Addictive Experience and Traumatic Experience: Ground Breaking Compared. A Research Contribution

Author/s Giancarlo Pintus, Laura Laudicina
Publishing Year 2021 Issue 2021/2 Language Italian
Pages 13 P. 45-57 File size 294 KB
DOI 10.3280/GEST2021-002004
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In the light of similar studies on addiction and traumatic events, the authors investigate the correlations between some emotional and relational dimensions of these experiences, outlining, coherently with a Gestalt vision, the addiction as “a persistent traumatic experience”. It is an experimental survey conducted on a sample of patients, drug addicts and victims of trauma from maltreatment or abuse, in treatment. This comparative analysis highlighted the common points between addiction and trauma, taking into consideration the correlated neurobiological and physiological aspects. Specific consideration was given to emotional and physical past, family background, actual relationships and therapeutic relationships, used as observational vertices to understand the similarities between addictive subjects and traumatized subjects. The results support the thesis that addiction and trauma are fixed figures on a hardened background which do not allow the organism to grow and alter its relationship with its surroundings and that the suffering of addicted subjects is highly correlated with early relational deficiencies. This poor contact skills also reflected on the neurobiological level, since the dissociation be-tween the right and left hemispheres and, therefore, between emotional and cognitive functions, which characterizes both experiences, determines the loss of integrative function such that the self becomes incapable of creating a good synchronization with the field. A therapeutic back-ground work can favor the redefinition of the personality-function and the es-function and re-store the spontaneous orientation towards the relationship and neurologically the outcome of this therapeutic action becomes functional reintegration between the two hemispheres. There-fore the support that the Gestalt therapist gives to the addicted and traumatized patient is there-fore aimed at the intentionality of contact never fully satisfied in the organism-environment field.

Keywords: Abuse, addiction, figure-ground, trauma, contact intentionality.

