Intense Emotional Experiences Research Articles

Social Worker’s Experiences in a Case of Client’s Death in the Context of Wellbeing

Social Worker’s Experiences in a Case of Client’s Death in the Context of Wellbeing

(269) Distress with Sexual Function in LGB+ Individuals: Proposal for a Scoping Review

Abstract Introduction Distress associated with sexual function, usually described as “sexual distress” is typically defined as an intense negative emotional experience. It has gained significant attention in research, mainly due to its inclusion as a mandatory criterion for diagnosing sexual dysfunctions (SD). Literature suggests that sexual distress with sexual function can have wide-ranging implications, negatively affecting mental health, relationship dynamics, and overall well-being. Studies specifically targeting LGB+ (lesbian, gay, bisexual, and other minority sexual orientations) people reveal that lesbian women commonly report distress related to sexual pain, difficulties with arousal, and low interest and desire for sexual activities. Additionally, research has indicated a high prevalence of sexual dysfunctions among gay men (e.g., erectile dysfunction). Regarding bisexual people, women in same-gender relationships may have high levels of sexual pain when compared with women in mixed-gender relationships. Furthermore, men in same-gender-oriented relationships reported a higher frequency of sexual problems when compared to men in mixed-gender relationships, who frequently reported anodyspareunia and difficulties with erect function. Objective Given the reported existence of sexual distress with sexual function in LGB+ people, exploring its specific correlates in LGB+ people is crucial, expanding knowledge in this field. We seek to answer the following research question: "What does the literature report/describe about sexual distress in LGB+ people and its correlates?". We aim to map all knowledge and gaps as well as clinical and research implications related to sexual distress in LGB+ people. Methods We will develop a scoping review guided by Arksey and O'Malley's framework (2005) and follow PRISMA guidelines and an open-science framework. We will consider relevant information such as publication year, country, sample demographics, methodological approach, study objectives, variables associated with sexual distress in LGB+ people, presence of a diagnosis of SD, comorbidity, and primary outcomes (e.g., sexual distress levels, sexual function, help-seeking behaviors). The search will be conducted on indexed databases (i.e., PubMed, APA PsycInfo, Scopus, and Web of Science Core Collection). Inclusion criteria are studies about sexual distress with sexual function with LGB+ people. The exclusion criteria are non-English studies and gray literature. The review will not restrict the data range of included studies and will consider both peer-reviewed and non-peer-reviewed sources. The articles provided will be subjected to quantitative descriptive statistics and qualitative content analysis to synthesize the literature. The search string will include terms such as, for example, (sexual* distress* OR sexual* concern OR sexual* bother) AND (psychological OR individual OR personal OR interpersonal OR relation* OR marital OR couple) AND (LGB+ people OR sexual minority OR non-heterosexual). Results We aim to identify existing theoretical and methodological approaches, flaws, and gaps. We hope to reach a comprehensive look at existing results in the field, opening room for future research while also aggregating clinically meaningful information. Conclusions This scoping review will be useful for researching and practicing sexual medicine with LGB+ people. Disclosure No.

Examining the relation between emotional experiences and emotional expressions in competitive tennis matches.

Emotions consist of different components such as the emotional experience, physiological reactions, action tendencies, or emotional expressions. Assessing the relation of these components may help to better understand the role of emotions in sport competitions. Based on the component process model of emotions, the goal of the present study was to assess the relation between emotional experiences and emotional expressions. Twenty tennis players (7 female) with an average age of 23.10 (SD = 4.88) were taped during competitive tennis matches. Thereafter, in individual meetings, after having watched themselves on the footage at pre-selected points, the players had to indicate whether, immediately after the end of a rally, they had a positive or a negative emotional experience and, in case they had one, rate its intensity. Moreover, based on their observable behavior, the players were also asked to state whether they could recognize a positive or a negative emotional expression and, in case they recognized one, rate its intensity. The occurrence of emotional expressions was additionally rated by two external coders. Using multilevel models, separate analyses were conducted for positive emotions after won points and negative emotions after lost points. For both positive and negative emotions, the results indicated a positive correlation between emotional experiences and emotional expressions. Moreover, the intensity of emotional experiences could predict the occurrence of an emotional expression rated by both the players or external coders. These insights into the relation between emotional experiences and emotional expressions may help players to more effectively regulate their emotions.

