Complex trauma and migration. The case of Mohamed

Journal title PSICOBIETTIVO
Author/s Alberto Barbieri, Federica Visco-Comandini, Andrea Gragnani, Angelo Maria Saliani
Publishing Year 2018 Issue 2018/2 Language Italian
Pages 22 P. 103-124 File size 292 KB
DOI 10.3280/PSOB2018-002007
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Complex trauma - torture and other serious abuses suffered in the coun- try of origin or along the migratory route - seems to have reached an "epidemic" dimension in the context of migratory flows towards Italy and Europe. In this context it becomes particularly relevant to understand the possible factors favoring the development of the clinical picture that has been introduced by some authors as Complex Post Traumatic Stress Disorder (cPTSD). The clinical case of Mohamed, addressed here with a cognitivist approach both in the aspects of case formulation and phase-oriented treatment (stabilization, processing of traumatic memories, integration) suggests that elements of vulnerability particularly relevant for the development of cPTSD in adult can be some personality styles and specifically those particularly sensitive to rank and competition.

Keywords: Complex Trauma; Complex PTSD; Narrative Exposure The- rapy; Migrants; Torture.

  1. Liotti G., Farina B. (2011) Sviluppi traumatici. Eziopatogenesi, clinica e terapia della dimensione dissociativa, Raffaello Cortina, Milano
  2. Maercker A., Brewin C.R., Bryant R.A., Cloitre M., Reed G.M., Van Ommeren M., Saxena S. (2013) “Proposals for mental disorders specifically associated with stress in the International Classification of Diseases-11”, Lancet, 381: 1683-1785. DOI: 10.1016/S0140-6736(12)62191-
  3. Mancini F., Semerari A. (a cura di) (1991) Le teorie cognitive dei disturbi emotivi, La Nuova Italia, Roma
  4. Medici per i Diritti Umani (2016) Esodi/Exodi: Migratory Routes from Sub-Saharan Countries to Europe, -- http://www.mediciperidirittiumani.org/pdf/Report_Medu_Exodi.pdf. Accessibilità verificata a Febbraio 2018
  5. Meccalfe J., Jacobs W.J. (1996) “An interactive hot system/cool system view of memory under stress”, PTSD Research Quarterly, 7: 1-6
  6. Safran J.D., Muran J.C. (2000) Negotiating the therapeutic alliance: A relational treatment guide, Guilford, New York
  7. Safran J.D., Segal Z.V. (1990) Interpersonal process in cognitive therapy, Basic Books, New York
  8. Schauer M., Elbert T. (2010) “Dissociation following traumatic stress: etiology and treatment”, Journal of Psychology, 218: 109-127.
  9. Schauer M., Neuner F., Elbert T. (2011) Narrative Exposure Therapy: A short Term Treatment For Traumatic Stress Disorders (2nd edition), Hogrefe Publishing, Cambridge, MA
  10. Semerari A. (1999) Psicoterapia cognitiva del paziente grave: meta cognizione e relazione terapeutica, Raffaello Cortina, Milano
  11. Semerari A., Pellacchia G., Carcione A. (2016) “La relazione terapeutica”, in Carcione A., Nicolò G., Semerari A. (a cura di), Curare i casi complessi. La Terapia meta cognitiva interpersonale dei disturbi di personalità, Laterza, Roma- Bari
  12. Steel Z., Chey T., Silove D., Marnane C., Bryant R.A., van Ommeren M. (2009) “Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis”, JAMA, 302(5): 537-49.
  13. Teasdale J.D., Segal Z.V., Williams J.M.G. (1995) “How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? An information processing analysis”, Behaviour Research & Therapy, 33: 25-39
