Context Of Psychopathology Research Articles

The novel narrative technique uncovers emotional scripts in individuals with psychopathy and high trait anxiety.

Mental representations are of great importance for understanding human behaviour. The aim of this article is to present an innovative way to assess emotional scripts, which are a form of mental representations of emotional events, based on an analysis of narratives and their contents. Theoretical background on emotional schemas and scripts is provided along with information about types of related measures. Then, a rationale is presented for introducing an assessment of scripts related to specific emotions such as love, hate, and anxiety in a psychopathological context. This is followed by a perspective explaining the procedure of the relevant technique based on narrative data analysis. The technique has been successfully applied in two studies [I study (n- 200), II study (n- 280)]. A total of 1440 narratives about specific emotions have been analyzed to identify the indicators of scripts. The psychometric properties of the proposed technique have been established such as reliability, inter-rater agreement, and accuracy. The results show the value of the assessment of emotional script in individuals, particularly with high psychopathy and high trait anxiety. The contents of love and hate scripts are an illustration of cognitive distortions and deficits in the emotional information processing in individuals with psychopathy. The method enables the collection of informative data on romantic love, hate, and anxiety scripts which provides insight into how people may perceive and experience emotions and how they behave emotionally. Future research should focus on verification of the technique in other types of psychopathology and on the improvement of computer software dedicated to the narrative technique described in this paper.

Psychopathological context of alexithymia in patients with back pain

Psychopathological context of alexithymia in patients with back pain

A Latent Profile Analysis of Psychotic Experiences, Non-psychotic Symptoms, Suicidal Ideation and Underlying Mechanisms in a Sample of Adolescents From the General Population.

Psychotic experiences (PEs) are prevalent in the general population, particularly in adolescents. PEs are associated with various negative outcomes such as psychotic, depressive, anxiety and post-traumatic stress disorders and suicidal behavior. Recent studies in the general population have suggested that what makes PEs relevant is not so much the experiences per se, but their association with non-psychotic comorbidity and other transdiagnostic domains. Thus, there is a need for a better understanding of how PEs exist in a larger psychopathological context in adolescents. In the present study we aimed to explore this, using latent profile analysis (LPA) to identify different patterns in which PEs, psychiatric symptoms and psychological processes co-occur. LPA was conducted using data from an adolescent general population subsample (n = 335) with PEs. We conducted LPA, using measures of PEs, psychiatric symptoms and behaviors (depression, anxiety post-traumatic stress disorder and suicidal behavior) and cognitive and affective processes of entrapment/defeat and emotional regulation as manifest variables. We found that the best fit was obtained with a four-class solution that distinguished primarily between different levels of overall severity: “low symptomatology” (19.1%), “mild-moderate symptomatology” (39.4%), “moderate symptomatology” (33.7%); “high symptomatology” (7.8%). Levels of depression, post-traumatic stress symptoms and defeat/entrapment were most differentiated between classes. The high symptomatology group showed the highest scores in all psychiatric symptoms suicidal ideation, and emotional/cognitive domains, except in cognitive reappraisal. This group also showed the highest usage of emotional suppression. Our results suggest that the assessment of mental health risk in adolescents should be aware that PEs exist in a broad context of other domains of psychopathology and transdiagnostic cognitive and affective processes.

Deconstructing Self-Compassion: How the Continued Use of the Total Score of the Self-Compassion Scale Hinders Studying a Protective Construct Within the Context of Psychopathology and Stress

In a new commentary in Mindfulness, Neff once again tried to defend the use of the Self-Compassion Scale (SCS) total score by arguing that compassionate and uncompassionate self-responding (CS and UCS) are part of a bipolar continuum. In this brief reaction, we refute this notion and also clarify how the continued use of the SCS total score muddies the water of research on self-compassion as a protective variable. We also illustrate how the SCS—by separating CS and UCS—can provide more valid and valuable information on protection and vulnerability within the context of psychopathology and stress than just relying on the total score of the SCS.

The Role of Interoceptive Attention and Appraisal in Interoceptive Regulation.

