Psychopathology最新文献

{"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}

{"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}

{"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":"236-246"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","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":"Latent Profiles of Parental Psychological Control, Harsh Parenting, and Adolescent Psychological Resilience: Associations with Adolescent Depressive Symptoms.","authors":"Zhenli You, Yifan Zhang, Haoxian Ye, Fang Fan","doi":"10.1159/000546656","DOIUrl":"10.1159/000546656","url":null,"abstract":"<p><strong>Introduction: </strong>In terms of the risk of developing depressive symptoms, adolescents are a heterogeneous group according to their characteristics and environment. However, the effect of the heterogeneity on depressive symptoms remains unclear. Although the effects of parental psychological control, harsh parenting, and adolescent psychological resilience (as a trait in this article) have been well documented, these factors are generally examined separately, while little is known about their interactive effects on adolescent mental health. The goal of this study was to explore latent profiles of parenting and adolescent psychological resilience and to compare the corresponding levels of depressive symptoms in adolescents.</p><p><strong>Methods: </strong>Self-reported data from 1,049 adolescents (M_age = 14.2 ± 1.7, N_boy = 432) were used in latent profile analysis to categorize participants based on parental psychological control, harsh parenting, and adolescent psychological resilience. Multinomial logistic regression was employed to examine the associations between latent profiles and adolescent depressive symptoms.</p><p><strong>Results: </strong>Three distinct profiles emerged, each associated with different levels of adolescent depressive symptoms after adjusting for covariates: supportive and resilient profile (n = 308, 29.4%; reference), struggling and vulnerable profile (n = 463, 44.1%; odds ratio [OR], 2.31; 95% CI, 1.96-2.71), and pressured but adaptive profile (n = 278, 26.5%; OR, 4.44; 95% CI, 3.75-5.25).</p><p><strong>Conclusion: </strong>Individuals with highest level of depressive symptoms were more likely to be classified into pressured but adaptive profile. Parents should avoid psychological control and harsh parenting in the process of raising children.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"323-333"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302743","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":"A Network Analysis of Depression, Anxiety, and Stress Symptoms in Chinese Adolescents.","authors":"Ying Hu, Lingfeng Wang, Xinyi Tang, Qihan Zhang, Qiang Wang, Haibo Yang","doi":"10.1159/000547479","DOIUrl":"10.1159/000547479","url":null,"abstract":"<p><strong>Background: </strong>Mental health problems are highly prevalent among adolescents. This study aimed to investigate the interrelations among depressive, anxiety, and stress-related symptoms in Chinese adolescents using a symptom network approach.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted in October 2022 in Tianjin, China. Symptoms of depression, anxiety, and stress were assessed using the 21-item Depression Anxiety Stress Scales (DASS-21). Network analysis was employed to examine centrality, stability, and predictability of symptoms. Network Comparison Tests (NCTs) were used to assess structural differences across gender and residential status. In addition, a flow network analysis was performed to identify symptoms most strongly associated with stress.</p><p><strong>Results: </strong>A total of 660 Chinese adolescents participated in the study. The most central symptom in the network was \"feeling down,\" followed by \"palpitations,\" \"nervousness,\" \"agitation,\" and \"difficulty relaxing.\" Key bridge symptoms included \"worrying,\" \"feeling down,\" \"near panic,\" and \"nervousness.\" NCT results indicated no significant differences in the network structures by gender or residence. In the flow network, \"feeling down\" demonstrated the strongest direct association with stress.</p><p><strong>Conclusion: </strong>Specific central and bridge symptoms may play a pivotal role in the onset and maintenance of depression, anxiety, and stress among Chinese adolescents. These findings highlight potential targets for early intervention and prevention efforts in this population.