The purpose of the study is to examine the 'self-concept' and interpersonal relationships in patients with psoriasis. Research methods and organization. The study was conducted at the Samara Regional Dermatovenerologic Dispensary. The clinical group consisted of men and women with a verified diagnosis of psoriasis. The age of the subjects was 29.4 ± 7 years. The study was carried out using a testing method. Research results and conclusions. It has been found that individuals suffering from psoriasis are characterized by certain features of self-concept, such as instability of self-esteem and a lack of integration between its unconscious and conscious levels, low levels of aspiration, insecurity, and lack of independence, as well as high levels of self-respect and self-blame, and low levels of self-regulation and self-understanding. The dominant types of interpersonal interaction are "egocentric," "submissive," "dependent," "friendly," and "altruistic." Features of interpersonal interaction include difficulties in establishing contacts and avoiding competitive situations, a need for constant support and approval, and a tendency to avoid emotional closeness. Based on the obtained results, the main directions for psychological correction have been identified: stabilization of self-esteem, adequacy of aspiration levels, enhancement of self-guidance and self-understanding, and reduction of self-blame.

The narrative review describes modern ideas about the structural and dynamic features and disorders of the emotional and personal sphere in adolescents with schizophrenic spectrum disorders, and proves the therapeutic potential of group psychotherapy in the treatment of these disorders. The relevance of addressing emotional and personal deficits in adolescents is due to their impact on their social adjustment, the development of coping strategies, and the overall quality of life. The complexity of psychotherapy is due to a combination of immaturity and vulnerability of the emotional and personal sphere, specific to adolescents, combined with the actual age-related tasks of self-knowledge, implemented within the interpersonal interaction. The emotional and personal sphere of adolescents with schizophrenic spectrum disorders is characterized by a complex structure of disorders, including a decrease in the ability to perceive and express complex emotions, a deficit of mentalization and difficulties in interpreting social interactions, instability of self-esteem, hurtful experience of otherness, alienation from society and, as a result, fear of rejection, negative assessment, etc. These disorders, refracted through actual age-related tasks, are enhanced by social factors (isolation, stigmatization) and develop a specific pattern of social dysfunction, due to the close connection between clinical manifestations and normative phenomena of age-related development. Group psychotherapy is considered an effective method of complex treatment in various conditions and combinations of symptoms, due to the potent effect of nonspecific therapeutic mechanisms via processes of group dynamics and creating a supportive environment. The possibilities of various directions of group work are analyzed: psychoeducation, cognitive-behavioral approach, art therapy, and integrative methods. Promising directions for further research of group psychotherapy targeted for the emotional and personal sphere of adolescents with schizophrenic spectrum disorders are provided.

Objectives: Theory suggests that students who base their self-worth on academic successes and setbacks risk poor mental health because their self-esteem is unstable. This hypothesis should be revisited given recent evidence that academic contingent self-worth (ACSW) is multidimensional, with some dimensions related to threats to mental health and other dimensions unrelated or inversely related to said threats. Participants and methods: Therefore, the present research examined, in an undergraduate sample (N = 273), whether self-esteem instability mediated the link between different ACSW dimensions and stress and three types of well-being (psychological, emotional, and social). Results: Supporting predictions, at two time points, self-esteem instability mediated the link between the general-contingency dimension and heightened stress and diminishment of the three types of well-being; conversely, the positive-contingency dimension related to lower stress and higher psychological and emotional well-being. Conclusions: We discuss possible reasons different ACSW dimensions differentially relate to mental health threats and suggest ways to reduce the vulnerability of students high in general ACSW.

