Dissociazione e ipnosi: dalla teoria alla pratica clinica

Titolo Rivista IPNOSI
Autori/Curatori Giuseppe De Benedittis
Anno di pubblicazione 2024 Fascicolo 2023/2 Lingua Italiano
Numero pagine 27 P. 5-31 Dimensione file 392 KB
DOI 10.3280/IPN2023-002001
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La dissociazione in psicopatologia viene definita come «la frammentazione e/o discontinuità della normale integrazione della coscienza, con particolare riferimento a memorie, identità, emozioni, percezioni, rappresentazioni soma-tiche, controllo motorio e comportamento» (DSM-5, 2013). Storicamente il concetto di dissociazione è stato introdotto per la prima volta alla fine dell’800 da Pierre Janet (désagrégation), che lo definì come il «fallimento nell’integrazione di esperienze (percezioni, memorie, pensieri, emozioni) che sono normalmente associate tra loro nel flusso di coscienza». I suoi meccani-smi neurali sono interpretabili, alla luce delle Neuroscienze, come espressione di una deconnessione cortico-limbica.;

Keywords:dissociazione, ipnosi, fenomenologia, meccanismi neurali.

  1. American Psychiatric Association (1995). DSM-4 Manuale diagnostico e statistico dei disturbi mentali. Milano: Masson.
  2. American Psychiatric Association (2014). DSM-5 Manuale diagnostico e statistico dei disturbi mentali. Milano: Raffaello Cortina.
  3. Banfield J., Wyland C., MacRae C., Munte T., Heatherton T. (2004). The cognitive neuroscience of self-regulation. In Baumeister R., Vohs K., eds., Handbook of self-regulation: Research, theory and applications. New York: Guilford Press.
  4. Bell V., Oakley D., Halligan P., Deeley Q. (2011). Dissociation in hysteria and hypnosis: evidence from cognitive neuroscience. Journal of Neurology, Neurosurgery and Psychiatry, 83(3): 332-339.
  5. Bernstein E., Putnam F. (1986). Development, reliability, and validity of a dissociation scale. Journal of Nervous and Mental Disease, 174(12): 727-735. DOI: 10.1097/00005053-198612000-00004
  6. Bowers K. (1991). Dissociation in hypnosis and multiple personality disorder. International Journal of Clinical and Experimental Hypnosis, 39(3): 155-176. DOI: 10.1080/00207149108409632
  7. Bowers K. (1992). Imagination and Dissociation in Hypnotic Responding, International Journal of Clinical and Experimental Hypnosis, 40(4): 253-275. DOI: 10.1080/00207149208409661
  8. Bremmer J. (2006). Traumatic stress: effects on the brain. Dialogues in Clinical Neuroscience, 8(4): 445-461.
  9. Briere J. (2006). Dissociative symptoms and trauma exposure: specificity, affect dysregulation, and posttraumatic stress. Journal of Nervous and Mental Disease, 194(2): 78-82.
  10. Cardeña E. (1994). Dissociation: Clinical and Theoretical Perspectives. New York: Guiford.
  11. Charcot J. (1882). Sur les divers états nerveux déterminés par l’hypnotisation chez les hystériques, Comptes rendus hebdomadaires des séances de l’Académie des sciences. Paris: Gauthier-Villars.
  12. Chu J., Dill D. (1990). Dissociative symptoms in relation to childhood physical and sexual abuse. American Journal of Psychiatry, 147(7): 887-892.
  13. De Benedittis G. (2018). Dissociazione e Ipnosi. Presentazione al XII Congresso Nazionale della Società Italiana di Ipnosi. Bologna.
  14. De Benedittis G. (2020). From Quantum Physics to Quantum Hypnosis: A Quantum Mind Perspective. International Journal of Clinical and Experimental Hypnosis, 68 (4): 433-450.
  15. De Benedittis G. (2021a). Ipnoanalisi. In De Benedittis G., Loriedo C., Mammini C., Rago N., a cura di, Trattato di Ipnosi. Milano: Franco Angeli.
