Italian Psychologists Research Articles

The cultural representations and symbolizations emerging from Italian psychologists working in multidisciplinary assisted reproduction teams: A linguistic analysis with the emotional text mining.

This study aims to explore the perspectives of Italian psychologists who work in assisted reproductive treatment (ART) centres regarding their roles within multidisciplinary teams. Twenty-eight psychologists were interviewed, recorded and their transcribed text was analysed using emotional text mining. The analysis revealed four clusters representing the psychologists' cultural symbolizations of their works: 'Clinical Practice with the patient', 'Placing Psychology within the Treatment', 'Psychologist's Loneliness' and; 'Collusion with Medicine'. The symbolic representations emerging clearly highlighted a lack of integration of psychology within the medical field. Psychologists expressed emotional and practical difficulties in trying to integrate their role, including a desire to provide psychological assistance, feelings of loneliness and concerns about jeopardizing their professional opportunities, which are intertwined with the medical field. Present findings underscore the importance of integrating psychology within ART centres and multidisciplinary teams and of establishing operational guidelines for psychologists. These steps are crucial for reaching integration of psychologists within the medical setting.

Validation of the Italian Version of the Telepresence in Videoconference Scale (TVS) in a Sample of Psychologists and Psychotherapists During the COVID‐19 Pandemic

ABSTRACTObjectiveTelepresence may play a fundamental role in establishing authentic interactions and relationships in online psychological interventions and can be measured by the Telepresence in Videoconference Scale (TVS), which was validated only with patients to date. This post hoc study aimed to validate the Italian version of the TVS with mental health professionals.MethodThe Italian TVS was included in an online survey, whose primary aim was to assess the experiences of Italian psychologists and psychotherapists with online interventions during the first wave of the COVID‐19 pandemic and was filled in by 296 participants (83.4% females, mean age = 42 years old).ResultsExploratory factor analysis supported the original factor structure only partially because the scale ‘Absorption’ (i.e., the feeling of losing track of time), as it was formulated, did not measure telepresence. Correlations were also explored between the TVS scales and some survey items pertaining to intimacy and emotional closeness to patients, comfort and positive as well as negative experiences with online interventions.ConclusionThe TVS may be a useful tool to measure physical and social telepresence in online interventions, both in patients and in professionals.

Trajectories of support intervention in clinical psychology

The present paper aims to discuss the request of the National Council of Italian Psychologists for a definition of the typical acts of psychologists in the clinical field by commenting on the work of Castelnuovo et al. (2023). In particular, we aim to contribute to the current debate by addressing primarily supportive interventions in the clinical setting, focusing on: (1) defining the supportive intervention among the typical acts of the psychologist; (2) adopting a methodological criterion to distinguish between supportive intervention as a psychological-clinical act and psychotherapeutic intervention; and (3) articulating of the discourse in relation to the adoption of narrative methods in clinical intervention. In particular, in this work we argue that supportive interventions are adopted in critical situations, where dysregulation of psychological functioning processes is assumed, and they use the narrative device by promoting a connection between mental states and an articulation of affects in shared meanings. Instead, psychotherapeutic interventions are adopted in conditions of distress and/or psychopathology and use the narrative device in light of an inverse trajectory of sense, that leads from behaviors and representations to the understanding and transformation of the affective matrix of experience. Thus, supportive intervention may be defined as a process in which the clinical relationship serves as scaffolding for psychic functions in the direction of their development and integration.

Testing and assessment in psychology. A survey on Italian psychologists at the time of COVID-19 pandemic.

Testing and assessment in psychology. A survey on Italian psychologists at the time of COVID-19 pandemic.

Counting the Cost: The Economic Toll of Discrimination Against LGBTQAI+ Individuals in Italy

