Abstracts
Résumé
Les capacités de mentalisation des victimes d’agression sexuelle vécue durant l’enfance (ASE) sont méconnues. L’étude propose de mesurer et décrire les capacités de mentalisation spécifique au trauma chez 30 adultes ayant subi des ASE. Ces capacités sont codifiées à partir d’une entrevue sur les dévoilements de l’ASE. Quarante pourcent des participants présentent des capacités de mentalisation déficitaires, 33 % des capacités de mentalisation rudimentaires et 28 % une mentalisation efficiente. Des exemples de manifestations de mentalisation sont décrits. Ces résultats permettent de mieux comprendre les capacités de mentalisation des victimes à l’égard des expériences traumatiques. Les implications cliniques sont discutées.
Mots-clés :
- mentalisation spécifique au trauma,
- fonctionnement réflexif,
- agression sexuelle durant l’enfance,
- adultes
Abstract
Little is still known about the mentalizing capacities of childhood sexual abuse (CSA) survivors. This study is aimed at measuring and describing the mentalizing capacities of 30 adult CSA survivors using an interview discussing disclosure of experiences as coded by the Trauma-Specific Reflective Functioning Scale. Forty percent of the sample presented mentalizing failures in relation to discussions of trauma, 33 % had low mentalizing abilities and 28 % had good mentalizing abilities. Specific examples of mentalizing manifestations were identified. These results will help researchers and clinicians better understand the mechanisms through which survivors respond and adapt to trauma.
Keywords:
- trauma-specific reflective functioning,
- mentalizing,
- childhood sexual abuse,
- adults
Appendices
Bibliographie
- Alaggia, R. (2010). An ecological analysis of child sexual abuse disclosure : considerations for child and adolescent mental health. Journal of the Canadian Academy of Child & Adolescent Psychiatry, 19(1), 32-39.
- Allen, J. G. (2012a). Mentalizing in the development and treatment of attachment trauma. Londres : Karnac Books.
- Allen, J. G. (2012b). Restoring mentalizing in attachment relationships : Treating trauma with plain old therapy. Arlington, VA : American Psychiatric Publishing.
- Allen, J. G., Fonagy, P., & Bateman, A. W. (2008). Mentalizing in clinical practice. Arlington, VA : American Psychiatric Publishing.
- Androutsopoulou, A., Thanopoulou, K., Economou, E., & Bafiti, T. (2004). Forming criteria for assessing the coherence of clients' life stories : a narrative study. Journal of Family Therapy, 26(4), 384-406.
- Bateman, A., & Fonagy, P. (2006). Mentalizing and borderline personality disorder. In J. G. Allen & P. Fonagy (Éds), Handbook of mentalization-based treatment (p.185-200). West Sussex : John Wiley & Sons.
- Berthelot, N. (2010). Échelle du fonctionnement réflexif spécifique aux abus, version 1.0. Québec : Université Laval.
- Berthelot, N., Ensink, K., Bernazzani, O., Normandin, L., Luyten, P., & Fonagy, P. (2015). Intergenerational transmission of attachment in abused and neglected mothers : The role of trauma-specific reflective functioning. Infant Mental Health Journal, 36(2), 200-212.
- Berthelot, N., Ensink, K., & Drouin-Maziade, C. (2016). Les défis de la parentalité pour les victimes de mauvais traitements au cours de leur enfance. In C. Giraudeau & G. Chasseigne (Éds), Éléments pour une psychologie de la maltraitance (p. 53-76). Paris : Éditions Publibook Université.
- Berthelot, N., Ensink, K., & Normandin, L. (2013). Échecs de mentalisation du trauma. Carnet de notes sur les maltraitances infantiles, 2(1), 9-15.
- Berthelot, N., Ensink, K., & Normandin, L. (2014). Mentalisation efficiente du trauma. Carnet de notes sur les maltraitances infantiles, 1(1), 6-20.
- Bonomi, A. E., Anderson, M. L., Rivara, F. P., Cannon, E. A., Fishman, P. A., Carrell, D., et al. (2008). Health care utilization and costs associated with childhood abuse. Journal of General Internal Medicine, 23(3), 294-299.
- Chagnon, J.-Y. (2011). Identification à l’agresseur et identification projective à l’adolescence. Topique, 115(2), 127-140.
- Chen, L. P., Murad, M. H., Paras, M. L., Colbenson, K. M., Sattler, A. L., Goranson, E. N., et al. (2010). Sexual abuse and lifetime diagnosis of psychiatric disorders : systematic review and meta-analysis. Mayo Clinic Proceedings, 85(7), 618-629.
- Chiesa, M., & Fonagy, P. (2014). Reflective function as a mediator between childhood adversity, personality disorder and symptom distress. Personality and Mental Health, 8(1), 52-66.
- Choi-Kain, L. W., & Gunderson, J. G. (2008). Mentalization : ontogeny, assessment, and application in the treatment of borderline personality disorder. American Journal of Psychiatry, 165(9), 1127-1135.
- Collin-Vézina, D., De La Sablonnière-Griffin, M., Palmer, A. M., & Milne, L. (2015). A preliminary mapping of individual, relational, and social factors that impede disclosure of childhood sexual abuse. Child Abuse & Neglect, 43, 123-134.
- Dimitrova, N., Pierrehumbert, B., Glatz, N., Torrisi, R., Heinrichs, M., Halfon, O., et al. (2010). Closeness in relationships as a mediator between sexual abuse in childhood or adolescence and psychopathological outcome in adulthood. Clinical Psychology & Psychotherapy, 17(3), 183-195.