  16. De Benedittis G. (2021b). Dolore acuto e cronico. In De Benedittis G., Loriedo C., Mammini C., Rago N., a cura di, Trattato di Ipnosi. Milano: Franco Angeli.
  17. Dell P., O’Neil J. (2009). Dissociation and the dissociative disorders: DSM-V and beyond. Londra: Routledge Taylor & Francis Group.
  18. Dell P. (2016). Is high hypnotizability a necessary diathesis for pathological dissociation? Journal of Trauma and Dissociation, 18(1): 58-87. DOI: 10.1080/15299732.2016.1191579
  19. Eccleston C. (2018). Chronic pain as embodied defence: implications for current and future psychological treatments. Pain, 159: 17-23.
  20. Ellason J., Ross C., Fuchs D. (1996). Lifetime axis I and II comorbidity and childhood trauma history in dissociative identity disorder. Psichiatry, 59(3): 255-266. DOI: 10.1080/00332747.1996.11024766
  21. Ellenberger H. (1970). The Discovery of the Unconscious: The History and Evolution of Dynamic Psychiatry. New York: Basic Books.
  22. Frankel F. (1990). Hypnotizability and dissociation. American Journal of Psychiatry,147(7): 823-829.
  23. Marcusson-Clavertz D., Terhune D., Cardeña E. (2012). Individual differences and state effects on mind-wandering: hypnotizability, dissociation, and sensory homogenization. Consciousness and Cognition, 21(3):1097-108.
  24. Marmar C., Weiss D., Metzler T. (1998). Peritraumatic dissociation and post-traumatic stress disorder, (ed) Trauma, memory and dissociation, Bremner J., Marmar C. Washington: American Psychiatric Press.
  25. Miller E., Cohen J. (2001). An integrative theory of prefrontal cortex function. Annual Review of Neuroscience, 24:167-202.
  26. Modestin J., Erni T. (2014). Testing the dissociative taxon. Psychiatry Research, 126(1): 77-82.
  27. Moreau de Tours J. (1845). Du Hashish et de l’Aliénation mentale: Études Psychologiques. Paris: Fortin Masson.
  28. Moss D. (2019). The Most Beautiful Man: An Integration of Hypnosis and Biofeedback for Depression and Dissociation. American Journal of Clinical Hypnosis, 61(4):322-334. DOI: 10.1080/00029157.2018.1517082
  29. Moyano O., Claudon P., Colin V., Svatos J., Thiébaut E. (2001). Study of dissociative disorders and depersonalization in a sample of young adult French population. L’Encéphale, 27(6): 559-569.
  30. Nash M., Lynn S. (1985-86). Child abuse and hypnotic ability. Imagination, Cognition and Personality, 5: 211-217.
  31. Peres J., Moreira-Almeida A., Caixeta L., Leao F., Newberg A. (2012) Neuroimaging during Trance State: A Contribution to the Study of Dissociation. Plos One, 7(11).
  32. Ross C., Joshi S., Currie R. (1990). Dissociative experiences in the general population. American Journal of Psychiatry, 147(11): 1547-1552.
  33. Sar V. (2011). Epidemiology of Dissociative Disorders: An Overview. Epidemiological Research International. DOI: 10.1155/2011/404538
  34. Schauer M., Elbert T. (2010) Dissociation following traumatic stress: etiology and treatment. Journal of Psychology, 218(2): 109-127.
  35. Sierra M., Berrios G. (1998). Depersonalisation: neurobiological perspectives. Biological Psychiatry, 44(9): 898-908.
  36. Simeon D., Hollander E. (1993). Depersonalisation Disorder. Psychiatric Annals, 23(7): 382-388. DOI: 10.3928/0048-5713-19930701-09
  37. Spiegel H. (1963). The dissociation-association continuum. Journal of Nervous and Mental Disease, 136: 374-378. DOI: 10.1097/00005053-196304000-00008
  38. Spiegel D. (1991). Neurophysiological correlates of hypnosis and dissociation. Journal of Neuropsychiatry and Clinical Neurosciences, 3(4): 440-445.