Relationship between Narcissism and Self-esteem Instability: Focus on Grandiose and Vulnerable Narcissism and Daily Experiences

Low self-esteem and repetitive negative thinking are associated with higher burnout risk among university students at the between-person level. However, there is increasing evidence that associations identified in between-person analyses do not always reflect processes occurring within individuals. Therefore, we conducted a four-week ecological momentary assessment study with N = 96 students during an examination period. Results showed that higher self-esteem was followed by feeling less burnt out on a within-day and day-to-day level. Also, higher self-esteem was followed by lower repetitive negative thinking (i.e., rumination on the within-day level and pre-sleep worry on the day-to-day level), which in turn was followed by feeling less burnt out. Mediation analyses showed that a substantial proportion of the associations between self-esteem and feeling burnt out was mediated by repetitive negative thinking at both the within- and between-person level. In addition, we also found evidence of a reverse temporal sequence. Higher levels of burnout were followed by an increase in repetitive negative thinking, which in turn led to lower self-esteem. Finally, self-esteem instability partially moderated the associations of self-esteem and subsequent pre-sleep worry and burnout at the within-person but not between-person level. These findings imply that there may be a bidirectional relationship between self-esteem, repetitive negative thinking, and burnout, indicating a possible vicious cycle that could perpetuate psychological distress. Future studies should examine these dynamics more closely to better understand their causal interplay and implications for intervention.

Objectives The purpose of this study was to explore the relationship between attachment pattern, self-esteem level and stability, and relationship perception level and stablity in a couple dyad. Methods A total of 35 couples completed a daily survey including the self-esteem scale and relationship percep tion sacle for 7 consecutive days. Responses were analyzed via two purposes: 1) relationship between the varia bles on an individual level separated by gender, 2) moderation effect of attachment pattern and gender, 3) APIM (Actor-Partner Interdependece Model) analysis. Results Results indicated that self-esteem level is most associated with self-esteem instability, relationship sat isfaction level, and relationship commitment level. For male participants, as self-esteem instability increased, the relationship commitment instability increased. For female participants with secure attachment pattern, the effect of self-esteem level on relationship satisfaction level was most prominent. However, APIM analysis did not show notable outcomes. Conclusions This study adds to the previous literature that not only the level of self-esteem and relationship per ception is important, but the stability of how one perceives one’s self and the other is also a critical aspect to be more examined for.

Self-esteem has important implications for life outcomes, yet little is known about its antecedents at both the trait and state levels. We examined agency and communion-coded from personal narratives about a past turning-point event-as predictors of trait self-esteem levels, long-term trait changes, and short-term fluctuations (instability) in state self-esteem. We used data from a 5-wave intensive longitudinal study of Dutch master's students (N = 281, Mage = 24.5, 75% females) over a 2-year period, tracking their university-to-work transition. Participants completed a questionnaire and 14-day experience sampling assessments at each wave. Mixed-effects location scale models were used. Agency and communion were positively associated with self-esteem at the beginning of the transition. While communion did not predict instability in state self-esteem, we found some evidence for agency negatively predicting self-esteem instability across days but not across moments. Results neither revealed differences in trait changes as a function of agency or communion nor significant heterogeneity in change trajectories overall. Agency appeared more frequently in students' narratives compared to communion. Results suggest that agentic but not communal narratives negatively predict daily self-esteem instability during the work transition but provide limited insight into momentary self-esteem instability and trait changes.

Background/Objectives: Burnout is a highly prevalent issue among physicians. Recent research has indicated that personality traits, such as narcissism, may influence the development of burnout. This study investigates the relationship between the threatened self (TS) narcissism subscale and burnout in male physicians. Methods: We analyzed data from 60 male physicians in Switzerland, divided into burnout (n = 30) and control (n = 30) groups. Male physicians in Switzerland were recruited via hospitals, clinics, medical associations, professional journals, and direct email outreach. We assessed participants using the Maslach burnout inventory (MBI-HSS) and the Narcissism Inventory (NI-20). A generalized linear model (GLM) was used for the statistical analysis. Results: The results showed that lower TS scores were significantly associated with a reduced likelihood of burnout, suggesting that self-esteem instability and emotional vulnerability, characteristic of TS, may act as risk factors for burnout. Furthermore, we found that Effort-Reward Imbalance (ERI) was significantly associated with burnout. Conclusions: These findings highlight the importance of considering personality traits such as TS in burnout research and could be explored in further studies. In clinical practice, increasing therapists' awareness of TS may support more targeted interventions and help prevent the onset of burnout.

