Il corso partirà dall’analisi degli stati emotivi “negativi” nel controtransfert e dalla comprensione del loro utilizzo in psicoterapia. Lo spunto sarà dato dall’articolo fondatore di Winnicott del 1949 e dalla ricca letteratura che ha generato sia in ambito psichiatrico che nelle cure somatiche in medicina di base. Saranno in particolare evidenziate le patologie di tipo “funzionale” o a carattere dissociativo
e le loro modalità di trattamento.
Bibliografia:
• Dirkzwager, A.J.E. and Verhaak, P.F.M. (2007) “Patients with persistent medically unexplained symptoms in general practice: characteristics and quality of care.,” BMC family practice, 8, p. 33. Available at: https://doi.org/10.1186/1471-2296-8-33.
• Dwamena, F.C. et al. (2009) “In their own words: qualitative study of high-utilising primary care patients with medically unexplained symptoms,” BMC Family Practice, 10(1), p. 67. Available at: https://doi.org/10.1186/1471-2296-10-67.
• Groves, J.E. (1978) “Taking Care of the Hateful Patient,” New England Journal of Medicine, 298(16), pp. 883–887. Available at:
https://doi.org/10.1056/NEJM197804202981605.
• Hahn, S.R. et al. (1994) “The difficult doctor-patient relationship: Somatization, personality and psychopathology,” Journal of Clinical Epidemiology, 47(6), pp. 647–657. Available at: https://doi.org/10.1016/0895-4356(94)90212-7.
• Hahn, S.R. et al. (1996) “The difficult patient: Prevalence, psychopathology, and functional impairment,” Journal of General Internal Medicine [Preprint]. Available at: https://doi.org/10.1007/BF02603477.
• Hahn, S.R. (2001) “Physical Symptoms and Physician-Experienced Difficulty in the Physician–Patient Relationship,” Annals of Internal Medicine, 134(9_Part_2), pp. 897–904. Available at: https://doi.org/10.7326/0003-4819-134-9_Part_2-200105011-00014.
• Jackson, J.L. and Kroenke, K. (1999) “Difficult Patient Encounters in the Ambulatory Clinic,” Archives of Internal Medicine, 159(10), p. 1069. Available at: https://doi.org/10.1001/archinte.159.10.1069.
• Mota, P. et al. (2019) “Difficult patient-doctor encounters in a Swiss university outpatient clinic: cross-sectional study.,” BMJ open, 9(1), p. e025569. Available at: https://doi.org/10.1136/bmjopen-2018-025569.
• Smith, R.C. et al. (2003) “Treating patients with medically unexplained symptoms in primary care.,” Journal of general internal medicine, 18(6), pp. 478–89. Available at: https://doi.org/10.1046/j.1525-1497.2003.20815.x.
• Strous, R.D., Ulman, A.-M. and Kotler, M. (2006) “The hateful patient revisited: Relevance for 21st century medicine,” European Journal of Internal Medicine, 17(6), pp. 387–393. Available at: https://doi.org/10.1016/j.ejim.2006.04.002.
• Tamura, H. et al. (2023) “Association Between Physician Empathy and Difficult Patient Encounters: a Cross-Sectional Study,” Journal of General Internal Medicine, 38(8), pp. 1843–1847. Available at: https://doi.org/10.1007/s11606-022-07936-0.
• Winnicott, D.W. (1949) “Hate in the counter-transference.,” The International Journal of Psycho-Analysis, (30), pp. 69–74.
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