Abstract This study investigates the financial consequences of perceived discrimination towards LGBTQAI+ people in Italy, focusing on psychological support and medication costs. It highlights the burden of discriminatory experiences, emphasizing the need for policies to minimize costs. A cost analysis was performed according to the NHS perspective. A purposive sample was recruited through a web-based survey spread on Italian researchers’ social networks, asking any LGBTQAI+ readers to answer about discriminatory experiences, access to psychological support, and medication use. Costs of health services use were estimated according to the Italian NHS tariffs and Italian Psychologists’ Board. The time horizon was set at one year and discounting was not necessary. Robustness was checked by a one-way sensitivity analysis. A total of 75 LGBTQAI+ people completed the survey. Most of them (aged 26-35 years, 85%; residing in big cities, 70%; unaffiliated with LGBTQAI+ associations, 88%) reported discriminative actions (60%), with 15% seeking psychological help soon after being victim of a single discriminatory act. Verbal and physical abuse were reported by 88% and 6% respectively. 40% of respondents claimed to have resorted to psychotherapy sessions because of the discomfort felt after acts perceived as discriminatory or violent, amounting to 810 total therapy hours. The total therapy cost was €72,900, of which 60% paid as out-of-pocket expenses, and 40% partially covered by regional Local Health Units. Additionally, 12% of respondents used SSRI or benzodiazepines, costing the National Health System an esteemed €3054. The sensitive analysis confirmed the robustness of results. The study demonstrates the significant economic burden of discrimination against LGBTQAI+ individuals in Italy, emphasizing the need for inclusive policies and accessible mental health support. Further research is required to explore indirect costs, for a comprehensive understanding of the total economic impact. Key messages • Discrimination against LGBTQAI+ individuals in Italy causes significant financial burden due to costs of psychological support and medication. • Inclusive policies and accessible mental health support are needed to address the economic impact of discrimination against LGBTQAI+ individuals in Italy.

PsyCARE study: assessing impact, cost-effectiveness, and transdiagnostic factors of the Italian ministry of health’s “psychological bonus” policy

BackgroundThe prevalence of anxiety and depression disorders is surging worldwide, prompting a pressing demand for psychological interventions, especially in less severe cases. Responding to this need, the Italian government implemented the “Psychological Bonus” (PB) policy, allotting 25 million euros for mental health support. This policy entitles individuals to a minimum of four to twelve psychological sessions. In collaboration with the National Board of Italian Psychologists, our study assesses this policy’s effectiveness. Indeed, the PsyCARE study aims to examine the utilization of the Psychological Bonus, evaluate its impact on adult and adolescent participants’ psychological well-being through pre- and post-intervention assessments and six-month follow-up, and conduct a longitudinal cost-effectiveness analysis of this policy. A secondary aim is to investigate the influence of these interventions on transdiagnostic factors, including emotion regulation and epistemic trust.MethodsThe study involves licensed psychotherapists and their patients, both adults and adolescents, benefiting from the Psychological Bonus. Data collection is underway and set to conclude in December 2023. Psychotherapists will provide diagnostic information and assess patient functioning. In addition, patients will be evaluated on mental health aspects such as clinical symptoms, emotion regulation, epistemic trust, and quality of life. We will employ linear mixed-effects models to analyze the outcomes, accounting for both fixed and random effects to capture the hierarchical structure of the data.DiscussionWe anticipate the study’s findings will highlight reduced psychological distress and improved quality of life for participants and demonstrate the Psychological Bonus policy’s cost-effectiveness. The study will gather data on the role of specific versus nonspecific therapeutic factors in psychotherapy while adopting a patient-tailored approach to identify effective therapeutic elements and examine transdiagnostic factors. Overall, this study’s findings will guide future measures within the Italian healthcare system, fostering a psychological health culture and providing valuable insights to the broader public.Study registrationhttps://osf.io/6zk2j

Norcia and the central italian earthquake: Challenges and lessons learned from the italian psychiatric reform movement

Salvatore and colleagues wrote a brilliant Target Article (2022) in this journal on the state of Italian psychology and recommendations for change.  In this contribution, we look at the failure of Italian psychology to address the suffering of the affected population of the Central Italian earthquake in Norcia in 2016.  The Italian National Trauma Center centered in Orvieto, Umbria has been on the ground assisting local health care practitioners in caring for the mental health impact of the earthquake and the COVID pandemic lockdown.  Absent Italian psychologists walk hand in hand with a political system that has had limited response to the mental health needs of earthquake survivors.  Lessons learned from the historic revolution in Italian Psychiatry led by Professor Franco Basaglia are presented to help understand the current reality in Norcia.  Many of the barriers to mental health reform that existed for Basaglia and his colleagues still exist today.  This contribution strongly supports Salvatore and colleagues' recommendations for the transformation of Italian psychology.

Breaking Down the Screen: Italian Psychologists' and Psychotherapists' Experiences of the Therapeutic Relationship in Online Interventions during the COVID-19 Pandemic.