Interoception, i.e., the processing and integration of sensory information has gained research interest due to its relevance in the psychopathological context. In the present review, we focus upon interoceptive regulation or one’s capacity to match bodily signals to his/her desired state by altering the signal or the desired state. More specifically, we discuss attention toward and appraisal of interoceptive stimuli as regulatory mechanisms of interoception. We review findings in the emerging research area of interoceptive attention. Studies suggest that the quality of attention and the nature of appraisal regarding interoceptive information influence interoceptive regulation and subsequent adaptive or maladaptive behavioral strategies among healthy controls as well as clinical populations. We discuss the clinical implications and the need to promote further research as well as to target interoceptive attention and appraisal mechanisms in psychotherapy.

The Interplay between Housing Environmental Attributes and Design Exposures and Psychoneuroimmunology Profile-An Exploratory Review and Analysis Paper in the Cancer Survivors' Mental Health Morbidity Context.

Adult cancer survivors have an increased prevalence of mental health comorbidities and other adverse late-effects interdependent with mental illness outcomes compared with the general population. Coronavirus Disease 2019 (COVID-19) heralds an era of renewed call for actions to identify sustainable modalities to facilitate the constructs of cancer survivorship care and health care delivery through physiological supportive domestic spaces. Building on the concept of therapeutic architecture, psychoneuroimmunology (PNI) indicators—with the central role in low-grade systemic inflammation—are associated with major psychiatric disorders and late effects of post-cancer treatment. Immune disturbances might mediate the effects of environmental determinants on behaviour and mental disorders. Whilst attention is paid to the non-objective measurements for examining the home environmental domains and mental health outcomes, little is gathered about the multidimensional effects on physiological responses. This exploratory review presents a first analysis of how addressing the PNI outcomes serves as a catalyst for therapeutic housing research. We argue the crucial component of housing in supporting the sustainable primary care and public health-based cancer survivorship care model, particularly in the psychopathology context. Ultimately, we illustrate a series of interventions aiming at how housing environmental attributes can trigger PNI profile changes and discuss the potential implications in the non-pharmacological treatment of cancer survivors and patients with mental morbidities.

Genetic contributions to suicidal thoughts and behaviors.

Suicidal ideation, suicide attempt (SA) and suicide are significantly heritable phenotypes. However, the extent to which these phenotypes share genetic architecture is unclear. This question is of great relevance to determining key risk factors for suicide, and to alleviate the societal burden of suicidal thoughts and behaviors (STBs). To help address the question of heterogeneity, consortia efforts have recently shifted from a focus on suicide within the context of major psychopathology (e.g. major depressive disorder, schizophrenia) to suicide as an independent entity. Recent molecular studies of suicide risk by members of the Psychiatric Genomics Consortium and the International Suicide Genetics Consortium have identified genome-wide significant loci associated with SA and with suicide death, and have examined these phenotypes within and outside of the context of major psychopathology. This review summarizes important insights from epidemiological and biometrical research on suicide, and discusses key empirical findings from molecular genetic examinations of STBs. Polygenic risk scores for these phenotypes have been observed to be associated with case-control status and other risk phenotypes. In addition, estimated shared genetic covariance with other phenotypes suggests specific medical and psychiatric risks beyond major depressive disorder. Broadly, molecular studies suggest a complexity of suicide etiology that cannot simply be accounted for by depression. Discussion of the state of suicide genetics, a growing field, also includes important ethical and clinical implications of studying the genetic risk of suicide.

Children's learning and development in conflict- and crisis-affected countries: Building a science for action.

This paper critically reviews the opportunities and challenges in designing and conducting actionable research on the learning and development of children in conflict- and crisis-affected countries. We approached our review through two perspectives championed by Edward Zigler: (a) child development and social policy and (b) developmental psychopathology in context. The aim of the work was to answer the following questions: What works to enhance children's learning and development in such contexts? By what mechanisms? For whom? Under what conditions? How do experiences and conditions of crisis affect the basic processes of children's typical development? The review is based on a research-practice partnership started in the Democratic Republic of the Congo in 2010 and expanded to research in Niger and Lebanon in 2016. The focus of the research is on the impact of Healing Classrooms (a set of classroom practices) and Healing Classrooms Plus (an additional set of targeted social and emotional learning activities), developed by the International Rescue Committee, on children's academic outcomes and social and emotional learning. We sought to extract lessons from this decade of research for building a global developmental science for action. Special attention is paid to the importance of research-practice partnerships, conceptual frameworks, measurement and methodology. We conclude by highlighting several essential features of a global developmental science for action.

