Department of Dynamic and Clinical Psychology "Sapienza" University of Rome.
University of California San Francisco School of Medicine.
Psychodyn Psychiatry. 2020 Summer;48(2):113-139. doi: 10.1521/pdps.2020.48.2.113.
The aim of this article is to introduce the reader to how control-mastery theory (CMT; Gazzillo, 2016; Silberschatz, 2005; Weiss, 1993), an integrative relational cognitive-dynamic theory of mental functioning, psychopathology, and psychotherapeutic process, understands traumas, their consequences, and their mastery. In the first part of this article, we will present an overview of the debate about the definition of trauma within the different editions of the Then, we will focus on the concept of complex traumas and on their consequences on mental health. Finally, we will discuss how CMT conceptualizes traumas and their pathological consequences. We will stress in particular how, according to CMT, in order for a painful experience to become a trauma, its victim has to come to believe that s/he caused it in the attempt to pursue a healthy and adaptive goal. In order to master traumas and disprove the pathogenic beliefs developed from them, people attempt to reexperience situations similar to the traumatic ones in safer conditions while giving them happier endings.
本文旨在向读者介绍控制-主宰理论(CMT;Gazzillo,2016;Silberschatz,2005;Weiss,1993),这是一种综合的关系认知动力学理论,用于理解心理功能、精神病理学和心理治疗过程中的创伤、其后果及其掌控。在本文的第一部分,我们将介绍关于不同版本的精神障碍诊断与统计手册(DSM)中对创伤定义的争论概述。然后,我们将重点讨论复杂创伤的概念及其对心理健康的影响。最后,我们将讨论 CMT 如何理解创伤及其病理后果。我们将特别强调,根据 CMT,为了使痛苦的经历成为创伤,其受害者必须开始相信自己是在试图追求健康和适应性目标的过程中导致了创伤。为了掌控创伤并反驳由此产生的致病信念,人们试图在更安全的条件下重新体验与创伤相似的情况,同时给它们一个更快乐的结局。