A relational understanding of the needs of siblings of children who have been sexually abused

AbstractThis participatory research project highlighted the views and experiences of young people who are the brothers and sisters of children and young people who have experienced child sexual abuse. By working with young people who had experienced sexual abuse and their siblings, this practitioner research sought to give these young people a voice. The research involved a group process with young people who have experienced sexual abuse and have siblings, and one‐to‐one online consultations with the brothers and sisters of young people who have experienced abuse. All the young people spoke of their sibling and family relationships as unique and requiring unique responses to these relationships by services and health‐care professionals. Siblings’ needs in the aftermath of a child sexual abuse discovery are often overlooked. This research describes how just as children who have experienced sexual abuse may feel anger, fear, guilt, shame, anxiety, and confusion, so do their siblings. Brothers and sisters of young people who have experienced sexual abuse describe significant relational trauma with intense emotional experiences of isolation, confusion, sadness, and anger. There is a real need to support young people and families to find words and develop capacities to talk about child sexual abuse ‐‐ a need to find supportive ways to speak about what has occurred and understand its impact on all. The study clearly demonstrated the significant level of need and impact on brothers and sisters of young people who have experienced sexual abuse.

Why Being Social and Active Boosts Psychological Wellbeing: A Mediating Role of Momentary Positive Emotions

Social interactions and active activities are key to psychological wellbeing, but how do these activities improve wellbeing? Building on work showing that positive emotional experiences help build psychological resources, we test the prediction that momentary positive emotional experiences mediate the relationships between social interactions, active activities, and wellbeing. In a pre-registered experience sampling study, 106 participants reported their wellbeing, momentary emotional experiences, and activities linked to intense emotions five times per day for 15 days (7,110 observations). Participants reported experiencing more intense positive emotions when interacting with others (especially face-to-face), and when engaged in active (versus passive) activities. As predicted, positive emotional experiences partially mediated the positive relationships between social interactions and wellbeing, and between active activities and wellbeing (explaining 25% and 12% of variance, respectively). These findings show that intense emotional experiences can be elicited by social and active activities, helping explain how these activities aid our psychological wellbeing.

Uncovering the audience perspective: A qualitative analysis of experiences and evaluations of two immersive journalism productions in the Netherlands

There has been limited adoption of Immersive Journalism (IJ) by the audience; simultaneously, the audience’s perspective is rarely considered in the production and research of IJ. At this point, however, it is crucial to incorporate an audience perspective to identify potentially unintended effects of IJ and improve on the innovation of IJ. This study investigates the audience’s experience and evaluation of IJ by qualitatively analyzing their thoughts after viewing two IJ cases. Our results indicate that the audience may pick up on intended effects, such as a sense of presence and an intense emotional experience, but some also express unease towards these effects. Furthermore, the audience struggles to comprehend this study’s two immersive journalistic cases as part of the journalistic genre. These findings provide insight into the gap between the initial hype and the current reality of IJ and provide the basis for propositions for future IJ productions.

Investigating the emotional experiences in eSports spectatorship: The case of League of Legends

Electronic sports (eSports) is competitive video gaming that is coordinated and managed by sporting organizations. While traditional sports have thrived on spectatorship and the intense emotional experiences of fans, there has been limited attention directed towards the emotional aspect of eSports spectatorship. In this paper, we introduce a first contribution to this field, presenting an in-depth, mixed-study investigation of eSports spectatorship and emotional experiences during the 2020 League of Legends’ World Championship. Our investigation is based on an extensive dataset comprising over 40,500 comments from 3,100 spectators posted during the event on the social media platform Reddit. We provide both computational and qualitative analyses of spectators’ experience during the event. The former employs social network-based models and techniques, while the latter includes thematic analysis. Our findings reveal that spectators supporting the same team tend to engage in cohesive discussions, while interactions among those supporting different teams are less prominent. Additionally, we explore various factors that trigger spectators’ emotions during the event, including interactions among fan groups and the local context. The methodology underpinning our investigation is general and enables the study of eSports spectatorship from a heterogeneous perspective.