The illusion of contact: Insights from Winnicott’s 1952 letter to Klein

ABSTRACT Using Winnicott’s theory, this article produces an account of the individual’s relation to a given conceptual framework. Whereas Winnicott’s ideas have been almost exclusively discussed in developmental and psychopathological contexts, the present article extends Winnicott’s theory and applies it to the problem of interpersonal understanding. Taking a lead from one of Winnicott’s letters to Klein, the article investigates the problem of expressing one’s idiosyncratic insights in the confines of a given conceptual framework. The article examines Winnicott’s theory of compliance and creativity, discusses the plea that Winnicott makes to Klein, analyses the encounter with a “dead language”, and investigates the asymmetrical structure of interpersonal understanding. Cashing out the latter in terms of an “illusion of contact”, the article enhances our interpretation of the successes and shortcomings of interpersonal encounters – in everyday life, in clinical settings, and in the historical community of researchers. By focusing on the last mentioned in particular, the article brings forth neglected aspects of Winnicott’s thinking and uses these to assess the conditions of an open dialogue within the psychoanalytic community.

The Principles of Visual Perception Within The Context of Visual Illusions

In the transformation of the low-level, ambiguous retinal signal into a vivid and meaningful phenomenological experience, certain aspects are as essential as the input coming from the external environment. The semantic knowledge stored in memory, figure-background segmentation, grouping principles, and current mood and expectations of the person are equally important. Visual illusions, which might be described as the discrepancy between the objective properties of the external world and their subjective representations, is a common feature of the visual perception that provides meaningful insights with regards to the structure and function of the complex information processor in the brain. In this context, visual illusions are the end results of the optimization strategies that allow the effective use of limited neuronal and metabolic resources, and thus reflect the natural working principles while coping with these limitations, rather than restrictions inflicted upon the system. In this review, we present a compilation of illusions and summarize the key principles of visual perception on the basis of these visual phenomena. In the final section, we also discuss a number of recent topics within the context of Bayesian inference and psychopathology, illusions and alpha brain oscillations and time perception to describe the current directions in the field. Keywords Visual perception, visual illusions, visual system

Non-binary gender identity and transgendence beyond psychiatric discourse

An analysis of the problem of non-binary gender identity and transgender shows that the professional position of psychiatrists and psychologists is often based on selfish gender when subjectivity begins to be seen in psychiatric diagnostics due to a rigid binary gender setting. Modern research proves the existence of gender diversity and a spectrum of gender identity. All this allows us to state that the phenomenon of so-called gender identity disorders goes beyond the psychopathological context. The psychiatrists use of the binary approach does not correspond to rapidly changing public ideas about the norm and pathology of human behavior.

Sleep disorders in babies and children

Many children develop a characterized sleep disorder, sometimes with severe consequences. Behind the term "insomnia", there is a wide variety of disorders, causes and psychopathological contexts to which the clinician will have to adapt for optimal management, from babies to pre-adolescents.

Personality, cognition, and morbidity in the understanding of paranormal belief.

A large number of theories about the development and maintenance of paranormal beliefs have been raised in the literature. There is, however, a lack of studies designed to integrate the different perspectives. We reviewed the literature and explored a series of factors in a sample of 180 individuals. Seven variables showed significant correlation indices at α = .01. A regression analysis revealed subjective paranormal experience as the variable that contributed the most to the explanation of paranormal belief, z = .43, 95% confidence interval (CI) [.24, .56]. Need for achievement (z = .31, 95% CI [.11, to .46]), conditional reasoning (z = .10, 95% CI [.09, .28]), and schizotypy (z = .29, 95% CI [.09, .45]) also contributed significantly in the equation. The associations found between the subscales of the Needs Questionnaire and belief in the paranormal support the hipothesis that paranormal belief may serve basic psychological needs. Similarly, the association found in the case of schizotypy suggests that paranormal belief might be held within the context of psychopathology. There was no evidence, however, supporting the hypothesis of a reasoning deficit in believers. It was concluded that, once paranormal beliefs develop, there is an interaction between belief and experience that strongly contributes towards its maintenance.

