Psychopathology最新文献

{"title":"Distress to Novelty as a Potential Moderator on the Relationship between Maternal Depressiveness and Mother-Infant Interaction Quality.","authors":"Anamaria Semm, Su Mevsim Küçükakyüz, Lea Teresa Kaubisch, Antonia Franca Nauerz, Christian F J Woll-Weber, Anna-Lena Zietlow, Nora Nonnenmacher, Corinna Reck, Mitho Müller","doi":"10.1159/psp/aelag013","DOIUrl":"https://doi.org/10.1159/psp/aelag013","url":null,"abstract":"<p><strong>Introduction: </strong>Maternal depression impacts infant cognitive and behavioral development and is linked to reduced maternal sensitivity, negatively impacting mother-infant interaction. Infant's temperament - particularly higher difficulty or lower positive temperament - might moderate this relationship. However, no known study has examined infant temperament as a moderator between maternal psychopathology and mother-infant interaction quality. We hypothesized that greater expression of maternal depressiveness would predict lower interaction quality, moderated by infant's higher difficult temperament.</p><p><strong>Methods: </strong>This longitudinal study examined the moderating effect of infants' distress to novelty (Infant Behavior Questionnaire) on the relationship between antepartum maternal depressiveness (Edinburgh Postnatal Depression Scale) and mother-infant interaction quality (coded from the Face-to-Face-Still-Face Paradigm, using the Revised Infant and Caregiver Engagement Phases). Data were collected across pregnancy and postpartum from N = 59 women (n = 38 clinical; n = 21 control).</p><p><strong>Results: </strong>Infants' distress to novelty moderated the link between maternal depressiveness at 19th - 22nd (b = -.53, p = .04) and 29th - 32nd (b = -.45, p = .02) weeks of pregnancy and interaction quality. Specifically, at high levels of distress to novelty, higher maternal depressiveness was associated with shorter repair intervals in interaction.</p><p><strong>Conclusion: </strong>Contrary to expectations and existing literature, heightened infant distress may prompt more frequent maternal responses, potentially due to increased stress or efforts to soothe the infant. Early interventions should address maternal depressiveness, postpartum interactions, and infant temperament. Tailored approaches may enhance interaction quality and developmental outcomes. Future research should include larger, more diverse samples and examine paternal involvement.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1"},"PeriodicalIF":3.1,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149216722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Embodiment, Enaction, and Attunement in Schizophrenia, Autism, and Psychopathy: A Comparative Phenomenological Review.","authors":"Luís Madeira, Cecilia Maria Esposito, Giovanni Stanghellini","doi":"10.1159/psp/aelag014","DOIUrl":"https://doi.org/10.1159/psp/aelag014","url":null,"abstract":"<p><p>Schizophrenia spectrum disorders, autism spectrum disorder, and psychopathy may resemble one another at the behavioural surface. All three may involve social difficulties, flattened or atypical affect, unusual communication, interpersonal friction, and impaired social adaptation. Yet their experiential architectures differ in ways that are clinically decisive for differential diagnosis, risk assessment, therapeutic alliance, and environmental design. This narrative review critically synthesizes work in phenomenological psychopathology and 4E cognitive science to clarify how embodiment, enaction, and attunement are altered across these conditions, with attention to lived space, lived time, selfhood, the Other, empathy, and atmosphere. We draw on classical phenomenological psychopathology, contemporary research on minimal self disturbance and anomalous self and world experience, enactive and participatory sense-making accounts of social cognition, and theoretical and empirical literature on autism and psychopathy. Schizophrenia is characterised by instability of minimal self and world openness, including hyperreflexivity, diminished self-affection, altered salience, temporal fragmentation, demarcation disturbances, and atmospheric shifts that may precede overt psychosis. Autism is characterised by differences in embodied sense-making and interactional coordination, frequently involving sensory regulation needs, altered social timing, atypical affordance perception, masking fatigue, and bidirectional mismatch as described by the double empathy problem. Psychopathy is characterised by preserved strategic social understanding with reduced affective resonance, moral emotions, and interpersonal concern, yielding forms of instrumental attunement and distinctive encounter climates. Clinically, targeted phenomenological and second person assessment can improve formulation, reduce diagnostic overshadowing, and guide more differentiated care pathways.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1"},"PeriodicalIF":3.1,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149196165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Altered Familiarity to Delusional Misidentification: The Development of Capgras Syndrome in Functional Psychoses.","authors":"Michele Poletti, Andrea Raballo","doi":"10.1159/psp/aelag008","DOIUrl":"10.1159/psp/aelag008","url":null,"abstract":"<p><strong>Background: </strong>Capgras syndrome has traditionally been conceptualized either as a disorder of belief evaluation or as the consequence of disrupted affective familiarity. In functional psychoses, however, the impostor delusion may represent the endpoint of a progressive transformation of interpersonal experience rather than a sudden delusional event. A phenomenological account of the experiential trajectory preceding its crystallization remains largely undeveloped.