Skip to main navigation menu Skip to main content Skip to site footer

Commentaries

No. 2 (2023)

Trajectories of support intervention in clinical psychology

DOI
https://doi.org/10.3280/rpc2-2023oa16675
Submitted
ottobre 17, 2023
Published
2024-02-07

Abstract

The present paper aims to discuss the request of the National Council of Italian Psychologists for a definition of the typical acts of psychologists in the clinical field by commenting on the work of Castelnuovo et al. (2023). In particular, we aim to contribute to the current debate by addressing primarily supportive interventions in the clinical setting, focusing on: (1) defining the supportive intervention among the typical acts of the psychologist; (2) adopting a methodological criterion to distinguish between supportive intervention as a psychological-clinical act and psychotherapeutic intervention; and (3) articulating of the discourse in relation to the adoption of narrative methods in clinical intervention. In particular, in this work we argue that supportive interventions are adopted in critical situations, where dysregulation of psychological functioning processes is assumed, and they use the narrative device by promoting a connection between mental states and an articulation of affects in shared meanings. Instead, psychotherapeutic interventions are adopted in conditions of distress and/or psychopathology and use the narrative device in light of an inverse trajectory of sense, that leads from behaviors and representations to the understanding and transformation of the affective matrix of experience. Thus, supportive intervention may be defined as a process in which the clinical relationship serves as scaffolding for psychic functions in the direction of their development and integration.

