Treating Dissociative and Personality Disorders: A Motivational Systems Approach to Theory and Treatment PDF
Preview Treating Dissociative and Personality Disorders: A Motivational Systems Approach to Theory and Treatment
Treating Dissociative and Personality Disorders A motivational systems approach to theory and treatment Edited by Antonella Ivaldi First published 2016 by Routledge 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN and by Routledge 711 Third Avenue, New York, NY 10017 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2016 selection and editorial matter, Antonella Ivaldi; individual chapters, the contributors The right of the editor to be identified as the author of the editorial material, and of the authors for their individual chapters, has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data Names: Ivaldi, Antonella, editor. Title: Treating dissociative and personality disorders : a motivational systems approach to theory and treatment / edited by Antonella Ivaldi. Description: Milton Park, Abingdon, Oxon ; New York, NY : Routledge, 2016. | Includes bibliographical references and index. Identifiers: LCCN 2015047617| ISBN 9780415641371 (hbk) | ISBN 9780415641401 (pbk) | ISBN 9781315637297 (ebk) Subjects: LCSH: Dissociative disorders – Treatment. | Personality disorders – Treatment. Classification: LCC RC553.D5 T74 2016 | DDC 616.85/23 – dc23 LC record available at http://lccn.loc.gov/2015047617 ISBN: 978-0-41564137-1 (hbk) ISBN: 978-0-41564140-1 (pbk) ISBN: 978-1-31563729-7 (ebk) Typeset in Times New Roman by Florence Production Ltd, Stoodleigh, Devon Contents Foreword Giovanni Liotti Foreword Joseph D. Lichtenberg Introduction ANTONELLA IVALDI 1 Theorizing about theory JOSEPH D. LICHTENBERG 2 Theoretical foundations ANTONELLA IVALDI Where this model fits among other theoretical perspectives in psychotherapy Motivational systems theories A comparison of the two theories: a personal synthesis 3 The therapeutic relationship from the theoretical perspective of motivational systems JOSEPH D. LICHTENBERG AND GIOVANNI LIOTTI Introduction – Antonella Ivaldi Motivational systems and the problems of patients with narcissistic, borderline, and dissociative disorders Joseph D. Lichtenberg The debate between Joseph Lichtenberg and Giovanni Liotti. From infant research to evolutionism: two motivational perspectives in dialogue Giovanni Liotti and Joseph D. Lichtennerg 4 Complex trauma theories and psychopathology: the difficult patient ANTONELLA IVALDI Who is the difficult patient? Trauma and dissociation Psychophysiology of trauma 5 Personality disorders: diagnosis and treatment MARIANGELA LANFREDI AND ANTONELLA IVALDI Empirically supported psychological approaches to the treatment of personality disorders Why do different treatment models prove to be equally effective? A hypothesis based on motivational theories 6 The relational/multi-motivational therapeutic approach (REMOTA) ANTONELLA IVALDI FIRST PART The structure of the dual setting REMOTA: a simple structure for a complex process The therapeutic relationship and its complexity How the therapist trains for the complexity of the relationship The first phase of treatment: individual therapy Setting and relationship: negotiating the therapeutic alliance The metacontext: therapy in the real context of the patient’s life Working with emotions Empathy: a complex process? The body in therapy: the use of non-verbal communication in the relationship SECOND PART The group: methodological considerations Is affiliation an inborn motivation? Being in a relationship using two session rooms The therapeutic relationship and the group Why does the integration of the individual and the group setting improve working conditions? A biopsychosocial hypothesis based on evolution theory Conclusion 7 Some methodological considerations on outcome research in psychotherapy and results of a naturalistic study in the treatment of patients with severe axis I/II comorbidity disorders GIOVANNI FASSONE Some food for thought The Gold Standard for research on outcomes in medicine and psychotherapy: is all that glitters gold? Some problems with RCTs in psychotherapy Conclusion Results from a controlled naturalistic study in the treatment of severe comorbid axis I/II patients 8 Group psychotherapy: addressing impediments to engaging the affiliative motivational system ROSEMARY SEGALLA Functioning in groups Affiliation and group membership Aspects of affiliation in group therapy Impediments to the activation of the affiliative motivational system From individual to group: a case Summary References Index Foreword Giovanni Liotti The continuously shifting different motives that underpin any affectively significant and durable exchange between human beings are a key focus of interest for psychotherapists in general and psychoanalysts in particular. In contemporary clinical practice, it is likely that the majority of psychoanalysts and even a wider proportion of dynamic psychotherapists of any orientation do not rely any more on the classical theory that reduces these motives to two basic instinctual drives, sex (libido) and destructive aggression (mortido). Multi-motivational approaches to human relatedness – considering attachment, intersubjectivity and other systems of motives together with sex and aggression – are emerging substitutes for the classical dual drives theory. Two multi-motivational theories – the psychoanalytic one advanced by Joseph Lichtenberg and a cognitive- evolutionary one – provide comprehensive conceptual backgrounds both for the study of the multiple primary systems that regulate human relationships and for the applications to clinical practice of the emerging multifarious view of the basic underpinnings of relational experiences and behaviour.
The list of books you might like