  1. Awad A.G., Voruganti, L.L N.P. (2015). Revisiting the “Self-medication” Hypothesis in Light of the New Data Linking Low Striatal Dopamine to Comorbid Addictive Behavior. Therapeutic Advances. Psychopharmacology, 5, 3: 172-178.
  2. Capozza D. (1974). Il differenziale semantico. Padova: Patron.
  3. Cibin M., Bettamin S., Spolaor G., Hinnenthal I. (2012). Il piacere e il corpo nel trattamento delle dipendenze: dagli approcci cognitivi alle tecniche emotive. MDD, 8, II, 31-42.
  4. Cozolino L. (2008). Il cervello sociale. Milano: Raffaello Cortina.
  5. Dell’Osso L., Massimetti E., Rugani F., Carmassi C., Fareed A., Stratta P., Rossi A., Massimetti G., Maremmani I. (2015). Life Events (Loss and Traumatic) and Emotional Responses to Them in Acute Catastrophe Survivors and Long-lasting Heroin Use Disorder Patients Never Exposed to Catastrophic Events. Heroin Addict Relat Clin Probl, 17: 49-58.
  6. Duncan D.F. (1974a). Reinforcement of Drug Abuse: Implications for Prevention. Clinical Toxicology Bulletin, 4: 69-75.
  7. Duncan D.F. (1974b). Letter: Drug Abuse as a Coping Mechanism. American Journal of Psychiatry, 131: 174.
  8. Khantzian E.J. (1985). The Self-medication Hypothesis of Addictive Disorders: Focus on Heroin and Cocaine Dependence. American Journal of Psychiatry, 142: 1259-1264.
  9. Khantzian E.J. (1997). The Self-medication Hypothesis of Drug Use Disorders: A Reconsideration and Recent Applications. Harvard Review of Psychiatry, 4: 231-244.
  10. Khantzian E.J., Halliday K.S., McAuliffe W.E. (1990). Addiction and the Vulnerable Self: Modified Dynamic Group Therapy for Drug Abusers. New York, NY: Guilford Press.
  11. Khantzian E.J., Mack J.F., Schatzberg A.F. (1974). Heroin Use as an Atempt to Cope: Clinical Observations. American Journal of Psychiatry, 131: 160-164.
  12. Licciardello O. (1994). Gli strumenti psicosociali nella ricerca e nell’intervento. Premesse epistemologiche e dimensioni applicative. Milano: FrancoAngeli.
  13. Mac Lean P.D. (1990). The Triune Brain in Evolution. New York, NY: Plenum.
  14. Osgood C.E., Suci G.J., Tannenbaum P.H. (1957). The Measurement of Meaning. Urbana, Illinois: University of Illinois Press.
  15. Maggino F., Mola T. (2007). Il differenziale semantico per la misura degli atteggiamenti: costruzione, applicazione e analisi. Presentazione di uno studio. Firenze: Astris.
  16. Occhipinti A. (2014). Dal gioco al gioco d’azzardo. Il gambling instead of della relazione. Un contributo di ricerca. In: Pintus G., Crolle Santi M.V., a cura di, La relazione assoluta. Psicoterapia della Gestalt e dipendenze patologiche. Roma: Aracne.
  17. Perls F.S., Hefferline R., Goodman P. (1997). Teoria e pratica della Terapia della Gestalt. Vitalità e accrescimento nella personalità umana. Roma: Astrolabio.
  18. Pintus G. (2011). Tempo e relazione nel vissuto dipendente. Percorsi ermeneutici e clinici. In: Menditto M., a cura di, Psicoterapia della Gestalt contemporanea. Esperienze e strumenti a confronto. Milano: FrancoAngeli.
  19. Pintus G. (2015). Processi Neurobiologici e riconoscimento terapeutico nell’esperienza addictive. Quaderni di Gestalt, XXVIII, 1: 63-71. DOI: 10.3280/GEST2015-001005
  20. Pintus G. (2017). Addiction as Persistent Traumatic Experience: Neurobiological Processes and Good Contact. Gestalt Review, 21, 3: 221-232.
  21. Pintus G., Crolle Santi M.V., a cura di (2014). La relazione assoluta. Psicoterapia della Gestalt e dipendenze patologiche. Roma: Aracne.
  22. Pintus G., Grech M.L. (2019). Neuroscienze dell’addiction e clinica gestaltica: integrazioni funzionali. Quaderni di Gestalt, XXXI, 2: 33-49. DOI: 10.3280/GEST2019-00200
  23. Pintus G., Pappalardo G.N. (2019). Sintonizzazione genitoriale, riconoscimento degli stati affettivi e vulnerabilità alle addiction: alcuni dati di ricerca. Quaderni di Gestalt, XXXI, 2: 79-97. DOI: 10.3280/GEST2019-002005
  24. Polster E. (1988). Ogni vita merita un romanzo. Roma: Astrolabio.
  25. Sheldon M.R. (2014). Introduzione alla statistica. Rimini: Maggioli.
  26. Spagnuolo Lobb, (2012). Lo sviluppo polifonico dei domini. Verso una prospettiva evolutiva della psicoterapia della Gestalt. Quaderni di Gestalt, XXV, 2: 31-50. DOI: 10.3280/GEST2012-00200
  27. Spagnuolo Lobb M. (2013). Il corpo come veicolo del nostro essere nel mondo. L’esperienza corporea in psicoterapia della Gestalt. Quaderni di Gestalt, XXVI, 1: 41-65. DOI: 10.3280/GEST2013-00100
  28. Spagnuolo Lobb M. (2015). Il sé come contatto. Il contatto come sé. Un contributo all’esperienza dello sfondo secondo la teoria del sé della psicoterapia della Gestalt. Quaderni di Gestalt, XXVIII, 2: 25-56. DOI: 10.3280/GEST2015-00200
  29. Spagnuolo Lobb M. (2020). Dalla perdita delle funzioni-io ai “passi di danza” tra psicoterapeuta e paziente. Fenomenologia ed estetica del contatto nel campo psicoterapeutico. Quaderni di Gestalt, XXXIII, 1: 21-40. DOI: 10.3280/GEST2020-00100
  30. Spagnuolo Lobb M., Rubino V. (2015). Le esperienze dissociative in psicoterapia della Gestalt. Quaderni di Gestalt, XXVIII, 1: 27-47. DOI: 10.3280/GEST2015-00100
  31. Taylor M. (2016). Psicoterapia del trauma e pratica clinica. Corpo, Neuroscienze e Gestalt. Milano: FrancoAngeli.

Giancarlo Pintus, Laura Laudicina, Esperienza addictive ed esperienza traumatica: fratture dello sfondo a confronto. Un contributo di ricerca in "QUADERNI DI GESTALT" 2/2021, pp 45-57, DOI: 10.3280/GEST2021-002004