Focus: Linguaggi, metodi e riflessioni cliniche
V. 36 N. 3 (2025)
Quali disturbi sono interpersonali: tutti, alcuni o nessuno?
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Pubblicato: 23 dicembre 2025
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L’obiettivo di questo articolo è analizzare tre diverse ipotesi sul ruolo del dominio interpersonale nella psicopatologia: nello specifico, se nessuno, alcuni o tutti i disturbi debbano essere considerati interpersonali. Nel valutare queste tre posizioni teoriche, presento una tesi generale e un’antitesi per ciascuna di tali posizioni, con l’obiettivo di sostenere una prospettiva interpersonale in psicoterapia. Questa prospettiva si basa sui principi formulati quasi un secolo fa da Harry Stack Sullivan. Infine, discuto una sintesi di tutte queste tesi e antitesi, attraverso una prospettiva evoluzionistica. La conclusione che propongo è che la storia della nostra specie, il funzionamento umano generale e di conseguenza la salute mentale e la psicopatologia si siano evoluti sempre e distintamente in senso sociale. Vengono discusse le implicazioni cliniche per la concettualizzazione e il trattamento.
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Citations
Aas, I. H. (2010). Global Assessment of Functioning (GAF): properties and frontier of current knowledge. Annals of General Psychiatry, 9, 20.
Bernsteni, R. J. (1983). Beyond Objectivism and Relativism: Science, Hermeneutics, and Praxis. University of Pennsylvania Press.
Bian, C., Zhao, W. W., Yan, S. R., Chen, S. Y., Cheng, Y., & Zhang, Y. H. (2023). Effect of interpersonal psychotherapy on social functioning, overall functioning and negative emotions for depression: A meta-analysis. Journal of Affective Disorders, 320, 230-240.
Blaney, P. H., Krueger, R. F., & Millon, T. (Eds.). (2015). Oxford textbook of psychopathology (3rd ed.). Oxford University Press.
Caspi, A., Houts, R. M., Belsky, D. W., Goldman-Mellor, S. J., Harrington, H., Israel, S., Meier, M. H., Ramrakha, S., Shalev, I., Poulton, R., & Moffitt, T. E. (2014). The p Factor: One General Psychopathology Factor in the Structure of Psychiatric Disorders?. Clinical psychological science: a journal of the Association for Psychological Science, 2(2), 119-137.
Cheli, S. (2018). On the Eigenform and Viability of Human Complex Systems: A View to Epistemologically Ground Current Psychotherapy. Systems Research & Behavioral Science, 35, 505-519.
Cheli, S. (2023). An evolutionary look at oddity and schizotypy: How the rise of social brain informs clinical practice. New Ideas in Psychology, 68, 1-9.
Cheli, S. (2026). A psychotherapist’s look into the social brain. In M. Brüne and S. Cheli (Eds.), The Evolution of Psychotherapy: Applying Evolutionary Theory to Mental Health Care (In press). Springer.
Cheli, S., & Brüne, M. (2025). When Do Personality Traits Become Pathological?: An Epistemological and Evolutionary View. In K. Banicki & P. Zachar (Eds.), Conceptualizing Personality Disorder: Perspectives from Philosophy, Psychological Science, and Psychiatry (pp. 160-178). Cambridge University Press.
Cheli, S., Brüne, M., Goldzweig, G., Bui, S., Velicogna, F., & Cavalletti, V. (2025). Evolutionary Systems Therapy: Feasibility and Preliminary Efficacy. Preprint.
Cheli, S., Cavalletti, V., Popolo, R., & Dimaggio, G. (2021). A case study on a severe paranoid personality disorder client treated with metacognitive interpersonal therapy. Journal of Clinical Psychology, 77(8), 1807-1820.
Cheli, S., & Lysaker, P. L. (2023). A dimensional approach to schizotypy. Conceptualization and treatment. Springer.
Chiao, J. Y., Harada, T., Komeda, H., Li, Z., Mano, Y., Saito, D., Parrish, T. B., Sadato, N., & Iidaka, T. (2009). Neural basis of individualistic and collectivistic views of self. Human Brain Mapping, 30(9), 2813-2820.
