PsychopathologyPub Date : 2025-01-01Epub Date: 2025-01-02DOI: 10.1159/000543363
Julia Jurist, Jenna M Traynor, Grace E Murray, Boyu Ren, Sara R Masland, Sam A Mermin, Kevin B Meehan, Lois W Choi-Kain
{"title":"Under and Overmentalizing in Personality Disorders: A Principal Component Analysis of Nonadaptive Personality and the Movie Assessment of Social Cognition.","authors":"Julia Jurist, Jenna M Traynor, Grace E Murray, Boyu Ren, Sara R Masland, Sam A Mermin, Kevin B Meehan, Lois W Choi-Kain","doi":"10.1159/000543363","DOIUrl":"10.1159/000543363","url":null,"abstract":"<p><strong>Introduction: </strong>This secondary analysis of quality control data assessed principal components of personality dysfunction and their relationship to mentalizing in a sample of treatment-seeking women with severe personality disorders.</p><p><strong>Methods: </strong>The Schedule for Nonadaptive and Adaptive Personality (SNAP) and the Movie for the Assessment of Social Cognition (MASC) were administered to 37 females in routine quality assessments of a specialized residential treatment program. Principal component analysis (PCA) of SNAP scores was used to determine dimensions of personality most significantly contributing to overall maladaptive personality functioning. Bootstrapped stepwise regression tested the relationship of dimensional personality indices to hypermentalizing and hypomentalizing on the MASC controlling for general psychiatric severity.</p><p><strong>Results: </strong>Four principal components (PCs) explained 71.4% of the variance in personality dysfunction, mapping onto antisocial, obsessive compulsive, borderline, and narcissistic personality constellations. The borderline and antisocial PCs were positively predictive of hypermentalizing. The obsessive-compulsive PC was positively predictive of hypomentalizing, while the antisocial PC was negatively predictive of hypomentalizing.</p><p><strong>Conclusion: </strong>The study reiterates prior findings of a relationship between hypermentalizing and borderline and antisocial personality profiles. It also contributes evidence to the limited research on hypomentalizing as a clinical indicator and potential treatment target for obsessive-compulsive personality, and shows evidence of a negative relationship between antisocial personality disorder and hypomentalizing. These findings provide clinical indications for enhancing and regulating mentalizing via attention to and interpretations of internal and interpersonal events in individuals with personality disorders. Further research is needed to replicate these associations in larger, more representative clinical samples.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"160-172"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142922658","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}
PsychopathologyPub Date : 2025-01-01Epub Date: 2024-10-10DOI: 10.1159/000541291
Ya-Jing Tang, Wen-Hao Wang, Yu-Hui Yan, Xian-Jun Xu, Chuan Shi
{"title":"A Critical Review of Phenomenological Research Related to Schizophrenia in China.","authors":"Ya-Jing Tang, Wen-Hao Wang, Yu-Hui Yan, Xian-Jun Xu, Chuan Shi","doi":"10.1159/000541291","DOIUrl":"10.1159/000541291","url":null,"abstract":"<p><strong>Introduction: </strong>Phenomenological qualitative research delves into the essence and meaning of phenomena through subjects' lived experiences. Despite its widespread use in humanities disciplines, its integration with psychopathology is rare in China.</p><p><strong>Methods: </strong>We systematically reviewed phenomenological studies on schizophrenia in China to assess their content and quality and offer insights for future research. Following PRISMA guidelines, we reviewed 28 articles. Quality assessment focused on adherence to theoretical principles, transparency, coherence, and evidence.</p><p><strong>Results: </strong>Topics covered various illness-related experiences, including treatment seeking, medication, hospitalization, rehabilitation, relapse, sexuality, and reproduction. Some studies also explored caregiver experiences. However, only 5 articles were rated excellent, with most lacking theoretical depth.</p><p><strong>Conclusion: </strong>Phenomenological research related to schizophrenia in China is mostly peripheral to the psychopathology of schizophrenia, and the qualification rate is low. Researchers should keep in mind the nature of phenomenological attitudes, delving into the essence and meaning of phenomena.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"119-133"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401078","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}
PsychopathologyPub Date : 2025-01-01Epub Date: 2025-02-13DOI: 10.1159/000544720
Matteo Ballabio, Giovanni Stanghellini
{"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":"260-272"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","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}
