Skip to main content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Tijdschrift voor Psychotherapie 3/2014

01-05-2014 | Artikelen

Transference-Focused Psychotherapy bij voormalige kindsoldaten

Moordlust in de spreekkamer

Auteurs: Nel Draijer, Pauline van Zon

Gepubliceerd in: Tijdschrift voor Psychotherapie | Uitgave 3/2014

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

In dit artikel beschrijven wij de toepassing van Transference-Focused Psychotherapy (TFP) bij de behandeling van voormalige kindsoldaten met een dissociatieve identiteitsstoornis (DIS). Het richt zich vooral op de agressieproblemen, zoals die in psychotherapie naar voren komen. TFP biedt een psychodynamisch, objectrelationeel model om deze agressie te begrijpen en te focussen op de overdracht en tegenoverdracht in het hier en nu van de therapeutische relatie. Agressie wordt gezien als essentieel en vitaal, gericht op autonomie, afstand en op het voorkomen van kwetsuren en afhankelijkheid. Bij ernstig getraumatiseerde patiënten kunnen afgesplitste agressieve en onderdrukkende kanten voorkomen, die totale controle willen - zich identificerend met de agressors uit de kindertijd - en die daarmee kwetsbaarheid voorkomen. In TFP is het van vitaal belang dat de behandelaar deze agressie aanspreekt als behorend bij de patiënt zelf, om uiteindelijk een zekere mate van integratie, evenwicht en gezondheid te bereiken. Dit proces wordt geïllustreerd aan de hand van een gevalsbeschrijving.
Literatuur
go back to reference Betancourt, T.S., Borisova, I.I., Williams, T.P., Brennan, R.T., Whitfield, T.H., Soudiere, M. de la, Williamson, J. & Gilman, S.E. (2010). Sierra Leone's former child soldiers: a follow-up study of psychosocial adjustment and community reintegration. Child Development, 81, 1077–1095. PubMedCentralPubMedCrossRef Betancourt, T.S., Borisova, I.I., Williams, T.P., Brennan, R.T., Whitfield, T.H., Soudiere, M. de la, Williamson, J. & Gilman, S.E. (2010). Sierra Leone's former child soldiers: a follow-up study of psychosocial adjustment and community reintegration. Child Development, 81, 1077–1095. PubMedCentralPubMedCrossRef
go back to reference Caligor, E., Diamond, D., Yeomans, F.E. & Kernberg, O.F. (2009). The interpretive process in the psychoanalytic psychotherapy of borderline personality pathology. Journal of the American Psychoanalytic Association, 57, 271–301. PubMedCrossRef Caligor, E., Diamond, D., Yeomans, F.E. & Kernberg, O.F. (2009). The interpretive process in the psychoanalytic psychotherapy of borderline personality pathology. Journal of the American Psychoanalytic Association, 57, 271–301. PubMedCrossRef
go back to reference Chemtob, C.M., Novaco, R.W., Hamada, R.S., Gross, D.M. & Smith, G. (1997). Anger regulation deficits in combat-related posttraumatic stress disorder. Journal of Traumatic Stress, 10, 17–36. PubMed Chemtob, C.M., Novaco, R.W., Hamada, R.S., Gross, D.M. & Smith, G. (1997). Anger regulation deficits in combat-related posttraumatic stress disorder. Journal of Traumatic Stress, 10, 17–36. PubMed
go back to reference Chu, J.A. (1998). Rebuilding shattered lives. New York: Wiley. Chu, J.A. (1998). Rebuilding shattered lives. New York: Wiley.
go back to reference Clarkin, J.F., Levy, K.N., Lenzenweger, M. & Kernberg, O.F. (2007). Evaluating three treatments for borderline personality disorder. American Journal of Psychiatry, 164, 922–928. PubMedCrossRef Clarkin, J.F., Levy, K.N., Lenzenweger, M. & Kernberg, O.F. (2007). Evaluating three treatments for borderline personality disorder. American Journal of Psychiatry, 164, 922–928. PubMedCrossRef
