XXII NATIONAL CONGRESS ITALIAN PSYCHOLOGICAL ASSOCIATION CLINICAL AND DYNAMIC SECTION LECCE -SEPTEMBER 17-19 2021 - SYMPOSIUM SESSION

Abstract

Beginning from an overview of the state of the art of international guidelines regarding personality disorders, we will aim to bring attention to the specific situation in Italy, where no official guidelines at a national level have yet been published. The repercussions of this absence will be discussed and some virtuous attempts to implement the diffusion of empirically supported approaches – including but not limited to evidence-based therapies will be highlighted. The guidelines for evidence-based clinical practice should constitute tools at the service of the clinician but also of patients and policymakers to limit the use of useless or harmful clinical practices, and instead promote decisions based on the best available scientific evidence, integrated with clinical experience and patient preferences and values. The therapeutic efficacy of treatments based on scientific evidence is widely documented in the literature, and much can be learned from the systematic study of non-specific factors in psychotherapy as well. Still, the implementation of approaches based on these scientific findings in the Italian healthcare context encounters several challenges. These range from the lack of adequately trained therapists to the very structure of mental healthcare in Italy, which makes it almost impossible to provide the proper care to those who are affected by personality disorders. The purpose of this discussion will be to investigate the tools officially available and those routinely adopted to support clinical choices when taking care of patients with personality disorders. Based on this analysis, the most critical aspects will be investigated, and best practices will be highlighted in order to elaborate a proposal regarding the drafting of Italian guidelines for the treatment of personality disorders, identifying in this tool an important laboratory for the integration and development of scientific paradigms, clinical models and health policies. MJCP| 9, 2 Supplementum OPEN DISCUSSION 4 Post pandemic...: the construction of a new systemic and individual normality, psychodynamic unsaturation processes and cultural construction Proposer: Giuseppe Mannino 1 1 Università di Roma “Lumsa” Participants: Gianluca Lo Coco , Raffaele De Luca Picione , Viviana Langher , Sergio Salvatore 4 2 Università di Palermo 3 Università telematica “Giustino Fortunato”, Benevento, Italy 4 “Sapienza” Università di Roma – Dipartimento di Psicologia Dinamica, Clinica e Salute Abstract Puppies of the species sapiens is generated in a state of Neothenia, physiological immaturity; adults remain characterized by incompleteness: this characteristic stimulates our species to the relationship with each other by itself, the world, the environment, the context, generating flexible modes of interaction. Neothenia is the principle of the cultural nature of sapiens for which they come to connote the environment in which they live. Humans exist only within a socio-relational environment, but through its cultural formation. Relevance: in the (still) pandemic and immediately post-pandemic period it is and will be increasingly essential to deepen the "search for meaning": the "need for meaning", the need to discover and build the genesis of reality, generate a sense and an explanation to the whole that includes the changeability, uncertainty and incidentality of the whole. "Representing and organizing reality" generates resilience. Meanings are dynamic forms of the relationship partially crystallized: crystallizations of relational patterns that culture can shape, modify: are symbolic attempts to create new dynamic forms of the relationship, to arrive at new flexible and unsaturated crystallizations. Specific focus: 1) what are the social forms of unsaturation? The genesis of health? 2) Is a certain amount of crystallization,Puppies of the species sapiens is generated in a state of Neothenia, physiological immaturity; adults remain characterized by incompleteness: this characteristic stimulates our species to the relationship with each other by itself, the world, the environment, the context, generating flexible modes of interaction. Neothenia is the principle of the cultural nature of sapiens for which they come to connote the environment in which they live. Humans exist only within a socio-relational environment, but through its cultural formation. Relevance: in the (still) pandemic and immediately post-pandemic period it is and will be increasingly essential to deepen the "search for meaning": the "need for meaning", the need to discover and build the genesis of reality, generate a sense and an explanation to the whole that includes the changeability, uncertainty and incidentality of the whole. "Representing and organizing reality" generates resilience. Meanings are dynamic forms of the relationship partially crystallized: crystallizations of relational patterns that culture can shape, modify: are symbolic attempts to create new dynamic forms of the relationship, to arrive at new flexible and unsaturated crystallizations. Specific focus: 1) what are the social forms of unsaturation? The genesis of health? 