{"title":"Change in Emotional Arousal Variance in Clients with Borderline Personality Disorder during a Brief Psychiatric Treatment.","authors":"Loris Grandjean, Tobias Rohrbach, Aline Garbani, Fabienne Läderach, Ines Culina, José Blanco Machinea, Hélène Beuchat, Livia Alerci, Stéphane Kolly, Ueli Kramer","doi":"10.1159/000546284","DOIUrl":"10.1159/000546284","url":null,"abstract":"<p><p><p>Background: Research in the field of psychotherapy suggests that emotional arousal (EA) might be a key element to therapeutic success. However, its relevance depends on a situation-bound complex process, requiring its assessment at the right time and in relation to significant personal themes.</p><p><strong>Methods: </strong>This article is a secondary analysis of a 4-month treatment RCT with two arms (General Psychiatric Management and Treatment As Usual) for borderline personality disorder (BPD). Fifty-five clients with BPD (GPM group: n = 28; TAU group: n = 27) as well as healthy controls (n = 29) participated in the study. We assessed them (intake, 2 months and discharge for the BPD group and intake and at consistent intervals for the healthy controls) using an experiential two-chair dialogue focused on the client's self-criticism, ensuring the idiosyncratic relevance of the aroused state. We evaluated EA during the two-chair dialogue at three time points (two for the controls) over the course of treatment via self-reported (Self-Assessment Manikin) and observer-rated (Client Emotional Arousal Scale-III) scales as well as borderline symptomatology (ZAN-BPD) and general psychological distress (Outcome Questionnaire 45).</p><p><strong>Results: </strong>In line with our expectations, we find that participants with diagnosed BPD show higher EA variance compared to controls. This heightened EA variance changes range over the course of the 4-month psychiatric treatment, with participants in the control and BPD groups showing levels of EA variance that are not significantly different at T3. There is no evidence that lower EA variance is associated with reduced symptoms.</p><p><strong>Discussion: </strong>In the treatment of BPD, change in EA variance may be a key element as it normalizes throughout the brief intervention. However, more research is needed to clarify the relationship between this normalization and symptom reduction. </p>.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"301-314"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176351/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144199903","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}
PsychopathologyPub Date : 2025-01-01Epub Date: 2024-12-10DOI: 10.1159/000542743
Siobhan Korbut, Andrew M Chanen, Gill Terrett, Martina Jovev, Peter G Rendell, Julie D Henry, Elizabeth Pizarro-Campagna
{"title":"Examining Negativity Biases in Facial Emotion Reactions in Young Persons First Presenting with Borderline Personality Disorder.","authors":"Siobhan Korbut, Andrew M Chanen, Gill Terrett, Martina Jovev, Peter G Rendell, Julie D Henry, Elizabeth Pizarro-Campagna","doi":"10.1159/000542743","DOIUrl":"10.1159/000542743","url":null,"abstract":"<p><strong>Introduction: </strong>Individuals with borderline personality disorder (BPD) are thought to experience specific biosocial vulnerabilities that give rise to a maladaptive negativity bias in the perception and expression of emotions. However, while this negative bias has been identified in adults with full threshold BPD or high BPD features, it is unclear whether it is evident earlier in the course of the disorder - that being, young persons with first-presentation BPD meeting three or more BPD features, as defined by early intervention models.</p><p><strong>Methods: </strong>The current study compared patterns of facial responding in individuals aged 15-25 years first presenting to a specialist outpatient service with three or more BPD features (n = 32) to age-matched healthy controls (n = 46). Facial electromyography was used to assess muscle activity associated with positive (zygomaticus major) and negative (corrugator supercilii) expression while participants viewed happy, angry, and neutral facial expressions.</p><p><strong>Results: </strong>The data revealed that negative facial emotional reactivity for the BPD group did not significantly differ from the control group. However, the results for positive emotional reactivity were more nuanced, indicating that while there was not an overall between-group difference, there might be an effect of time suggestive of a slower positive emotional reaction to happy faces by the BPD group.</p><p><strong>Conclusions: </strong>These data provide initial evidence that negatively biased emotional expression, when responding with negative facial expressions to neutral, happy, or angry faces, is not evident in young persons first presenting to a specialist outpatient service for treatment of BPD. However, a bias may be demonstrated by what appears to be a slower positive affective response to happy faces. The implications of these findings are discussed, particularly in relation to factors associated with chronicity of illness that might potentially contribute to the development of a more pronounced negativity bias later in the course of the illness. We encourage further examination of negativity biases in the developmental sequelae of BPD via longitudinal design or cross-sectional designs that include BPD participants across the course of illness, as well as further research to explore the possibility that positive affective reactions in this group might not be grossly blunted but rather delayed.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"173-186"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12136515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807611","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}