go back to reference Clarkin, J.F., Yeomans, F.E. & Kernberg, O.F. (2006). Psychotherapy for borderline personality: focusing on object relations. Arlington: American Psychiatric Publishing. Clarkin, J.F., Yeomans, F.E. & Kernberg, O.F. (2006). Psychotherapy for borderline personality: focusing on object relations. Arlington: American Psychiatric Publishing.
go back to reference Cloitre, M. (2009). Effective psychotherapies for posttraumatic stress disorder: a review and critique. CNS Spectrums, 14, 32–43. PubMed Cloitre, M. (2009). Effective psychotherapies for posttraumatic stress disorder: a review and critique. CNS Spectrums, 14, 32–43. PubMed
go back to reference Doering, S., Horz, S., Rentrop, M., Fischer-Kern, M., Schuster, P., Benecke, C., Buchheim, A., Martius, P. & Bucheim, P. (2010). Transference-focused psychotherapy treatment by community psychotherapists for borderline personality disorder: randomised controlled trial. British Journal of Psychiatry, 196, 389–395. PubMedCrossRef Doering, S., Horz, S., Rentrop, M., Fischer-Kern, M., Schuster, P., Benecke, C., Buchheim, A., Martius, P. & Bucheim, P. (2010). Transference-focused psychotherapy treatment by community psychotherapists for borderline personality disorder: randomised controlled trial. British Journal of Psychiatry, 196, 389–395. PubMedCrossRef
go back to reference Draijer, N. (1999). Pathologische haat en traumatisering; de worsteling met afstand, nabijheid en herinnering. In G.F. Koerselman & W. van Tilburg (red.), Haat (pp. 55-74). Tricht: Foundation Psychoanalysis and Psychiatry. Draijer, N. (1999). Pathologische haat en traumatisering; de worsteling met afstand, nabijheid en herinnering. In G.F. Koerselman & W. van Tilburg (red.), Haat (pp. 55-74). Tricht: Foundation Psychoanalysis and Psychiatry.
go back to reference Draijer, N. (2009). Transference focused psychotherapy (TFP) techniques in the treatment of DID. Preconference workshop at the International conference of the International Society for the Study of Trauma and Dissociation, Washington, DC. Draijer, N. (2009). Transference focused psychotherapy (TFP) techniques in the treatment of DID. Preconference workshop at the International conference of the International Society for the Study of Trauma and Dissociation, Washington, DC.
go back to reference Draijer, N. (2010a). Transference focused psychotherapy (TFP) techniques in the treatment of DID. 2nd International Conference of the European Society for Trauma and Dissociation, Belfast. Draijer, N. (2010a). Transference focused psychotherapy (TFP) techniques in the treatment of DID. 2nd International Conference of the European Society for Trauma and Dissociation, Belfast.
go back to reference Draijer, N. (2010b). An object-relational approach to problematic (counter) transference, working with patients with severe trauma related disorders (DID, C-PTSD, BPD). Workshop at the International Conference of the International Society for the Study of Trauma and Dissociation, Atlanta, GA. Draijer, N. (2010b). An object-relational approach to problematic (counter) transference, working with patients with severe trauma related disorders (DID, C-PTSD, BPD). Workshop at the International Conference of the International Society for the Study of Trauma and Dissociation, Atlanta, GA.
go back to reference Draijer, N. & Mosel, J. van (2011a). Transference Focused Psychotherapie voor borderline persoonlijkheidsorganisatie: toegepaste object relatie theorie. In J. Dirkx & R. Vermote (red.), Handboek psychodynamiek (pp. 393 - 405). Utrecht: de Tijdstroom. Draijer, N. & Mosel, J. van (2011a). Transference Focused Psychotherapie voor borderline persoonlijkheidsorganisatie: toegepaste object relatie theorie. In J. Dirkx & R. Vermote (red.), Handboek psychodynamiek (pp. 393 - 405). Utrecht: de Tijdstroom.
