Halicka J, Kiejna A. Non-suicidal self-injury (NSSI) and suicidal: criteria differentiation. Advances in clinical and experimental medicine 2018; 27, 257-61
  44. Naito E, Ota J, Murata A. Body representation in the brain. Neuroscience Research 2016; 104: 1-3.
  45. Pollak O, D’Angelo E, Cha C. Does function predict persistence? Nonsuicidal self-injury among adolescents during and after hospitalization. Psychiatry Research 2020; 286.
  46. Wiguna T, Minayati K, Kaligis F, Ismail R, Wijaya E, Murtani B. et al. The effect of cyberbullying, abuse, and screen time on non-suicidal self-injury among adolescents during the pandemic: a perspective from the mediating role of stress. Frontiers in Psychiatry 2021; 12: 743329.
  47. Du N, Ouyang Y, Xiao Y, Li Y. Psychosocial factors associated with increased adolescent non-suicidal self-injury during the COVID-19 pandemic. Frontiers in Psychiatry 2021; 12: 743526.
  48. Schwartz-Mette RA, Duell N, Lawrence HR, Balkind E. G. COVID-19 Distress impacts adolescents’ depressive symptoms, NSSI, and suicide risk in the rural, northeast US. Journal of Clinical Child and Adolescent Psychology 2022; DOI: 10.1080/15374416.2022.2042697
  49. Cash T, Brown T. A. Body image in anorexia nervosa and bulimia nervosa: a review of the literature. Behavior Modification 1987; 11 (2): 487-521. DOI: 10.1177/01454455870114005
  50. Ressler A, Kleinman S. Bringing the body back into ‘body image’ In: Body- centered perspectives on eating disorders. Embodiment and Eating Disorders: Theory, Research, Prevention and Treatment. New York: Routledge; 2018. DOI: 10.4324/9781315159645
  51. Leon, G. R., Lucas, A. R., Colligan, R. C., Ferdinande, R. J. & Kamp, J. Sexual, body-image, and personality attitudes in anorexia nervosa. Journal of Abnormal Child Psychology 1985; 13: 245-57. DOI: 10.1007/BF00910645
  52. Cuzzolaro M, Vetrone G, Marano G, Garfinkel P. The Body Uneasiness Test (BUT): development and validation of a new body image assessment scale. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity 2006; 11 (1): 1-13. DOI: 10.1007/BF03327738
  53. Shafran R, Fairburn C. A new ecologically valid method to assess body size estimation and body size dissatisfaction. International Journal of Eating Disorders 2002; 32: 458-65.
  54. Treasure J, Duarte T, Schmidt U. Eating disorders. The Lancet 2020; 395 (10227): 899-911. DOI: 10.1016/S0140-6736(20)30059-3
  55. Engel M, Keizer A. Body representation disturbances in visual perception and affordance perception persist in eating disorder patients after completing treatment. Scientific Reports 2017; 7: 1-9.
  56. Esposito R, Cieri F, di Giannantonio M, Tartaro, A. The role of body image and self-perception in anorexia nervosa: the neuroimaging perspective. Journal of Neuropsychology 2018; 12: 41-52.
  57. Mölbert S, Thaler A, Streuber S, Black M, Karnath H, Zipfel S et al. Investigating body image disturbance in anorexia nervosa using novel biometric figure rating scales: a pilot study. European Eating Disorders Review 2017; 25 (6): 607-12.
  58. Pacanowski C, Pisetsky E, Berg K, Crosby R, Crow S, Linde JA et al. Self- weighing behavior in individuals with eating disorders. International Journal of Eating Disorders 2016; 49: 817-21.
  59. Courty A, Godart N, Lalanne C, Berthoz S. Alexithymia, a compounding factor for eating and social avoidance symptoms in anorexia nervosa. Comprehensive Psychiatry 2015; 56, 217-228.
  60. Riva G. Neuroscience and eating disorders: The allocentric lock hypothesis. Medical Hypotheses 2012; 78: 254-7.
  61. Gramaglia C, Gambaro E, Zeppegno P. Alexithymia and treatment outcome in anorexia nervosa: a scoping review of the literature. Frontiers in Psychiatry 2020; 10.
  62. Westwood H, Kerr-Gaffney J, Stahl D, Tchanturia K. Alexithymia in eating disorders: systematic review and meta-analyses of studies using the Toronto Alexithymia Scale. Journal of Psychosomatic Research 2017; 99: 66-81.
  63. Brewer R, Cook R, Bird G. Alexithymia: A general deficit of interoception. Royal Society Open Science 2016; 3 (10).
  64. Shah P, Hall R, Catmur C, Bird G. Alexithymia, not autism, is associated with impaired interoception. Cortex 2016; 81: 215-20.
