Psychopathy Research Articles

Dissociative identity disorder: a review of the diagnosis that divides

The diagnosis of dissociative identity disorder (DID) has been associated with controversy and remains an area of dispute among clinicians to this day. This review explores the evolution of the diagnosis and how it is currently described and understood in the International Classification of Diseases (ICD‐11) and Diagnostic and Statistical Manual of Mental Disorders (DSM‐5). Also considered, are recent implications for clinical practice, treatment recommendations and the potential for any medicolegal issues to emerge.

Dissociative Identity Disorder from a Palestinian Perspective: A Case Report

IntroductionDissociative Identity Disorder (DID) is the presence of two or more distinct personality states within an individual. It is a rare dissociative disorder where usually self-non-integration arises as a response to significant stress. As is the case for many other psychiatric disorders, the diagnosis and management of DID is highly dependent on cultural variables and contexts.ObjectivesTo present a case of DID in Palestine in which the diagnosis was dependent on noticing minor changes in the patient’s dialect at different times. To highlight the importance of understanding each patient’s environment, values, and culture when assessing DID to avoid under- or over-diagnoses.MethodsA case report in which we present a case of a 17-year-old Palestinian girl who suffered from three months of general fatigue, restlessness, poor coordination, and peripheral numbness. She was seen by several doctors who excluded organic causes and several spiritual healers without benefit. This caused severe deterioration of social and academic functioning. The family noticed a change in her articulation and memory issues, so they presented her to a psychiatrist. Data was collected by interviewing the patient and her family weekly for a month. The psychiatrist noted that the patient has subtle differences in accent, and directed the family to record any change in tone of voice or articulation. The patient was found to have three different accents on top of her native one, representing a total of four personalities with no memory integrity among them. She was started on Escitalopram (gradually increased) and Alprazolam (gradually decreased).ResultsThe psychiatrist detected the theme of being “stuck” throughout the personalities, each in its own way, according to the context of their roots. It was revealed that the patient is engaged to a man she doesn’t approve of and has “no way out” due to the social and familial significance of this relationship. Family counseling and trauma-informed psychoeducation were done, where the patient’s choice was reaffirmed. This led to significant improvement in terms of mood, identity integration, and social functioning with complete resolution of split personalities in just short of one-and-a-half months.ConclusionsThis case report asserts the importance of cultural understanding and sensitivity when assessing psychiatric patients. Symptoms, triggers, psychotherapy, and psychoeducation have a universal baseline, yet are highly culturally-dependent. Through this case study, we emphasize the importance of translating universal criteria into context-specific practices.Disclosure of InterestNone Declared

Assessing Personality Disorders of People Who Abuse Family Members

IntroductionMen’s violence against women continues to be a major public health problem worldwide. The long-term consequences require a proper management of resources and a thorough screening protocol. The most extensive study on domestic violence was published in 2005 by the World Health Organization (WHO) and has been updated regularly ever since.ObjectivesThe aim of this study was to outline a personality profile for people who could be considered domestic abusers and to provide statistical data on personality disorders which are most common among this group of population.MethodsThe quantitative data was collected by administering two scales SCID II and Karolinska Scale.Inclusion criteria: People who are physically aggressive with family members.Exclusion criteria: people who are diagnosed with psychosis, people who show aggression with people other than family membersResults We included 70 people who admit to having committed acts of l physical aggression directed towards family members, who agreed to take part in the study. The scales which were applied are Karolinska scale and SCID II. We identified, using SCID II, DSM IV TR and ICD 10 the following personality disorders types in the 70 intrafamilial aggressors - 10% antisocial personality disorder, 27% borderline personality disorder of which 14% with impulsive emotional instability, 3% obsesive-compulsive personality disorder, 1.4% mixed personality disorder anxious and paranoid.ConclusionsBeing able to recognise a personality pattern shows great benefits for screening the patients at risk to develop an aggressive behaviour directed towards family member, thus being a great tool in prevention of long-term consequences associated with living in a hostile environment.Disclosure of InterestNone Declared