PsychopathologyPub Date : 2025-01-01Epub Date: 2024-12-24DOI: 10.1159/000542499
Richard A N Glisker, Nicholas Papouchis, Kevin B Meehan, Matthew J Morrison, David Kimhy
{"title":"Impact of Overall and Specific Dimensions of Schizotypy on Theory of Mind.","authors":"Richard A N Glisker, Nicholas Papouchis, Kevin B Meehan, Matthew J Morrison, David Kimhy","doi":"10.1159/000542499","DOIUrl":"10.1159/000542499","url":null,"abstract":"<p><strong>Background: </strong>Impairments in theory of mind (ToM) are highly prevalent among individuals with schizophrenia, resulting in substantial functional deficits. However, research on impairments in individuals with schizotypy has yielded inconsistent findings, with some studies finding ToM deficits in overall schizotypy, other studies finding ToM deficits in only specific schizotypy dimensions, and yet other studies finding no ToM deficits at all. One potential key factor that may account for this discrepancy is the use of schizotypy measures that do not adequately measure specific schizotypy dimensions. Additional limitations are employment of ToM measures that rely heavily on explicit cultural knowledge, verbal/reading comprehension, and/or other cognitive abilities.</p><p><strong>Method: </strong>To address these discrepant findings, we used the Schizotypal Personality Questionnaire-Brief Revised (Updated; SPQ-BRU) and the Multidimensional Schizotypy Scale (MSS) to tap overall schizotypy and specific schizotypy dimensions. To measure ToM, we used the Frith-Happé animations (FHA) and Strange Stories Film Task (SSFT). We examined the hypothesized negative relationship between schizotypy and ToM in a sample of 233 nonclinical individuals.</p><p><strong>Results: </strong>Regression analysis indicated no significant relationship between overall schizotypy and ToM on both the FHA (b = 0.01, t(196) = -0.75, p = 0.46) and SSFT (b = -0.20, t(195) = -1.69, p = 0.09). However, it did find that the negative schizotypy dimension was associated with poorer ToM performance on both the FHA (b = -0.11, t(194) = -2.7, p = 0.008) and SSFT (b = -0.12, t(193) = -3.22, p = 0.001). Also, exploratory analyses employing an extreme-group design approach indicated high schizotypy and high negative schizotypy groups displayed weaker ToM performance within all specific schizotypy dimensions.</p><p><strong>Conclusion: </strong>These results indicate that ToM impairments are present in schizotypy, especially within the negative schizotypy dimension. The results suggest important methodological implication for studying ToM in schizotypy and conceptualizing the latent structure of schizotypy.</p><p><strong>Background: </strong>Impairments in theory of mind (ToM) are highly prevalent among individuals with schizophrenia, resulting in substantial functional deficits. However, research on impairments in individuals with schizotypy has yielded inconsistent findings, with some studies finding ToM deficits in overall schizotypy, other studies finding ToM deficits in only specific schizotypy dimensions, and yet other studies finding no ToM deficits at all. One potential key factor that may account for this discrepancy is the use of schizotypy measures that do not adequately measure specific schizotypy dimensions. Additional limitations are employment of ToM measures that rely heavily on explicit cultural knowledge, verbal/reading comprehension, and/or other cognitive abil","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"106-118"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11965855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142886111","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}
PsychopathologyPub Date : 2025-01-01Epub Date: 2024-10-04DOI: 10.1159/000535044
Andrew Giles Guzick, Catherine Elizabeth Rast, Brenna Burns Maddox, Servando Rodriguez Barajas, Jane Clinger, Joseph McGuire, Eric A Storch
{"title":"\"How Can I Get Out of This?\": A Qualitative Study of the Phenomenology and Functional Impact of Misophonia in Youth and Families.","authors":"Andrew Giles Guzick, Catherine Elizabeth Rast, Brenna Burns Maddox, Servando Rodriguez Barajas, Jane Clinger, Joseph McGuire, Eric A Storch","doi":"10.1159/000535044","DOIUrl":"10.1159/000535044","url":null,"abstract":"<p><strong>Introduction: </strong>Misophonia is an increasingly recognized disorder characterized by negative emotional and sensory reactions to specific noises. Although misophonia most often begins in childhood, there has been minimal research on its clinical presentation in youth. This qualitative study explored cognitive behavioral processes that are involved in misophonia and its associated functional impairment in young people and their families.</p><p><strong>Methods: </strong>Focused interviews were conducted with 20 youth with misophonia (ages 10-17) and their parents. Thematic analyses of these interviews using a cognitive behavioral theoretical framework were conducted.</p><p><strong>Results: </strong>A number of themes were identified, which included internalizing and externalizing cognitive behavioral processes at the individual level (e.g., hypervigilance, anticipatory anxiety, escape, automatic negative attributions), secondary emotional and functional consequences (e.g., negative perception of self, guilt, anxiety, depression, emotional exhaustion, concentration difficulties at school), as well as significant impacts to school, social life, and particularly to family life (e.g., conflict/tension, anger and resentment, family accommodation). These themes are integrated in a proposed theoretical model.