Investigating the Influence of the Heat of Passion Type on Qualification of the Act, the Type and Scope of Imposed Punishment

Introduction. Commission of any crime involves intense emotional experience and emotional outbursts. And this kind of agitation is felt not only by a person encroached upon, but also by a subject of a crime. In the majority of cases, emotional experience is related to committing the certain actions resulting in violation of the Criminal Law and, consequently, committing a crime. However, in some cases, the mechanism of a crime is realised after and as a result of experiencing the powerful emotional experience. In such cases, it is impossible to deny the possibility of this state to have impact not only on the intentions and motives of a person, but also on the nature of his actions and their outcome. From this perspective, studying the features of the heat of passion is of great importance for the Criminal Law and for assessing the nature of a guilty person’s actions, as well as for determining the appropriate punitive reaction by means of the term and type of criminal punishment. The present study aims at differentiating the influence of various types of heat of passion, experienced by a subject of a crime, on the important elements of a crime, which are taken into consideration while qualifying the act and imposing the punishment.Materials and Methods. In order to define the concept of heat of passion, it is necessary to analyse available scientific approaches used for investigating this problem and correlate the problem with the existing practices of studying the heat of passion. Besides, not only the most popular opinions of practitioners and theoreticians have been taken into account, but the unpopular opinions on the issue of the heat of passion detection have been analysed as well. The general and specific scientific methods have been used in the research, in particular, the analysis, synthesis, interpolation, structural analysis, methods of legal psychology and psychiatry.Results. The "heat of passion" concept has a complex and heterogeneous nature, therefore, in order to be able to assess impartially the criminal and legal value of a person's state upon committing a crime, it is necessary not to be restricted to merely establishing the fact of heat of passion presence at the moment of committing a crime. It is important to identify, to which of five types of heat of passion, stipulated in the present work, and to which of their phase, the state, diagnosed in a subject of a crime, can be referred to.Discussion and Conclusions. As a result of conducted research, it was possible to identify such types of heat of passion as: the cumulative, the abnormal, the one caused by alcoholic intoxication, the pathological, the physiological, which, in their turn, undergo several phases during formation and experiencing by a subject. However, the majority of the researchers share the opinion that only two of the identified types of heat of passion can unambiguously entail criminal and legal consequences: physiological (not related to the diseased condition and liable to imposing and enforcement of criminal punishment) and pathological heat of passion (entailing, if present, declaring a person insane). All the other heat of passion states, which to one degree or another are varieties of the two above-mentioned, can not exclude imposing and enforcement of criminal punishment, but may affect the substantive characteristics of the subjective side of a crime, and, consequently, the type and scope of the punishment imposed.

Wikipedia and Shostakovich Meets Goya: Elaborative Narration and Music Enhance Affect Derived From Art

We sought to understand the common interaction between music, information and visual art. The evoked affect of college students (N = 47, F = 35, M = 11, NB = 1) were measured via The Implicit Positive and Negative Affect Test (IPANAT) after a presentation of Francisco Goya's Black Paintings. There were three randomly assigned groups with a narration about the artist's life and the significance of his paintings (group N), classical music (group M) and both (group NM). Participant's art knowledge was also assessed, as determined by the Vienna Art Interest and Art Knowledge Questionnaire (VAIAK). Group NM reported significantly lower affect scores, indicating more intense emotional experiences as opposed to other two groups (N = 47, F(2)= 4.099, p = .023). The knowledge and interest scores had no effect on the affect score. The implications of the findings and potential explanations are discussed through the lens of different models of art perception.

Mechanisms of the formation of psychological disadaptation in combatants with a distinction based on the signs of adjustment disorders and PTSD

IntroductionContemporary for combatants with signs of adjustment disorders (AD) consists of “distorted” thoughts about the displacement of the value of one’s role, the loss of a certain significant position. This can be seen from the analysis of complaints about the feeling of anxiety, tension, asthenia, mood swings, lack of emotional regulation and the assessment of well-being criteria.It is important to understand what is a preventer of maladjustment, and what is a predictor of the formation of psychological adaptation disturbances in combatants with a distinction based on the signs of AD and PTSD.ObjectivesBased on the analysis of violations of the psycho-emotional sphere, peculiarities of perception of the social environment, understanding of one’s role in traumatic events, and personal adaptation potential, predictors and preventers of violation of psychological adaptation among combatants are determined.MethodsThe clinical investigation based on psychiatric examination with the narrative motivation interview,psychological examination by Mississippi Scale for Combat-Related Posttraumatic Stress Disorder.ResultsThe predictors of impaired psychological adaptation in combatants withAD: Low indicators of moral normativity, which structure thoughts and help in the interpretation and analysis of negative experienced events of a stressogenic level.Preventers of violation of psychological adaptation in combatants with AD:Communicative potential, which lies in the structure of personal adaptation potential. This indicator indicates the presence of a need in the social environment and opportunities for realization, that is, as a resource of the individual. The ability to receive from the social environment a sense of support, reinforcement of self-esteem, motivation for activity, determination of the goals of future projects. Predictors of impaired psychological adaptation in combatants with PTSD: Low communicative potential, which, under the significant influence of stressogenic factors, isolates from close social interaction and does not allow family members to influence the emotional state. Family support is diminished and perceived as a trigger for anger. Fixation on the intensity of emotional experiences, maintaining the tone of negative manifestations, as a form of receiving punishment. Keeping under control one’s values in the life system and an attempt to reorient oneself to the future.ConclusionsRelying on preventers as the resource base of the personality of combatants and predictors as targets of psychocorrective intervention in the tasks of the medical and psychological rehabilitation program, algorithms for further psychocorrective intervention were determined.Disclosure of InterestNone Declared