Psychiatric disorder in prolonged post-concussive syndrom : clinical assessment, physiopathology and management review of the literature

IntroductionAccording to the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), post concussive syndrome (PCS) is given a diagnosis of either major or mild neurocognitive disorder (NCD) due to traumatic brain injury TBI. However Persistent post-concussion symptoms (PPCS) are more complex, and typically involve multidisciplinary assessment and management. The symptoms are varied, non-specific and the therapeutic process is defiant for psychiatrist.ObjectivesTo investigate the semiology of persistent post-concussion syndrome (PPCS) and the therapeutic challenges it poses.MethodsA literature review was made on Pubmed, Google Scholar and Cochrane library using keywords: “post-concussive syndrome”,”psychiatric disorder”, “depression”,”post-traumatic stress disorder”,”treatment”, “physiopathology”.ResultsThe physiopathology of persistent PCS is controversy.The Symptoms are due to the Concept of “Symptom Generators” which results from the alterations in neurophysiology and neuropathology secondary to the injury, and pre- or post-injury psychological factors physiological concussion. The Global cerebral metabolic disturbance, the autonomic nervous system dysfunction and the cerebral blood flow dysregulation induce biochemical cascade,excitotoxic reaction and immunotoxicity.Clinical diagnoses associated with PPCS are:Major depressive disorder,Post traumatic stress disorder,Anxiety disorder,Substance abuse disorder,Psychotic disorder and Antisocial personality disorder. For the non pharmacological management: A systematically early information and a graded physical exercise in addition to other treatment are essential.Antidepressant, benzodiazepine and mood-stabilizer are the most recommended treatments for psychiatric symptoms. Atypical neuroleptics are indicated in delirant disorder, behavior disorder and antisocial personality disorder.Some studies suggest the methylphenidate and biperiden to treat several cognitive impairment and severe behavior disorder.Conclusions(PPCS) is far from being a subjective complaint by patients. It is a complex clinical entity that groups symptoms that overlap with other psychiatric diagnoses, such as depression, post-traumatic stress disorder, and mood disorders. Early neuropsychiatric assessment and personalized pharmacological and psychotherapeutic treatment are essential factors in the prognosis of the disease.Disclosure of InterestNone Declared

Cannabis addiction in Tunisia: sociodemographic profile and neuropsychological complications

IntroductionCannabis consumption constitutes a public health problem both because of its serious repercussions and complications and the psychological and social problems it causes.ObjectivesOur objective was to assess the level of cannabis dependence in consumers receiving care at the Sfax detoxification center in Tunisia, to describe the sociodemographic profile of these consumers and the neuropsychological complications that may be caused.MethodsWe conducted a cross-sectional study, over a period of 13 months (September 2020 to October 2021), among cannabis users consulting the Sfax detoxification center in Tunisia. We used the Cannabis Abuse Screening Test (CAST) in order to detect a “problematic” cannabis use, along with a clinical information sheet to collect epidemiological and clinical data. All patients gave their free and informed oral consent to participate in the survey while ensuring anonymity.ResultsWe included 38 patients. The average age was 26 years old with a median age of starting cannabis use at 17 years old. The sex ratio was 8.5 with an over-representation of men. Most of the subjects were single, lived with their family and had a secondary school education. Consumption was daily for the majority of patients (68.5%) with an average quantity of 4 joints/day. According to the CAST scale, 36 users (94.7%) had problematic cannabis use. The factors favouring cannabis consumption were stress and anxiety in 34 patients (89.5%) followed by depression and the festive atmosphere in 14 subjects (36.8%) each. Among the participants, 26.3% had a psychiatric history including depression (5.3%), a psychopathic personality disorder (10.5%) and cannabis-induced psychotic disorder (10.5%). History of psychiatric hospitalization and history of suicide attempt were found in 21.1% and 26.3% of the patients respectively. Concerning the complications caused by cannabis, 68.4% of the patients described a phenomenon of tolerance, while 63.2% reported the sensation of craving. Psychotic symptoms such as delirium and/or hallucinations were found in 6 patients (15.8%) and 8 subjects (21.1%) reported a history of overdose in the form of cannabis psychosis. Chronic complications were an amotivational syndrome (63.2%) and social disintegration (52.6%). Treatment of cannabis dependence was considered effective with total withdrawal in 31.6% of subjects. Weaning was partial in 42.1% of the patients.ConclusionsCannabis use is emerging as one among many interacting factors that can affect psychological and physical health, with an impact on various levels including mood, neurocognition and general health. Although studies have shown functional brain mechanisms underlying the effects of cannabis, the exact mechanisms remain unclear. Overall, treatment for substance use disorders generally prevents these complications and improves prognosis.Disclosure of InterestNone Declared