The personality traits of patients with borderline neuropsychiatric disorders are the study of the subject of this work. The main hypothesis of the study was that this category of patients would demonstrate the severity of the destructive- deficit structure of the main Self-functions and a violation of narcissistic regulation. The human-structural concept of G. Ammon was the theoretical and methodological foundation of the work. The correlation design in the work was used. The sample included patients with borderline neuropsychiatric disorders (n = 32), aged from 19 to 59 years (М = 38.46, SD ± 11.44). The Self-Structural Test of G. Ammon (ISTA), the Method of Mental Health Assessment (Yu. Ya. Tupitsyn, V. V. Bocharov, B. V. Iovlev, S. P. Zhuk), and the Index of Self-System Functioning (N. M. Zalutskaya, A. Ya. Vuks, V. D. Vid) were used as experimental psychodiagnostic methods. Descriptive statistics, the nonparametric Kolmogorov-Smirnov criterion, and the Spearman rank correlation coefficient were used for statistical processing of the data. All Self-functions have destructive and deficient characteristics, detected on the basis of a decrease in constructiveness. The exception is the function of sexuality. It has been revealed that with a destructive-deficient organization of Self-functions, there is such a combination of components of narcissistic regulation, which, on the one hand, ensures stabilization. On the other hand, it makes the personality extremely vulnerable in interpersonal relationships, conditions of everyday stress and a constantly changing world. It has been established that patients with borderline neuropsychiatric disorders are characterized by rigid patterns of perception of others, self-image fragmentation, difficulties in accepting social assessments of other people. It has been found that the severity of the destructive-deficient organization of Self-functions is interconnected with a violation of the regulatory activity of the Self-system. Compensation for psychopathological stigmatization and the implementation of mental potential are more difficult, the higher the dysfunctionality of the Self-system of narcissistic regulation. The combination of psychopathological stigmatization and delayed self-functions determines the instability of self-esteem. The projective-identification attitudes in the perception of interpersonal relationships can also determine the aggressive nature of protection from threats to self-esteem and result in the general maladaptation of the personality. The research showed that the main hypothesis received its empirical support. The results of the study have practical significance in the activities of psychotherapists and medical psychologists.

The article considers the problem of monitoring the formation of pedagogical reflection among socionomic higher education students in the context of modern requirements for the quality of professional training of future specialists in the social sphere. The relevance of the study is due to the increasing role of reflective skills in professions of the “person – person” type, which involve high responsibility, emotional involvement, the ability to consciously analyze own activities and make professionally balanced decisions. Pedagogical reflection is considered as an integrative personal and professional characteristic that ensures professional maturity, self-regulation and readiness for continuous self-development. The study substantiates the feasibility of systematic monitoring of pedagogical reflection, which includes motivational, content-activity and productive components. The diagnostics was carried out on the basis of systemic, activity and personality-oriented approaches, which made it possible to comprehensively assess both the internal prerequisites of reflective activity and the real manifestations of reflective skills in the educational and professionally oriented activities of higher education students. A set of complementary methods was used to collect empirical data, including questionnaires, test tasks, practical cases and self-assessment methods. The monitoring results showed the prevalence of low and medium levels of formation of pedagogical reflection, fragmented knowledge about its essence, instability of motivation for reflective activity, limited ability for systemic self-analysis and self-regulation. The dominance of external determination in explaining own professional successes and difficulties, instability of self-esteem and contradictory emotional attitude towards oneself as future specialists were revealed. It was concluded that systematic monitoring of the formation of pedagogical reflection is an important condition for improving the quality of professional training of socionomic higher education students and the basis for the purposeful organization of the formative stage of research.