Eyes don't lie: Eye movements differ during covert and overt autobiographical recall

In everyday life, autobiographical memories are revisited silently (i.e., covert recall) or shared with others (i.e., overt recall), yet most research regarding eye movements and autobiographical recall has focused on overt recall. With that in mind, the aim of the current study was to evaluate eye movements during the retrieval of autobiographical memories (with a focus on emotion), recollected during covert and overt recall. Forty-three participants recalled personal memories out loud and silently, while wearing eye-tracking glasses, and rated these memories in terms of mental imagery and emotional intensity. Analyses showed fewer and longer fixations, fewer and shorter saccades, and fewer blinks during covert recall compared with overt recall. Participants perceived more mental images and had a more intense emotional experience during covert recall. These results are discussed considering cognitive load theories and the various functions of autobiographical recall. We theorize that fewer and longer fixations during covert recall may be due to more intense mental imagery. This study enriches the field of research on eye movements and autobiographical memory by addressing how we retrieve memories silently, a common activity of everyday life. More broadly, our results contribute to building objective tools to measure autobiographical memory, alongside already existing subjective scales.

Experience of Death-Related Trauma in Women: An Interpretative Phenomenological Analysis

The trauma related to death is always an intense emotional and psychological experience that tend to shake the stability of life. Through Interpretative Phenomenological Analysis (IPA), this study explored the experience and expression of trauma related to the death of a close family member in women. A sample of 5 women of age ranging from 22 to 30 years were targeted and information was collected through a semi-structured interview. The superordinate themes emerged as Socio-emotional responses to trauma, and sub-ordinated themes were Stigmatization, Resistance, Emotional Difficulties, Unstable Relationships, Fear of Being Exploited, Economic Difficulties and Social Withdrawal. This study helps to understand reactions to death in the cultural context of trauma counseling and early intervention services.

Communicating Unexpected and Violent Death: The Experiences of Police Officers and Health Care Professionals.

Background: The notification of unexpected and violent death represents a challenging experience for police officers and health workers. These professionals are exposed to very intense emotions during this task. Aim: We aimed to investigate the degree of preparation, and the emotions and attitudes of police officers and health professionals while communicating such a death. Method: An ad hoc online questionnaire was created and disseminated through Qualtrics software. The participants were recruited through the institutional channels of Police, the College of Physicians, the ONG De Leo Fund and the Department of General Psychology of the University of Padua. In this qualitative study, thematic content analysis was used to examine the responses. Results: A total of 155 individuals participated in the study (44 females, 111 males): 102 individuals were police officers, 23 were doctors and were 30 nurses. Five main themes were identified: (1) how the communication took place; (2) the experiences during the communication; (3) the difficulties encountered; (4) coping strategies, and (5) forms of support. Most communications were performed in person, and most represented an intense emotional experience for the notifiers. There is a generalised lack of specific preparation and training for this practice. The recipient’s characteristics (culture of origin, language, age, health conditions, psychological vulnerability) may add to the difficulties of the notification process. Professionals unload their tension by practicing sport, relying on their hobbies or interacting socially. The presence of other colleagues during and after the death notification is usually able to alleviate the burden of the communication. Conclusions: Communication modalities can have a profound impact on the recipients and intensify the trauma of the loss; however, they also have the possibility of mitigating it. The notification of a violent and unexpected death remains a difficult and challenging task for the notifier, which is potentially stressful and emotionally charged. The topic is of great relevance and more research should be promoted in this area.

