{"title":"Pornographic culture and erotic culture: logics of desire and psychopathological forms.","authors":"Riccardo Poggioli, Giovanni Stanghellini","doi":"10.1159/000546332","DOIUrl":"https://doi.org/10.1159/000546332","url":null,"abstract":"<p><strong>Background: </strong>In times of rapid and profound socio-cultural changes and the related metamorphosis of psychopathological forms, there is a need for greater commitment on the part of clinical phenomenology in analysing these changes and reciprocal influences between culture and psychopathology.</p><p><strong>Summary: </strong>Questioning one-dimensional definitions of society, this work probes the dialectic of cultures inherent in every society, addressing the complex interpolation of different sets of beliefs, behaviors and values. The aim is to introduce and discuss a couple of them, which are here named pornographic culture and erotic culture, and the forms that enjoyment and desire take in each of them. The phenomenological method, typically used to investigate individual experience, is thus extended to the analysis of the existential structures of such cultures, exploring the idea that pornographic culture and erotic culture dispose a precise symbolic framework that affects the experience of time, space, body, Self and Otherness of individuals.</p><p><strong>Key message: </strong>Pornographic culture is characterized by enjoyment imperative, whereas erotic culture by unattainable fulfilment of one's desire. The \"cultural existentials\" structured by these cultures are conceived as the inclined plane on which human presence moves and unfolds, and are examined in order to try to grasp their resonances with the various forms of suffering characteristic of contemporary age, establishing a dialogue between some distinctive anthropological forms of late modernity - namely homo nevroticus, œconomicus and dissipans - and the forms of psychopathological existence in which they can result and crystallise.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-18"},"PeriodicalIF":1.9,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144079782","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":"EAIE-Scale-The Examination of Autistic Intersubjective Experiences. A qualitative tool to the exploration of sociality.","authors":"Valeria Bizzari, Tim Schnitzler, Thomas Fuchs","doi":"10.1159/000545919","DOIUrl":"https://doi.org/10.1159/000545919","url":null,"abstract":"<p><strong>Introduction: </strong>The Examination of Autistic Intersubjective Experiences is a semi-structured interview aimed at a phenomenological exploration of experiential and subjective ways of dealing with sociality.</p><p><strong>Methods: </strong>As a qualitative study, this work can be understood in continuity with EASE (Examination of Anomalous Self Experience [1] and EAWE (Examination of Anomalous World Experience, [2]. While these models focus on anomalies of selfhood and experience of the external world respectively, this semi-structured interview focuses instead on the divergent ways dealing with intersubjective experience and on the difficulties that people with a diagnosis of autism experience in the social domain.</p><p><strong>Conclusion: </strong>The advantages are both theoretic and practical: from a philosophical perspective, it will be interesting to observe how intersubjectivity works. From a clinical perspective, the collected data will be useful both for clinicians and caregivers, allowing them to better understand and cope with the autistic subject, and favor the communication between different social styles.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-17"},"PeriodicalIF":1.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053624","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}
Philipp Wülfing, Nikolaus Krämer, Claas Lammers, Carsten Spitzer
{"title":"Antagonistic narcissism in women with Borderline Personality Disorder: a case control study.","authors":"Philipp Wülfing, Nikolaus Krämer, Claas Lammers, Carsten Spitzer","doi":"10.1159/000545761","DOIUrl":"https://doi.org/10.1159/000545761","url":null,"abstract":"<p><strong>Objective: </strong>BPD is characterized by instability in self-image, emotions, and relationships. Features such as (auto)aggression, devaluation and impulsivity indicate proximity to narcissistic traits, especially antagonistic aspects. While its links to grandiose and vulnerable narcissism are established, the role of antagonistic narcissism (AN) remains unclear. This study investigates AN in BPD by comparing female BPD patients with a diagnostically heterogeneous clinical control group without personality disorders and by examining its associations with symptom severity, self-harm, aggression, interpersonal problems and empathy.</p><p><strong>Methods: </strong>51 female BPD patients and 51 clinical control patients completed the Narcissistic Admiration and Rivalry Questionnaire (NARQ) and measures of borderline symptomatology, aggression, interpersonal problems, and empathy. Group comparisons were conducted using analyses of covariance, and Spearman correlations examined relationships between clinical characteristics. Interpersonal tendencies of AN were analyzed via the Structural Summary Method (SSM).