Actualité de la théorie du (des) traumatisme(s). Implication psychothérapique
The understanding of psychological trauma has significantly evolved, highlighting the distinction between Post-Traumatic Stress Disorder (ptsd) and Complex Post-Traumatic Stress Disorder (c-ptsd) or Developmental Trauma Disorder (dtd). Traditionally, ptsd is associated with a single or repeated trau...
محفوظ في:
| المؤلف الرئيسي: | |
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| التنسيق: | Article ou chapitre numérique |
| اللغة: | Français |
| منشور في: |
2025
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| الموضوعات: | |
| الوصول للمادة أونلاين: | Accès Université d'Orléans et IFPM Accès Université d'Orléans et IFPM |
| الملخص: | The understanding of psychological trauma has significantly evolved, highlighting the distinction between Post-Traumatic Stress Disorder (ptsd) and Complex Post-Traumatic Stress Disorder (c-ptsd) or Developmental Trauma Disorder (dtd). Traditionally, ptsd is associated with a single or repeated traumatic event, leading to symptoms such as flashbacks, avoidance, and hypervigilance. These manifestations can significantly impair the daily lives of affected individuals. Complex trauma refers to the consequences of chronic situations of violence, abuse, or neglect during childhood, resulting in persistent difficulties in identity, emotional regulation, and relationships. Individuals with complex trauma exhibit significant adaptation challenges across various areas of their lives, which do not diminish merely with the passage of time. These challenges manifest in a range of disorders, including depression, attention-deficit/hyperactivity disorder (adhd), oppositional defiant disorder (odd), conduct disorder, anxiety disorders, eating disorders, sleep disorders, communication disorders, separation anxiety disorder, and reactive attachment disorder. Addressing these disorders involves a developmental extension of psychodynamic psychotherapy. Its practice and effects are facilitated by epigenetics and neural plasticity, as well as through transference and a (re)structuring process involving attention, active proximity, patient-therapist synchrony, reduction of dissociation, access to bodily memory, and the engagement of mentalization as a complement to attachment. Introducing the patient’s lived experience and approaching conscious thought enable access to the language of previously inaccessible experiences. Close collaboration among various professionals is often necessary. |
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