Pierre Janet : trauma et dissociation

Craparo, Giuseppe; Hart, Onno van der; Ortu, Francesca

doi:10.3917/dbu.vand.2021.01

Cited by 1 publication

(1 citation statement)

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“…Charcot suggested that the symptoms of hysteria were rooted in psychological trauma. His students, Pierre Janet and Sigmund Freud, devised parallel formulations and treatments for hysteria (Craparo et al, 2019). Janet (1925) suggested that hysteria resulted from the inability to integrate traumatic memories into autobiographical narrative.…”

Section: Psychodynamic Originsmentioning

confidence: 99%

To expose or not to expose: A comprehensive perspective on treatment for posttraumatic stress disorder.

Rubenstein,

Duek,

Doran

et al. 2024

American Psychologist

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Trauma-focused psychotherapies, in particular prolonged exposure (PE) therapy, have been recognized as the "gold standard" for the treatment of posttraumatic stress disorder (PTSD). But effectiveness and implementation data show that a large proportion of patients who undergo exposure therapy retain their PTSD diagnosis, and implementation studies have shown low engagement and high dropout rates. Meanwhile, non-trauma-focused therapies have shown promise in treating PTSD. In this review, we aim to answer the question of whether exposure is necessary to treat PTSD by integrating clinical and research literature from multiple perspectives. We review the roots of exposure therapy in both psychodynamic and behavioral paradigms and their proposed mechanisms. We then review non-trauma-focused treatments and their proposed mechanisms. We conclude that the specific form of exposure required by PE is not necessary for symptom remission. Finally, common psychotherapy factors may facilitate patient self-directed exposure outside of the therapy context. These findings should alter the direction of clinical research to identify the therapy processes that most effectively promote the processing of trauma memories. With respect to clinical practice, shared decision-making should allow for increased patient autonomy in choosing either trauma-focused or non-trauma-focused treatments.

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Section: Psychodynamic Originsmentioning

confidence: 99%