- Ensink, K., Bégin, M., Normandin, L., & Fonagy, P. (2016). Maternal and child reflective functioning in the context of child sexual abuse : pathways to depression and externalising difficulties. European Journal of Psychotraumatology, 7.
- Ensink, K., Berthelot, N., Bernazzani, O., Normandin, L., & Fonagy, P. (2014). Another step closer to measuring the ghosts in the nursery : preliminary validation of the Trauma Reflective Functioning Scale. Frontiers in Psychology, 5.
- Faller, K. C. (1990). Understanding child sexual maltreatment. Newbury Park, CA : Sage Publications.
- Fergusson, D. M., McLeod, G. F. H., & Horwood, L. J. (2013). Childhood sexual abuse and adult developmental outcomes : Findings from a 30-year longitudinal study in New Zealand. Child Abuse & Neglect, 37(9), 664-674.
- Fischer-Kern, M., Buchheim, A., Hörz, S., Schuster, P., Doering, S., Kapusta, N. D., et al. (2010). The relationship between personality organization, reflective functioning, and psychiatric classification in borderline personality disorder. Psychoanalytic Psychology, 27(4), 395-409.
- Fonagy, P. (2002). Understanding of mental states, mother-infant interaction and the development of the self. In J. M. Maldonado-Durán (Éd.), Infant and toddler mental health : Models of clinical intervention with infants and their families (p. 57-74). Arlington, VA : American Psychiatric Publishing.
- Fonagy, P., Gergely, G., Jurist, E. & Target, M. (2004). Affect regulation, mentalization, and the development of the self. New York, NY : Other Press.
- Fonagy, P., & Bateman, A. W. (2006). Mechanisms of change in mentalization-based treatment of BPD. Journal of Clinical Psychology, 62(4), 411-430.
- Fonagy, P., & Luyten, P. (2009). A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder. Development and Psychopathology, 21(4), 1355-1381.
- Fonagy, P., & Target, M. (1997). Attachment and reflective function : Their role in self-organization. Development and Psychopathology, 9(4), 679-700.
- Fonagy, P., & Target, M. (2000). Playing with reality : III. The persistence of dual psychic reality in borderline patients. International Journal of Psycho-Analysis, 81, 853-873.
- Fonagy, P., & Target, M. (2002). Early intervention and the development of self-regulation. Psychoanalytic Inquiry, 22(3), 307-335.
- Fonagy, P., & Target, M. (2006). The mentalization-focused approach to self pathology. Journal of Personality Disorders, 20(6), 544-576.
- Fonagy, P., Target, M., & Gergely, G. (2000). Attachment and borderline personality disorder : A theory and some evidence. Psychiatric Clinics of North America, 23(1), 103-122.
- Fonagy, P., Target, M., Steele, H., & Steele, M. (1998). Reflective-functioning manual, version 5.0, for application to adult attachment interviews. London : University College London.
- George, C., Kaplan, N., & Main, M. (1985). Adult attachment interview (AAI). Unpublished manuscript, university of California at Berkeley.
- Macintosh, H. B. (2013). Mentalizing and its role as a mediator in the relationship between childhood experiences and adult functioning : Exploring the empirical evidence. Psihologija, 46(2), 193-212.
- Main, M., Hesse, E., & Goldwyn, R. (2008). Studying differences in language usage in recounting attachment history : An introduction to the AAI. In H. Steele & M. Steele (Éds), Clinical applications of the Adult Attachment Interview (p. 31-68), New York, NY : Guilford Press.
- Maniglio, R. (2009). The impact of child sexual abuse on health : A systematic review of reviews. Clinical Psychology Review, 29(7), 647-657.
- Mundorf, E. S., & Paivio, S. C. (2011). Narrative quality and disturbance pre- and post-emotion-focused therapy for child abuse trauma. Journal of Traumatic Stress, 24(6), 643-650.
- Neau, F. (2013). Identification de/à l’agresseur chez les auteurs d’agressions sexuelles : Entre destruction et survie. Perspectives Psy, 52(2), 127-133.
- Scott, K. M., Smith, D. R., & Ellis, P. M. (2010). Prospectively ascertained child maltreatment and its association with DSM-IV mental disorders in young adults. Archives of General Psychiatry, 67(7), 712-719.
- Siegel, D. J. (2001). Toward an interpersonal neurobiology of the developing mind : Attachment relationships,“mindsight,” and neural integration. Infant Mental Health Journal, 22(1-2), 67-94.
- Stein, H., Fonagy, P., Wheat, K., & Gerber, A. (2004). Does mentalizating capacity mediate the relationship between developmental adversity and adult social functioning? Journal of the American Psychoanalytic Association, 52(4), 1217-1221.
- Stoltenborgh, M., van IJzendoorn, M. H., Euser, E. M., & Bakermans-Kranenburg, M. J. (2011). A global perspective on child sexual abuse : Meta-analysis of prevalence around the world. Child Maltreatment, 16(2), 79-101.
- Toth, S. L., Cicchetti, D., Macfie, J., & Emde, R. N. (1997). Representations of self and other in the narratives of neglected, physically abused, and sexually abused preschoolers. Development and Psychopathology, 9(4), 781-796.
- Whiffen, V. E., & MacIntosh, H. B. (2005). Mediators of the link between childhood sexual abuse and emotional distress : A critical review. Trauma, Violence, & Abuse, 6(1), 24-39.
- Zoellner, L. A., Alvarez-Conrad, J., & Foa, E. B. (2002). Peritraumatic dissociative experiences, trauma narratives, and trauma pathology. Journal of Traumatic Stress, 15(1), 49-57.