Study of the sociodemographic, clinical and criminological characteristics of Tunisian female offenders

IntroductionThe psychopathology of female crime perpetrators is not well understood since female criminality rates have remained distinctly lower than male criminality.This study draws on over 20 years of psychiatric expertises to identify sociodemographic, clinical, and forensic characteristics of female perpetrators.Objectives-To describe the epidemiological and clinical profile of female offenders examined for criminal psychiatric expertise.-Describe the criminological and forensic characteristics of these women. MethodsRetrospective and descriptive study, which focused on 56 criminal psychiatric expertise files of female offenders, examined at the psychiatric department “C” at the CHU Hedi Chaker in Sfax, Tunisia, over a period of 24 years.For each offender, we examined the expert report and the judicial research report. We then transcribed the socio-demographic and clinical information, as well as the criminological and forensic characteristics, onto a pre-established form.ResultsThe accused women in our study had an average age of 35 years and 06 months, and 67.86% of the cases were under 40 years of age, with an educational level no higher than primary school in 62.5% of cases. They were unemployed in 71.4% of cases. Among the accused examined, 76.8% had mental disorders, including 46.6% with personality disorders, 16.3% with intellectual disability, 16.3% with bipolar disorder, 9.3% with depressive disorder, 9.3% with psychotic disorder, and 2.3% with substance use disorder (anxiolytic). We recorded 55.4% offences against persons, including 37.5% homicides and attempted homicides, and 44.6% offences against property, including 23.2% thefts. Dementia in the legal sense was identified in 30.4% of cases. Bipolar disorder accounted for 41.1% of legally demented subjects.Conclusions It emerges that the profile of the female criminal is that of a woman under 40, with a low educational and economic level, and most often with an antisocial personality or intellectual disability. It would therefore be important to step up primary prevention work by better educating these at-risk women and to combat the factors contributing to dangerousness among the mentally ill by optimizing their psychiatric care.Disclosure of InterestNone Declared

Personality disorders and addiction A study of 54 patients

IntroductionPersonality disorders are very often comorbid with addictions and are known to have a negative impact on the development of substance use disorder.ObjectivesEvaluate the prevalence of personality disorder in patients with problematic use of psychoactive substances followed at Ar Razi hospital Determine the relationship between different personality disorders and the clinical aspects of psychoactive substance useMethodsThis is a descriptive and analytical cross-sectional study carried out among 54 patients followed at Ar-Razi hospital Salé in Morocco for problematic use of psychoactive substances from June 1 to September 15, 2023 (Diagnosis assessed by DSM 5) Data collection was done using a questionnaire including clinical and socio-demographic characteristics and data on addiction to psychoactive and behavioral substances. The psychometric scale used to assess personality disorder: Personality Disorder Questionnaire (PDQ-4+)ResultsWe recruited 54 patients with age ranges from 18 to 45 years, with a male predominance. The average age at the start of psychoactive substance use was 15 years. Tobacco is the most used substance followed by cannabis Antisocial, histrionic and borderline personality disorders were the most common in our population. There was a statistically significant difference between specific personality disorder and the presence of severe psychoactive substance use disorderConclusionsThe frequency of personality disorders is high among subjects with problematic use of psychoactive substances. It is necessary to take care of them simultaneously (integrated care) in order to improve the prognosisDisclosure of InterestNone Declared

