Narrative Exposure Therapy in challenging and conditions

Titolo Rivista MALTRATTAMENTO E ABUSO ALL’INFANZIA
Autori/Curatori Susanne Breinlinger, Ann-Kathrin Pütz, Natalie R. Stevens, Daniela Mier, Inga Schalinski, Michael Odenwald
Anno di pubblicazione 2021 Fascicolo 2020/3
Lingua Inglese Numero pagine 14 P. 37-50 Dimensione file 209 KB
DOI 10.3280/MAL2020-003004
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Patients with past exposure to adverse experiences are frequent in clinical services, many of them suffering from co-occurring Posttraumatic Stress Disorder (PTSD). Despite first evi-dence that encourages diagnostics and trauma therapy provision for PTSD, complex cases are often excluded from evidence-based treatments. First, we review the evidence of PTSD treatment for two groups of complex cases: patients with psychotic disorders and pregnant refugee women. Second, we report on how NET is applied to these groups in specialized treatment centres and how the technique is adapted to the specific needs. We encourage cli-nicians to build up concepts of integrated treatment for complex cases including NET as one core component.

I pazienti con storie passate di esperienze sfavorevoli accedono spesso ai servizi clinici; molti di questi presentano sintomi post-traumatici in comorbidità. Nonostante l’evidenza scientifica incoraggi l’utilizzo di terapie trauma-focali per il DPTS, i casi complessi sono spesso esclusi da questi protocolli basati sull’evidenza. Innanzittutto, l’articolo presenta una revision dell’evidenza circa il trattamento del DPTSD in due gruppi di casi complessi: pazienti con disturbi psicotici e donne rifugiate in stato di gravidanza. Di seguito, viene spiegato in che modo la NET viene utilizzata con questi pazienti in centri specialistici e come la tecnica è stata adattata per i loro bisogni specifici. Si incoraggiano i clinici a basarsi su trattamenti integrati nei casi complessi includendo la NET come componente chiave dei protocolli.

Keywords:Psicosi, gravidanza, trauma, DPTS, rifugiati.

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Susanne Breinlinger, Ann-Kathrin Pütz, Natalie R. Stevens, Daniela Mier, Inga Schalinski, Michael Odenwald, Narrative Exposure Therapy in challenging and conditions in "MALTRATTAMENTO E ABUSO ALL’INFANZIA" 3/2020, pp 37-50, DOI: 10.3280/MAL2020-003004