Anabel Gonzalez

Universitary Hospital of A Coruña · Psychiatry

Introduction The relationship between history of childhood trauma (CT) and current schizophrenic symptoms is complex and controversial. Most of the studies report more positive psychotic symptoms (PPS) in psychotic patients who had suffered CT. Findings for negative psychotic symptoms (NPS) are mixed: most authors do not find differences or even fi...

Background: The World Health Organization has highlighted the importance of studying the consequences of the COVID-19 pandemic on mental health. The aim of this study is to examine the role of age in the early psychological responses to the pandemic in a Spanish community sample, focusing on how different generations coped with it. Method: An on...

Current evidence suggests a high prevalence of childhood trauma (CT) among adult patients diagnosed with schizophrenia spectrum disorders. Exposure to CT might lead to clinical differences eventually observed in these patients. We present a cross-sectional study with 54 patients with schizophrenia spectrum disorder (schizophrenia and schizoaffectiv...

Introduction Childhood trauma is the main non-hereditary factor that has proved a strong link to schizophrenia development in adulthood. All kinds of interpersonal childhood trauma have been linked to psychosis. Young age and poly-victimisation increase likelihood for trauma-related psychosis onset. Objectives 1) Describe childhood traumatic exp...

ntroduction A well-known link exists between childhood trauma and schizophrenia development in adulthood. Dissociation has been shown to mediate between trauma and psychosis in several studies. A recent meta-analysis demonstrated a relevant and significant relationship between childhood trauma and dissociation in schizophrenia spectrum patients....

This is the English version of the Structured Clinical Interview for Voice-Hearers (version 1.5)

Wywiad pogłębiony eksplorujący doświadczenie halucynacji słuchowych słownych

Introduction Identification of traumatic events in childhood and adolescence are truly relevant to understand how these situations affects to adult's psychopathology. Objective This study presents a scale to identify both continuous and discrete traumatic events happening in family, school, or between equals, below the age of 18. Method An initia...

Eye Movement Desensitization and Reprocessing (EMDR) therapy is a psychotherapeutic approach with broad and growing empirical support. It is an internationally recommended approach for post‐traumatic stress disorder (PTSD). This chapter summarizes the application of EMDR therapy to psychotic disorders with several systematic studies and case report...

This article describes the conclusions of an investigation done with 120 Spanish patients: the finding of a new psychopathological profile within a subgroup of patients suffering from schizophrenia. The patients were evaluated through different questionnaires about sociodemographic data, traumatic events, the severity index (both clinical and psych...

Background: Treatment of recurrent depressive disorders is currently only moderately successful. Increasing evidence suggests a significant relationship between adverse childhood experiences and recurrent depressive disorders, suggesting that trauma-based interventions could be useful for these patients. Objectives: To investigate the efficacy of E...

Eye Movement Desensitization and Reprocessing is a psychotherapeutic approach with recognized efficiency in treating post-traumatic stress disorder (PTSD), which is being used and studied in other psychiatric diagnoses partially based on adverse and traumatic life experiences. Nevertheless, there is not enough empirical evidence at the moment to su...

Background: The concept of severe mental illness (SMI) has been related to bipolar or psychotic diagnosis, or to some cases of depressive disorders. Other mental health problems such as personality disorders or posttraumatic dissociative conditions, which can sometimes lead to relevant functional impairments, remain separate from the SMI construct...

Background: The Somatoform Dissociation Questionnaire (SDQ-20) is a self-reported questionnaire measuring somatoform dissociation. The aim of this study is to analyze the psychometric properties of the Spanish version of the SDQ-20 and its short version (SDQ-5). Methods: Validity and reliability were examined in a sample of 360 psychiatric outpa...

Emotion dysregulation is a frequent feature in trauma-related disorders. Different kinds of emotion dysregulation seem to be linked to particular psychiatric conditions, and there is growing evidence of the association between neurobiological correlates and those dysregulation patterns. Nevertheless, many of the recent findings from the field of th...

Wie bereits in einem früheren Artikel in dieser Zeitschrift dargelegt, können Eye Movement Desensitization and Reprocessing (EMDR)-Behandler, die Patienten mit komplexen traumabezogenen Störungen behandeln, von der Kenntnis und der Anwendung der Theorie der strukturellen Persönlichkeitsdissoziation (TSPD) und der ihr zugehörigen Aktionspsychologie...

Eye Movement Desensitization and Reprocessing (EMDR) – Psychotherapie kann eine bedeutende Rolle in der phasenorientierten Behandlung von komplexen traumabezogenen Störungen spielen. In einem vorangegangenen Artikel wurde die Behandlungsphase 1 im Sinne der Theorie der strukturellen Persönlichkeitsdissoziation und der ihr zugeordneten Aktionspsycho...

Existe un interés creciente en usar la terapia de desensibilización y reprocesamiento mediante movimientos oculares (EMDR) más allá del trastorno por estrés postraumático; para el cual dicha aplicación está bien consolidada. Con el fuerte consenso académico de que las experiencias vitales adversas y traumáticas contribuyen al desarrollo del trastor...