How psychopathy is associated with the level and change of impulsivity in correctional treatment

IntroductionResearch indicates that psychopathy can hinder treatment success and can lead to dropout. Impulsivity is a complex construct that overlaps with psychopathic personality traits and is often targeted in forensic psychotherapy due to its relation to the risk of reoffending.ObjectivesOur aim was to investigate the overlap between psychopathy and impulsivity and the influence of psychopathic traits on change in impulsivity.MethodsWe conducted a pre-post-study for measures of psychopathy and impulsivity in men imprisoned for sexual and non-sexual violent offenses. All participants took part in standardized pre- and post-treatment ratings shortly after admission as well as after an average of 19 months (n=370 for pre-rating, n=168 for post-rating). Psychopathy was measured via the PCL-R, impulsivity with the BIS-15.We calculated two-tailed Pearson correlations for BIS-15 Pre-, Post-, and Change Scores and the PCL-R. In a second step, the BIS-15 pre-post-differences were compared using independent t-Tests, effect sizes were calculated using Cohen’s d (small, medium, and large effect sizes are d = .20, .50, and .80). Further, unpaired t-tests were carried out to compare between participants with lower and higher PCL-R sum scores (median split, mdn= 15.8, M=15.5, SD=7.9).ResultsIn the total population a significant reduction of self assessed impuslivity can be demonstrated for total impulsivity (p<.001, cohens d= .34) nonplanned (p<.001, cohens d= .39) and motor impulsivity (p=.004, cohens d= .23). In both groups, with higher and lower psychopathic traits, a significant reduction in total and nonplannend impulsivity can be seen.While the reduction in total impulsivity was 0.9 points higher in the group with higher psychopathy, the difference was not significant, t(147.8)= -1.1, p = .285. Also, the nonplanned impulsivity was showed a stronger reduction in the high PCL group, though the effect was not significant, t, t(166)= -1.2, p = .243.Table 1.Correlationen between BIS-15 post-ratings and PCL-RPCL-R PCL-R Sum Interpersonal affective lifestyleantisocialBIS-15 prä (n=370)Total Impulsivity.20 **-.14 **.02.34 **.28 **BIS-15 post (n=168)Total Impulsivity.33**.04.20**.35**.36**BIS-15 Change (n=168)Total Impulsivity-.03-.15-.09.07.01Note: * correlation significant für p ≤ .05; ** correlation significant für p ≤ .001.ConclusionsWe demonstrate a significant correlation between psychopathy and impulsivity, especially regarding facets 3 and 4, but also for the sum score. Neither the PCL-R sum core, nor the facets correlate with the change in impulsivity during treatment progress in the STU. In both groups, with higher and lower psychopathy, impulsivity was reduced during therapy but there was no significant difference in the change scores. Our results underline that treatment progress can be achieved also in patients with higher psychopathic traits.Disclosure of InterestNone Declared

The Effects of Human-Robot Interactions and the Human-Robot Relationship on Robot Competence, Trust, and Acceptance

