Psychological distress and coping in nasopharyngeal cancer: an explorative study in Western Europe

Nasopharyngeal carcinoma (NPC) is the head and neck cancer with the greatest impact on patients’ quality of life. The aim of this explorative study is to investigate the psychological distress, coping strategies and quality of life of NPC patients in the post-treatment observation period. Twenty-one patients disease-free for at least two years were assessed with a medical and a psycho-oncological evaluation. Clinically relevant depressive symptoms (CRD) were present in 23.8% of patients and 33.3% reported clinically relevant anxiety symptoms (CRA). Patients with CRD and CRA showed a significantly higher score in the use of hopelessness/helplessness and anxious preoccupation coping strategies and a worse quality of life. Even in the post-treatment period, about a quarter of patients showed CRD and CRA. Results showed that patients with high anxiety or depressive symptoms seem to use dysfunctional coping strategies, such as hopelessness and anxious preoccupation, more than patients with lower levels of anxiety and depression. The use of these styles of coping thus seems to be associated to a higher presence of CRA or CRD symptomatology and to a worse quality of life.     

Clinical Mutual Attunement and the Development of Therapeutic Process: A Preliminary Study

Despite the identification of many factors that play a central role in the development of the psychotherapy process, there is still a lack of evidence about the basic relational mechanisms that pave the way to its working. In this pilot study, we focus on nonverbal microprocessual attunement as the basic mechanism grounding the displacing of discrete factors in shaping the clinical process. Two single sessions of two short-term psychodynamic treatments, selected respectively from a good- and a poor-outcome treatment, have been coded in terms of patient and therapist speech rate, coordination in ruptures, resolution of the therapeutic alliance, and patient's displayed thinking processes. Two dynamic structural equation models focusing on clinical attunement as a factor able to activate the interplay of the assessed clinical dimensions have been theoretically designed and tested in both cases. The driven theoretical structural equation models fit the data, suggesting a different role of nonverbal attunement as a moderating factor. The obtained results are consistent with the hypothesis claiming that a good-outcome psychotherapy session is characterized by a mechanism of clinical attunement that enforces the therapist–patient relationship and promotes the integration of formal thinking processes that affect emotional and cognitive domains.     

Catalyzing the dialogue between the body and the mind in a psychotic analysand

The author presents the analysis of a 23-year-old, obese, psychotic man who was dominated by sensations and unable to work through the different levels of psychic elaboration. He could not discriminate between words and concrete objects or between the perceptual functions of sense organs and the oral-cannibalistic level of instinct. Following the working through of these inabilities, it became possible to understand the patient's use of sensation and to make him aware of his emotions and conflicts. The author's discussion of this material emphasizes the role of the body-mind conflict and how this can be confronted in the analytic relationship. Possible links with neuroscience are also indicated.     

Cross‐cultural evidence of value structures and priorities in childhood

We broaden the developmental focus of the theory of universals in basic human values (Schwartz, 1992, Advances in Experimental Social Psychology) by presenting supportive evidence on children's values from six countries: Germany, Italy, Poland, Bulgaria, the United States, and New Zealand. 3,088 7–11‐year‐old children completed the Picture‐Based Value Survey for Children (PBVS‐C, Döring et al., 2010, J. Pers. Assess., 92, 439). Grade 5 children also completed the Portrait Values Questionnaire (PVQ, Schwartz, 2003, A proposal for measuring value orientations across nations. Chapter 7 in the Questionnaire Development Package of the European Social Survey). Findings reveal that the broad value structures, sex differences in value priorities and pan‐cultural value hierarchies typical of adults have already taken form at this early age. We discuss the conceptual implications of these findings for the new field of children's basic values by embedding them in the recent developmental literature.     

Exploration and learning in capuchin monkeys (Sapajus spp.): the role of action–outcome contingencies

Animals have a strong propensity to explore the environment. Spontaneous exploration has a great biological significance since it allows animals to discover and learn the relation between specific behaviours and their consequences. The role of the contingency between action and outcome for learning has been mainly investigated in instrumental learning settings and much less in free exploration contexts. We tested 16 capuchin monkeys (Sapajus spp.) with a mechatronic platform that allowed complex modules to be manipulated and to produce different outcomes. Experimental subjects could manipulate the modules and discover the contingencies between their own specific actions and the outcomes produced (i.e., the opening and lighting of a box). By contrast, Control subjects could operate on the modules, but the outcomes experienced were those performed by their paired Experimental subjects (“yoked-control” paradigm). In the exploration phase, in which no food reward was present, Experimental subjects spent more time on the board and manipulated the modules more than Yoked subjects. Experimental subjects outperformed Yoked subjects in the following test phase, where success required recalling the effective action so to open the box, now baited with food. These findings demonstrate that the opportunity to experience action–outcome contingencies in the absence of extrinsic rewards promotes capuchins’ exploration and facilitates learning processes. Thus, this intrinsically motivated learning represents a powerful mechanism allowing the acquisition of skills and cognitive competence that the individual can later exploit for adaptive purposes.     