</p><p><strong>Discussion: </strong>Misophonia is characterized by several transdiagnostic cognitive behavioral processes, including avoidance, maladaptive cognitions, emotional reactivity, and family communication difficulties, as well as significant functional impairment. Developing treatments that target these processes has the potential to help youth overcome misophonia and improve the quality of life of youth and their families.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"33-43"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11794031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142381562","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}
PsychopathologyPub Date : 2025-01-01Epub Date: 2025-04-21DOI: 10.1159/000545761
Philipp Wülfing, Nikolaus Krämer, Claas-Hinrich Lammers, Carsten Spitzer
{"title":"Antagonistic Narcissism in Women with Borderline Personality Disorder: A Case-Control Study.","authors":"Philipp Wülfing, Nikolaus Krämer, Claas-Hinrich Lammers, Carsten Spitzer","doi":"10.1159/000545761","DOIUrl":"10.1159/000545761","url":null,"abstract":"<p><strong>Objective: </strong>Borderline personality disorder (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 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 = 0.34, p < 0.05), particularly verbal aggression (r = 0.43, p < 0.01). 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":"225-235"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12112893/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PsychopathologyPub Date : 2025-01-01Epub Date: 2024-12-09DOI: 10.1159/000542331
Milena Mancini, Valentina Urso, Giovanni Stanghellini
{"title":"Identity Cannibalism in Narcissistic Persons: Lessons from Anthropology.","authors":"Milena Mancini, Valentina Urso, Giovanni Stanghellini","doi":"10.1159/000542331","DOIUrl":"10.1159/000542331","url":null,"abstract":"<p><strong>Background: </strong>Cannibalism is a practice based on the assimilation of the enemy, characterized by different ritual phases. The cultural anthropologist Francesco Remotti provides insight into this practice, stating that the Tupinamba tribes - an ethnic group living along the Eastern Atlantic coast of Brazil - use it to demonstrate their superiority over the defeated group. After capturing a prisoner, the assimilation process begins, which prepares the prisoner for the cannibalistic act through a specific sequence of steps.</p><p><strong>Summary: </strong>Remotti's research on cannibalism is applicable to the world of narcissism. The way a narcissistic individual relates to others is a paradigmatic example of cannibalistic rituals. This study aimed to catch the structural components of the narcissistic relationship, rooted in Remotti's anthropological perspective, and to explore the associated phenomenological and psychopathological characteristics.</p><p><strong>Key message: </strong>We present a new perspective for understanding the interpersonal relationship characteristic of a narcissistic person, which we have termed \"identity cannibalism.\"</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"134-142"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802095","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}
PsychopathologyPub Date : 2025-01-01Epub Date: 2024-11-18DOI: 10.1159/000541688
Marcin Moskalewicz, Andrzej Kapusta, Marcin Rządeczka, Giovanni Stanghellini
{"title":"The Values-Based Psychopathology of Antoni Kępiński (1918-1972).","authors":"Marcin Moskalewicz, Andrzej Kapusta, Marcin Rządeczka, Giovanni Stanghellini","doi":"10.1159/000541688","DOIUrl":"10.1159/000541688","url":null,"abstract":"<p><strong>Background: </strong>The question of the role of personal values in the constitution of and recovery from mental illness is a divisive subject discussed in contemporary psychopathology. This article critically examines the psychopathological theories and contributions of Antoni Kępiński - a seminal yet internationally under-recognized Polish psychiatrist.</p><p><strong>Summary: </strong>Drawing upon a multilayered framework incorporating biological, affective-emotional, and sociocultural dimensions, Kępiński posited mental disorders as disturbances in the energy and information metabolism with the environment leading to an increase in entropy. Kępiński's work also contributes to a richer understanding of schizophrenia (whose essence he metaphorically described as the plasma membrane rupture) and the complexities inherent in the decision-making processes of patients. In a quasi-phenomenological vein, Kępiński encouraged to re-evaluate delusions and hallucinations as opportunities to access unfiltered insights into reality. He also argued for the potential for moral growth within psychiatric treatment.</p><p><strong>Key messages: </strong>Kępiński's theories anticipated many concepts now foundational in neuroscientific research and clinical psychiatry, showcasing his role as a forward-thinking figure in the history of the profession.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"143-151"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668783","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}