(1) Background: The COVID-19 pandemic posed new challenges to clinical practice and delineated future directions for online interventions in psychological care. The present study aimed to explore Italian psychologists' and psychotherapists' experiences of online interventions during the pandemic, focusing on the strategies they used to develop and maintain therapeutic relationships with their patients. (2) Methods: Between February and July 2021, 368 Italian psychologists and/or psychotherapists completed an online survey. A mixed-methods analysis was conducted, using Jamovi to analyze quantitative data and ATLAS.ti 9 to analyze qualitative data. (3) Results: Of the participants, 62% had never delivered online interventions before the pandemic; though 95.4% were delivering online interventions at the time of the survey, many reported facing technical disruptions (77.1%) and having little confidence in the online setting (45.3%). Feeling present in online sessions-facilitated by emotional attunement, active listening, and conversational spontaneity-was reported as "very important" by 93.6%. (4) Conclusions: Overall, the COVID-19 pandemic allowed a great leap forward in the use of online interventions by Italian psychologists and psychotherapists. This period of upheaval generated not only a positive change in their attitudes toward and intention to use online interventions but also revealed associated technical and relational issues that must be properly addressed.

A Survey of Practices and Beliefs of Italian Psychologists Regarding Malingering and Symptom Validity Assessment

A few years ago, an article describing the current status of Symptom Validity Assessment (SVA) practices and beliefs in European countries reported that there was little research activity in Italy (Merten et al., 2013). The same article also highlighted that Italian practitioners were less inclined to use Symptom Validity Tests (SVTs) and Performance Validity Tests (PVTs) in their assessments, compared with their colleagues from other major European countries. Considering that several articles on malingering and SVA have been published by Italian authors in recent years, we concluded that an update of the practices and beliefs of Italian professionals regarding malingering and SVA would be beneficial. Accordingly, from a larger survey that examined general psychological assessment practices and beliefs of Italian professionals, we extracted a subset of items specifically related to malingering and SVA and analyzed the responses of a sample of Italian psychologists who have some experience with malingering-related assessments. Taken together, the results of our analyses indicated that even though our respondents tend to use SVTs and PVTs relatively often in their evaluations, at this time, they likely trust more their own personal observations, impressions, and overall clinical judgment, in their SVA practice. Additionally, our results also indicated that Italian practitioners with some familiarity with malingering-related evaluations consider malingering to occur in about one-third of psychological assessments in which the evaluee might have an interest in overreporting.

Psychological reality and psychoanalysis at the Padua Laboratory of Psychology.

As it spread across Italy, psychoanalysis captured the interest of Italian psychologists, namely Vittorio Benussi (1878-1927) and Cesare Musatti (1897-1989). Benussi, who was trained as an experimental psychologist according to the Gegenstandstheorie School of Graz in 1919, came to Italy and became a full professor of experimental psychology in Padua. He undertook a program of study called "psychological reality" that comprised hypnosuggestion and psychoanalysis. This article shows that Benussi's hypnosuggestion experiments and Musatti's theorization of the reality of fantasy were attempts to upgrade the study of psychological phenomena to the level of physical phenomena in a theoretical context in which psychoanalysis was considered part of a general psychology.

The Italian School Psychologists' Role: A Qualitative Study about Professional Practices and Representations.

School psychologists’ relevance has been broadly affirmed. However, there is no shared definition of their professional role, and more efforts are needed to promote an organisational and whole-school approach. The present study aims to investigate practices and representations of Italian school psychologists, advance knowledge of the status and development of school psychology, and learn more about the approaches currently adopted in schools. A qualitative method was used and 11 focus groups with a total of 86 participants were carried out. Ad hoc instruments were defined. The results highlighted that school psychologists are more focused on building one-on-one relationships, whereas relationships with the organisation as a whole appear to be more difficult. However, participants reported a wide range of activities, targeted to both the individual and the organisation. Moreover, efforts to strengthen the relationships with school principals and the entire school community were described. Specific needs emerged and the necessity to better define the school psychologists’ role was reported by the participants. More efforts are needed to promote an organisational approach among Italian school psychologists and specific training should be offered.