</p><p><strong>Summary: </strong>We propose a phenomenologically informed heuristic staging model describing the transition from altered familiarity to Capgras delusion. The earliest phase involves loss of affective familiarity despite preserved perceptual recognition of a significant other. This discrepancy progressively acquires an uncanny quality, followed by perplexity and an escalating search for explanatory meaning. Delusional crystallization occurs when the contradiction between perceptual sameness and affective unfamiliarity is resolved through the impostor hypothesis. Integrating phenomenological psychopathology with cognitive neuropsychiatric models, the proposed sequence conceptualizes Capgras delusion as a process of meaning reconstruction emerging from a prior alteration of lived interpersonal experience.</p><p><strong>Key points: </strong>Uncanniness, perplexity, and meaning reconstruction are not specific to Capgras and may characterize delusion formation more broadly. We propose that Capgras specificity lies instead in their organization around a distinctive experiential configuration: preserved recognition combined with progressive erosion of affective familiarity, ultimately resolved through impostor attribution. Although heuristic rather than empirically validated, this model generates testable predictions regarding the temporal emergence of altered familiarity, interpersonal perplexity, and delusional misidentification, and may provide a framework for prospective investigation in early psychosis.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1"},"PeriodicalIF":3.1,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Weight of the Real: A Phenomenological Exploration of the \"Excess of Reality\" in Borderline Consciousness Through a Comparison with Schizophrenia.","authors":"Giovanni Stanghellini, Giorgia Cuffaro","doi":"10.1159/psp/aelag012","DOIUrl":"https://doi.org/10.1159/psp/aelag012","url":null,"abstract":"<p><strong>Background: </strong>Phenomenological research has long provided a foundation for understanding the schizophrenic condition as a whole, yet its contribution to borderline personality disorder (BPD) remains comparatively scattered across different lines of inquiry. Existing phenomenological studies on BPD typically focus on fragmented lived temporality, dysphoric mood, emotion dysregulation and anomalies of lived body and interpersonal experience, often overlooking the affective and sensory impact of a reality experienced as independent of and indifferent to consciousness. To address this imbalance, this paper uses ''phenomenological realism'' to examine BPD psychopathology as an integrated whole, framing this unique feature of borderline self- and world-experience through the concept of ''ontic gravity.'' Summary: The borderline mode of consciousness, especially in states of acute distress, is characterized in terms of an \"excess of reality\". By comparing BPD with schizophrenia, the authors highlight a fundamental difference in derealization: while the schizophrenic experience is marked by an \"evanescence of reality\" and a search for hidden meaning, including one's role in its constitution, the borderline experience involves a traumatic, blunt, and intrusive concreteness. Using the concept of the phenomenological epoché, the paper argues that while schizophrenia resembles an involuntary suspension of the natural attitude, BPD can be understood as a total immersion in it, where the person is unable to distance themselves from what is immediately given as fact.</p><p><strong>Key message: </strong>The tendency among persons with BPD to feel \"crushed\" by events during severe distress may be associated with a difficulty in taking a \"transcendental\" attitude. Unlike the \"oblique gaze\" of people with schizophrenia that searches for how meaning is constituted, the borderline \"direct gaze\" tends to experience bodily feelings, encounters with others, and perceptions as raw, physically abrasive facts that imply unmediated suffering rather than reflection.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1"},"PeriodicalIF":3.1,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arabic Translation and Adaptation of the Examination of Anomalous Self-Experience (EASE) Checklist and Manual.","authors":"Mohammed A Alarabi, Fahad D Alosaimi, Josef Parnas, Karl Erik Sandsten","doi":"10.1159/psp/aelag011","DOIUrl":"https://doi.org/10.1159/psp/aelag011","url":null,"abstract":"<p><strong>Introduction: </strong>Despite the increasing use of the Examination of Anomalous Self-Experience (EASE) in psychopathology research, no Arabic translation and adaptation has, to our knowledge, been published.</p><p><strong>Methods: </strong>The process of Arabic translation and adaptation of the EASE checklist and manual was conducted through a staged process that included forward translation by an independent medical translator, iterative expert review for semantic and conceptual equivalence, monolingual Arabic review, and final harmonization. Particular attention was given to difficult technical terms and to the descriptions of EASE items, in order to facilitate the exploration of subtle anomalous self-experiences through semi-structured clinical interviews. Additional explanatory footnotes and references were added to the Arabic EASE manual to improve comprehensibility and clinical usability.