M. Bucca, M.F. Petrigni, S. Cammarata - Volume 5, Settembre 1999, n.3
Testo Immagini Bibliografia Summary Riassunto Indice
Dalle reazioni psiconevrotiche ai
disturbi somatoformi:
il ruolo della psicodinamica nella letteratura sulle nevrosi
From psychoneurotic to somatoform disorders:
the role of psychodynamic theory in the literature of Neuroses
The purpose of this article is to analyse the past und present weight of psychodynamic psychiatry in the international literature of neuroses. To attain this, we examine the so-called somatoform disorders according to the APA’s, DSM-IV classification. As reference model we consider the different editions (from 1967 to 1995) of the Comprehensive Textbook of Psychiatry. This is actually the text of choice of the US psychiatry. We analyze the chapters of the text dealing with these disorders evaluating the quotations and bibliographies contained. Our analysis shows that the psychoanalytic-psychodynamic trend of the first editions (up to the third of 1980) was followed by an emergent biological model. This evolution keeps up with the successive editions of the Diagnostic and Statistical Manual of Mental Disorders (DSM). Nevertheless the chapter on somatoform disorders, in the last Synopsis of Psychiatry (Kaplan, Sadock and Grebb 1998), gives a larger importance to the unconscious. In fact the unconscious is regarded as a factor which takes part both in the processes contributing to symptoms and in the motivation for symptom production. Moreover a fairly good emphasis is assigned to another psychoanalytic concept, the development of the therapeutic alliance as a management strategy. Accordingly webelieve, psychodynamic therapies in the treatment of somatoform disorders should be increasingly employed