A Conversation between Estelle Shane and Joye Weisel-Barth

ABSTRACT Estelle Shane is a distinguished psychoanalyst, who has honored, served, and contributed to the profession. During my training and early years as an analyst, she was my teacher and mentor, and over time she has become my close colleague and friend. I admire and love her balanced temperament, her ever growing mind and heart, her genuine kindness and unique shine, but I’m also occasionally exasperated – as friends are – at some of her patterned foibles. Despite a long and rich life, Estelle still wants so much; she’s greedy for more – more work, writing, ideas, articles, books, movies, theater, and interesting and challenging patients, colleagues and friends. She wants more intense intellectual and emotional experience, more intellectual and emotional understanding – More Life and More Time. And she tries to schedule it all in. Even during Covid sequestration, Estelle is at war with time. Therapy sessions, tea parties and coffee klatches, consultations, private conversations, editor meetings, writing lessons – all these continue online in her familiar pace and race, and Estelle logs in more ZOOM and FACETIME miles than anybody I know. In her pursuit of life and her battle with time, she overcommits herself, is often overwhelmed by her own chosen obligations, and frequently must extricate herself from too many overlapping dates. How many times has Estelle canceled an appointment because she has inadvertently scheduled two other people in my time slot? Exasperating, but by now also inspiring; that is, even though I have to share her, I love how large and curious and hungry for life she is. So now she and I are going to have a conversation about minds: what they are in all their eccentric patterns and shifts, how we understand our own and the other’s, how we use them, and how they function in analytic work. Estelle’s theories are well documented in her writings, and so I want to go beyond her theories to talk about what she actually does with her patients and how she has come to think about analytic practice.

Дослідження взаємозв’язку особливостей психоемоційного здоров’я з даними життєдіяльності у молоді.

The article analyzes the problem of the uniqueness of psycho-emotional health of the individual during adoles-cence. The leading components of this phenomenon are outlined. The expediency of considering the construct "psycho-emotional health" as an independent subject of research is substantiated. Psycho-emotional health is understood by us as an integrative property of the individual that has lifelong (unparalleled) value due to the determinism of the search for meaning of life. It characterizes the personality as a whole, its psychological resourcefulness, determining the ability to develop own subjectivity in today's changing world. It has different rates of formation, quality scales, due to the indi-vidual's ability to self-development at different ages. This is especially evident in adolescence, when it is believed that all scientifically established dimensions of the emotional sphere of the human psyche become clear (self-creation of emotions; sign, modality, intensity of emotional experiences; available vector of emotional personal readiness; dimen-sion of emotional self-knowledge; ability to spiritual experiences). Construction of the construct "psycho-emotional health" creates an opportunity to fully comprehend it as a psychological phenomenon and personal property, which integrates all the established components of the emotional sphere - value-motivational, informative-reflexive. In addi-tion, we are talking about psycho-emotional health as a complex and, at the same time, holistic personal education that accumulates regulatory-adaptive and active potential. Psychological mechanisms of positive dynamics of psycho-emotional health of an individual are identification, emotional self-regulation, reflection, empathy, imitation, mental infection. The results of analytical work aimed at clarifying the component composition (axiological, cognitive-affective, conative-instrumental, social-determinative) and scales of levels of psycho-emotional health of the individual in adulthood (subjective - predictive-creative; personal - adaptive-program; social - similar-adaptive; individual – psy-cho-emotional ill health). The originality of the author's questionnaire and some parallel methods aimed at establishing links between students' psycho-emotional health and vitality, indicators of stress resistance, depression, and subjective feelings of loneliness are highlighted. The results of factor analysis, which determine the dynamics of the processes of self-knowledge, self-preservation, self-recovery and strengthening the psycho-emotional health of students, in particu-lar, in higher education are identified.