Australian and Italian Psychologists’ View of Replication

Solutions to the crisis in confidence in the psychological literature have been proposed in many recent articles, including increased publication of replication studies, a solution that requires engagement by the psychology research community. We surveyed Australian and Italian academic research psychologists about the meaning and role of replication in psychology. When asked what they consider to be a replication study, nearly all participants (98% of Australians and 96% of Italians) selected options that correspond to a direct replication. Only 14% of Australians and 8% of Italians selected any options that included changing the experimental method. Majorities of psychologists from both countries agreed that replications are very important, that more replications should be done, that more resources should be allocated to them, and that they should be published more often. Majorities of psychologists from both countries reported that they or their students sometimes or often replicate studies, yet they also reported having no replication studies published in the prior 5 years. When asked to estimate the percentage of published studies in psychology that are replications, both Australians (with a median estimate of 13%) and Italians (with a median estimate of 20%) substantially overestimated the actual rate. When asked what constitute the main obstacles to replications, difficulty publishing replications was the most frequently cited obstacle, coupled with the high value given to innovative or novel research and the low value given to replication studies.

The Code practice for Italian Psychologists: updating the document to meet with the changing zeitgeist of the profession

The Code practice for Italian Psychologists: updating the document to meet with the changing zeitgeist of the profession

Inside the doctor's office. Talking about intersex with Italian health professionals

This article explores how health professionals in Italy understand variations of sex characteristics (VSC), also referred to as intersex and/or disorders of sex development (DSD). With estimates of VSC frequency ranging from 0.018% to 1.7%, only a handful of highly specialised medical doctors are considered DSD experts. When addressing the daily health management of children and families who do not live near specialist DSD centres, these experts may refer individuals to the nearest health professional that Italian health services provides, opening up questions regarding how these professionals might act and react when faced with VSC. In this analysis of interview data from 65 Italian general practitioners, paediatricians and psychologists, we address two themes. The first theme discusses participants’ previous experiences and case management, with a focus on social, medical and gender biases. The second theme examines health professionals’ opinions and perspectives on ongoing conflicts concerning current best care practices. Our results highlight health professionals’ cultural and gendered biases, confirming the need to develop specific professional training, guidelines and policies to improve the healthcare of people with VSC.

Editoriale: Facite ‘a faccia feroce

This long editorial, based on the example of healthcare, highlights the contradiction between ideology of control and the real situation in a democracy that still today, in many areas, thinks that it is possible to govern according to the logics of corporations. Some aspects of the Continuing Medical Education (CME) system in Italy are critically discussed, pointing out some inner con-tradictions and the inefficiency of lifelong learning of mental health professionals, and the low forecasting ability of those who planned this CME system. An Editorial by Pier Francesco Galli which appeared in issue no. 4/2001 of the Giornale Italiano di Psicologia (GIP) [Italian Journal of Psychology], in which the main critical aspects of the CME system were emphasized, is re-printed; then some extended quotations of the article by Ulrich Wienand titled Professional accreditation: Prospects and risks for Italian psychologists, which appeared in the same issue (4/2001) of the Giornale Italiano di Psicologia (GIP), are also reprinted. Finally, parts of two articles that appeared in September 2019 in the Italian on-line journal Quotidiano Sanita [Daily Healthcare Newspaper], by Massimilano Zaramella and Marco Castioni, respectively, who refer to the analysis made by the jurist Luca Benci, are reproduced. (The title of this Editorial - Give them a mean face - was the command shouted in the 18th century to the Bourbon Army in order to frighten the enemy, and here is used ironically to refer to those who try to put into effect the CME system in Italy. In a way, it reminds the haka, the ceremonial Māori dance performed by the New Zealand rugby team - the All Blacks - before their international matches; this dance, however, did not prevent defeat by England at the 2019 Rugby World Cup Semi-final)

Validity and reliability of the Italian Gambling Functional Assessment–Revised

ABSTRACTProblem gambling is a growing phenomenon in Italy, and there is increasing interest in studying the reasons for gambling in the Italian community. The Gambling Functional Assessment–Revised (GFA-R) was developed to assess two contingencies maintaining gambling behaviour: positive reinforcement and escape. The study hypothesized that the GFA-R could be translated and adopted in the Italian context. The main purpose of this study was to test the factor structure of the Italian version of the GFA-R by means of confirmatory factor analysis, its internal consistency and validity, in a sample of 667 Italian-speaking adults, recruited at universities, banks, offices, industries, markets, public parks and shops in five regions: Piemonte, Veneto, Lazio, Calabria and Puglia. The study found that the scale was internally consistent, and results showed that the original two-factor model fitted the data well. It also found moderate correlations between the GFA-R-I and both SOGS scores and GRCS scores. These results will allow Italian psychologists, educators and policymakers to identify specific contingencies maintaining gambling behaviour (positive reinforcement vs. escape) in the Italian community, detecting people more at risk of developing disordered gambling, with significant improvements in terms of prevention and clinical intervention.

