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Transference-Focused Psychotherapy bij voormalige kindsoldaten

Moordlust in de spreekkamer

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Tijdschrift voor Psychotherapie

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.

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Literatuur

  • 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.

    Article  PubMed Central  PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    CAS  PubMed  Google Scholar 

  • Chu, J.A. (1998). Rebuilding shattered lives. New York: Wiley.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Clarkin, J.F., Yeomans, F.E. & Kernberg, O.F. (2006). Psychotherapy for borderline personality: focusing on object relations. Arlington: American Psychiatric Publishing.

  • Cloitre, M. (2009). Effective psychotherapies for posttraumatic stress disorder: a review and critique. CNS Spectrums, 14, 32–43.

    PubMed  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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. (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. (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. (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. & 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 (2011b). Transference Focused Psychotherapy. In T. Ingenhoven, P. Luyten, A. van Reekum, e.a. (red.), Handboek borderline persoonlijkheidsstoornis (pp. 93–109). Utrecht: de Tijdstroom.

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Article  Google Scholar 

  • Hart, O. van der, Nijenhuis, E.R.S. & ;Steele, K., (2006). Structural dissociation and the treatment of chronic traumatization. New York: Norton.

    Google Scholar 

  • 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.

    Google Scholar 

  • Klasen, F., Daniels, J., Oettingen, G., Post, M. & Hoyer, C. (2010). Posttraumatic resilience in former Ugandan child soldiers. Child Development, 81, 1096–1113.

    Article  PubMed  Google Scholar 

  • Kolk, B.A. van der (2005). Developmental trauma disorder: towards a rational diagnosis for chronically traumatized children. Psychiatric Annals, 35, 401–408.

    Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • Mills, J. (2005). Treating attachment pathology. Oxford: Rowman & Littlefield.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Article  PubMed  Google Scholar 

  • 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.

    Google Scholar 

  • Scharff, J.S. & Tsigounis, S.A. (2003). Self-hatred in psychoanalysis: detoxifying the persecutory object. New York: Brunner-Routledge.

    Google Scholar 

  • Schauer, E. & Elbert, T. (2009). The psychological impact of child soldiering. Internet: www.fotres.ch/index.cfm?action=act_getfile & amp; doc_id=100518.

  • Schore, A.N. (2005). Attachment, affect regulation, and the developing right brain: linking developmental neuroscience to pediatrics. Pediatrics in Review, 26, 204–211.

    Article  PubMed  Google Scholar 

  • UNICEF (2007). Paris principles: principles and guidelines on children associated with armed forces or armed conflict. New York: Unicef.

    Google Scholar 

  • Yehuda, R. (1999). Managing anger and aggression in patients with posttraumatic stress disorder. Journal of Clinical Psychiatry, 60, 33–37.

    Article  PubMed  Google Scholar 

  • Yeomans, F.E., Clarkin, J.F. & Kernberg, O.F. (2002). A primer of transference focused psychotherapy for the borderline patient. Northvale: Jason Aronson.

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Author information

Authors and Affiliations

  1. Afdeling Psychiatrie, VU Medisch Centrum/GGZinGeest, Amsterdam, The Netherlands

    Nel Draijer

  2. Psychotraumacentrum Zuid-Nederland/Reinier van Arkel Groep, s-Hertogenbosch, The Netherlands

    Pauline van Zon

Authors
  1. Nel Draijer
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  2. Pauline van Zon
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Corresponding author

Correspondence to Nel Draijer.

Additional information

n. draijer is klinisch psycholoog, psychotherapeut en psychoanalyticus, Afdeling Psychiatrie, VU Medisch Centrum/GGZinGeest, Amsterdam. E-mail: n.draijer@ggzingeest.nl.

p. van zon is psychotherapeut, Psychotraumacentrum Zuid-Nederland/Reinier van Arkel Groep, Den Bosch.

Dit artikel is een vertaling van ‘Transference-focused psychotherapy with former child soldiers: meeting the murderous self’, gepubliceerd in het Journal of Trauma and Dissociation, 14, 170-183.

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Draijer, N., van Zon, P. Transference-Focused Psychotherapy bij voormalige kindsoldaten. TIJDSCHRIFT PSYCHOTHERAPIE 40, 197–212 (2014). https://doi.org/10.1007/s12485-014-0024-1

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