Dipartimento di Studi Umanistici, Lettere, Beni Culturali, Scienze della Formazione, Università di Foggia, Via Arpi 176, 71121, Foggia, Italy.
Studio Maya, Salerno, Italy.
Am J Psychoanal. 2023 Sep;83(3):371-395. doi: 10.1057/s11231-023-09410-0.
The term developmental trauma (DT) refers to the impact of stressful events which occur cumulatively within the child's relevant relationships and contexts, and usually early in life. According to several authors, DT depends on the caregiver's inadequate intersubjective recognition of one or more aspects of the evolving individual's identity. In the clinical and empirical literature, the study of therapists' developmental trauma, and how it might constitute a relevant variable in the clinical exchange, seem to be underrepresented. In this paper, through the analysis of the supervision process of a clinical case, we show how the therapeutic relationship may implicitly take the form of a "dance" between the patient's and therapist's DT, that prevents the therapist from intersubjectively attuning with the patient; and how a supervision process peculiarly focused on the therapist's DT can effectively promote this attunement and a good clinical outcome.
发展性创伤（developmental trauma，DT）一词是指在儿童相关的人际关系和环境中，累积发生的应激事件对其产生的影响，这些事件通常发生在生命早期。据几位作者所述，DT 取决于照料者对个体正在发展的身份的一个或多个方面的不适当的主体间识别。在临床和实证文献中，对治疗师发展性创伤的研究，以及它如何构成临床交流中的一个相关变量，似乎被低估了。在本文中，我们通过分析一个临床案例的督导过程，展示了治疗关系如何以患者和治疗师的 DT 之间的“舞蹈”形式隐含地出现，从而阻止治疗师与患者进行主体间协调；以及一个特别关注治疗师 DT 的督导过程如何能有效地促进这种协调和良好的临床效果。