</p><p><strong>Results: </strong>BPD patients showed higher levels of AN compared to the control group (η² = 0.04), though this difference was only marginally significant (p = 0.050). AN correlated positively with overall aggression (r = .34, p < .05), particularly verbal aggression (r = .43, p < .01). SSM analysis positioned AN within the domineering-vindictive quadrant of the Interpersonal Circumplex, characterized by high dominance and low affiliation. No significant correlation was found with empathy.</p><p><strong>Conclusion: </strong>Findings suggest a potential elevation of AN in females with BPD and its associations with aggression and interpersonal dysfunction, highlighting the complexity of narcissistic traits in BPD and the need for further research.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-19"},"PeriodicalIF":1.9,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021299","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}
Helena Cobanovic, Julie Nordgaard, Jonas Berge, Mads Gram Henriksen
{"title":"Validity of self-rating questionnaires used for assessing self-disorders? A systematic review.","authors":"Helena Cobanovic, Julie Nordgaard, Jonas Berge, Mads Gram Henriksen","doi":"10.1159/000545364","DOIUrl":"https://doi.org/10.1159/000545364","url":null,"abstract":"<p><strong>Introduction: </strong>Self-disorders designate a group of non-psychotic, trait-like, anomalous self-experiences. The 'gold standard' for assessing self-disorders is largely considered to be the Examination of Anomalous Self-Experiences (EASE). The EASE must be conducted as a semi-structured interview, and it requires substantial knowledge of psychopathology and excellent interviewing skills. To bypass these demands, self-rating questionnaires are regularly used to assess self-disorders in research. However, it is not clear if these self-rating questionnaires are valid measures of self-disorders. The purpose of this systematic review was to assess the validity of self-rating questionnaires for assessing self-disorders.</p><p><strong>Methods: </strong>Following the PRISMA guidelines, we searched PubMed, Embase, and PsycInfo for studies that had used or developed self-rating questionnaires for assessing self-disorders.</p><p><strong>Results: </strong>29 studies had used or developed self-rating questionnaires to assess self-disorders, involving a total of 8 different self-rating questionnaires. None of these self-rating questionnaires have been properly validated to measure self-disorders in relation to EASE.</p><p><strong>Conclusion: </strong>Despite being frequently used in research, only 1 (IPASE: The Inventory of Psychotic-Like Anomalous Self-Experiences) of the 8 self-rating questionnaires has been attempted validated in relation to the EASE. Though finding a strong correlation between IPASE and EASE, the result cannot be considered valid because of profound methodological issues. We recommend that efforts to validate self-rating questionnaires are prioritized if they are to be used in research, and that results from studies using self-rating questionnaires are separated from those of EASE-based research as long as the self-rating questionnaires have not been properly validated in relation to the EASE.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-17"},"PeriodicalIF":1.9,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143980244","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":"What Do We Risk to SQuEASE by Making Psychiatric Phenomenology Too Efficient?","authors":"Florestan Delcourt, Jérôme Englebert","doi":"10.1159/000545169","DOIUrl":"10.1159/000545169","url":null,"abstract":"","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-4"},"PeriodicalIF":1.9,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12060812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Florestan Delcourt, Jérôme Englebert, Bernard Pachoud
{"title":"Bibliotherapy and Schizophrenia: A Stanghellinian Perspective.","authors":"Florestan Delcourt, Jérôme Englebert, Bernard Pachoud","doi":"10.1159/000545471","DOIUrl":"10.1159/000545471","url":null,"abstract":"<p><strong>Background: </strong>Schizophrenia is a psychiatric disorder that has long been regarded as irreversibly degenerative. However, the recent improvements in treatment and prognosis and the trend towards person-centred care have reversed this fatalistic tendency, and encouraged the development of theoretical and clinical tools to support these people as closely as possible to their concerns.</p><p><strong>Summary: </strong>In this article, we look at how bibliotherapy, namely care assisted by the reading of literary fictions, might be conceived in relation to the classic psychotherapeutic framework. To circumscribe the definition of this approach for people with schizophrenia, we will refer to the work of Giovanni Stanghellini, and in particular to two of his works: the Phenomenology, Hermeneutics and Psychodynamics model, and his epistemological theory of Images. Thus, we shall see that the clinical particularities of bibliotherapy could assist a person-centred psychotherapy by promoting the unfolding of people's phenomenological experiences, opening them up to other ways of interpreting them, and re-establishing the dialogue between the self and its existence.