As social robots may be used by a single user or multiple users different social scenarios are becoming more important for defining human-robot relationships. Therefore, this study explored human-robot relationships between robots and users in different interaction modes to improve user interaction experience. Specifically, education and companion were selected as the most common areas in the use of social robots. The interaction modes used include single-user interaction and multi-user interaction. The three human-robot relationships were adopted. The robot competence scale, human-robot trust scale, and acceptance of robot scale were used to evaluate subjects’ views on robots. The results demonstrate that in the two scenarios, people were more inclined to maintain a more familiar and closer relationship with the social robot when the robot interacted with a single user. When multiple persons interact in an education scenario, setting the robot to Acquaintance relationships is recommended to improve its competence and people’s trust in the robot. Similarly, in multi-person interaction, Acquaintance relationships would be more accepted and trusted by people in a companion scenario. Based on these results, robot sensors can be added to further optimize human-robot interaction sensing systems. By identifying the number of users in the interaction environment, robots can automatically employ the best human-robot relationship for interaction. Optimizing human-robot interaction sensing systems can also improve robot performance perceived in the interaction to meet different users’ needs and achieve more natural human-robot interaction experiences.

Boldness suppresses hoarding behavior in food hoarding season and reduces over-wintering survival in a social rodent.

The "pace-of-life" syndrome (POLS) framework can encompass multiple personality axes that drive important functional behaviors (e.g., foraging behavior) and that co-vary with multiple life history traits. Food hoarding is an adaptive behavior important for an animal's ability to adapt to seasonal fluctuations in food availability. However, the empirical evidence for the relationships between animal personality and hoarding behavior remains unclear, including its fitness consequences in the POLS framework. In this study, the Mongolian gerbil (Meriones unguiculatus), a social rodent, was used as a model system to investigate how boldness or shyness is associated with food hoarding strategies during the food hoarding season and their impact on over-winter survival and reproduction at both individual and group levels. The results of this study showed that, compared with shy gerbils, bold gerbils had a lower effort foraging strategy during the food hoarding season and exhibited lower over-winter survival rates. However, bold-shy personality differences had no effect on over-winter reproduction. These findings suggest that the personality is a crucial factor influencing the foraging strategy during the food hoarding season in Mongolian gerbils. Personality may be related to energy states or the reaction to environmental changes (e.g., predation risk and food availability) in bold or shy social animals. These results reflect animal life history trade-offs between current versus future reproduction and reproduction versus self-maintenance, thereby helping Mongolian gerbils in adapting to seasonal fluctuations in their habitat.

Group imagery imagery rescripting via telehealth decreases dysfunctional personality beliefs and the meta-emotional problem but does not increase positive self-compassion

Imagery rescripting (ImR) has shown to reduce negative belief about the self, negative emotions and emotional dysregulation. However, the mechanisms through which this improvement in emotion regulation takes place is currently the object of investigation. An untested hypothesis is that ImR reduces the negative emotional response to primary emotions (i.e. the Meta-emotional problem) associated to difficulties in emotional regulation. In this study, the researchers aimed to investigate the impact of group ImR delivered via telehealth on dysfunctional personality beliefs, the Meta-emotional problem, difficulties in emotional regulation, and self-compassion in a non-clinical sample of participants. A total of 45 community sample participants received three sessions of group ImR delivered via telehealth. Personality dysfunctional beliefs, meta-emotions, self-compassion and emotional dysregulation were measured before ImR and in three follow-up sessions. Dysfunctional personality beliefs, specifically those associated with the dependent, obsessive–compulsive, antisocial, and histrionic personality disorders, were significantly reduced after the ImR intervention. Additionally, the Meta-emotional problem and difficulties in emotional regulation were also reduced. Moreover, negative self-compassion showed a significant decrease after ImR, but positive self-compassion remained unchanged. These findings suggest that group ImR delivered via telehealth can effectively reduce negative beliefs about oneself, negative emotions, and emotional dysregulation. However, it seems that this intervention does not increase a more benevolent attitude towards oneself, possibly due to the less direct intervention of the therapist in the group telehealth setting. The researchers discuss the implications of these findings for clinical practice in a group telehealth context.

Childhood trauma and psychopathy: The moderating role of resilience.