Cicchetti, D., & Toth, S.L. (Eds.). (1991). Internalizing and Externalizing Expressions of Dysfunction: Volume 2. Psychology Press.
Darwin, C. (1859). On the origin of species by means of natural selection, or the preservation of favoured races in the struggle for life. John Murray.
Darwin, C. (1871). The descent of man, and selection in relation to sex. John Murray.
Dunbar, R. I. M. (1998), The social brain hypothesis. Evolutionary Anthropology, 6, 178-190.
Harrer, M., Miguel, C., van Ballegooijen, W., Ciharova, M., Plessen, C. Y., Kuper, P., Sprenger, A. A., Buntrock, C., Papola, D., Cristea, I. A., de Ponti, N., Bašić, Đ., Pauley, D., Driessen, E., Quero, S., Grimaldos, J., Buendía, S. F., Botella, C., Hamblen, J. L., & Cuijpers, P. (2025). Effectiveness of psychotherapy: Synthesis of a “meta-analytic research domain” across world regions and 12 mental health problems. Psychological Bulletin, 151(5), 600-667.
Fonagy, P., & Luyten, P. (2018). Attachment, mentalizing, and the self. In W. J. Livesley & R. Larstone (Eds.), Handbook of personality disorders: Theory, research, and treatment (2nd ed., pp. 123-140). The Guilford Press.
Fried, E. I., Epskamp, S., Nesse, R. M., Tuerlinckx, F., & Borsboom, D. (2016). What are ‘good’ depression symptoms? Comparing the centrality of DSM and non-DSM symptoms of depression in a network analysis. Journal of Affective Disorders, 189, 314-320.
Freud, S. (1916). Vorlesungen zur Einführung in die Psychoanalyse. Hugo Heller und Cie.
Fromm-Reichmann, F. (1950): Principles of intensive psychotherapy. University of Chicago Press.
Galván, A. (2017). The Neuroscience of Adolescence. Cambridge University Press.
Gómez Penedo, J. M., & Flückiger, C. (2023). Interpersonal problems as a predictor of outcome in psychotherapy for depressive and anxiety disorders: A multilevel meta-analysis. Journal of Consulting and Clinical Psychology, 91(10), 562-573.
Hamamura, T., Bettache, K., & Xu, Y. (2018). Individualism and collectivism. In V. Zeigler-Hill & T. K. Shackelford (Eds.), The SAGE handbook of personality and individual differences: Origins of personality and individual differences (pp. 365-382). Sage.
Hewitt, P. L., Flett, G. L., & Mikail, S. F. (2017). Perfectionism: A relational approach to conceptualization, assessment, and treatment. Guilford Publications.
Iovoli, F., Flückiger, C., Gómez Penedo, J. M., Engelhardt, J. H., Kaschlaw, H. H., Lauterbach, R., Wester, R. A., & Rubel, J. A. (2024). The relationship between interpersonal problems and therapeutic alliance in psychotherapy: A three-level mixed-effects meta-analysis. Psychotherapy (Chicago, Ill.), 61(3), 198-211.
Konner, M. (2010). The Evolution of Childhood: Relationships, Emotion, Mind. Belknap Press of Harvard University.
Kotov, R., Krueger, R. F., Watson, D., Achenbach, T. M., Althoff, R. R., Bagby, R. M., Brown, T. A., Carpenter, W. T., Caspi, A., Clark, L. A., Eaton, N. R., Forbes, M. K., Forbush, K. T., Goldberg, D., Hasin, D., Hyman, S. E., Ivanova, M. Y., Lynam, D. R., Markon, K., Miller, J. D., & Zimmerman, M. (2017). The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies. Journal of Abnormal Psychology, 126(4), 454-477.
Laplanche, J. & Pontalis, J. B. (1967). Vocabulaire de la psychanalyse. Presses Universitaires de France.
Leary, T. (1957). Interpersonal Diagnosis of Personality. A Functional Theory and Methodology of Personality Evaluation. Resource Publications.