References

  1. Bertuzzi, V., Semonella, M., Bruno, D., Manna, C., Edbrook-Childs, J., Giusti, E. M., Castelnuovo, G., & Pietrabissa, G. (2021). Psychological support interventions for healthcare providers and informal caregivers during the COVID-19 pandemic: A systematic review of the literature. International Journal of Environmental Research and Public Health, 18(13), 6939. DOI: 10.3390/ijerph18136939.
  2. Brockmeier, J. (2000). Autobiographical time. Narrative Inquiry, 10(1), 51–73. DOI: 10.1075/ni.10.1.03bro.
  3. Brockmeier, J. (2009). Reaching for meaning: Human agency and the narrative imagination. Theory & Psychology, 19(2), 213–233. DOI: 10.1177/0959354309103540.
  4. Bruner, J. (1990). Acts of meaning: Four lectures on mind and culture (Vol. 3). Cambridge (MA): Harvard University Press.
  5. Castelnuovo, G., Di Nuovo, S., Lingiardi, V., Madeddu, F., & Salvatore, S. (2023). Psychology profession, clinical psychology, psychotherapy. Specificities and boundaries. The Italian Journal of Clinical Psychology, 1, 7–25. DOI: 10.3280/rpc1-2023oa16357.
  6. Chiari, G., & Nuzzo, M. L. (2010). Constructivist psychotherapy: A narrative hermeneutic approach. Routledge/Taylor & Francis Group.
  7. NCIP (2015). La professione di psicologo: declaratoria, elementi caratterizzanti ed atti tipici. Retrieved from: https://www.psy.it/allegati/2015-la-professione-di-psicologo.pdf.
  8. Corrao, F. (1991). Trasformazioni narrative. Milano: Cortina.
  9. Crossley, M. L. (2003). Formulating narrative psychology: The limitations of contemporary social constructionism. Narrative Inquiry, 13(2), 287-300. DOI: 10.1075/ni.13.2.03cro.
  10. Dallos, R. (2004). Attachment narrative therapy: Integrating ideas from narrative and attachment theory in systemic family therapy with eating disorders. Journal of Family Therapy, 26(1), 40-65. DOI: 10.1111/j.1467-6427.2004.00266.x.
  11. De Luca Picione, R., & Freda, M. F. (2012). Senso e significato. Rivista di Psicologia Clinica, 2, 17-26.
  12. De Luca Picione, R., Martino, M. L., & Freda, M. F. (2017). Understanding cancer patients’ narratives: Meaning-making process, temporality, and modal articulation. Journal of Constructivist Psychology, 30(4), 339-359. DOI: 10.1080/10720537.2016.1227738.
  13. De Luca Picione, R., Martino, M. L., & Freda, M. F. (2018). Modal articulation: The psychological and semiotic functions of modalities in the sensemaking process. Theory & Psychology, 28(1), 84-103. DOI: 10.1177/0959354317743580.
  14. Dimaggio, G., Montano, A., Popolo, R. & Salvatore, G. (2015). Meta-cognitive Interpersonal Therapy for Personality Disorders: A treatment manual. London: Routledge.
  15. Ferro, A. (2014). Le viscere della mente: Sillabario emotivo e narrazioni. Milano (IT): Raffaello Cortina.
  16. Fivush, R., Booker, J. A., & Graci, M. E. (2017). Ongoing narrative meaning-making within events and across the life span. Imagination, Cognition and Personality, 37(2), 127-152. DOI: 10.1177/0276236617733824.
  17. Flannery, R. B., & Everly, G. S. (2000). Crisis intervention: A review. International Journal of Emergency Mental Health, 2(2), 119-125.
  18. Frank, A. W. (2013). The wounded storyteller: Body, illness & ethics. University of Chicago Press.
  19. Freda, M. F. (2009). Narrazione e intervento in psicologia clinica. Costruire, pensare e trasformare narrazioni fra «logos» e «pathos». Napoli: Liguori.
  20. Freda, M. F., Lemmo, D., Auriemma, E., De Luca Picione, R., & Martino, M. L. (2023). From sense to meaning: Narrative Function Coding System for the experience of illness. Qualitative Research Journal, 23(1), 41-61. DOI: 10.1108/QRJ-06-2022-0081.
  21. Greenberg, L. S., & Pascual-Leone, J. (2001). A dialectical constructivist view of the creation of personal meaning. Journal of Constructivist Psychology, 14(3), 165-186. DOI: 10.1080/10720530151143539.
  22. Gucciardi, E., Jean-Pierre, N., Karam, G., & Sidani, S. (2016). Designing and delivering facilitated storytelling interventions for chronic disease self-management: a scoping review. BMC Health Services Research, 16, 249. DOI: 10.1186/s12913-016-1474-7.
  23. Hossain, S. N., Jaglal, S. B., Shepherd, J., Perrier, L., Tomasone, J. R., Sweet, S. N., Luong, D., Allin, S., Nelson, M. L. A., Guilcher, S. J. T., & Munce, S. E. P. (2021). Web-based peer support interventions for adults living with chronic conditions: Scoping review. JMIR Rehabilitation and Assistive Technologies, 8(2), e14321. DOI: 10.2196/14321.
  24. Johannsen, M., Damholdt, M. F., Zachariae, R., Lundorff, M., Farver-Vestergaard, I., & O’Connor, M. (2019). Psychological interventions for grief in adults: A systematic review and meta-analysis of randomized controlled trials. Journal of Affective Disorders, 253, 69-86. DOI: 10.1016/j.jad.2019.04.065.