Transition to Crisis-Free Development: A Myth or Reality?

This article substantiates the thesis that the outlines of the future and present can be made visible and comprehensible by applying a new methodology for cognition of regularities in the human community development. This methodology made it possible to define that there have been and are only two paradigms of the human system development in the entire multicentury course of the human community development. Cycles, crises, chaos, and all negative phenomena are nothing else but natural products of the second, indirect paradigm of development. The new model of life organization at each local level is at the same time the former, first development paradigm, based on the direct interconnection between production and consumption of specific human beings, but raised onto the new high-tech level. Practical realization of this model is the only feasible precondition for the transition to sustainable and crisis-free development.     

Mirroring effects: Using psychodynamic-oriented video feedback to work on dyadic risk. A pilot experience

This study examines the qualitative and quantitative effects of a short-term, psychodynamically oriented video-feedback intervention in an Italian sample (n = 30) of non-clinical mothers with high potential dyadic risk due to work–family conflict. We adopted a psychodynamically informed and video-assisted approach based on theoretical and clinical assumptions that are used in psychodynamically oriented dialogue and observations. We proposed a cycle of four clinically oriented consultations including a single video feedback session, using the CARE-Index for both assessment and intervention. Independent t-tests were computed to evaluate how effective the programme was in reducing parental stress. We present two case examples in order to discuss the process of change in maternal attitudes activated by the programme. Quantitative findings revealed a drastic reduction of the participants’ resistance in recognising conflictual aspects of their parenting experience. From a qualitative perspective, the video feedback programme solicited three psychic functions: mirroring, resignifying and repairing. We highlight the key role of the observer’s countertransference and of her relationship with the mother in creating a safe and transformative setting. Results are encouraging in using our programme to help mothers to improve their holding function. We discuss possibilities for reinforcing the relevant changes obtained by extending the programme.     

Images behind bars: The evaluation of a phototherapeutic intervention in prison

This article follows a previous study that has been published in Narrare i Gruppi and that described an intervention using photographic techniques within treatment programs addressed to inmates. The aim of the treatment was promoting inmates' re-socialization and re-education. Photography and other creative media have been reported to promote emotional intelligence (EI) and reduce recidivism among inmates. We hypothesized that the use of photography may increase the inmates' EI and promote their well-being. This study reports on the efficacy of a 10-session phototherapeutic intervention (called Talking Pictures Group Intervention) with two different categories of inmates (minimum custody and protective custody inmates) in terms of enhancing EI skills, reducing depression, and increasing the ability to cope with trauma. Results show an increase in EI in the minimum custody group while depression symptoms are found to increase in the protective custody group, possibly as a result of a greater awareness of their condition. The ability to cope with trauma remains unvaried before and after the intervention.     

Effects of a REBT Based Training on Children and Teachers in Primary School

Rational Emotive Education (REE) is a psychological educational program offering a preventative psycho-educational curriculum to children in order to teach them emotional literacy skills. REE helps children by teaching them to challenge irrational thinking, to minimize their reactions to disappointment and frustrations, to cope more effectively with problems, and to more fully accept themselves. The efficacy of REE training for children and teachers was examined in a sample of 211 third grade students from nine different classes and 26 teachers. Each class was randomly assigned to one of three different groups, two experimental groups and a control group, each receiving different training. First objective of our study was to evaluate the efficacy of a REE training based on storytelling in changing children’s irrational beliefs. Second objective of our study was to observe the efficacy of a teachers’ training similar to that applied in REBT-focused school consultation groups in enhancing their self-efficacy. Results show an improved tendency in children to think rationally and an enhanced perception of self-efficacy in teachers for those groups that underwent the training compared to the control group. Our results suggest that REBT based trainings for children and teachers should be integrated into the classroom curriculum in order to prevent mental health problems and encourage positive social and emotional well-being.