  65. Herbert BM, Herbert C, Pollatos O. On the relationship between interoceptive awareness and alexithymia: Is interoceptive awareness related to emotional awareness? Journal of Personality 2011; 79 (5), 1149-75.
  66. Krug I, Dang A, Granero R, Agüera Z, Sànchez I, Riesco N. et al. Drive for thinness provides an alternative, more meaningful, severity indicator than the DSM-5 severity indices for eating disorders. European Eating Disorders Review 2021; 29, 482-98.
  67. Melles H, Spix M, Jansen A. Avoidance in anorexia nervosa: towards a research agenda. Physiology and Behavior 2021; 238.
  68. Balestrieri M, Zuanon S, Pellizzari J, Zappoli-Thyrion E, Ciano R. Mentalization in eating disorders: a preliminary trial comparing mentalization- based treatment (MBT) with a psychodynamic-oriented treatment. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity 2015; 20 (4): 525-8.
  69. Charles M. Meaning, metaphor, and metabolization: the case of eating disorders. The American Journal of Psychoanalysis 2021; 81: 444-66. DOI: 10.1057/S11231-021-09324-9
  70. Williams K, King J, Fox JRE. Sense of self and anorexia nervosa: A grounded theory. Psychology and Psychotherapy: Theory, Research and Practice 2016; 89 (2): 211-28. DOI: 10.1111/PAPT.12068
  71. Walter H, Kausch A, Dorfschmidt L, Waller L, Chinichian N, Veer I et al. Self-control and interoception: Linking the neural substrates of craving regulation and the prediction of aversive interoceptive states induced by inspiratory breathing restriction. Neuroimage 2020; 215.
  72. Chen WG, Schloesser D, Arensdorf AM, et al. The emerging science of interoception: sensing, integrating, interpreting, and regulating signals within the self. Trends in Neuroscience 2021; 44(1): 3-16.
  73. Bonaz B, Lane RD, Oshinsky ML, Kenny P, Sinha R, Mayer E et al. Diseases, disorders, and comorbidities of interoception. Trends in Neuroscience 2021; 44(1): 39-51.
  74. Löffler A, Foell J, Bekrater-Bodmann R. Interoception and its interaction with self, other, and emotion processing: implications for the understanding of psychosocial deficits in borderline personality sisorder. Current Psychiatry Reports 2018; 20 (4).
  75. Edwards DJ, Lowe R. Associations Between Mental Health, Interoception, psychological flexibility, and self-as-context, as predictors for alexithymia: a deep artificial neural network approach. Frontiers in Psychology 2021; 12:637802.
  76. Stanghellini G. Selfie. Sentirsi Nello Sguardo Dell’altro. Milano: Feltrinelli; 2020.
  77. Marucci S, Ragione LD, de Iaco G, Mococci T, Vicini M, Guastamacchia E et al. Anorexia nervosa and comorbid psychopathology. Endocrine, Metabolic & Immune Disorders - Drug Targets 2018; 18(4):316-24. DOI: 10.2174/1871530318666180213111637
  78. Saure E, Laasonen M, Raevuori A. Anorexia nervosa and comorbid autism spectrum disorders. Current Opinion in Psychiatry 2021; 34(6): 569-75. DOI: 10.1097/YCO.0000000000000742
  79. Boltri M, Sapuppo W. Anorexia Nervosa and Autism Spectrum Disorder: A Systematic Review. Psychiatry Research 2021; 306.
  80. Skårderud F. Eating one’s words, part II: the embodied mind and reflective function in anorexia nervosa--theory. European Eating Disorder Review 2007;15(4):243-252. DOI: 10.1002/ERV.778
  81. Raimo S, Iona T, di Vita A, et al. The development of body representations in school-aged children. Applied Neuropsychology: Child 2021; 10 (4): 327-39. DOI: 10.1080/21622965.2019.1703704
  82. Longo MR. Distortion of mental body representations. Trends in Cognitive Science 2022; 26 (3): 241-54.
  83. Meltzoff AN, Marshall PJ. Importance of body representations in social- cognitive development: New insights from infant brain science. Progress in Brain Research 2020; 254:25-48.
  84. Gadsby S. Distorted body representations in anorexia nervosa. Consciousness and Cognition 2017; 51: 17-33.
  85. de Klerk CCJM, Filippetti ML, Rigato S. The development of body representations: an associative learning account. Proceedings of the Royal Society B: Biological Sciences 2021; 288(1949).