Emotion regulation impairments with traumatic origins have mainly been studied from posttraumatic stress disorder (PTSD) models by studying cases of adult onset and single-incident trauma exposure. The effects of adverse traumatic experiences, however, go beyond the PTSD. Different authors have proposed that PTSD, borderline personality, dissociati...

Wie bereits in einem früheren Artikel in dieser Zeitschrift dargelegt, können Eye Movement Desensitization and Reprocessing (EMDR)-Behandler, die Patienten mit komplexen traumabezogenen Störungen behandeln, von der Kenntnis und der Anwendung der Theorie der strukturellen Persönlichkeitsdissoziation (TSPD) und der ihr zugehörigen Aktionspsychologie...

Existe un interés creciente en usar la terapia de desensibilización y reprocesamiento mediante movimientos oculares (EMDR) más allá del trastorno por estrés postraumático; para el cual dicha aplicación está bien consolidada. Con el fuerte consenso académico de que las experiencias vitales adversas y traumáticas contribuyen al desarrollo del trastor...

Eye Movement Desensitization and Reprocessing (EMDR) – Psychotherapie kann eine bedeutende Rolle in der phasenorientierten Behandlung von komplexen traumabezogenen Störungen spielen. In einem vorangegangenen Artikel wurde die Behandlungsphase 1 im Sinne der Theorie der strukturellen Persönlichkeitsdissoziation und der ihr zugeordneten Aktionspsycho...

Il y a aujourd'hui un intérêt croissant pour l'utilisation de la thérapie de désensibilisation et de retraitement par les mouvements oculaires (EMDR), au-delà du traitement de l'état de stress post-traumatique (ESPT) où son application est bien établie. Étant donné le fort consensus scientifique actuel autour de la responsabilité des vécus traumati...

Previous reviews have focused on neurobiological and physiological mechanisms underlying conversion disorder, but they do not usually distinguish between negative and positive conversion symptoms. Some authors have proposed that different phenomena should underlie both situations and that diverse emotion regulation strategies (under- vs. overregula...

Jak sugeruje poprzedni artykuł w niniejszym piśmie, znajomość i stosowanie teorii strukturalnej dysocjacji osobowości (TSDP) oraz towarzyszącej jej psychologii czynności może przynieść korzyści lekarzom stosującym terapię EMDR (odwrażliwiania za pomocą ruchu gałek ocznych) w leczeniu pacjentów ze złożonymi zaburzeniami potraumatycznymi. Wg teorii T...

La psychothérapie EMDR (désensibilisation et retraitement par les mouvements oculaires) peut jouer un rôle majeur dans le traitement orienté par phases de troubles complexes liés au trauma. En termes de la théorie de la dissociation structurelle de la personnalité et de sa psychologie de l'action associée, un article précédent a décrit le traitemen...

Il y a aujourd'hui un intérêt croissant pour l'utilisation de la thérapie de désensibilisation et de retraitement par les mouvements oculaires (EMDR), au-delà du traitement de l'état de stress post-traumatique (ESPT) où son application est bien établie. Étant donné le fort consensus scientifique actuel autour de la responsabilité des vécus traumati...

Jak sugeruje poprzedni artykuł w niniejszym piśmie, znajomość i stosowanie teorii strukturalnej dysocjacji osobowości (TSDP) oraz towarzyszącej jej psychologii czynności może przynieść korzyści lekarzom stosującym terapię EMDR (odwrażliwiania za pomocą ruchu gałek ocznych) w leczeniu pacjentów ze złożonymi zaburzeniami potraumatycznymi. Wg teorii T...

Persistent problems in emotional regulation and interpersonal relationships in borderline patients can be understood as developing from difficulties in early dyadic regulation with primary caregivers. Early attachment patterns are a relevant causal factor in the development of Borderline Personality Disorder (BPD). Links between attachment issues,...

There is a growing interest in the use of eye movement desensitization and reprocessing (EMDR) therapy beyond posttraumatic stress disorder (PTSD) where its application is well established. With strong scholarly consensus that early traumatic and adverse life experiences contribute to the development of borderline personality disorder (BPD), EMDR w...

Beziehung auftreten) und dem frühkindlichen Umfeld, in welchem der Patient aufwuchs, schwierig sein. Die-se Lebensumfelder sind oft gekennzeichnet durch eine Vielzahl massiver traumatischer Ereignisse, vorwiegend jedoch durch die chronische und verheerende Häufung multipler Traumata und ungünstiger Lebenserfahrun-gen. Das Lärmende und die Dramatik...

Eye movement desensitization and reprocessing (EMDR) psychotherapy can play a major role in phaseoriented treatment of complex trauma-related disorders. In terms of the theory of structural dissociation of the personality and its related psychology of action, a previous article described Phase 1 treatment—Stabilization, Symptom Reduction, and Skill...

La psychothérapie EMDR (désensibilisation et retraitement par les mouvements oculaires) peut jouer un rôle majeur dans le traitement orienté par phases de troubles complexes liés au trauma. En termes de la théorie de la dissociation structurelle de la personnalité et de sa psychologie de l'action associée, un article précédent a décrit le traitemen...

