Alessitimia e regolazione emotiva nella psicoterapia di pazienti con DCA: Analisi empirica dell’Attivita Referenziale di un campione in trattamento
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Notice bibliographique
Résumé
Abstract Background Alexythimia represents an important deficit in patients with ED and it is a responsible factor for the poor response to treatment. The difficulties found by patients in psychotherapeutic treatments come from their peculiar cognitive, emotional, behavioural and personological attitude generated by their metapsycological specific nature and reflected in a language which is often factitious and nameless for the person’s experience: examining the language can be a fundamental element to detect this pathology and its possible treatments. Considering as theoretical references the theories on alexithymia, on the Emotional Regulation and on the Bucci’s Multiple Code, this study aims at evaluating the effectiveness of psychotherapy and at observing changes in emotional expression during 61 psychotherapy sessions undergone by a series of 8 ED patients. Methods The effectiveness of psychotherapy has been evaluated in terms of symptomatological improvements, attitudes relating to diet, weight, physical condition, ability in emotional reading and characteristic psychological features through three repeated administrations of a set of psychometric scales (Toronto Alexithymia Scale-20, Eating Disorder Inventory-2, Body Uneasiness Test, Symptom Checklist-90-R, Multidimensional Perfectionism Scale, Worry Domain Questionnaire, Parental Bonding Instrument, Dissociative Experience Scale, Working Alliance Inventory). Changes in the expression of emotional contents in the psychotherapeutic process have been studied through the application of computerized RA measures – I-DAAP (Italian Discourse Attribute Analyses Program); the time trend of narrative pattern in the sequence of sessions has been tested with Spearman’s correlation coefficient. Results The results support the efficacy of psychotherapy in terms of some key aspects – dissociative moments, impulsivity, body dissatisfaction – whereas, language indicators underline the problem of emotional states elaboration: a defensive rational attitude inactivates the emergence of dissociated emotional patterns and defenses of intellectualization set limits to the patient’s narration caused by the fear of falling into a state of emotional oppression. This narrative pattern, apparently little functional compared to an evolutionary project, is effective for the immediate reduction in the psychic distress that the subject needs to satisfy. Conclusions The knowledge of a psychotherapeutic process prototypical trend helps in managing actions, in adjusting the setting, in understanding defenses and moments of possible emotional connection with respect to dissociated emotional schemes. Future work will have to evaluate if and how improving emotional communication could be seen as the main focus of treatment.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,001 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découle