Contratransferência e trauma psíquico

Eizirik, Mariana; Schestatsky, Sidnei Samuel; Knijnik, Luiza Feijó; Terra, Luciana; Ceitlin, Lúcia Helena Freitas

doi:10.1590/s0101-81082006000300010

Cited by 12 publications

(7 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…2 This new picture, which emerged from the recognition of symptomatologic phenomena arising in the contexts of war -in particular, the World Wars and the Vietnam War -fostered the formulation in the 1980s of diagnostic criteria for post-traumatic stress disorder (PTSD) as a dimensional category. It referred to various symptoms associated with trauma experienced in war, 3,4 according to the 1980 Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III). 5 In the subsequent edition, the DSM-IV, acute stress disorder (ASD) appeared as a separate diagnostic category, describing symptoms consistent with psychological disturbances similar to those of PTSD, which occur in many individuals after a trauma, but with a maximum duration of one month.…”

Section: Introductionmentioning

confidence: 99%

Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital

Santana

Zatti

Spader

et al. 2017

Trends Psychiatry Psychother.

View full text Add to dashboard Cite

Introdução: O transtorno de estresse agudo (TEA) reúne um conjunto de sintomas que pode surgir nos indivíduos após exposição a um evento traumático. Este estudo verificou a relação entre o estilo defensivo e o desenvolvimento de TEA e seus sintomas em uma amostra de pacientes que sofreram trauma físico. Métodos: Este estudo transversal controlado envolveu 146 pacientes que sofreram trauma físico e necessitaram hospitalização. Um questionário estruturado foi utilizado para avaliar sintomas de TEA, baseado nos critérios diagnósticos do DSM-5, além do Questionário de Estilo Defensivo (Defense Style Questionnaire -DSQ). Resultados: Dez (6,85%) pacientes tiveram diagnóstico positivo para TEA, e 136 (93,15%), diagnóstico negativo. A maioria da amostra foi composta por homens com idade mediana variando de 33,50 a 35,50. Nos 10 pacientes positivos para TEA, destacou-se a maior utilização de mecanismos de defesa de anulação e desvalorização, pertencentes ao fator neurótico e ao fator imaturo, respectivamente. Foram observadas associações positivas entre presença de sintomas de TEA do critério B do DSM-5 e os mecanismos de defesa do DSQ, sobretudo nos mecanismos de anulação, projeção, agressão passiva, acting out, fantasia autística, deslocamento e somatização. Conclusão: Pacientes com TEA utilizaram mais mecanismos de defesa do tipo anulação e desvalorização quando comparados aos pacientes sem diagnóstico de TEA. Ressalta-se a importância da detecção precoce de sintomas de TEA a fim de evitar outros agravos relacionados ao trauma, o que representa uma importante evolução em termos de saúde pública. Descritores: Sintoma, transtorno estresse agudo, mecanismos de defesa, eventos estressantes. AbstractIntroduction: Acute stress disorder (ASD) encompasses a set of symptoms that can arise in individuals after exposure to a traumatic event. This study assessed the defense mechanisms used by victims of physical trauma who developed ASD. Method: This was a controlled cross-sectional study of 146 patients who suffered physical trauma and required hospitalization. A structured questionnaire was used to evaluate ASD symptoms based on DSM-5 diagnostic criteria, in addition to the Defense Style Questionnaire (DSQ). Results: Ten participants (6.85%) received a positive diagnosis of ASD, and 136, (93.15%) a negative diagnosis. The majority of the sample consisted of men with median age ranging from 33.50 to 35.50. The most prevalent defense mechanisms among the 10 patients with ASD were cancellation and devaluation, which belong to the neurotic and immature factors, respectively. Positive associations between the presence of symptoms from criterion B of the DSM-5 and defense mechanisms from the DSQ were found. These included the mechanisms of undoing, projection, passive aggression, acting out, autistic fantasy, displacement, and somatization. Conclusion: Patients with ASD employed different defense mechanisms such as undoing and devaluation when compared to patients not diagnosed with ASD. These results mark the importance of early det...

show abstract

Section: Introductionmentioning

confidence: 99%

Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital

Santana

Zatti

Spader

et al. 2017

Trends Psychiatry Psychother.