Despite accumulating evidence of significant albeit moderate associations between childhood trauma and psychopathy, little is known about the potential moderators of these associations. To advance knowledge in this area, the present study investigated the moderating role of resilience in the childhood trauma-psychopathy link. A community sample of 521 adult participants from the Netherlands (40.1% men; Mage = 35.27 years, SD = 15.99) completed two self-report questionnaires measuring psychopathic personality traits: a self-report measure of resilience and a retrospective measure of childhood traumatic experiences. Correlation analyses were employed to investigate bivariate associations among study variables. Moderated multiple regression analyses with bootstrapping followed by simple slope analyses were employed to examine Childhood Trauma × Resilience interactions in predicting scores of psychopathy subscales. Childhood trauma had small positive associations with psychopathic traits across the board, with the exception of a small negative association with boldness traits, as well as a small negative association with resilience. Resilience was strongly and positively related to boldness, and negatively related to affective (callousness, meanness) and behavioral (antisocial, disinhibition) traits of psychopathy. Resilience moderated six out of seven associations between childhood trauma and psychopathic traits. Resilience appeared to represent a significant buffer in the associations between childhood traumatic experiences and psychopathic traits, such that these associations became weaker and nonsignificant (and even negative for boldness) at higher levels compared to lower levels of resilience. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Morality, self-control, age, type of offence and sentence length as predictors of psychopathy amongst female incarcerated offenders in South Africa.

There has been an increase in female incarcerated offenders nationally and internationally. Despite this trend, literature and research on female offenders remain limited compared to their male counterparts. Evidence of the relationship between certain personality disorders and offending behaviour has led numerous countries to prioritise identifying and assessing personality disorders among the offender population. Psychopathic personality traits may contribute to women's risk factors for expressing antisocial behaviours, resulting in their potential future incarceration. Thus, a need exists to understand possible factors that may predict the expression of psychopathic traits in females, which may have notable utility among female offenders. This study aimed to investigate possible predictor variables of psychopathy amongst incarcerated female offenders in South Africa. A quantitative research approach, non-experimental research type, and correlational research design were employed. A convenience sampling technique was used. The sample consisted of 139 (N = 139) female offenders housed in two correctional centres in South Africa who voluntarily participated in this study. Correlation analyses and hierarchical regression analysis procedures were conducted to analyse the results. Results indicated (i) a certain combination of predictor variables that statistically and practically significantly explained both primary and secondary psychopathy and (ii) individual predictor variables (e.g., Impulsivity, Simple Tasks, Risk-Seeking, and Self-Centredness) that explained both primary and secondary psychopathy statistically and practically significantly. This study provides valuable information about the possible predictor variables of psychopathy amongst female offenders within the context of South Africa. However, further research must be conducted to validate these findings and advance our knowledge on this topic.

The violence profile of male mentally disordered offenders in a high secure unit in Turkiye

Our knowledge of the severity and reoffending is limited for mentally disordered offenders, and studies generally evaluate without separation between different diagnostic groups. It was aimed to determine the general profile of mentally disordered offenders who are inpatients in a high secure psychiatry unit from Turkiye and to evaluate the factors associated with violence profiles among different diagnostic groups. According to the results the schizophrenia patients committed the most severe crimes, and intellectual disability patients had some different features from schizophrenia and bipolar disorder patients. History of substance misuse in the intellectual disability group (p = 0,045) and comorbid antisocial personality disorder in the bipolar disorder group (p = 0,015) were associated with increased crime severity. Substance misuse history, history of substance use during the crime, and the existence of comorbid antisocial personality disorder were associated with increased offenses in each of the three diagnosis groups. Living alone (p = 0,004) and having a suicide history (p= 0,052) were associated with the high number of offenses in the schizophrenia group. This study is the first study that compares three diagnostic groups to involve a large patient group. We believe that clinicians must evaluate these parameters for the violence risk assessment of patients.