Liu, H., Xie, Q. W., & Lou, V. W. Q. (2019). Everyday social interactions and intra-individual variability in affect: A systematic review and meta-analysis of ecological momentary assessment studies. Motivation and Emotion, 43(2), 339-353.
Markus, H. R., & Kitayama, S. (1991). Culture and the self: Implications for cognition, emotion, and motivation. Psychological Review, 98(2), 224-253.
Martínez, J. L., Hasty, C., Morabito, D., Schmidt, N. B., & Maner, J. K. (2024). Calibration, not maladaptation: Beyond “fast life history trajectories” in the prediction of adult psychological dysfunction. Evolutionary Behavioral Sciences, 19(4), 375-393.
Miller, J. D., & Lynam, D. R. (2019). The handbook of antagonism: Conceptualizations, assessment, consequences, and treatment of the low end of agreeableness. Elsevier Academic Press.
Millon, T., Krueger, R. F., & Simonsen, E. (Eds.). (2010). Contemporary directions in psychopathology: Scientific foundations of the DSM-V and ICD-11. The Guilford Press.
Nisbett, R. (2010). The Geography of Thought: How Asians and Westerners Think Differently... and Why. Simon and Schuster.
Oltmanns, J. R., & Widiger, T. A. (2019). Evaluating the assessment of the ICD-11 personality disorder diagnostic system. Psychological Assessment, 31(5), 674-684.
Potter, H. D., & Mitchell, K. J. (2025). Beyond Mechanism-Extending Our Concepts of Causation in Neuroscience. The European Journal of Neuroscience, 61(5), e70064.
Prigogine, I. (1977). Time, structure and fluctuations. Nobel Lecture. The Nobel Foundation, Stockholm.
Ringwald, W. R., Forbes, M. K., & Wright, A. G. C. (2023). Meta-analysis of structural evidence for the Hierarchical Taxonomy of Psychopathology (HiTOP) model. Psychological medicine, 53(2), 533-546.
Safran J. D., & Segal, Z. V. (1991). Interpersonal Process in Cognitive Therapy. Jason Aronson.
Skodol A. E. (2012). Personality disorders in DSM-5. Annual Review of Clinical Psychology, 8, 317-344.
Stearns, S. C. (1992). The evolution of life histories. Oxford University Press.
Sullivan, H. S. (1946). Conceptions of Modern Psychiatry. The First William Alanson White Memorial Lectures. Norton & Company.
Sullivan, H. S. (1953). The Interpersonal Theory of Psychiatry. Norton & Company.
Sullivan, H. S. (1964). The Fusion of Psychiatry and Social Science. Norton & Company.
Tinbergen, N. (1963). On aims and methods of ethology. Zeitschrift für Tierpsychologie, 20(4), 410-433.
Tse, P. (2013). The Neural Basis of Free Will: Criterial Causation. MIT Press.
Vygotsky, L. S. (1978). Mind in society: The development of higher psychological processes. Harvard University Press.
Wright, A. G. C., Ringwald, W. R., Hopwood, C. J., & Pincus, A. L. (2022). It’s time to replace the personality disorders with the interpersonal disorders. The American Psychologist, 77(9), 1085-1099.
Zachar, P., Regier, D. A., & Kendler, K. S. (2019). The Aspirations for a Paradigm Shift in DSM-5: An Oral History. The Journal of Nervous and Mental Disease, 207(9), 778-784.
Zavlis, O., & Fonagy, P. (2024). Either all mental disorders are personality disorders or there are no personality disorders: A reply to García and colleagues (2024). Preprint. https://osf.io/preprints/psyarxiv/4xpdg
Zavlis, O., Moutoussis, M., Fonagy, P., & Story, G. (2025). A generative model of personality disorder as a relational disorder. Journal of Psychopathology and Clinical Science. Advance online publication.
Zhang, X., Li, J., Xie, F., Chen, X., Xu, W., & Hudson, N. W. (2022). The relationship between adult attachment and mental health: A meta-analysis. Journal of Personality and Social Psychology, 123(5), 1089-1137.
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Quali disturbi sono interpersonali: tutti, alcuni o nessuno?. (2025). Ricerca Psicoanalitica, 36(3). https://doi.org/10.4081/rp.2025.1095
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