  39. Spiegel D., Loewenstein R., Lewis-Fernandez R., Sar V., Simeon D., Vermetten E., et al. (2011). Dissociative disorders in DSM-5, Depress Anxiety, 28(12): 824-852.
  40. Steele K., Boon S., Van Der Hart O. (2017). La cura della dissociazione traumatica. Un approccio pratico e integrativo. Milano: Mimesis.
  41. Stone J., LaFrance W., Brown R., Spiegel D., Levenson J., Sharpe M. (2011). Conversion Disorder: Current problems and potential solutions for DSM-5. Journal of Psychosomatic Research, 71(6): 369-376.
  42. Tellegen A., Atkinson G. (1974). Openness to absorbing and self-altering experiences (“absorption”), a trait related to hypnotic susceptibility. Journal of Abnormal Psychology, 83: 268-277.
  43. Trueman D. (1984). Depersonalization in a non-clinical population. Journal of Psychology, 116: 107-112. DOI: 10.1080/00223980.1984.9923624
  44. Van Der Hart O., van Ochten J., van Son M., Steele K., Lensvelt-Mulders G. (2008). Relations among peritraumatic dissociation and post-traumatic stress: a critical review. Journal of Trauma Dissociation, 9(4):481-505. DOI: 10.1080/15299730802223362
  45. Van Der Hart O., Nijenhuis E., Steele K. (2011). Phase-Oriented Treatment of Structural Dissociation in Complex Traumatization: Overcoming Trauma-Related Phobias, Journal of Trauma Dissociation, 6:3: 11-53.
  46. Van Der Kolk B., McFarlane A., Weisaeth. L. (1996). Traumatic stress: the effects of overwhelming experience on mind, body, and society. New York: Guilford Press.
  47. Van Der Kruijs S., Bodde N., Carrette E., Lazeron R., Vonck K., Boon P., Langereis G., Cluitmans P., Feijs L., Hofman P., Backes W., Jansen J., Aldenkamp A. (2014). Neurophysiological correlates of dissociative symptoms. Journal of Neurology, Neurosurgery and Psychiatry. 85(2):174-179.
  48. Vermetten E., Schmahl C., Lindner S., Loewenstein R., Bremner J. (2006). Hippocampal and amygdala volumes in dissociative identity disorder. American Journal of Psychiatry, 163(4): 630-636.
  49. Vermetten E., Spiegel D. (2014). Trauma and dissociation: implications for borderline personality disorder. Current Psychiatry Reports, 16(2): 434.
  50. Waller N., Ross C. (1997). The prevalence and biometric structure of pathological dissociation in the general population: Taxometric and behavior genetic findings. Journal of Abnormal and Social Psychology, 106(4): 499-510. DOI: 10.1037/0021-843X.106.4.499
  51. Woody E., Bowers K. (1994). A frontal assault on dissociated control. In Lynn S., Rhue J.,Eds. Dissociation: Clinical and theoretical perspectives. New York: Guilford Press.
  52. Lynn S., Green J., Polizzi C., Ellenberg S., Gautam A., Asken D. (2019). Hypnosis, Hypnotic Phenomena, and Hypnotic Responsiveness: Clinical and Research Foundations. A 40-Year Perspective, International Journal of Clinical and Experimental Hypnosis, 67(4): 475-511. DOI: 10.1080/00207144.2019.1649541
  53. Loriedo C., Di Giusto C., Frau C. (2021) Disturbi dissociativi. In De Benedittis G., Loriedo C., Mammini C., Rago N., a cura di, Trattato di Ipnosi. Milano: Franco Angeli.