  25. Kelly, G. A. (1970). A brief introduction to personal construct theory. Perspectives in Personal Construct Theory, 1, 29. DOI: 10.23826/2017.01.003.025.
  26. Lecours, S. (2007). Supportive interventions and nonsymbolic mental functioning. The International Journal of Psychoanalysis, 88(4), 895-915. DOI: 10.1516/u7gk-3g8h-1532-2152.
  27. Lu, Q., Gallagher, M. W., Loh, A., & Young, L. (2018). Expressive writing intervention improves quality of life among Chinese-American breast cancer survivors: A randomized controlled trial. Annals of Behavioral Medicine, 52(11), 952-962. DOI: 10.1093/abm/kax067.
  28. Martino, M. L., Lemmo, D., Gargiulo, A., Barberio, D., Abate, V., & Freda, M. F. (2022). Processing breast cancer experience in under-fifty women: Longitudinal trajectories of narrative sense making functions. Journal of Constructivist Psychology, 36(4), 483-503. DOI: 10.1080/10720537.2022.2043208.
  29. Martino, M. L., Lemmo, D., Moylan, J., Stevenson, C., Bonalume, L., Freda, M. F., & Singer, J. A. (2023). The role and function of autobiographical memory narratives during the emotional processing of breast cancer treatment: An empirically-derived memory coding system. International Journal of Environmental Research and Public Health, 20(2), 1492. DOI: 10.3390/ijerph20021492.
  30. McAdams, D. P. (2013). The psychological self as actor, agent, and author. Perspectives on Psychological Science, 8(3), 272-295. DOI: 10.1177/1745691612464657.
  31. McAdams, D. P., & McLean, K. C. (2013). Narrative identity. Current Directions in Psychological Science, 22(3), 233-238. DOI: 10.1177/0963721413475622.
  32. Neimeyer, R. A. (2004). Fostering posttraumatic growth: A narrative elaboration. Psychological Inquiry, 15(1), 53-59. https://www.jstor.org/stable/20447202.
  33. Park, C. L. (2010). Making sense of the meaning literature: an integrative review of meaning making and its effects on adjustment to stressful life events. Psychological Bulletin, 136(2), 257-301. DOI: 10.1037/a0018301.
  34. Pennebaker, J. W. (1997). Writing about emotional experiences as a therapeutic process. Psychological Science, 8(3), 162-166. DOI: 10.1111/j.1467-9280.1997.tb00403.x.
  35. Piana, N., Maldonato, A., Bloise, D., Carboni, L., Careddu, G., Frati-celli, E., Mereu, L., & Romani, G. (2010). The narrative-autobiographical approach in the group education of adolescents with diabetes: A qualitative research on its effects. Patient Education and Counseling, 80(1), 56-63. DOI: 10.1016/j.pec.2009.10.020.
  36. Reynolds, R., Dennis, S., Hasan, I., Slewa, J., Chen, W., Tian, D., Bobba, S., & Zwar, N. (2018). A systematic review of chronic disease management interventions in primary care. BMC Family Practice, 19(1), 11. DOI: 10.1186/s12875-017-0692-3.
  37. Rodríguez Vega, B., Bayón Pérez, C., PalaoTarrero, A., & Fernández Liria, A. (2014). Mindfulness‐based narrative therapy for depression in cancer patients. Clinical Psychology & Psychotherapy, 21(5), 411-419. DOI: 10.1002/cpp.1847.
  38. Sansom-Daly, U. M., Peate, M., Wakefield, C. E., Bryant, R. A., & Cohn, R. J. (2012). A systematic review of psychological interventions for adolescents and young adults living with chronic illness. Health Psychology, 31(3), 380-393. DOI: 10.1037/a0025977.
  39. Schafer, R. (1980). Narration in the psychoanalytic dialogue. Critical Inquiry, 7(1), 29-53.
  40. Selwood, A., Johnston, K., Katona, C., Lyketsos, C., & Livingston, G. (2007). Systematic review of the effect of psychological interventions on family caregivers of people with dementia. Journal of Affective Disorders, 101(1-3), 75-89. DOI: 10.1016/j.jad.2006.10.025.
  41. Spence, D. P. (1984). Narrative truth and historical truth: Meaning and interpretation in psychoanalysis. WW Norton & Company.
  42. Tennen, H., & Affleck, G. (2002). Benefit-finding and benefit-reminding. In C. R. Snyder & S. J. Lopez (Eds.), Handbook of positive psychology (pp. 584-597). Oxford (UK): Oxford University Press.
  43. Thompson, C. A., Spilsbury, K., Hall, J., Birks, Y., Barnes, C., & Adamson, J. (2007). Systematic review of information and support interventions for caregivers of people with dementia. BMC Geriatrics, 7, 18. DOI: 10.1186/1471-2318-7-18.
  44. Tronick, E. (2010). Infants and mothers: Self- and mutual regulation and meaning making. In B.M. Lester & J.D. Sparrow (Eds.), Nurturing children and families: Building on the legacy of T. Berry Brazelton (pp. 83-93). Blackwell Publishing Ltd.
  45. White, M., & Epston, D. (1990). Narrative means to therapeutic ends. WW Norton & Company.
  46. Williams, G. (1984). The genesis of chronic illness: narrative re-construction. Sociology of Health & Illness, 6(2), 175-200. DOI: 10.1111/1467-9566.ep10778250.
  47. Williams, G. (2000). Knowledgeable narratives. Anthropology & Medicine, 7(1), 135-140. DOI: 10.1080/136484700109395.

Metrics

Metrics Loading ...