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"405-416"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691289","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":"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":"187-198"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","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":"The Association between Self-Reported Self-Disturbance Phenomena and Personal Recovery in Patients with a Schizophrenia Spectrum Disorder, Siblings, and Controls.","authors":"Auke Jelsma, Stéphanie Dijkstra, Sietske Wiemer, Astrid Vellinga, Mariken de Koning, Wiepke Cahn, Claudia Simons, Marieke van der Pluijm, Lieuwe de Haan","doi":"10.1159/000546557","DOIUrl":"10.1159/000546557","url":null,"abstract":"<p><p><p>Introduction: Self-disturbance phenomena are increasingly recognized as fundamental and debilitating features for patients with a schizophrenia spectrum disorder (SSD). The concept of personal recovery describes the process of building a meaningful and satisfying life despite persistent symptoms or challenges related to mental illness. No previous study has investigated the association between self-disturbance phenomena and personal recovery in patients with SSD. Understanding the impact of self-disturbance could strengthen the therapeutic alliance with patients and contribute to the development of treatment strategies supporting their recovery.</p><p><strong>Aim: </strong>The aim of this study was to investigate whether severity of self-reported self-disturbance phenomena is associated with the level of self-reported personal recovery in patients with SSD, their unaffected siblings, and healthy controls.</p><p><strong>Methods: </strong>In a cross-sectional design with 522 patients with SSD, 608 unaffected siblings, and 369 healthy controls, the frequency and distress of self-disturbance phenomena was measured with the Self-Experience Lifetime Frequency Scale (SELF). Personal recovery was assessed with the Recovery Assessment Scale (RAS-24). Spearman's rank correlation coefficients between both scales were examined. Subsequent multiple hierarchical regression analyses were conducted to assess additional explained variance in personal recovery by severity of self-disturbance phenomena, adjusting for positive, negative, and general symptomatology.</p><p><strong>Results: </strong>Significant correlations were reported between higher SELF and lower RAS-24 scores for patients (ρ = -0.20, p < 0.001), siblings (ρ = -0.24, p < 0.001), and controls (ρ = -0.16, p < 0.005). The severity of self-disturbance phenomena significantly albeit modestly predicted total personal recovery score after adjusting for positive, negative, and general symptoms for patients (R2 change = 0.035, β = -0.19, p < 0.001).</p><p><strong>Conclusion: </strong>Current findings suggest that self-reported self-disturbance phenomena are relevant for the personal recovery of patients with SSD. Healthcare practitioners are urged for attention to patients' first-person perspectives, including experiences of self-disturbance. </p>.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"277-288"},"PeriodicalIF":2.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12252144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144174679","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":"Personality Organization, Childhood Adversity, and Paranoid Thinking: Moderating and Mediating Pathways.","authors":"Jürgen Fuchshuber, Maria Gruber, Karin Feichtinger, Miriam Klauser, Karoline Parth, Nestor Kapusta, Stephan Doering, Victor Blüml","doi":"10.1159/000547518","DOIUrl":"10.1159/000547518","url":null,"abstract":"<p><p><p>Objectives: The study investigated the relationship between personality organization, childhood trauma, and paranoid thinking. It is hypothesized that personality organization mediates as well as moderates the link between paranoia and childhood adversity.</p><p><strong>Methods: </strong>A mixed sample of patients and control participants (N = 119; 76% psychiatric patients; 71% female) was diagnostically assessed according to psychopathology (SCID I and II, BSI-53), personality organization (STIPO), and childhood trauma (CTQ). Mediation effects were analyzed within a Bayesian path modeling approach. We assessed potential moderation effects of personality organization by estimating interaction effects in the SPSS PROCESS macro.</p><p><strong>Results: </strong>Significant positive correlations were found between childhood trauma, personality organization, and paranoid thinking (all p < 0.001). Mediation analysis showed that personality organization partially mediated the relationship between childhood trauma and paranoid thinking (indirect effect, B = 0.14, 95% CrI [0.07, 0.23], p < 0.01), however, only if not corrected for general psychiatric symptom load. In contrast, moderation analysis indicated that personality organization moderated the relationship (ΔR2 = 0.02, F(6,112) = 4.93, p < 0.05), if controlled for unspecific psychopathology, with stronger personality dysfunction intensifying the link between childhood trauma and paranoid thinking.