</p><p><strong>Key messages: </strong>Bibliotherapy could hence participate in the contemporary movements of clinical hermeneutic phenomenology, medical humanities, and personal recovery.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-11"},"PeriodicalIF":1.9,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12060808/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143709957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Contribution of Phenomenology to the Assessment of Severe Non-Psychotic Forms of Psychopathological Conditions in Transitional Age Youth: Two Case Studies.","authors":"Matteo Ballabio, Giovanni Stanghellini","doi":"10.1159/000544720","DOIUrl":"10.1159/000544720","url":null,"abstract":"<p><strong>Background: </strong>In recent times, adolescents with severe forms of psychopathology that do not unambiguously fit into a precise diagnostic category have come to clinical observation. The diagnoses attributed to these young patients range from borderline personality disorder, to affective disorders, ADHD, and others. These diagnoses are mainly based on behavioural abnormalities (e.g., social withdrawal, aggressiveness, self-injuring behaviour), but fail to capture the experiential core of their suffering.</p><p><strong>Summary: </strong>Research in psychopathology, particularly that with a phenomenological approach, has long been committed to identifying early markers of schizophrenia in clinical pictures that precede the full onset of this pathology. In this paper, two case studies in transitional age youth (TAY) and additional material taken from our own clinical practice are presented where self-disorders and anomalies of common sense - originally developed to phenomenologically characterise the schizophrenic spectrum phenotype, and especially non-delusional forms of schizophrenia - are used to complement standard nosographic assessments.</p><p><strong>Key message: </strong>We propose that using some of these phenomenological constructs can shed light on certain TAY pictures, in particular the most serious ones, helping us grasp their psychopathological core, and provide further elements for a fine-grained characterization and in-depth understanding. We propose as a work-in-progress a set of tentative criteria to differentiate such phenomena in TAY patients as compared to patients with a diagnosis of schizophrenia.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415050","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}
Christian F J Woll-Weber, Corinna Reck, Anton K G Marx, Su Mevsim Küçükakyüz, Mitho Müller, Alexandra von Tettenborn, Nora Nonnenmacher, Anna-Lena Zietlow
{"title":"Mothers of Young Children during the COVID-19 Pandemic: Depressive Symptoms and Perceived Stress.","authors":"Christian F J Woll-Weber, Corinna Reck, Anton K G Marx, Su Mevsim Küçükakyüz, Mitho Müller, Alexandra von Tettenborn, Nora Nonnenmacher, Anna-Lena Zietlow","doi":"10.1159/000543715","DOIUrl":"10.1159/000543715","url":null,"abstract":"<p><strong>Objective: </strong>Due to the COVID-19 pandemic, psychosocial well-being of families and parents worldwide has been impaired. As part of a larger online survey, we analyzed maternal depressive symptoms and perceived stress.</p><p><strong>Method: </strong>A total of 666 mothers from Germany with young children (mostly aged 0-3 years) filled out the Edinburgh Postnatal Depression Scale (EPDS) and the Perceived Stress Scale (PSS) at 2 time points during the pandemic (T1: summer/fall 2020; T2: early spring 2021). We (1) calculated prevalence rates of a risk for depression and high perceived stress levels, (2) analyzed differences between time points via paired t tests, and (3) examined the reciprocal relation between the two constructs via cross-lagged panel modeling.</p><p><strong>Results: </strong>Considering cut-off values of the EPDS (≥10) and PSS (≥27), 33.8% carried a risk for depression and 15.2% high levels of stress at T1, whereas, respectively, 55.1% and 26.0% did so at T2. Depressive symptom severity and perceived stress levels significantly differed between measurement points with higher values at T2 (p < 0.001). Our cross-lagged panel analysis revealed large correlations (p < 0.001) within as well as small to medium (i.e., [0.21, 0.47]) auto-regressive (p < 0.001) and reciprocal (p < 0.001) predictions across time points between the severity of depressive symptoms and perceived stress.</p><p><strong>Conclusions: </strong>This work demonstrates how severely mothers of infants were affected by depressive symptoms and perceived stress in a time of pandemic crisis. Psychosocial support should focus on screening and treating mothers as early as possible to mitigate the risk for subsequent depressive symptoms and perceived stress. Aiming attention at both depressive symptom reduction and stress relief most successfully promotes maternal well-being.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-14"},"PeriodicalIF":1.9,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123471","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}