BackgroundWhile low self-esteem is an established risk factor for depressive and anxiety disorders, psychological underpinnings of unstable self-esteem remain understudied. We investigated the role of autonomy-connectedness, the psychological capacity for self-governance, in self-esteem and its change trajectories and instability.MethodsData spanning 12 years of the Longitudinal Internet studies for the Social Sciences [LISS] panel, a large, nationally representative population sample (N = 5367, ages 16–91), were used.ResultsMixed model analyses revealed that autonomy-connectedness was positively associated with self-esteem. Autonomy-connectedness component Sensitivity to others predicted less deterioration of self-esteem over time. Latent growth mixture modeling exploring individual differences revealed seven latent classes differing in slope and self-esteem instability over time. Individuals with healthy autonomy were more likely to belong to classes with above average self-esteem, but not necessarily more stable self-esteem trajectories. A subgroup (11%) displayed alarming autonomy deficits, which corresponded with low, stable self-esteem, as well as high levels of depressive and anxiety symptoms.ConclusionsAutonomous individuals have higher self-esteem and better mental health, but autonomy deficits were not necessarily associated with unstable self-esteem trajectories. Being sensitive to others buffers against declining self-esteem in older age. Results are discussed in light of depression and anxiety vulnerability.Supplementary InformationThe online version contains supplementary material available at 10.1007/s10608-025-10604-2.

Unraveling the complexity and instability of negative emotional eating: A latent transition analysis

Using the morality salience paradigm, this research tested whether subliminal death stimuli lead to increased physical strength. Moreover, it was investigated if mindfulness and self-esteem instability influence terror management. In total, data from 160 undergraduate sports students were analyzed. Participants completed a word decision task in which they were presented with either the word death or pain for 28.5 ms. Before and after the task, their grip strength was measured using a hand dynamometer. Linear mixed models could neither confirm the effect of the mortality salience hypothesis on strength nor an influence of mindfulness and self-esteem. The results raise the question of a potential influence of subliminal mortality salience on athletic performance and how mindfulness and self-esteem instability affect terror management.

Self-esteem and self-esteem stability are important factors during adolescence and young adulthood that can be negatively impacted by childhood adversity and psychiatric symptoms. We examined whether childhood adversity and psychiatric symptoms are associated with decreased global self-esteem as well as increased self-esteem instability as measured with experience sampling method. In addition, we examined if childhood adversity moderates the association between psychiatric symptoms and self-esteem outcomes. Our study consisted of 788 adolescents and young adults who were part of a twin pair. The twin structure was not of interest to the current study. Mean age was 16.8 (SD = 2.38, range: 14-25), 42% was male. We used a multilevel modeling approach to examine our hypotheses to account for the presence of twins in the data set. Childhood adversity and psychiatric symptoms were negatively associated with global self-esteem (respectively standardized β = -.18, SE = 0.04, p < .0001 and standardized β = -.45, SE = 0.04, p < .0001), with a larger effect for psychiatric symptoms. Similarly, both were associated with increased self-esteem instability (respectively standardized β = .076, SE = 0.025, p = .002 and standardized β = .11, SE = 0.021, p < .0001). In addition, interactions between childhood adversity and psychiatric symptoms on both global self-esteem (standardized β = .06, SE = 0.01, p < .0001) and self-esteem instability (standardized β = -.002, SE = 0.0006, p = .001) were found, showing that the negative association of psychiatric symptoms with self-esteem outcomes is less pronounced in young people with higher levels of childhood adversity, or formulated differently, is more pronounced in young people with little or no exposure to childhood adversity. Global self-esteem and self-esteem instability in young people are influenced by both current psychiatric symptomatology and exposure to childhood adversity. Those with more psychiatric symptoms show worse self-esteem and higher self-esteem instability, which is moderated by childhood adversity. For young people with high childhood adversity levels lower self-esteem and higher self-esteem instability are less influenced by reductions in psychiatric symptoms.