Short Report: Evaluation of Acceptance and Commitment Therapy Training for Psychologists Working with People with Multiple Sclerosis

Acceptance and commitment therapy (ACT) is the most widely used and researched recent variant of cognitive behavioral therapy and has been shown to increase quality of life in people with chronic illnesses, including multiple sclerosis (MS). However, few MS health practitioners are trained in ACT. This study evaluated a 2-day ACT training workshop for Italian psychologists working with people with MS. Data were collected via online questionnaires from 34 psychologists before the workshop, after the workshop, and at 6-month follow-up. Two sets of variables were measured at each assessment: primary outcomes (well-being, negative affect, positive affect, and job satisfaction) and ACT processes (values, mindfulness, psychological flexibility, and cognitive defusion). A separate online workshop evaluation questionnaire and an ACT knowledge examination were administered after the workshop. Most participants (94%) acknowledged the potential beneficial effects of the workshop on their work. Almost all participants reported their intention to apply ACT clinically. More than 90% of participants indicated that the workshop was efficacious. All participants scored higher than 75% on the examination. Mindfulness increased from after the workshop to follow-up; however, there were no statistically significant changes in other variables. Correlations suggested beneficial associations between the ACT processes and the primary outcomes. Results suggest that ACT training is personally and professionally helpful for psychologists in the MS field.

Questionable research practices among italian research psychologists.

A survey in the United States revealed that an alarmingly large percentage of university psychologists admitted having used questionable research practices that can contaminate the research literature with false positive and biased findings. We conducted a replication of this study among Italian research psychologists to investigate whether these findings generalize to other countries. All the original materials were translated into Italian, and members of the Italian Association of Psychology were invited to participate via an online survey. The percentages of Italian psychologists who admitted to having used ten questionable research practices were similar to the results obtained in the United States although there were small but significant differences in self-admission rates for some QRPs. Nearly all researchers (88%) admitted using at least one of the practices, and researchers generally considered a practice possibly defensible if they admitted using it, but Italian researchers were much less likely than US researchers to consider a practice defensible. Participants’ estimates of the percentage of researchers who have used these practices were greater than the self-admission rates, and participants estimated that researchers would be unlikely to admit it. In written responses, participants argued that some of these practices are not questionable and they have used some practices because reviewers and journals demand it. The similarity of results obtained in the United States, this study, and a related study conducted in Germany suggest that adoption of these practices is an international phenomenon and is likely due to systemic features of the international research and publication processes.

Online counseling: An exploratory survey of Italian psychologists’ attitudes towards new ways of interaction

Objective: Online counseling may be defined as an interaction between users and mental health professionals that takes place through computer mediated communication technology. This study aimed to investigate the attitudes of Italian psychologists towards different aspects of online counseling provided via email, chat, forums, and videoconference. Method: An online questionnaire was administered to a sample of 289 licensed psychologists in the Veneto Region (Italy) in order to collect opinions, preferences, and intentions to use online modalities, along with prior knowledge and practice experiences. Results: Only 18.3% of the respondents had previous experience with online counseling. Overall, the majority of psychologists (62.6%) were favorable towards online counseling, but they also had several reservations about the provision of online diagnosis and therapeutic interventions. Results showed a consistent lack of clarity regarding ethical and penal issues concerning online modalities. Conclusions: More efforts must be directed to deepening the application of new technologies in the field of psychology in order to enable an ethical and professional practice of online counseling in Italy.

The “crisis” of psychology between fragmentation and integration: The Italian case

Crisis, as a construct, recurs in the history of psychology and has attracted the attention of psychological historians and philosophers in recent years, who have given life not only to a debate about psychological historiography, but also to a philosophical-epistemological reflection about the foundations of scientific psychology. These scholars, however, ignore the Italian literature on the theme, which is rich with useful details for both areas. After an analysis of the different meanings historically applied to the term crisis, this article examines the history of Italian psychology with a description of the origins and developments and with special attention paid to the construct of crisis. The analysis covers both the output of early 20th-century Italian psychologists on the theme, and how this has been treated in historians’ reconstruction of the theme. The article provides new historiographical elements within the framework of international research on the crisis.