Psychosis,symbol, affectivity 1: etiopathogenesis and treatment through analytical psychology

This is the first of two papers concerning our study into an integrated approach to psychotic disorders, conducted at the University of Palermo’s Psychiatry Unit Polyclinic over approximately 15 years. Here we will explore and reflect upon the acute psychotic condition mainly from a theoretical and conceptual perspective, while in the second paper we will explore the clinical perspective. From the point of view of psychopathology, and in the light of C.G. Jung’s conceptualization of analytical psychology, as well as calling on contributions from other authors from the systemic-relational and post-psychoanalytic field, we will clarify the ideas developed over these last few years by our team. From a more speculative perspective we will advance new interpretive hypotheses in an attempt to thoroughly understand the nature of the psychotic condition, both on a psychodynamic relational and a neuroscientific level. The paper describes how we revised our understanding of psychosis from a brain disease to a process aimed at the rearrangement of psychic functioning, as anticipated by John Weir Perry nearly 40 years ago.     

Linguistic features of dysfluencies in Parkinson Disease

PurposeThe purpose of this study was to examine dysfluency characteristics of individuals with Parkinson Disease (PD) relative to linguistic features of grammatical class and position within word. Few studies have reported dysfluency characteristics of PD relative to these characteristics. Those that do report on these characteristics include one case study and a study of six individuals with PD. No previous research is known to have examined dysfluency related to grammatical class and position within words for a large sample of individuals with PD.MethodDysfluencies from 32 individuals with PD were analyzed according to position within a word and grammatical class.ResultsParticipants produced significantly more dysfluencies in the initial position of words compared to medial or final positions, and a significantly higher percent dysfluency for content words versus function words.ConclusionEffects of linguistic features of grammatical class and position within a word on dysfluencies are present within a population with PD and are similar to the linguistic features associated with developmental stuttering. Clinical implications of the effect of linguistic features on speech dysfluencies in PD are discussed.     

Enhancing the care of children with chronic diseases through the narratives of patient,physician, nurse and carer

We tested the hypothesis that a narrative approach may enhance a bio‐psycho‐social model (BPS) in caring for chronically ill children. Forty‐eight narratives were collected from 12 children with six different medical conditions, their mothers, physicians, and nurses. By a textual analysis, narratives were classified on their predominant focus as disease (biological focus), illness (psychologic focus), or sickness (social focus). Sixty‐one percent of narrative’ text were classified as illness, 28% as disease and 11% as sickness. All narratives had a degree of illness focus. Narratives by patients and physicians on the one hand, and nurses’ and mothers’ on the other were disease focused. Narratives were also evaluated with respect to the type of medical condition: Illness was largely prevalent in all but Crohn’s disease and HIV infection, the latter having a predominance of sickness most probably related to stigma. Narrative exploration proved a valuable tool for understanding and addressing the needs of children with complex conditions. Narrative approaches allow identification of the major needs of different patients according to health conditions and story tellers. In the narratives, we found a greater illness and disease focus and surprisingly a low sickness focus, except with HIV stories. Narrative medicine provides a tool to strengthen the BPS model in health care.     

未来时间洞察力与大学生职业决策自我效能感的关系:领悟社会支持与自尊的链式中介

为考察未来时间洞察力对大学生职业决策自我效能感的影响及其作用机制,本研究采用未来时间洞察力量表、领悟社会支持量表、自尊量表和职业决策自我效能感量表,对756名高校学生进行调查。结果表明:(1)未来时间洞察力、领悟社会支持、自尊、职业决策自我效能感两两之间存在显著正相关;(2)社会支持和自尊在未来时间洞察力与职业决策自我效能感之间起显著的中介作用。具体为三条中介路径:一是社会支持的单独中介作用; 二是自尊的单独中介作用; 三是社会支持和自尊的链式中介作用。研究揭示了未来时间洞察力与大学生职业决策自我效能感的关系及其作用机制,拓展了大学生职业决策自我效能感的影响因素,对大学生的职业指导具有一定的现实意义。     

Automatic gaze to the nose region cannot be inhibited during observation of facial expression in Eastern observers

Humans can extract a great deal of information about others very quickly. This is partly because the face automatically captures observers’ attention. Specifically, the eyes can attract overt attention. Although it has been reported that not only the eyes but also the nose can capture initial oculomotor movement in Eastern observers, its generalizability remains unknown. In this study, we applied the “don’t look” paradigm wherein participants are asked not to fixate on a specific facial region (i.e., eyes, nose, and mouth) during an emotion recognition task with upright (Experiment 1) and inverted (Experiment 2) faces. In both experiments, we found that participants were less able to inhibit the initial part of their fixations to the nose, which can be interpreted as the nose automatically capturing attention. Along with previous studies, our overt attention tends to be attracted by a part of the face, which is the nose region in Easterner observers.     