Multi-Prompts Learning with Cross-Modal Alignment for Attribute-Based Person Re-identification

The fine-grained attribute descriptions can significantly supplement the valuable semantic information for person image, which is vital to the success of person re-identification (ReID) task. However, current ReID algorithms typically failed to effectively leverage the rich contextual information available, primarily due to their reliance on simplistic and coarse utilization of image attributes. Recent advances in artificial intelligence generated content have made it possible to automatically generate plentiful fine-grained attribute descriptions and make full use of them. Thereby, this paper explores the potential of using the generated multiple person attributes as prompts in ReID tasks with off-the-shelf (large) models for more accurate retrieval results. To this end, we present a new framework called Multi-Prompts ReID (MP-ReID), based on prompt learning and language models, to fully dip fine attributes to assist ReID task. Specifically, MP-ReID first learns to hallucinate diverse, informative, and promptable sentences for describing the query images. This procedure includes (i) explicit prompts of which attributes a person has and furthermore (ii) implicit learnable prompts for adjusting/conditioning the criteria used towards this person identity matching. Explicit prompts are obtained by ensembling generation models, such as ChatGPT and VQA models. Moreover, an alignment module is designed to fuse multi-prompts (i.e., explicit and implicit ones) progressively and mitigate the cross-modal gap. Extensive experiments on the existing attribute-involved ReID datasets, namely, Market1501 and DukeMTMC-reID, demonstrate the effectiveness and rationality of the proposed MP-ReID solution.

Child Maltreatment and Survival in Jane Rowan’s The River of Forgetting: A Memoir of Healing from Sexual Abuse

In the twenty-first century, child maltreatment has broadened our perception of the relationship between child sexual abuse, survival and the healing process from psychological trauma. Trauma narratives are considered personalized responses to the awareness of the drastic effects of sexual assaults on children. Memoirs illustrate the effect of child sexual abuse on memory and identity. This research paper aims at applying Jennifer Freyd’s trauma theory that involves child maltreatment and emotional neglect to Jane Rowan’s The River of Forgetting (2010). It deals with the concept of betrayal trauma, its symptoms and some of the defensive surviving strategies such as dissociative amnesia and dissociative identity disorder (DID) as adaptive responses to childhood sexual abuse. Rowan’s memoir is considered a personal account of her psychological suffering due to her repressed memory of being sexually abused by her father during her early childhood. It examines how the protagonist struggles to survive among persistent traumatic memories that are repressed during forty years of her life. Finally, the textual analysis clarifies the process of recovery from psychological trauma by using psychotherapy, dance therapy, art therapy and scriptotherapy.

Experts' perspectives on the impact of visual impairment and comorbid mental disorders on functioning in essential life domains.

Visual impairment (VI) with comorbid mental disorders (MDs) are expected to have a major impact on people's daily functioning, for which tailored support is needed. However, this has been barely investigated. Therefore, this study aimed to (1) determine the impact of VI and comorbid MDs on functioning in essential life domains, (2) gain insight into best-practices that are currently used to support this target group, and (3) determine strategies to optimize care in the future. A four-step qualitative Delphi method was used to obtain input from 31 Dutch professionals who work with this target group (84% female, mean age 46 years, on average 11 years of experience in working with the target group). The Self-Sufficiency Matrices were used to determine the impact on various aspects of daily living, for people with VI and (1) autism spectrum disorder, (2) psychotic disorders, (3) obsessive-compulsive disorder, (4) antisocial personality disorder, (5) borderline personality disorder, (6) dependent personality disorder. Experts describe a frail and vulnerable population, in which the VI and MD often have a cumulative negative impact on people's physical and mental health. People frequently experience anxiety, depression, fatigue and sleep disturbances. Also, many tend to neglect self-care and substance abuse is common. They often experience difficulty in trusting others while at the same time being dependent on them. Social interaction and relationships are complicated because of communication restrictions (e.g. no facial recognition) and social incompetence or withdrawal. Experts advise taking transdiagnostic factors into account, using evidence-based psychological treatment options based on an intermittent approach, and offering multidisciplinary care. They stress the importance of building trust, showing patience and empathy, stimulating empowerment, involving the informal network and building on positive experiences. VI and comorbid MD have a major impact on people's daily functioning on a mental, physical, social and environmental level. This study provides insight into best-practices to support this target group. According to experts, more research is needed which could be aimed at investigating tailored diagnostic approaches and treatment options and include clients' perspectives.