2) Is a certain amount of crystallization, saturation useful? When does this saturated dimension become pathologizing? Is it possible to walk backwards? Is it possible to make crystallizations unsatured? 3) Is it possible to arrive at the definition of a formal algorithm of unsaturation, decrystallization, both at the individual and social level? 4) What role has the pandemic played in decrystallizing saturated forms and generating new forms of relationship, or in crystallizing new psychopathological or psychopathogenic saturations? 5) what resilience mechanisms can we extract and consolidate from this global experience? MJCP| 9, 2 Supplementum OPEN DISCUSSION 5 Open questions and critical issues in parenting skills assessment Proposer: Paolo Roma 1 1 Department of Human Neuroscience, Sapienza University of Rome Participants: Maria Cristina Verrocchio , Silvia Mazzoni , Rossella Procaccia , Giancarlo Tamanza 5 2 Department of Psychological, Health & Territorial Sciences, University “G. D’Annunzio”, ChietiPescara, Italy 3 Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy 4 Faculty of Psychology, eCampus University, Novedrate, Italy 5 Department of Psychology, Catholic University of Milan, Brescia, Italy Abstract The assessment process in child custody evaluation – requested by the judge when the parents don’t reach the agreement after separation or divorce – aims to assess the psychological wellbeing of both children and parents, the relationship between the members of the family unit and the parenting skills, in order to prevent children distress and other forms of psychopathology that can emerge especially when the conflict between the parents becomes chronic and alight. Often parents accuse each other of not being good parents and each try to be recognized as the most valid parent. Thus, the custody evaluator needs to conduct a targeted and precise assessment, which allows to suggest the most suitable judicial measures and psychological treatments for children and parents. The procedure usually implemented to assess parenting skills is centered on clinical evaluation and also on psychodiagnostics assessment. However, during the custody evaluation procedure, many of the psychological questionnaires that are administered have not been conceived for the assessment of theThe assessment process in child custody evaluation – requested by the judge when the parents don’t reach the agreement after separation or divorce – aims to assess the psychological wellbeing of both children and parents, the relationship between the members of the family unit and the parenting skills, in order to prevent children distress and other forms of psychopathology that can emerge especially when the conflict between the parents becomes chronic and alight. Often parents accuse each other of not being good parents and each try to be recognized as the most valid parent. Thus, the custody evaluator needs to conduct a targeted and precise assessment, which allows to suggest the most suitable judicial measures and psychological treatments for children and parents. The procedure usually implemented to assess parenting skills is centered on clinical evaluation and also on psychodiagnostics assessment. However, during the custody evaluation procedure, many of the psychological questionnaires that are administered have not been conceived for the assessment of the parenting skills or the children-parent relationship, but for the evaluation of psychopathological characteristics or personality features, not always directly involved in parenting and coparenting. This represents a remarkable issue that cause inevitable criticism and mistakes in the child custody evaluation field. Thus, it must be deepened further with more research studies, in order to obtain greater judicial consent for the use of psychodiagnostics tests and then, make the assessment of parental skills more reliable and in line with the questions raised in the judicial process. MJCP| 9, 2 Supplementum OPEN DISCUSSION 6 Psychologists’ attitudes toward test and testing in assessment and psychological assessment online. Results and discussion of an online investigation Proposer: Adriana Lis 1 , Filippo Aschieri 2 ,3 1 Università di Padova 2 Università Cattolica del Sacro Cuore, Milano 3 AIP Group of Assessment Participants: Claudia Mazzeschi , Piero Porcelli , Alessandro Zennaro 6 4 Università degli Studi di Perugia 5 Università “G. D’Annunzio” di Chieti-Pescara 6 Università di Torino Abstract The European Federation of Psychologists Association Board of Assessment (EFPA-BoA) took the initiative to investigate psychologists’ attitudes toward various aspects of testing in European countries (EFPA 2000, 2009) and worldwide (EFPA 2012). In 2019, the BoA decided to reprop