BackgroundInstability in self-esteem and instability in affect are core features of borderline personality disorder (BPD). For decades, researchers and theorists have been interested in the temporal dynamics between these constructs. Some hypothesize that changes in affective states should precede changes in self-esteem (Linehan, Cognitive-behavioral treatment of borderline personality disorder. Diagnosis and treatment of mental disorders, 1993), while others suggest that changes in self-esteem should precede changes in affective states (Kernberg, Borderline conditions and pathological narcissism, 1975).MethodsIn this study, we investigated the temporal relations between negative affective arousal states and current self-esteem in daily life. Patients with BPD (n = 42) or depressive disorders (DD; n = 40), and non-clinical controls (NCC; n = 40) were assessed every 15 min for 13 h.ResultsAs expected, dynamic structural equation modeling showed higher levels of average daily negative affective arousal and lower levels of average daily self-esteem in the BPD group compared with the NCC group, and scores in the DD group were in-between the BPD and the NCC groups. In line with predictions based on Linehan’s (Cognitive-behavioral treatment of borderline personality disorder. Diagnosis and treatment of mental disorders, 1993) model of affective dysregulation in BPD, negative affective arousal (t) and subsequent self-esteem (t+ 1) were significantly linked only in the BPD group, implying that higher negative affective arousal is followed by lower current self-esteem in the next measurement (ca. 15 min later). Importantly, self-esteem (t) and subsequent negative affective arousal (t + 1) were not significantly related (Kernberg, Borderline conditions and pathological narcissism, 1975).ConclusionsOur findings suggest close dynamic temporal relations between affective instability and self-esteem instability in BPD, which highlights the importance of providing patients with means to effectively modulate high negative affective arousal states.

Influences of level and instability of self-esteem on help-seeking in the elderly people.

Black people and People of Color are disproportionately affected by racism and show increased rates of psychosis. To examine whether racialized migrant groups are particularly exposed to racism and therefore have higher risks for psychosis, this paper (1) systematically assesses rates of psychosis among racialized migrant groups concerning the country of origin, and (2) analyzes interviews regarding the association of racism experiences with psychosis-related symptoms in racialized Black people and People of Color populations in Germany. We present an umbrella review of meta-analyses that report the incidence of positive symptoms (e.g., hallucinations and delusions) and negative symptoms (e.g., apathy and incoherent speech) of diagnosed schizophrenia, other non-affective psychotic disorders (e.g., schizoaffective disorder) or first-episode psychosis among migrants by country of origin. We also report 20 interviews with first- and second-generation migrants racialized as Black and of Color in Germany to capture and classify their experiences of racism as well as racism-associated mental health challenges. In the umbrella review, psychosis risk was greatest when migration occurred from developing countries. Effect size estimates were even larger among Caribbean and African migrants. In the qualitative study, the application of the constant comparative method yielded four subordinate themes that form a subclinical psychosis symptomatology profile related to experiences of racism: (1) a sense of differentness, (2) negative self-awareness, (3) paranoid ideation regarding general persecution, and (4) self-questioning and self-esteem instability. We here provide converging evidence from a quantitative and qualitative analysis that the risk of poor mental health and psychotic experiences is related to racism associated with minority status and migration.

목적 본 연구는 대학생의 완벽주의적 자기제시와 사회불안과의 관계에서 자존감 불안정성과 부적응적 자기초점적 주의의 이중매개효과를 검증하고, 이를 통해 완벽주의적 자기제시와 사회불안 간의 중간기제를 이해하기 위해 진행되었다. 방법 전국 소재 대학생 350명을 대상으로 온라인 설문을 실시하였고, 결측치를 제외한 336명의 자료를 분석에 사용하였다. 완벽주의적 자기제시 척도, 자존감 불안정성 척도, 부적응적 자기초점적 주의 척도, 사회불안 척도를 사용하여 자료를 수집하였다. 수집된 자료는 기술통계, 상관분석, 구조방정식을 사용하여 분석하였다. 결과 첫째, 완벽주의적 자기제시는 자존감 불안정성과 부적응적 자기초점적 주의, 사회불안과 유의한 정적상관을 보였다. 또한 자존감 불안정성은 부적응적 자기초점적 주의와 사회불안과 유의한 정적상관을, 부적응적 자기초점적 주의도 사회불안과 유의한 정적상관을 보였다. 둘째, 완벽주의적 자기제시와 사회불안과의 관계에서 자존감 불안정성은 완전매개하였지만, 완벽주의적 자기제시와 사회불안 관계에서 부적응적 자기초점적 주의는 매개 하지 않았다. 셋째, 완벽주의적 자기제시와 사회불안과의 관계에서 자존감 불안정성과 부적응적 자기초점적 주의가 이중매개 하였다. 결론 본 연구결과는 완벽주의적 자기제시가 높고 사회불안을 경험하는 대학생들을 상담하고 교육하는 데 있어, 이들의 자존감 불안정성을 낮추고, 부적응적 자기초점적 주의를 감소시키는 개입이 효과적일 수 있음을 시사한다.