  54. Liotti G. (2005). Trauma e dissociazione alla luce della teoria dell’attaccamento. Infanzia e Adolescenza, 4(3). DOI: 10.1710/954.10443
  55. Liotti G. (1999). La Disorganizzazione dell’attaccamento come modello per comprendere la psicopatologia dissociativa. In Solomon J. e George C., a cura di, Attachment Disorganization, Guilford Press, New York.
  56. Lensvelt-Mulders G., van der Hart O., van Ochten J., van Son, M., Steele K., Breeman L. (2008). Relations among peritraumatic dissociation and post-traumatic stress: a meta-analysis. Clinical Psychology Review, 28(7):1138-1151.
  57. Lanius R., Vermetten E., Loewenstein R., Brand B., Schmahll C., Bremner D., Spiegel D. (2010). Emotion Modulation in PTSD: Clinical and Neurobiological Evidence for a Dissociative Subtype. American Journal of Psychiatry, 167(6): 640-647.
  58. Krause-Utz A., Frost R., Winter D., Elzinga B. (2017). Dissociation and Alterations in Brain Function and Structure: Implications for Borderline Personality Disorder, Current Psychiatry Reports, 19(1): 6.
  59. Kluft R. (2012) Hypnosis in the treatment of Dissociative Identity Disorder and Allied States: an overview and case study. South African Journal of Psychology, 42(2): 146-155. DOI: 10.1177/00812463120420
  60. Kluft R. (1992). The use of hypnosis with dissociative disorders. Psychiatric Medicine,10(4): 31-46.
  61. Kirsch I., Lynn S. (1998). Dissociation theories of hypnosis. Psychological Bulletin, 123(1): 100-115. DOI: 10.1037/0033-2909.123.1.100
  62. Kihlstrom J. (2005). Dissociative disorders. Annual Review of Clinical Psychology, 1: 227-253.
  63. Jaynes J. (1996). Il crollo della mente bicamerale e l’origine della coscienza. Milano: Adelphi.
  64. Janet P. (2014). La psicoanalisi. Torino: Bollati Boringhieri.
  65. Janet P. (2013). L’automatismo psicologico. Milano: Raffaello Cortina.
  66. Janet P. (1965). The major symptoms of hysteria. New York: Hafner Publising Company.
  67. Hunter E., Sierra M., David A. (2004). The epidemiology of depersonalisation and derealisation. A systematic review. Social Psychiatry and Psychiatric Epidemiology, 39(1): 9-18.
  68. Hilgard E. (1992). Divided consciousness and dissociation. Consciousness and Cognition, 1(1): 16-31. DOI: 10.1016/1053-8100(92)90041-8
  69. Hilgard E. (1974). Toward a Neo-Dissociation Theory: Multiple Cognitive Controls in Human Functioning. Perspectives in Biology and Medicine, 17(3): 301-316.
  70. Heatherton T., Wagner D. (2011). Cognitive neuroscience of self-regulation failure. Trends in Cognitive Sciences, 15(3): 132-139.
  71. Heatherton T. (2011). Neuroscience of self and self-regulation. Annual Review of Psychology, 62:363-390.
  72. Goldberg E. (2001). The Executive Brain: The Frontal Lobes and the Civilized Mind. New York: Oxford University Press.
  73. Ganaway G. (1995). Hypnosis, childhood trauma, and dissociative identity disorder: toward an integrative theory. International Journal of Clinical and Experimental Hypnosis, 43(2):127-144. DOI: 10.1080/00207149508409957
  74. Freud S. (1892). Per la psicoterapia dell’isteria. Torino: Bollati Boringhieri.
  75. Frischholz E. (1985). The relationship among dissociation, hypnosis, and child abuse in the development of multiple personality disorder. In Kluft R., Ed., Childhood antecedents of multiple personality. Washington: American Psychiatric Press.

Giuseppe De Benedittis, Dissociazione e ipnosi: dalla teoria alla pratica clinica in "IPNOSI" 2/2023, pp 5-31, DOI: 10.3280/IPN2023-002001