  14. ter Heide F.J.J., Mooren T.M., Kleber R.J. (2016) “Complex PTSD and phased treatment in refugees: a debate piece”, European Journal of Psychotraumatology, 7, 28687.
  15. Van der Kolk B.A., Roth S., Pelcovitz D., Sunday S., Spinazzola J. (2005) “Disorders of extreme stress: The empirical foundation of a complex adapta- tion to trauma”, Journal of Traumatic Stress, 18: 389-399.
  16. Van der Kolk B.A., Van der Hart O. (1989) “Pierre Janet and the breakdown of adaptation in psychological trauma”, American Journal of Psychiatry, 146: 1530-1540
  17. World Health Organization (1992) International Classification of Diseases (ICD- 10), World Health Organization, Geneva
  18. American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders (Revised 4th ed.), American Psychiatric Association, Washington, DC
  19. American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (5th ed.), American Psychiatric Publishing, Arlington, VA Campbell T.A. (2007) “Psychological assessment, diagnosis, and treatment of torture survivors: a review”, Clin. Psychol. Rev., 27(5): 628-41.
  20. Chu J.A. (1998) Rebuilding shattered lives: The responsible treatment of complex post- traumatic stress and dissociative disorders, John Wiley & Sons, New York. DOI: 10.1080/00029157.2001.1040346
  21. Cienfuegos A.J., Monelli C. (1983) “The testimony of political repression as a therapeutic instrument”, American Journal of Orthopsychiatry, 53(1): 43-51.
  22. Cloitre M., Courtois C.A., Ford J.D., Green B.L., Alexander P., Briere J., Herman J.L., Lanius R., Stolbach B.C., Spinazzola J., Van der Kolk B.A., Van der Hart O. (2012) The ISTSS Expert Consensus Treatment Guidelines for Complex PTSD in Adults.
  23. Dimaggio G., Montano A., Popolo R., Salvatore G. (2013) Terapia metacognitiva interpersonale, Raffaello Cortina, Milano
  24. Elbert T., Schauer M. (2002) “Burnt into memory”, Nature, 412, 883. DOI: 10.1038/419883
  25. Ellis A. (1962) Reason and Emotion in Psychotherapy, Stuart, New York
  26. Fiore D., Semerari A. (2003) “Il Disturbo Borderline di Personalità”, in Dimaggio G., Semerari A. (a cura di), I Disturbi di Personalità. Modelli e trattamento. Stati mentali, meta rappresentazione, cicli interpersonali, Laterza, Roma- Bari
  27. Foa E.B., Rothbaum B.A. (1998) Treating the trauma of rape: Cognitive behavioral therapy for PTSD, Guilford Press, New York
  28. Friedman M.J. (2013) “Finalizing PTSD in DSM-5: Getting here from there and where to go next”, Journal of Traumatic Stress, 26: 548-556.
  29. Herman J.L. (1992a) “Complex PTSD: A syndrome in survivors of prolonged and repeated trauma”, Journal of Traumatic Stress, 5: 377-391
  30. Herman J.L. (1992b) Trauma and recovery, Basic Books, New York
  31. Janet P. (1925) Principles of psychotherapy, Allen & Unwi, London (originally publi- shed in Paris, 1919)
  32. Lang P.J. (1984) “Dead Souls: Or Why the Neurobehavioral Science of Emotion Should Pay Attention to Cognitive Science”, in Elbert Th., Rockstroh B., Lutzenberger W., Birbaumer N. (eds.), Self-regulation of the brain and behaviour, Springer Verlag, Berlin, pp. 255-272
  33. Lang P.J. (1993) “The network model of emotion: Motivational connections”, in Wyer R.S., Srull Jr., T.K. (eds.), Advances in social cognition, Vol. 6. Perspectives on anger and emotion, Lawrence Erlbaum Associates, Hillsdale, NJ, pp. 109- 133

Alberto Barbieri, Federica Visco-Comandini, Andrea Gragnani, Angelo Maria Saliani, Trauma complesso e migrazione. Il caso di Mohamed in "PSICOBIETTIVO" 2/2018, pp 103-124, DOI: 10.3280/PSOB2018-002007