Disturbo da uso di sostanze e disturbi post-traumatici e dissociativi

Titolo Rivista MISSION
Autori/Curatori Stefano Burattini, Alessandra Catania, Valeria Fusco, Livia Rota, Sandra Basti
Anno di pubblicazione 2023 Fascicolo 2022/59 Lingua Italiano
Numero pagine 4 P. 43-46 Dimensione file 0 KB
DOI 10.3280/mis59-2022oa15253
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There is growing interest in the relationship between addiction, trauma and dissociation.Reviewing the most recent literature on this subject, we offer a synthesis of the most relevant theoretical models and data that explore substance use disorder as an adaptation with dissociative feature to adverse childhood experience and/or disordered attachment.We argue furthermore that the Structural Dissociation Theory allows us to place substance use and addiction in the context of complex post traumatic disorder(s).Since it appears of great relevance an accurate differentiation of primary dissociative phenomena from both secondary ones and acute intoxication, we lastly outline a research project aimed at furthering and refining the diagnosis of dissociation in patients with substance use disorder using the Trauma And Dissociation Symptoms Interview.;

Keywords:; Trauma; Addiction; Dissociazione; Uso di sostanze; PTSD; Teoria della dissociazione strutturale; ACE; Attaccamento

  1. Administration (SAMHSA) (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach, HHS publication no (SMA) 14-4884. Rockville: Substance Abuse and Mental Health Services Administration.
  2. Boon S., Mathess B. (2016). Trauma and Dissociation Symptoms Interview TADS-I.
  3. Brown V.B. (2021). A trauma-informed approach to enhancing addiction treatment. In el-Guebaly N., Carrà G., Galanter M., Baldacchino A.M. (eds), Textbook of addiction treatment international perspectives.
  4. Caretti V., Craparo G., Giannini M., Gori A., Iraci Sarieri G., Lucchini A., Rusignuolo I., Schimmenti A. (2017). ABQ Addictive Behavior
  5. Questionnarie – Manuale. Hogrefe.
  6. Carlson E.B., Putnam F.W., Ross C.A., Torem M., Coons P., Dill D.L., Loewenstein R.J., Braun B.G. (1993). Validity of the Dissociative Experience Scale in screening for multiple personality disorder: A multicenter study. American Journal of Psychiatry, 150: 1030-1036.
  7. Craparo G., Ardino V., Gori A., Caretti V. (2014). The Relationships between Early Trauma, Dissociation, and Alexithymia in Alcohol Addiction. Psychiatry Investig., Jul, 11(3): 330-5. DOI: 10.4306/pi.2014.11.3.330. Epub 2014 Jul 21. PMID: 25110508; PMCID: PMC4124194.
  8. Caretti V., Craparo G., Schimmenti A. (2008). Fattori evolutivo relazionali dell’addiction. Uno studio sulla dipendenza da eroina. In Caretti V., Craparo G. (a cura di), Addiction. Aspetti biologici e di ricerca. Raffaello Cortina.
  9. Dube R.S., Felitti V.J., Dong M., Chapman D.P., Giles H.W., Anda R.F. (2003). Childhood Abuse, Neglect, and Household Dysfunction and the Risk of Illicit Drug Use: The Adverse Childhood. Experiences Study Pediatrics, 111: 564.
  10. Farina B., Liotti M., Imperatori C. (2019). The role of attachment trauma and disintegrative pathogenic processes in the traumaticdissociative dimension. Frontiers in psychology, 10: 933.
  11. Felitti, Anda, Nordenberg, Williamson, Spitz, Edwards, … Marks. (1998). Relationship of Childhood Abuse and Household Dysfunction to Many of the Leading Causes of Death in Adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 14(4): 245-258.
  12. Fonagy P., Allison E. (2014). The role of mentalizing and epistemic trust in the therapeutic relationship. Psychotherapy, 51(3): 372.
  13. Khantzian E.J. (2003). Understanding addictive vunerability: an evolving psychodynamic perspective. Neuropsychoanalysis, 5(1): 5-20.