Comme un précédent article dans ce journal l'a déjà proposé, les cliniciens EMDR (désensibilisation et retraitement par les mouvements oculaires) qui traitent des patients présentant des troubles complexes liés au trauma pourraient tirer bénéfice de la connaissance et de l'application de la théorie de la dissociation structurelle de la personnalité...

A terapia EMDR está fortemente ligada aos estudos sobre a me- moria. O tratamento EMDR baséase na identificación, acceso, e procesamento das memorias asociadas cos problemas actuais do paciente, é dicir, aquelas experiencias que o cerebro non podería asimilar e integrar, e ao quedar almacenadas disfuncionalmen- te, alimentan os síntomas actuais. Ad...

Personality disorders have been related with early attachment problems and trauma being. borderline personality disorder the one that presents the higher percentage of these factors. EMDR therapy is a recently developed psychotherapeutic approach, with increasing recognition for the treatment of traumatic experiences that offers interesting possibi...

As proposed in a previous article in this journal, eye movement desensitization and reprocessing (EMDR) clinicians treating clients with complex trauma-related disorders may benefit from knowing and applying the theory of structural dissociation of the personality (TSDP) and its accompanying psychology of action. TSDP postulates that dissociation o...

Introduction: The literature has found that eating disorders patients usually have a depression and anxiety diagnosis. However, not many investigations have studied the relationship between ED and subjective well-being. Objectives & aims: For this reason in this study it is analyzed if women with an eating disorder diagnosis have less subjective we...

Borderline personality disorder and dissociation are strongly related. DSM-IV-R criteria of BPD, for instance, include isola- ted dissociative symptoms (APA, 1994). Two thirds of BPD may be diagnosed of a dissociative disorder. Both diagnoses have been related with high rates of childhood trauma. The close relationship between trauma, dissociation...

The authors step by the diagnostic criteria for Borderline Personality Disorder, viewing them from the perspective of the Adaptive Information Processing e pointing them as a guide for exploration and search of traumatic interpersonal events connected to attachment story and which can be addressed by the therapeutic work with EMDR.

These patients tend to experience difficulties in substance or alcohol abuse programs due to their frequent interpersonal problems and their addiction patterns, which do not fit into a standard pattern of substance abuse or dependence.Eye Movement Desensitization Reprocessing (EMDR) therapy, oriented toward the treatment of the experiences that ori...

Borderline personality disorder and dissociation are strongly related. DSM-IV-R criteria of BPD, for instance, include isola- ted dissociative symptoms (APA, 1994). Two thirds of BPD may be diagnosed of a dissociative disorder. Both diagnoses have been related with high rates of childhood trauma. The close relationship between trauma, dissociation...

La devaluación del self y de los otros es un aspecto relevante en el campo del trauma y la disociación, pero la terapia se ha focalizado habitualmente en la perspectiva de víctimas y abusadores, donde tendemos a prestar atención a las víctimas y sus síntomas. Desde esta perspectiva, las víctimas se describen como depresivas, sumisas, vulnerables y...

The devaluation of self and others is a relevant issue in the field of trauma and dissociation but therapy usually focuses on a victim-abuser perspective where we tend to pay attention to victims and their symptoms. From this perspective, victims are described as depressed, submissive, vulnerable and usually trapped in learned helplessness. Althoug...

Muchos de los síntomas característicos de los pacientes con trastorno límite de la personalidad (TLP) se hacen más comprensibles si tratamos de entender los problemas que presentó en su infancia la relación con sus cuidadores principales. Las dificultades de sintonía, regulación y consistencia en la relación entre padres e hijo se ve reflejada en l...

The authors study a sample of 605 psychiatric emergencies attending to a general hospital psychiatric ward. 12,5% of patients were alcohol related psychiatric emergencies. The results show a greater rate of men and age between 21-60. There were no significative differences in habitat, but profession showed significative in some occupations (sailor,...

This study arises from an interest in expanding our knowledge about the characteristics of people repeatedly attending psychiatric emergencies services, and aims to identify associated factors which may influence this pattern of demand. From all patients attending the emergency service in a general hospital and requiring psychiatric assistance duri...

SUMMARY: The present paper aims to reflect Upon the role that psychiatric emergency services are playing in the care of non-institutionalized psychotic patients (within the particular frame of a Health Area being re-structured nowadays) Several data about patients who attended a General Hospital Admission Ward Service and were diagnosed as psychoti...

RESUMEN La disociación es un fenómeno postraumático. Muchos profesionales no afirmarían de modo tan rotundo esta relación. En el presente artículo se revisarán las razones para la actual confusión en el campo de los trastornos disociativos, y para la discrepancia respecto al tema central de este texto. En este trabajo nos posicionamos de modo claro...

RESUMEN: En los últimos años cada vez más estudios empíricos de paises muy diferentes están mostrando una prevalencia importante de los trastornos disociativos y en particular del Trastorno de Identidad Disociativo (antes personalidad múltiple). Pese al encendido debate en torno a este diagnóstico, los datos son claros y consistentes. Más allá de l...