The legal regime of the share in the authorized capital of a limited liability company acquired by spouses during marriage, during the life of the spouses and after the death of one of the spouses

The authors analyze the legal regime of a share in the authorized capital of a limited liability company acquired during marriage, as well as the legal fate of this share in the event of death of one of the spouses. Acquisition of a share is basic for acquisition of corporate rights to participate in the company. Since the legal regime of joint ownership presupposes the ownership of property without determining the shares of each co-owner, regardless of which spouse is registered in the Unified State Register of Legal Entities, both spouses are members of the company and considered as one subject (legal relationship with multiple persons). Any of the co-owners has the right to act in exercising general corporate rights as an authorized person, forming a single will. Increments received from owning shares (income) go into the common property. After the death of a spouse, the common joint property is transformed into the individual property of the surviving spouse, who receives ½ of the common property of the spouses. The second half of the common property is considered to belong to the deceased spouse, and therefore is included in the inheritance mass and undergoes through the procedure of hereditary succession. The transformation of common joint property into the individual property of the surviving spouse is not a transfer, since in this case there is no termination of the surviving spouse’s property rights. The rules governing the transfer of a share in the authorized capital of the company to third parties are not applicable to such transformation. A share in the authorized capital is an indivisible property, and therefore the legal fate of the share is the same.

Impact of Antisocial Personality Disorder on Morality and Ethics

People tend to use both sociopath and psychopath when describing people who have antisocial personality disorder (ASPD). However, a psychopath is not the same as a sociopath. They are not official diagnoses. Instead, they both describe aspects of the same condition: ASPD. A psychopath has emotional deficits and psychopathic describes a chronic condition in which the violent behavior or abnormal behavior a person might suffer from and can lead to criminal behavior or illegal things that are against societys norms; a sociopath is antisocial and breaks rules and sociopathic is ASPD, which is classified when a person may tend to overlook the right and wrong or sometimes feelings of others or can treat others harshly and have no guilt under mental disorders. Research have constantly associated ASPD with crime, and yet experiments and studies cannot ensure that people with ASPD are most likely to commit crimes absolutely. Thus, to learn ASPD better, understanding the mindsets of people with ASPD is the key. This review dives into the morality and ethics of ASPD through various references. The present study looked at ASPD with novel perspectives. With the combination of research, this paper then compare, contrast and conclude the ideas from the references. In the discussion, the study try to challenge some traditional ideas about ASPD and also conclude the limitations of the present study.

Being Human under Inhuman Conditions: Meanings of Living with Severe Dissociative States Involving the Experience of Being in Parts

Severe dissociative states involving the experience of being in parts, typically associated with diagnosis such as dissociative identity disorder and other specified dissociative disorders, continue to be a controversial and rarely studied area of research. However, because persons with severe dissociative states are at risk of being harmed instead of helped within psychiatric care, their experiences of living with such states warrant further examination, while innovative ways to include them in research remain necessary. Against that background, this study aimed to illuminate the meanings of living with severe dissociative states involving the experience of being in parts. This is a phenomenological hermeneutic study with data collected from three social media sources, one personal blog and two Instagram accounts, in February and March 2023. The results were illuminated in light of four themes; Striving to remain in the world, Balancing exposure and trust, Balancing belonging and loneliness and Owning oneselves. The interpretation of the themes suggests that living with severe dissociative states means being a human under inhuman conditions, striving for coherence and meaning in a world that is often unsupportive. This calls for a trauma-informed care to better support recovery for persons with severe dissociative states.