Saskia R Y Knapen, Wendy Mensink, Adriaan W Hoogendoorn, Wilma E Swildens, Puck Duits, Joost Hutsebaut, Aartjan T F Beekman
{"title":"Associations between Childhood Trauma and Epistemic Trust, Attachment, Mentalizing, and Symptoms of Borderline Personality Disorder.","authors":"Saskia R Y Knapen, Wendy Mensink, Adriaan W Hoogendoorn, Wilma E Swildens, Puck Duits, Joost Hutsebaut, Aartjan T F Beekman","doi":"10.1159/000542919","DOIUrl":"10.1159/000542919","url":null,"abstract":"<p><strong>Introduction: </strong>The construct of epistemic trust (ET) has gained wide acceptance and support in the field, although there is little empirical evidence to substantiate the theoretical assumed model. Studies of the assessment of ET were conducted in community samples only and the mediating role of attachment and mentalizing in addition to ET was not investigated. This study examines the theoretical assumed relationships between ET and attachment and mentalizing as well as the mediating role of attachment, mentalizing and ET in the association between childhood adversity and borderline personality disorder (BPD) in a heterogeneous sample containing also patients.</p><p><strong>Methods: </strong>The associations between ET and attachment, mentalizing, childhood maltreatment and BPD were explored in a sample of 245 participants, including subjects from the community as well as patients diagnosed with anxiety and personality disorders from two clinical samples. Multiple mediation analysis was performed to explore the mediating role of attachment (ECR-R), mentalizing (RFQ), and ET within the relationship between childhood trauma (CTQ-SF) and BPD (MSI-BPD).</p><p><strong>Results: </strong>Strong relationships between ET and attachment and mentalizing were found indicating that lower degrees of cET are associated with insecure attachment and lower reflective functioning. Attachment, mentalizing, and ET together accounted for 75% of the mediation between childhood adversity and BPD. Hypomentalizing and anxious attachment accounted for the largest share of the mediation.</p><p><strong>Conclusion: </strong>Our findings provide preliminary evidence for the theoretical supposed model of ET and suggest relevance of ET in the mediation between childhood adversity and PDs, although the role of ET seems smaller than assumed by recent theories.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-12"},"PeriodicalIF":1.9,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984598","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":"Sex Differences in the Prevalence and Correlates of Suicide Attempts in Patients with First-Episode and Drug-Naïve Psychotic Major Depression.","authors":"Weijian Liu, Chunyu Yang, Xiangyang Zhang","doi":"10.1159/000542844","DOIUrl":"10.1159/000542844","url":null,"abstract":"<p><strong>Purpose: </strong>Sex differences play an important role in depression prevalence, symptom profile, treatment response, and disease course. However, sex differences in factors associated with suicide attempts (SAs) in first-episode and drug-naïve (FEDN) patients with psychotic major depression (PMD) remain unclear.</p><p><strong>Methods: </strong>In this study, 171 patients with FEDN PMD were recruited. Patients' symptoms were assessed using the Hamilton Rating Scale for Depression (HAMD), Hamilton Anxiety Rating Scale (HAMA), and Positive and Negative Syndrome Scale (PANSS) positive subscale. In addition, metabolic parameters and thyroid hormone levels were measured.</p><p><strong>Results: </strong>The prevalence of SA was remarkably high in both male and female PMD patients (53.19% vs. 50.81%), without significant differences between the two groups. In male PMD patients, the combination of marital status and thyroid-stimulating hormone (TSH) levels was found to effectively distinguish between SA and non-SA cases, with an AUC value of 0.87. In addition, the HAMD score and diastolic blood pressure (BP) were significantly associated with the frequency of SAs in this subgroup. For female PMD patients, the combination of positive score, diastolic BP, TSH, and antithyroglobulin was found to be an effective discriminator between SA and non-SA cases, with an AUC of 0.91. Furthermore, duration of illness, positive score, systolic BP, and thyroid peroxidase antibody were found to be significantly associated with the frequency of SAs in this subgroup.</p><p><strong>Conclusions: </strong>Our results indicate a high incidence of SAs in both men and women with PMD. Several clinically relevant factors, metabolic parameters, and thyroid hormone function contribute to sex differences in SAs in FEDN PMD patients.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"1-11"},"PeriodicalIF":1.9,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142953926","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}