</p><p><strong>Conclusions: </strong>The study generally supports the hypothesis that personality organization plays a critical role in linking childhood trauma to paranoid thinking, acting as both mediator and moderator. This suggests that deficits in personality structure partly explain and modulate the association of childhood adversity with paranoid ideation. The complex role of general psychopathology in this relationship is discussed. </p>.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"393-404"},"PeriodicalIF":3.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12503656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691290","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":"I Feel I Remember: The Phenomenology of Autobiographical Recall in Individuals with Alcohol Use Disorder.","authors":"Clara De Groote, Philippe Tison, Stéphanie Bertin, Olivier Cottencin, Jean-Louis Nandrino","doi":"10.1159/000541804","DOIUrl":"10.1159/000541804","url":null,"abstract":"<p><strong>Introduction: </strong>Beyond the memory deficits classically observed in individuals with alcohol use disorder (IwAUD), research has recently focused on the study of autobiographical memory (AM) processes in IwAUD by analysing the content of AM narratives, and the implications for self-conception have been discussed. However, little is known about how IwAUD subjectively experience autobiographical recall.</p><p><strong>Methods: </strong>Thirty-seven IwAUD and 37 control participants were invited to perform an AM task that involved recalling memories for 4 life periods (2 important memories per period). Then, they assessed their subjective experience during AM recall using 6 phenomenological scales evaluating emotional valence, emotional intensity, sensory details, distancing, sharing, and vividness. Anxiety and depression symptoms, interoceptive sensibility, and difficulties in emotion regulation were also measured.</p><p><strong>Results: </strong>The IwAUD experienced greater distancing during AM recall, except during childhood AM recall, indicating that IwAUD are more prone to feeling that the person they are today is different from the person in their retrieved AMs. Very few intergroup differences were observed for AMs from childhood, adolescence-young adulthood, and adulthood, and a greater number of differences were observed for AMs from the last year: the IwAUD experienced AMs with a more negative valence, greater emotional intensity, fewer sensory details, greater distancing, and less sharing. A positive correlation was observed between distancing and interoceptive sensibility in the IwAUD group.</p><p><strong>Conclusion: </strong>Although these results suggest good preservation of autonoetic consciousness in IwAUD, except for more recent AMs, it is insufficient for IwAUD to experience a sense of self-continuity. This difficulty in maintaining a continuous sense of self may constitute a risk for AUD relapse.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"94-105"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142648610","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":"Autobiographical Memory in Feeding and Eating Disorders: A Systematic Review.","authors":"Fabio Frisone, Giulia Brizzi, Maria Sansoni, Anna Flavia Di Natale, Silvia Francesca Maria Pizzoli, Giovanni Stanghellini, Giuseppe Riva","doi":"10.1159/000540901","DOIUrl":"10.1159/000540901","url":null,"abstract":"<p><strong>Introduction: </strong>Prominent eating disorders (EDs) theories identify a critical relationship between body and self. One of the ways to study this relationship is through autobiographical memories (AMs). The present review aimed to evaluate the studies that investigated AM in patients with EDs.</p><p><strong>Methods: </strong>A search of PubMed, ScienceDirect, and Scopus databases was performed to identify relevant articles. Of the 57,113 studies found, 25,016 were not duplicated. After screening, 27 articles were included.</p><p><strong>Results: </strong>The studies had some methodological flaws: none of the articles was a randomized control trial and the sample sizes were small. Nevertheless, important evidence emerged because all studies showed that patients with EDs have impaired AM function. This is because the way patients with EDs remember and define themselves is through an allocentric perspective associated with the gazes of others whose role has an impact on AM, body shape, and self.</p><p><strong>Conclusion: </strong>To our knowledge, this is the first systematic review to examine AM in patients with EDs. Future research is needed in EDs to expand knowledge about the relationship between the body and the self.</p>","PeriodicalId":20723,"journal":{"name":"Psychopathology","volume":" ","pages":"44-68"},"PeriodicalIF":1.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142392723","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}