Borderline personality disorder (BPD) is commonly characterized by pervasive instability. Affective instability, despite being a diagnostic criterion in the DSM-5, is commonly seen as a transdiagnostic feature, but recent studies have brought new attention to the importance of self-esteem instability as a potential defining feature of BPD. However, evidence is lacking regarding whether heightened self-esteem instability is a specific feature of BPD when patients with BPD are compared to clinical controls. Using ambulatory assessment, we examined self-esteem instability and affective instability in participants' daily lives. We assessed momentary self-esteem and affective state 12 times daily for 4 consecutive days in 71 patients with BPD, 121 patients with anxiety disorders (ADs), and 74 healthy controls (HCs). To determine group differences, we used established instability indices and analyzed multilevel models. Compared to HCs, patients with BPD and those with ADs exhibited heightened self-esteem instability and affective instability. Importantly, the clinical groups did not differ in affective instability, whereas self-esteem instability was significantly higher in patients with BPD than in those with ADs across all instability indices. Beyond the influence of mean self-esteem, patients with BPD had the highest general instability, the most frequent extreme changes, and the largest decreases in self-esteem, especially from high levels of self-esteem. Our results support previous findings on affective instability, which may constitute a transdiagnostic feature, and they provide the first evidence that heightened self-esteem instability is particularly prominent in BPD, underscoring the importance of self-esteem for the understanding of dysregulation in BPD. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

The influence of family upbringing, in particular in particular family archetypes, has an impact on the formation of personality, especially during puberty, affecting various aspects of the mental life, health and behaviour of a teenager, including self-esteem, worldview, vision of one’s own “self-concept” in the world. Consequently, the main purpose of the study is to determine special features of the influence of family upbringing on the formation of adolescents with developmental disabilities. In the course of the study, the “KPQAA” method and Dembo-Rubinstein Method of Selfesteem Measurement were used. According to the results of research, it is determined that the leading archetypes of Animus (male aspect of education) are “Warrior”, “King”, which translate in education not only samples of masculinity (strength, honesty, justice, courage), but also a number of negative aspects, such as rudeness, moral pressure on family members, aggression (physical, verbal, indirect), etc. It is found that the embodiment of the female Anima occurs mainly through archetypal images of “Helen” and “Eve”, which indicates the high emotionality of the parenting process, submission as a model for children raised, honesty. It is confirmed that such female archetypes in the process of educating adolescents with developmental disabilities also translate instability of self-esteem, low self-esteem, rapid changes in desires, interests, a tendency to immorality (deception, flattery, betrayal), etc. It is established that the studied adolescents are mainly characterised by inadequately inflated and underestimated indicators of self-esteem, which is a consequence of the influence of leading archetypal images of upbringing in families. The article describes the influence of the style of family upbringing, interaction of parents with children with developmental disabilities on the formation of personality in general and such components as emotional, behavioural, motivational spheres, “self-concept”, “self-image”, self-esteem, worldview and interaction with modern society. The practical value of scientific work lies in the possibility of further development of effective psychological support for adolescents with developmental disabilities who have problems with the formation of self-esteem