View full text Add to dashboard Cite

show abstract

“…Victims of violence are considered hard patients because of their countertransference feelings of frustration [11]. Also, a source of psychic suffering for the therapist is treating traumatized patients since they have an intense and significant emotional load [32]. Therefore, a specific evaluation of the patient's violent context is necessary; identifying the patient's resources and obstacles; the personal explanation for victimization; the possible secondary gain, that is, investigating the characteristics and the psychodynamic functioning; and clinical understanding of these patients; the dimension axes of the OPD-2 can perform this analysis.…”

Section: Implications For Clinical Practice and Public Healthmentioning

confidence: 99%

Intimate partner violence against women: Operationalized Psychodynamic Diagnosis (OPD-2)

et al. 2020

View full text Add to dashboard Cite

Introduction Intimate partner violence against women is one of the most common forms of violence. Different research fields are trying to understand the cycle of violence, such as the psychological field, to understand how these women's relational patterns and intrapsychic conflict function in the cycle of violence. Objective To investigate the operationalized psychodynamic diagnosis of women victims of domestic violence, exploring the severity and experience of violence, structural functions, dysfunctional interpersonal patterns, and intrapsychic conflicts. Method We conducted a cross-sectional quantitative study using the OPD-2 Clinical Interviews, which were recorded and transcribed. The sample was composed by 56 women victims of domestic violence, mean age 30.07 (SD = ±9.65). Reliability was satisfactory for judges interviews(k>0,6). Results According to the OPD-2 evaluation, we found that the severity of the violence was associated with the intensity of women's subjective suffering. In the relational pattern, they stay in the relationship, leaving themselves vulnerable; perceive the partner as controlling, aggressive, offensive, and fear abandonment. As a defensive mechanism to relational discomfort

show abstract

“…As a whole, violence can cause serious trauma to the victim. Psychological trauma is considered to be the results of physical and/or psychological threat (Eizirik et al, ; Peres, ). The way each subject deals with and represents the traumatic events is linked to the intensity and severity of the incident.…”

Section: Introductionmentioning

confidence: 99%

Cycle of violence in women victims of domestic violence: Qualitative analysis of OPD 2 interview

2019

View full text Add to dashboard Cite

IntroductionDomestic violence places woman as the victim and man as the aggressor in the family environment. There is limited consistent and clear information based on empirical evidence on the dynamic functioning of the victims.ObjectiveTo further understand the psychodynamics of women in the cycle of violence taking into account the aspects of psychological trauma. It is transversal research design. The sample was composed of ten women victim of domestic violence. Data collection was based on the OPD‐2 Clinical Interview. Content analysis was performed from categories created by a posteriori: (a) Previous history; (b) Behavioral aspects; (c) Emotional aspects; (d) Reason for being in the relationship; (e) Type of violence and explanation for the reason of violence; (f) Support network and daily activities; and (g) Clinical and legal referral.ResultsConstant violence causes changes in the structural functioning and psychological conflict of the victims: difficulties in mentalization, instability in relationships, emotional dependence, abandonment of her own life for her partners, difficulty in having a sense of identity. Victims presented difficulties in making significant changes in daily life to break the cycle of violence.ConclusionThe research sought to collaborate with more evidence on the subject, suggesting a reformulation on forms of encounter to break the cycle of violence.

show abstract

Contratransferência e trauma psíquico

Cited by 12 publications

References 5 publications

Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital

Acute stress disorder and defense mechanisms: a study of physical trauma patients admitted to an emergency hospital

Intimate partner violence against women: Operationalized Psychodynamic Diagnosis (OPD-2)

Cycle of violence in women victims of domestic violence: Qualitative analysis of OPD 2 interview

Contact Info

Product

Resources

About