go back to reference Draijer, N. & Mosel, J. van (2011b). Transference Focused Psychotherapy. In T. Ingenhoven, P. Luyten, A. van Reekum, e.a. (red.), Handboek borderline persoonlijkheidsstoornis (pp. 93–109). Utrecht: de Tijdstroom. Draijer, N. & Mosel, J. van (2011b). Transference Focused Psychotherapy. In T. Ingenhoven, P. Luyten, A. van Reekum, e.a. (red.), Handboek borderline persoonlijkheidsstoornis (pp. 93–109). Utrecht: de Tijdstroom.
go back to reference Ehntholt, K.A. & Yule, W. (2006). Practitioner review: Assessment and treatment of refugee children and adolescents who have experienced war-related trauma. Journal of Child Psychology and Psychiatry, 47, 1197–1210. PubMedCrossRef Ehntholt, K.A. & Yule, W. (2006). Practitioner review: Assessment and treatment of refugee children and adolescents who have experienced war-related trauma. Journal of Child Psychology and Psychiatry, 47, 1197–1210. PubMedCrossRef
go back to reference Glancy, G. & Saini, M.A. (2005). An evidenced-based review of psychological treatments of anger and aggression. Brief Treatment and Crisis Intervention, 5, 229–248. CrossRef Glancy, G. & Saini, M.A. (2005). An evidenced-based review of psychological treatments of anger and aggression. Brief Treatment and Crisis Intervention, 5, 229–248. CrossRef
go back to reference Hart, O. van der, Nijenhuis, E.R.S. & ;Steele, K., (2006). Structural dissociation and the treatment of chronic traumatization. New York: Norton. Hart, O. van der, Nijenhuis, E.R.S. & ;Steele, K., (2006). Structural dissociation and the treatment of chronic traumatization. New York: Norton.
go back to reference Kernberg, O.F. (1984). The structural interview. In O.F. Kernberg (Ed.), Severe personality disorders: psychotherapeutic strategies (pp. 27–51). New Haven: Yale University press. Kernberg, O.F. (1984). The structural interview. In O.F. Kernberg (Ed.), Severe personality disorders: psychotherapeutic strategies (pp. 27–51). New Haven: Yale University press.
go back to reference Klasen, F., Daniels, J., Oettingen, G., Post, M. & Hoyer, C. (2010). Posttraumatic resilience in former Ugandan child soldiers. Child Development, 81, 1096–1113. PubMedCrossRef Klasen, F., Daniels, J., Oettingen, G., Post, M. & Hoyer, C. (2010). Posttraumatic resilience in former Ugandan child soldiers. Child Development, 81, 1096–1113. PubMedCrossRef
go back to reference Kolk, B.A. van der (2005). Developmental trauma disorder: towards a rational diagnosis for chronically traumatized children. Psychiatric Annals, 35, 401–408. Kolk, B.A. van der (2005). Developmental trauma disorder: towards a rational diagnosis for chronically traumatized children. Psychiatric Annals, 35, 401–408.
go back to reference Levy, K.N., Clarkin, J.F., Yeomans, F.E., Scott, L.N., Wasserman, R.H. & Kernberg, O.F. (2006). The mechanisms of change in the treatment of borderline personality disorder with transference focused psychotherapy. Journal of Clinical Psychology, 62, 481–501. PubMedCrossRef Levy, K.N., Clarkin, J.F., Yeomans, F.E., Scott, L.N., Wasserman, R.H. & Kernberg, O.F. (2006). The mechanisms of change in the treatment of borderline personality disorder with transference focused psychotherapy. Journal of Clinical Psychology, 62, 481–501. PubMedCrossRef
go back to reference Mills, J. (2005). Treating attachment pathology. Oxford: Rowman & Littlefield. Mills, J. (2005). Treating attachment pathology. Oxford: Rowman & Littlefield.