</p><p><strong>Conclusion: </strong>The present work provides the first Arabic translation and cultural-linguistic adaptation of the EASE checklist and manual. The Arabic EASE is intended for use in clinical and research settings where the exploration of schizophrenia spectrum psychopathology is conducted in Arabic, provided that the examiner has adequate training and familiarity with the instrument and the phenomena explored. Future studies are needed to examine the reliability and clinical utility of the translated instrument in Arabic-speaking populations.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1"},"PeriodicalIF":3.1,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149114218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enactive Mind Autism: Autopoietic enactivism as a practical framework for autism healthcare.","authors":"Johannes Cornelis van Huizen, Jan-Pieter Teunisse, Antje Orgassa, Wouter Staal, Derek Strijbos","doi":"10.1159/psp/aelag010","DOIUrl":"https://doi.org/10.1159/psp/aelag010","url":null,"abstract":"<p><p>Autism healthcare has traditionally focused on individual biological and behavioral factors. In recent decades, there has been growing recognition that the outside world also plays an enabling if not constitutive role in the development of support needs. This broader view complicates healthcare delivery as the traditional person-centered focus 'diffuses' into the environment. An integrative approach, rooted in autopoietic enactivism, can provide guidance here - aimed at establishing stable, authentic, and health-promoting patterns of engagement between an autistic individual and their surroundings. Although the application of autopoietic enactivism has gained popularity among philosophers of psychiatry, its clinical consolidation remains limited. In addressing this gap, this paper presents a preliminary practical framework called Enactive Mind Autism (EMA). EMA consists of five dimensions to explore the relevance and implications of an autopoietic-enactive approach in autism healthcare: aspects of (1) ecological, (2) historical, (3) tangible-embodied, (4) intersubjective, and (5) socio-cultural life. To conclude, this paper draws a connection with design research to imagine new methodological directions for clinical research and practice, which, from an autopoietic-enactive perspective, is encouraged to take a phenomenological, pragmatic, and material turn.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1"},"PeriodicalIF":3.1,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rebalancing between Two Poles of Lived Experience: A Phenomenologically Informed Analysis of Schizophrenia in Chinese New-Generation Patients.","authors":"Ya-Jing Tang, Wen-Hao Wang, Chen Zhu, Chuan Shi","doi":"10.1159/psp/aelag009","DOIUrl":"10.1159/psp/aelag009","url":null,"abstract":"<p><strong>Background: </strong>Classic models of schizophrenia posit a complete loss of insight during psychotic episodes. However, clinical observations and recent phenomenological research, particularly the literature on double bookkeeping, suggest that some patients retain partial self-observation capacities. This study presents a phenomenologically informed account of the lived experience of Chinese new-generation patients with schizophrenia, focusing on the dynamic structure of pole-rebalancing that emerges between two co-present experiential orientations.</p><p><strong>Methods: </strong>Data were drawn from in-depth life story interviews conducted with eight participants as part of a broader phenomenological study on the lived experience of Chinese new-generation schizophrenia patients. Analysis employed Giorgi's five-step descriptive phenomenological procedure as a scaffold.</p><p><strong>Results: </strong>The analysis yielded a structural account of experience polarity and dynamic pole-rebalancing: the participants' experience polarizes into a realistic pole, which is anchored in consensus reality, and a fictional pole, which generates directionally compelling private worlds. Rather than static fragmentation, participants lived an oscillatory tension between these poles, wherein the relative dominance shifts across time, context, and recovery phases.</p><p><strong>Conclusion: </strong>The pole-rebalancing framework reframes psychotic experience not as reality disconnection but as a continuous phenomenological negotiation between competing intentional orientations. By engaging culturally resonant resources (Zhuangzi's butterfly), the study translates these universal structural dynamics into an accessible idiom for Chinese clinical and academic discourse, offering a non-reductionist lens for assessment and intervention.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1"},"PeriodicalIF":3.1,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148920915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Schizoidism and Syntony vis-à-vis Plessner, Autopoiesis, and 4E Cognition.","authors":"Mauricio Viotti Daker","doi":"10.1159/psp/aelag007","DOIUrl":"10.1159/psp/aelag007","url":null,"abstract":"<p><strong>Background: </strong>The schizoidism-syntony dyad offers a good start for a comprehensive view of psychopathology. Rooted in schizophrenia and manic-depressive illness in Kretschmer's characterology, these concepts gained prominence under Bleuler and Minkowski as expressions of personal relational patterns to the environment.