Predator fear memory depends on glucocorticoid receptors and protein synthesis in the basolateral amygdala and ventral hippocampus

Previous studies have suggested that the basolateral amygdala (BLA) and the ventral hippocampus (VH) are critical sites for predator-related fear memory. Predator exposure is an intense emotional experience and should increase plasmatic corticosterone likely to modulate the emotion-related memories. However, it is unclear whether the BLA and VH harbor plastic events underlying predator-related fear memory storage and how molecular and endocrine mechanisms interact to modulate memory to the predatory threat. Here, we first examined the effects of protein synthesis inhibition in the BLA and VH on fear memory to a predatory threat. We next evaluated how exposure to a predatory threat impacts the corticosterone release and how the inhibition of corticosterone synthesis can influence predator-related fear memory. Finally, we examined how predator exposure triggers the activation of glucocorticoid and mineralocorticoid receptors in the BLA and VH and whether the GR antagonist injection affects predator-related fear memory. We showed that predator-related contextual fear is dependent on protein synthesis in the BLA and VH. Moreover, we described the impact of rapid glucocorticoid release during predatory exposure on the formation of contextual fear responses and that GR-induced signaling facilitates memory consolidation within the BLA and VH. The results are relevant in understanding how life-threatening situations such as a predator encounter impact fear memory storage and open exciting perspectives to investigate GR-induced proteins as targets to deciphering and manipulating aversive memories.

The "Sickness" Memory: Can Patients With Alzheimer Disease Remember the Diagnosis Announcement?

Diagnosis of Alzheimer disease (AD) can cause substantial psychological distress in patients. We thus assessed how patients with AD remember the announcement of diagnosis. We recruited 47 participants with mild AD (26 women; M age=68.89 y, SD=7.37; M years of formal education=9.74, SD=3.00). We invited the participants to remember the moment when their clinicians announced their diagnosis, within 6 months of the event, as well as a control memory, over the same period. We analyzed memory retrieval regarding specificity, as well as the subjective experience of retrieval (ie, regarding mental time travel, visual imagery, emotion and importance). No significant differences were observed between memory of diagnosis and control memory regarding specificity, mental time travel and visual imagery. However, memory of diagnosis triggered a more intense emotional experience and feeling of importance than control memory. Retrieval of the diagnosis announcement can activate a strong emotional and personally important experience in patients with AD. When remembering the diagnosis announcement, patients with AD may re-experience some features of that turning point in which they shift from "person" to "patient."

Schwartz Centre Rounds: qualitative exploration of panel members' experiences within a forensic mental health service.

Schwartz Centre Rounds (SCRs) provide a structured forum for staff from all disciplines to meet and discuss the difficult emotional and social challenges that arise in caring for patients. Research into the implementation of SCRs has shown that staff who attend report increased insight into the emotional and social aspects of care; greater understanding of the roles of their colleagues; improved teamworking and decreased feelings of isolation and stress. However, little research has explored the implementation of SCRs within forensic settings, and no research has focused solely on the experiences of panel members. Three focus groups were facilitated with participants who had participated in a SCR panel within a forensic mental health service. Semi-structured interviews were carried out, audio-recorded and subsequently transcribed. Interpretive phenomenological analysis was utilised to analyse the transcripts, and four key themes were identified. These themes were: feeling vulnerable, the importance of validation, exposure to intense emotional experiences and improved understanding and connection. We conclude that SCRs can be an emotionally challenging but rewarding experience, with the potential to enhance teamworking and general well-being. Limitations and recommendations for future research are also discussed.

Welfare solidaristico nel sistema delle relazioni educative

The Covid-19 Pandemic effects invites us to reflect and rethink of our model of welfare state. What type of welfare model? The content of this contribution is to suggest a different point of view on welfare, through a supportive, generative and pedagogical approach, renewed attention on inequalities from a prospective of inclusion, sustainability and care of human beings. Forced isolation induced by COVID-19 pandemic dramatically impacted individuals' well-being, isolation, pain, loneliness and shock has raised awareness of the essential values both on men and women, the importance of inclusiveness and pedagogical generativity. It can be said that this was in some ways a spiritual experience, helpful in rediscovering humanity in man, which recalled that ex malo bonum, good can come from something bad, but, as St. Augustine himself argued: bad moments can bring out the good "if you work on it", consciously. It is by working exactly on this awareness, without refusing this intense emotional experience of change, that can be found the pedagogical transformative space and the role of educational relations and of the educator in the welfare system; a new idea of ​​governance of capacities, an opportunity for the development of a welfare society for the well-being of individuals and Communities.

Acute ischemic stroke after enjoying Top of Europe.

Sudden onset of disturbed consciousness, neurocognitive deficits, and weakness of the proximal limbs are typical findings of a watershed stroke. Occurrence after an intense emotional experience and electrocardiogram changes are hints toward the rare cause of stroke of a takotsubo cardiomyopathy, even more if the stroke pattern is embolic.