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I disturbi nucleari del sè e gli stati mentali a rischio: uno sguardo fenomenologico al paradigma della ricerca Ultra-High Risk
Titolo Rivista: RIVISTA SPERIMENTALE DI FRENIATRIA 
Autori/Curatori: Barnaby Nelson, Andrea Raballo 
Anno di pubblicazione:  2013 Fascicolo: Lingua: Italiano 
Numero pagine:  33 P. 97-129 Dimensione file:  440 KB
DOI:  10.3280/RSF2013-003006
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


Negli ultimi anni l’identificazione e l’intervento precoce nell’ambito della schizofrenia e degli altri disturbi psicotici è diventato un tema di grande interesse per la ricerca, anche per gli evidenti risultati di questo approccio sui percorsi di cura. Questo approccio si è esteso inserendo anche i pazienti in fase prodromica. Questi pazienti sono identificati sulla base di sintomi clinici sub-soglia, in aggiunta ai fattori di rischio di tratto (l’approccio "ultra alto rischio"). I ricercatori nella tradizione della psichiatria fenomenologica hanno sostenuto che la psichiatria contemporanea - quindi anche il paradigma dell’intervento precoce - non prende in considerazione i disturbi della soggettività. La ricerca nella tradizione fenomenologica indica che il disturbo del senso di sé nucleare è una caratteristica fondamentale dello spettro della schizofrenia e, pertanto, può funzionare come un utile indicatore di vulnerabilità. Gli autori sono del parere che l’identificazione del disturbo del senso di sé nucleare può integrare l’approccio "ultra alto rischio". Questa scelta avrebbe una utilità operativa per migliorare le strategie di riconoscimento dei "veri positiv"” in un campione di casi ad ultra alto rischio, e un interesse teorico per affinare la comprensione delle principali caratteristiche della patologia psicotica. Gli autori passano in rassegna i recenti lavori di ricerca che cercano di integrare i due approcci della fenomenologia e dell’alto rischio. Ad oggi i risultati delle ricerche suggeriscono che tale integrazione potrebbe essere un efficace mezzo per migliorare la sensibilità e la specificità della previsione, in particolare dei disturbi dello spettro della schizofrenia. Ulteriori ricerche in questo settore sono necessarie, in particolare sull’integrazione di parametri neuro-cognitivi e sull’esplorazione di tecniche terapeutiche alternative o integrative.


Keywords: Schizofrenia, psicosi, prodromo, fenomenologia, sé, psicosi iniziale.

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Barnaby Nelson, Andrea Raballo, in "RIVISTA SPERIMENTALE DI FRENIATRIA" 3/2013, pp. 97-129, DOI:10.3280/RSF2013-003006

   

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