  14. Khantzian E.J. (2012). Reflections on treating addictive disorders: a psychodynamic perspective. Am J Addict, 21: 274-279.
  15. Koob G.F. (2021). Drug Addiction: Hyperkatifeia/Negative Reinforcement as a Framework for Medications Development. Pharmacol Rev., Jan, 73(1): 163-201. DOI: 10.1124/pharmrev.120.000083. PMID: 33318153; PMCID: PMC7770492.
  16. Myrick A.C., Dass-Brailsford P. (2010). Psychologycal trauma and Substance Abuse: the need for an integrate approach. Trauma Violence & Abuse, 11(4): 202-213.
  17. Najavits, Hien (2013). Helping Vulnerable Populations: A Comprehensive Review of the Treatment Outcome Literature on Substance Use Disorder and PTSD. Journal of Clinical Psychology: in Session, Vol. 69(5): 433-47.
  18. Najavits L.M., Clark H.W., DiClemente C.C. et al. (2020). PTSD/ Substance Use Disorder Comorbidity: Treatment Options and Public Health Needs. Curr Treat Options Psych, 7: 544-558. DOI: 10.1007/s40501-020-00234-8.
  19. Najavits L.M., Weiss R.D., Shaw S.R., Muenz L.R. (1998). “Seeking Safety”: Outcome of a New Cognitive-Behavioral Psychotherapy
  20. for Women with Posttraumatic Stress Disorder and Substance. Dependence Journal of Traumatic Stress, 11(3).
  21. Patel H., O’Connor C., Andrews K., Amlung M., Lanius R., McKinnon M.C. (2022). Dissociative symptomatology mediates the relation between posttraumatic stress disorder severity and alcohol related problems. Alcoholism: Clinical and Experimental Research, 46(2): 289-299.
  22. Ross C. (2000). The trauma model. A solution to the problem of comorbidity in psychiatry. Bluebird.
  23. Schalinski I., Teicher M.H., Nischk D., Hinderer E., Müller O., Rockstroh B. (2016). Il tipo e la tempistica delle esperienze infantili avverse influenzano in modo differenziale la gravità del PTSD, i sintomi dissociativi e depressivi nei pazienti adulti ricoverati. Psichiatria BMC, 16(1): 1-15.
  24. Somer E. (2003). Prediction of abstinence from heroin addiction by childhood trauma, dissociation, and extent of psychosocial treatment. Addiction Research and Theory, October, 11(5): 339-348.
  25. Somer E. (2019). Trauma, dissociation and opiate use disorder; maladaptive daydreaming among recovering substance use disorder patients. International Journal of Mental Health and Addiction, 17(8-9).
  26. Somer E., Altus L., Ginzburg K. (2010). Dissociative psychopathology among opioid use disorder patients: exploring the “chemical dissociation” hypothesis. Comprehensive psychiatry, 51(4): 419-425.
  27. Steele K., Boon S., Van der Hart O. (2017). La cura della dissociazione traumatica un approccio pratico e integrativo (a cura di Giovanni
  28. Tagliavini). Mimesis.
  29. Schimmenti A., Billieux J., Santoro G., Casale S., Starcevic V. (2022). A trauma model of substance use: elaboration and preliminary validation. Addictive behaviors, 134; 107431.
  30. Steinberg M. (1994). Interviewer’s guide to the structured clinical interview for DSM-IV dissociative disorders (SCID-D). American Psychiatric Pub.
  31. Strathearn L., Mertens C.E., Mayes L., Rutherford H., Rajhans P., Xu G., Kim S. (2019). Pathways relating the neurobiology of attachment to drug addiction. Frontiers in psychiatry, 737.
  32. Tamar-Gurol D., Sar V., Karadag F., Evren C., Karagoz M. (2008). Childhood emotional abuse, dissociation, and suicidality among patients with drug dependency in Turkey. Psychiatry and Clinical Neurosciences, 62: 540-547.
  33. Van der Hart O., Nijenhuis E.R., Steele K. (2006). The haunted self: Structural dissociation and the treatment of chronic traumatization. W.W. Norton & Company.

Stefano Burattini, Alessandra Catania, Valeria Fusco, Livia Rota, Sandra Basti, Disturbo da uso di sostanze e disturbi post-traumatici e dissociativi in "MISSION" 59/2022, pp 43-46, DOI: 10.3280/mis59-2022oa15253