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Improving the therapist’s metacognition and capacity to intersubjectively attune with a patient with psychosis through the exploration of the therapist’s developmental history: a case report

Clinical literature emphasizes how symptoms of psychosis can be efficiently targeted by psychological treatments. The most well-known approach to these symptoms is cognitive-behavioral therapy; but in the last few decades also other approaches are enriching the landscape, focusing on the dysfunction...

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Autores principales: Salvatore, Gianpaolo, Di Somma, Tania, Buonocore, Luisa, Conza, Maria, Di Sturco, Nadia, Fimiani, Gerardina, Manfredi, Nicoletta, Marciano, Raffaella, Pallotta, Antonella, Proto, Maria Grazia, Sateriale, Anna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332146/
https://www.ncbi.nlm.nih.gov/pubmed/37435400
http://dx.doi.org/10.3389/fpsyt.2023.1195695
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author Salvatore, Gianpaolo
Di Somma, Tania
Buonocore, Luisa
Conza, Maria
Di Sturco, Nadia
Fimiani, Gerardina
Manfredi, Nicoletta
Marciano, Raffaella
Pallotta, Antonella
Proto, Maria Grazia
Sateriale, Anna
author_facet Salvatore, Gianpaolo
Di Somma, Tania
Buonocore, Luisa
Conza, Maria
Di Sturco, Nadia
Fimiani, Gerardina
Manfredi, Nicoletta
Marciano, Raffaella
Pallotta, Antonella
Proto, Maria Grazia
Sateriale, Anna
author_sort Salvatore, Gianpaolo
collection PubMed
description Clinical literature emphasizes how symptoms of psychosis can be efficiently targeted by psychological treatments. The most well-known approach to these symptoms is cognitive-behavioral therapy; but in the last few decades also other approaches are enriching the landscape, focusing on the dysfunctions in mentalization or metacognition, a spectrum of mental activities involving thinking about one’s own and others’ mental states. This huge amount of theoretical reflection and empirical research focused on the implementation of treatments does not seem to be associated with an attention to the inner world of the therapist who relates to the patient with psychosis; for example, to the impact of the therapist’s developmental history on the therapeutic relationship. In this paper the authors are inspired by an intersubjective perspective, according to which although the treatment is for the patient’s benefit, both the patient’s and the therapist’s developmental history and psychological organization are equally relevant for understanding the clinical exchange. On this basis, the authors make a “parallel” analysis of the clinical case of a young woman with symptoms of psychosis (i.e., persecutory delusions, auditory verbal hallucinations, social withdrawal) and its supervision process. They show how the therapeutic relationship can be significantly conditioned by the therapist’s developmental history; and how a process of supervision focused on the exploration of the traumatic elements of this history can effectively promote the therapist’s metacognitive capabilities, a functional patient-therapist intersubjective attunement, and a good clinical outcome.
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spelling pubmed-103321462023-07-11 Improving the therapist’s metacognition and capacity to intersubjectively attune with a patient with psychosis through the exploration of the therapist’s developmental history: a case report Salvatore, Gianpaolo Di Somma, Tania Buonocore, Luisa Conza, Maria Di Sturco, Nadia Fimiani, Gerardina Manfredi, Nicoletta Marciano, Raffaella Pallotta, Antonella Proto, Maria Grazia Sateriale, Anna Front Psychiatry Psychiatry Clinical literature emphasizes how symptoms of psychosis can be efficiently targeted by psychological treatments. The most well-known approach to these symptoms is cognitive-behavioral therapy; but in the last few decades also other approaches are enriching the landscape, focusing on the dysfunctions in mentalization or metacognition, a spectrum of mental activities involving thinking about one’s own and others’ mental states. This huge amount of theoretical reflection and empirical research focused on the implementation of treatments does not seem to be associated with an attention to the inner world of the therapist who relates to the patient with psychosis; for example, to the impact of the therapist’s developmental history on the therapeutic relationship. In this paper the authors are inspired by an intersubjective perspective, according to which although the treatment is for the patient’s benefit, both the patient’s and the therapist’s developmental history and psychological organization are equally relevant for understanding the clinical exchange. On this basis, the authors make a “parallel” analysis of the clinical case of a young woman with symptoms of psychosis (i.e., persecutory delusions, auditory verbal hallucinations, social withdrawal) and its supervision process. They show how the therapeutic relationship can be significantly conditioned by the therapist’s developmental history; and how a process of supervision focused on the exploration of the traumatic elements of this history can effectively promote the therapist’s metacognitive capabilities, a functional patient-therapist intersubjective attunement, and a good clinical outcome. Frontiers Media S.A. 2023-06-26 /pmc/articles/PMC10332146/ /pubmed/37435400 http://dx.doi.org/10.3389/fpsyt.2023.1195695 Text en Copyright © 2023 Salvatore, Di Somma, Buonocore, Conza, Di Sturco, Fimiani, Manfredi, Marciano, Pallotta, Proto and Sateriale. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Salvatore, Gianpaolo
Di Somma, Tania
Buonocore, Luisa
Conza, Maria
Di Sturco, Nadia
Fimiani, Gerardina
Manfredi, Nicoletta
Marciano, Raffaella
Pallotta, Antonella
Proto, Maria Grazia
Sateriale, Anna
Improving the therapist’s metacognition and capacity to intersubjectively attune with a patient with psychosis through the exploration of the therapist’s developmental history: a case report
title Improving the therapist’s metacognition and capacity to intersubjectively attune with a patient with psychosis through the exploration of the therapist’s developmental history: a case report
title_full Improving the therapist’s metacognition and capacity to intersubjectively attune with a patient with psychosis through the exploration of the therapist’s developmental history: a case report
title_fullStr Improving the therapist’s metacognition and capacity to intersubjectively attune with a patient with psychosis through the exploration of the therapist’s developmental history: a case report
title_full_unstemmed Improving the therapist’s metacognition and capacity to intersubjectively attune with a patient with psychosis through the exploration of the therapist’s developmental history: a case report
title_short Improving the therapist’s metacognition and capacity to intersubjectively attune with a patient with psychosis through the exploration of the therapist’s developmental history: a case report
title_sort improving the therapist’s metacognition and capacity to intersubjectively attune with a patient with psychosis through the exploration of the therapist’s developmental history: a case report
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332146/
https://www.ncbi.nlm.nih.gov/pubmed/37435400
http://dx.doi.org/10.3389/fpsyt.2023.1195695
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