</p><p><strong>Summary: </strong>It seems insightful, therefore, to compare the concepts to the organism-environment relationship in autopoiesis and 4E cognition, anticipated in Plessner's biological phenomenology. This paper outlines schizoidism and syntony, which have positive features but become psychoses in their extremes. The paper then briefly approaches the organism-environment coupling in autopoiesis and 4E cognition before finally discussing schizoidism and syntony within this framework.</p><p><strong>Key messages: </strong>Schizoidism-syntony is akin to decentered-centered (Plessner) and to Körper-Leib, and is also correlated with other dyads. Schizoidism and syntony may share profound commonalities with 4E cognition and, especially considering the enactive approach, with the autopoietic notion of sense-making. This work supports those psychopathologists who have identified a fluid relationship between symptom complexes and the normal psyche. It aligns with the relevance of interdisciplinary enlightenment in the cognitive sciences, particularly highlighting psychopathology.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1"},"PeriodicalIF":3.1,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148897720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationships between network analysis and psychodynamic theories: A scoping review.","authors":"Maud Cappelletti, Christophe Gauld, Bruno Falissard, Ariane Bazan, Aziz Essadek","doi":"10.1159/000552525","DOIUrl":"https://doi.org/10.1159/000552525","url":null,"abstract":"<p><strong>Introduction: </strong>Network analysis shifts psychopathology research from latent variables to symptom interactions. While mainly cognitive-behavioral, its convergence with psychodynamic theories remains underexplored. This review maps empirical studies combining psychodynamic constructs and network models.</p><p><strong>Methods: </strong>Following JBI and PRISMA-ScR guidelines, databases (2008-2025) were searched for studies linking both approaches.</p><p><strong>Results: </strong>Fifteen studies (N = 13,771 participants) identified three recurrent psychodynamic domains: personality organization, mentalization, and attachment; as central or bridge nodes within networks (mostly graphical Gaussian models).</p><p><strong>Conclusions: </strong>This tri-axial architecture supports the central role of psychodynamic concepts within psychopathology. Network analysis appears promising for operationalizing selected psychodynamic constructs and for examining their position within broader psychopathological systems, although its capacity to capture psychodynamic processes remains limited in cross-sectional designs.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-28"},"PeriodicalIF":3.1,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148892307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Common and Unique Etiological Influences on Personality and Personality Disorders in Youth.","authors":"Svenn Omar Torgersen, Eirunn Skaug, Trine Waaktaar","doi":"10.1159/psp/aelag006","DOIUrl":"10.1159/psp/aelag006","url":null,"abstract":"<p><strong>Background: </strong>Personality and personality disorders (PDs) are closely related constructs, but the nature of their relationship remains uncertain. Dimensional models suggest PDs are extreme manifestations of personality traits. We investigated the etiological links between broad personality factors and dimensional PD factors using quantitative analyses of common and unique genetic and environmental etiological factors affecting both normative and deviant personalities, emphasizing methods to minimize measurement bias.</p><p><strong>Methods: </strong>Seven national twin cohorts participated (N = 2,353 twins from 1,188 families), assessing personality traits with questionnaires across three adolescent waves and PD traits via age-19 clinical interviews. Exploratory factor analyses of personality traits and the three-cluster ABC factors of PDs simplified the factor structure of the measures. Biometric twin analyses with Cholesky modeling identified genetic and environmental links among factors.</p><p><strong>Results: </strong>Factor analysis of personality traits yielded non-resilient, disinhibited, and disaffected factors. PDs fit an emotional/erratic, anxious/fearful, and odd/eccentric factor structure. Phenotypic correlations varied, but the disinhibited factor had minimal relations to specific PD factors. Crucially, approximately one-third of the genetic variance was shared between personality and PDs. However, the majority of genetic variance and all non-shared environmental variance were trait-specific, suggesting predominantly distinct etiological pathways.</p><p><strong>Conclusion: </strong>The significant genetic overlap supports the continuum model; results were bolstered by using broad factors and method triangulation. However, unique genetic and environmental influences point to distinct etiological pathways differentiating personality and PDs. These findings endorse the continuum model yet highlight the need for further research to grasp the complex relationships between personality and PDs.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1"},"PeriodicalIF":3.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148875886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}