go back to reference Nicholl, C. & Thompson, A. (2004). The psychological treatment of post traumatic stress disorder (PTSD) in adult refugees: a review of the current state of psychological therapies. Journal of Mental Health, 13, 351–362. CrossRef Nicholl, C. & Thompson, A. (2004). The psychological treatment of post traumatic stress disorder (PTSD) in adult refugees: a review of the current state of psychological therapies. Journal of Mental Health, 13, 351–362. CrossRef
go back to reference Orth, U. & Wieland, E. (2006). Anger, hostility, and posttraumatic stress disorder in trauma-exposed adults: a meta-analysis. Journal of Consulting and Clinical Psychology, 74, 698–706. PubMedCrossRef Orth, U. & Wieland, E. (2006). Anger, hostility, and posttraumatic stress disorder in trauma-exposed adults: a meta-analysis. Journal of Consulting and Clinical Psychology, 74, 698–706. PubMedCrossRef
go back to reference Saini, M.A. (2009). Meta-analysis of the psychological treatment of anger: developing guidelines for evidence-based practice. Journal of the American Academy of Psychiatry and the Law Online, 37, 473–488. Saini, M.A. (2009). Meta-analysis of the psychological treatment of anger: developing guidelines for evidence-based practice. Journal of the American Academy of Psychiatry and the Law Online, 37, 473–488.
go back to reference Scharff, J.S. & Tsigounis, S.A. (2003). Self-hatred in psychoanalysis: detoxifying the persecutory object. New York: Brunner-Routledge. Scharff, J.S. & Tsigounis, S.A. (2003). Self-hatred in psychoanalysis: detoxifying the persecutory object. New York: Brunner-Routledge.
go back to reference Schauer, E. & Elbert, T. (2009). The psychological impact of child soldiering. Internet: www.fotres.ch/index.cfm?action=act_getfile & amp; doc_id=100518. Schauer, E. & Elbert, T. (2009). The psychological impact of child soldiering. Internet: www.fotres.ch/index.cfm?action=act_getfile & amp; doc_id=100518.
go back to reference Schore, A.N. (2005). Attachment, affect regulation, and the developing right brain: linking developmental neuroscience to pediatrics. Pediatrics in Review, 26, 204–211. PubMedCrossRef Schore, A.N. (2005). Attachment, affect regulation, and the developing right brain: linking developmental neuroscience to pediatrics. Pediatrics in Review, 26, 204–211. PubMedCrossRef
go back to reference UNICEF (2007). Paris principles: principles and guidelines on children associated with armed forces or armed conflict. New York: Unicef. UNICEF (2007). Paris principles: principles and guidelines on children associated with armed forces or armed conflict. New York: Unicef.
go back to reference Yehuda, R. (1999). Managing anger and aggression in patients with posttraumatic stress disorder. Journal of Clinical Psychiatry, 60, 33–37. PubMedCrossRef Yehuda, R. (1999). Managing anger and aggression in patients with posttraumatic stress disorder. Journal of Clinical Psychiatry, 60, 33–37. PubMedCrossRef
go back to reference Yeomans, F.E., Clarkin, J.F. & Kernberg, O.F. (2002). A primer of transference focused psychotherapy for the borderline patient. Northvale: Jason Aronson. Yeomans, F.E., Clarkin, J.F. & Kernberg, O.F. (2002). A primer of transference focused psychotherapy for the borderline patient. Northvale: Jason Aronson.
Metagegevens
Titel
Transference-Focused Psychotherapy bij voormalige kindsoldaten
Moordlust in de spreekkamer
Auteurs
Nel Draijer
Pauline van Zon
Publicatiedatum
01-05-2014
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Psychotherapie / Uitgave 3/2014
Print ISSN: 0165-1188
Elektronisch ISSN: 1876-5637
DOI
https://doi.org/10.1007/s12485-014-0024-1

Andere artikelen Uitgave 3/2014

Tijdschrift voor Psychotherapie 3/2014 Naar de uitgave

Abstract

Summaries