  86. Ralph-Nearman C, Arevian AC, Moseman S, Sinik M, Chapelle S, Feusner J, Khalsa S. Visual mapping of body image disturbance in anorexia nervosa reveals objective markers of illness severity. Scientific Reports 2021; 11(1). DOI: 10.1038/S41598-021-90739-W
  87. Zopf R, Contini E, Fowler C, Mondraty N, Williams MA. Body distortions in anorexia nervosa: evidence for changed processing of multisensory bodily signals. Psychiatry Research 2016; 245: 473-81. DOI: 10.1016/J.PSYCHRES.2016.09.003
  88. Sestito M, Raballo A, Stanghellini G, Gallese V. Editorial: embodying the self: neurophysiological perspectives on the psychopathology of anomalous bodily experiences. Frontiers in Human Neuroscience 2017; 11: 631. DOI: 10.3389/FNHUM.2017.00631
  89. Artoni P, Chierici ML, Arnone F, Cigarini C, De Bernardis E, Galeazzi GM et al. Body perception treatment, a possible way to treat body image disturbance in eating disorders: a case–control efficacy study. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity 2021; 26 (2): 499-514.
  90. Nour MM, Nour JM. Perception, illusions and Bayesian inference. Psychopathology 2015; 48 (4): 217-21. DOI: 10.1159/000437271
  91. Clifford CWG, Mareschal I, Otsuka Y, Watson TL. A Bayesian approach to person perception. Consciousness and Cognition 2015; 36: 406-13. DOI: 10.1016/J.CONCOG.2015.03.015
  92. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5th ed. Washington DC: American Psychiatric Publishing; 2013.
  93. Klonsky ED, Victor SE, Saffer BY. Nonsuicidal self-injury: what we know, and what we need to know. Canadian Journal of Psychiatry 2014; 59 (11): 565-8. DOI: 10.1177/070674371405901101
  94. Crapper L, Ernst C. Comparative analysis of self-injury in people with psychopathology or neurodevelopmental disorders. Pediatric Clinics of North America 2015; 62(3): 619-31. DOI: 10.1016/J.PCL.2015.03.001
  95. Lewis SP, Hasking PA. Self-injury recovery: a person-centered framework. Journal of Clinical Psychology 2021; 77 (4): 884-95. DOI: 10.1002/JCLP.23094
  96. Taylor PJ, Jomar K, Dhingra K, Forrester R, Shahmalak U, Dickson JM. A meta-analysis of the prevalence of different functions of non-suicidal self- injury. Journal of Affective Disorders 2018; 227: 759-69.
  97. Auerbach RP, Pagliaccio D, Allison GO, Alqueza KL, Alonso MF. Neural correlates associated with suicide and nonsuicidal self-injury in youth. Biological Psychiatry 2021; 89 (2): 119-33.
  98. Parker G, Roy K, Wilhelm K, Austin MP, Mitchell P, Hadzi-Pavlovic D. “Acting out” and “acting in” as behavioral responses to stress: a qualitative and quantitative study. Journal of Personal Disorders 1998; 12(4): 338-350. DOI: 10.1521/PEDI.1998.12.4.338
  99. Park SJ, Rim SJ, Jo M, Lee MG, Kim G, Park S. Self-Injurious Behavior Rate in the Short-Term Period of the COVID-19 Pandemic in Korea. Journal of Korean Medical Science 2022; 37(6). DOI: 10.3346/JKMS.2022.37.E45
  100. de Luca L, Giletta M, Nocentini A, Menesini E. Non-Suicidal Self-Injury in adolescence: the role of pre-existing vulnerabilities and COVID-19-related stress. Journal of Youth and Adolescence 2022; 1-13
  101. Menculini G, Moretti P, Pandolfi LM, et al. Suicidality and COVID-19: data from an emergency setting in Italy. Psychiatria Danubina 2021; 33:158-163.
  102. Clarke S, Allerhand LA, Berk MS. Recent advances in understanding and managing self-harm in adolescents. F1000Research 2019;8: F1000 Faculty Rev-1794.
  103. Bryant LD, O’Shea R, Farley K, et al. Understanding the functions of repeated self-harm: a Q methodology approach. Social Science & Medicine 2021; 268. DOI: 10.1016/J.SOCSCIMED.2020.113527
  104. Guidotti M. Il corpo marchiato a fuoco: dissociazione somatoforme e dolore cronico in pazienti con sviluppo traumatico. Rivista Sperimentale di Freniatria: The Italian Journal of Mental Health 2020; 144 (3): 143-77 DOI: 10.3280/RSF2020-003009
  105. Kimura B. Scritti Di Psicopatologia Fenomenologica. Roma: Giovanni Fioriti Editore; 2005.
  106. Rovelli C. L’ordine del tempo. Milano: Adelphi; 2017

Franco Scita, Paolo Artoni, Corpo e Autolesionismo: spunti di riflessione sui Disturbi dell’Alimentazione e sull’Autolesionismo in tempi di pandemia da SARS CoV-2 in "RIVISTA SPERIMENTALE DI FRENIATRIA" 3/2022, pp 105-123, DOI: 10.3280/RSF2022-003006