The effect of flooding on mental health: Lessons learned for building resilience

AbstractRisk management and climate adaptation literature focuses mainly on reducing the impacts of, exposure to, and vulnerability to extreme events such as floods and droughts. Posttraumatic stress disorder is one of the most important impacts related to these events, but also a relatively under‐researched topic outside original psychopathological contexts. We conduct a survey to investigate the mental stress caused by floods. We focus on hydrological, individual, and collective drivers of posttraumatic stress. We assess stress with flood‐specific health scores and the GHQ‐12 General Health Questionnaire. Our findings show that the combination of water depth and flood velocity measured via a Hazard Class Index is an important stressor; and that mental health resilience can be significantly improved by providing the population with adequate information. More specifically, the paper shows that psychological distress can be reduced by (i) coordinating awareness of flood risks and flood protection and prevention behavior; (ii) developing the ability to protect oneself from physical, material and intangible damage; (iii) designing simple insurance procedures and protocols for fast recovery; and (iv) learning from previous experiences.

Prevalence and Correlates of Behavioral Disorders in Old Age Subjects with Cognitive Impairment: Results from the ReGAl Project.

Presence of behavioral and psychological symptoms of dementia (BPSD) is very common in subjects with cognitive impairment, representing an important determinant of disease progression, institutionalization, and worse prognosis. Knowledge of the prevalence and correlates of BPSD in community-living old subjects with cognitive impairment is limited so far, but it is essential for establishing specifically tailored care and cure in such a vulnerable population. With this study, we aimed at investigating, in a large sample of old age subjects with cognitive impairment, BPSD prevalence and correlates including the main demographic, clinical, and socio-environmental characteristics. Data were gathered from the ReGAl project (Rete Geriatrica Alzheimer; Geriatric Network on Alzheimer's disease), a large longitudinal Italian multicentric clinical-based study, promoted by the Italian Society of Gerontology and Geriatrics (SIGG). We evaluated data from 4,157 old-age subjects affected by mild cognitive impairment (MCI) (541; 13%) or dementia (3616; 87%). 85.2% of all the population presented with at least one BPSD. Using a factor analysis, we identified four factors of BPSD: psychotic, affective, maniac, and impulse control behaviors. Logistic regression analyses revealed that among the main demographic, clinical, and socio-environmental aspects considered, only comorbidity was associated with all factors, independently of multiple covariates. Identification of BPSD is crucial in everyday clinical practice and necessary to develop specific interventions and to define appropriate outcomes in their management. BPSD occur in a complex psychopathological context, influenced by several demographic and environmental factors that must be taken into account for a correct diagnosis and treatment.

Hans Eysenck and the Individual Differences Paradigm in the clinical setting

This review examines the application and extension of Hans Eysenck's Individual Differences Paradigm (IDP) to clinical psychology and, in particular, the utility of establishing a dimensional basis for experimental and clinical categorisation. Adopting a dimensional approach allows specifying the process and context of psychopathology. It also establishes a continuum for quantifying the emergence of psychopathology and may inspire a multi-dimensional approach to the clinical phenomenon. The IDP is also person-centred and can chart intrapersonal as well as inter-personal dimensions revealing idiosyncratic triggers and trajectories to a problem through monitoring person×situation interactions which target strengths as well as dysfunctions in a person's repertoire. Examples from research in dependence, tic disorder and obsessions illustrate the approach.

Shall we really say goodbye to first rank symptoms?

BackgroundFirst rank symptoms (FRS) of schizophrenia have been used for decades for diagnostic purposes. In the new version of the DSM-5, the American Psychiatric Association (APA) has abolished any further reference to FRS of schizophrenia and treats them like any other “criterion A” symptom (e.g. any kind of hallucination or delusion) with regard to their diagnostic implication. The ICD-10 is currently under revision and may follow suit. In this review, we discuss central points of criticism that are directed against the continuous use of first rank symptoms (FRS) to diagnose schizophrenia. MethodsWe describe the specific circumstances in which Schneider articulated his approach to schizophrenia diagnosis and discuss the relevance of his approach today. Further, we discuss anthropological and phenomenological aspects of FRS and highlight the importance of self-disorder (as part of FRS) for the diagnosis of schizophrenia. Finally, we will conclude by suggesting that the theory and rationale behind the definition of FRS is still important for psychopathological as well as neurobiological approaches today. ResultsResults of a pivotal meta-analysis and other studies show relatively poor sensitivity, yet relatively high specificity for FRS as diagnostic marker for schizophrenia. Several methodological issues impede a systematic assessment of the usefulness of FRS in the diagnosis of schizophrenia. However, there is good evidence that FRS may still be useful to differentiate schizophrenia from somatic causes of psychotic states. This may be particularly important in countries or situations with little access to other diagnostic tests. FRS may thus still represent a useful aid for clinicians in the diagnostic process. ConclusionIn conclusion, we suggest to continue a tradition of careful clinical observation and fine-grained psychopathological assessment, including a focus on symptoms regarding self-disorders, which reflects a key aspect of psychosis. We suggest that the importance of FRS may indeed be scaled down to a degree that the occurrence of a single FRS alone should not suffice to diagnose schizophrenia, but, on the other hand, absence of FRS should be regarded as a warning sign that the diagnosis of schizophrenia or schizoaffective disorder is not warranted and requires specific care to rule out other causes, particularly neurological and other somatic disorders. With respect to the current stage of the development of ICD-11, we appreciate the fact that self-disorders are explicitly mentioned (and distinguished from delusions) in the list of mandatory symptoms but still feel that delusional perceptions and complex hallucinations as defined by Schneider should be distinguished from delusions or hallucinations of “any kind”. Finally, we encourage future research to explore the psychopathological context and the neurobiological correlates of self-disorders as a potential phenotypic trait marker of schizophrenia.

Delusions, epistemology and phenophobia.

Delusions, epistemology and phenophobia.

Symptoms, comorbidity, and clinical course of depression in immigrants: Putting psychopathology in context

BackgroundMigration is considered a depression risk factor when associated with psychosocial adversity, but its impact on depression's clinical characteristics has not been specifically studied. We compared 85 migrants to 34 controls, examining depression's severity, symptomatology, comorbidity profile and clinical course. MethodA MINI interview modified to assess course characteristics was used to assign DSM-IV axis I diagnoses; medical files were used for Somatoform Disorders. Severity was assessed with the Montgomery-Asberg scale. Wherever possible, we adjusted comparisons for age and gender using logistic and linear regressions. ResultsDepression in migrants was characterized by higher comorbidity (mostly somatoform and anxiety disorders), higher severity, and a non-recurrent, chronic course. LimitationsOur sample comes from a single center, and should be replicated in other health care facilities and other countries. Somatoform disorder diagnoses were solely based on file-content. ConclusionDepression in migrants presented as a complex, chronic clinical picture. Most of our migrant patients experienced significant psychosocial adversity before and after migration: beyond cultural issues, our results suggest that psychosocial adversity impacts on the clinical expression of depression. Our study also suggests that migration associated with psychosocial adversity might play a specific etiological role, resulting in a distinct clinical picture, questioning the DSM-IV unitarian model of depression. The chronic course might indicate a resistance to standard therapeutic regimen and hints at the necessity of developing specific treatment strategies, adapted to the individual patients and their specific context.

Les thérapeutiques psychomotrices aujourd’hui : perspective dialectique et approche intégrative

ObjectivesThis article constitutes an opening to think of the contemporary psychomotor practices and of the researches which are associated with it: it will be a question of exceeding the opposition between the neurodevelopmental approach of the said psychomotor therapy based on the proofs and the psychomotor approach exclusively based on a psychodynamic reference. MethodsThe authors discuss a dialectical model from many references of literature about psychomotricity, to bring to light a “consensual” model of thinking and working psychomotricity therapy. A criticism of both antipodes constituted by these extreme positions, an necessary epistemological approach as well as the reference to several works proposing alternatives and nuances allow from then on to draw the outlines of a practice “between two” which constitutes the basis of theory and clinic in psychomotricity: this one seems from then on oscillating between the instrumental and subjective dimensions, opening the access to an original practice where the use of techniques and mediations does not evacuate the necessary consideration of the intrinsic qualities of the relation tied with the patient, or historical and psychoaffective elements of the psychopathology context. ResultsResearch in psychomotricity from indisputable shoring provided by the clinical data, must be open to a theoretical pluralism that, beyond that it imposes in terms of articulation between repositories sometimes very different, can enable this field of mediation practice to maintain a dynamic of constructive research. DiscussionThe fundamental question that is asked is the initial formation of psychomotricians, inadequate training with a required level of research by the authors for this young discipline to take a real place in medical and psychological research.