Alcohol use and dating violence among college students

IntroductionNumerous studies have focused on the association of dating violence (DV) and alcohol use. However, little research has as yet assessed their co-occurrence in short timeframes.ObjectiveThis study aims to investigate alcohol use in the two hours preceding DV and in the two hours following DV.MethodCollege students (n = 649, 71% females, mean age = 19.8) reported their experience of DV and their hazardous drinking on self-administered questionnaires. They also reported their alcohol use in the two hours preceding – as well as following – a specific DV event (i.e. insult between dating partners).ResultsChi-square tests outline that alcohol use in the two hours preceding an insult is associated with alcohol use in the two hours following an insult. Regressions show that higher scores of hazardous drinking puts students at risk of insulting or being insulted in a context of alcohol use.ConclusionThe findings can contribute to DV prevention programs among college students.     

Is it acceptable for a physician to break confidentiality in the case of sexually transmitted diseases? A mapping of young Kuwaiti's views

IntroductionConfidentiality is essential for the establishment of trust between physicians and their patients.ObjectivesThe circumstances under which it is acceptable to young Kuwaiti for a physician to break confidentiality to protect the spouse of a patient with a sexually transmitted disease (STD) were examined.MethodA sample of 263 young Kuwaiti indicated the acceptability of breaking confidentiality in 48 scenarios that were all possible combinations of five factors: disease severity, time taken by the physician to discuss with the patient, the patient's intent to inform the spouse about the disease, the patient's intent to adopt protective behaviors, and the decision to seek the advice of an expert in infectious diseases before breaking confidentiality.ResultsThrough cluster analysis, four qualitatively different positions were found: Quite never acceptable (6% of the sample, mostly males), Depends on husband's willingness to inform (3%), Depends on husband's protective behavior (29%, mostly females), and Quite always acceptable (32%). The remaining participants did not express any clear view.ConclusionIn Kuwait, students’ trust in the medical profession is, therefore, not likely to be seriously undermined if, from time to time, and in well-specified cases, individual physicians decide to break confidentiality when facing dilemmas of the kind examined in the current study.     

Factorial validation and measurement invariance of the French version of the multidimensional competitive orientation inventory (FVMCOI) in the sport field

IntroductionLittle is known about the importance of the adaptive, maladaptive and neutral facets of competitive orientations among French athletes.ObjectiveThe aim of this study is to test the factorial validation and measurement invariance of the French version of the multidimensional competitive orientation inventory (FVMCOI) from the original version (MCOI, Orosz et al., 2018), which included 12 items and four factors (i.e., hypercompetitive orientation, self-developmental competitive orientation, anxiety-driven competition avoidance, and lack of interest toward competition).MethodA series of three complementary studies was carried out with a total sample of 891 competitors.ResultsFollowing cross-cultural validation methods a preliminary version of the FVMCOI was constructed and the clarity of its items was established (study 1). Then, exploratory structural equation modeling (ESEM) confirmed that the four-factor model for the FVMCOI was factorially valid, and consistent with the model of the original version. As such, the multiple-group invariance tests showed that the FVMCOI was partially invariant across both age and gender and fully invariant across type of sport, level of competition and over time (study 2). Finally, the concurrent validity of the FVMCOI was demonstrated through its expected relationships with achievement goals, competitive aggressiveness and anger in sport (study 3).ConclusionThe establishment of the FVMCOI extends the research in sport psychology by allowing an extensive psychometric study of the MCOI in the sport domain and providing deeper insights into the healthy, unhealthy, and neutral nature of competitive orientation in this context. The FVMCOI's potential practical applications in sport context, with some limitations and perspectives of this study, are also discussed.     

Safety of micro-mobility: Riders’ psychological factors and risky behaviors of cargo TTWs in China

Cargo two- or three-wheeled vehicles (TTWs), as a new form of micro-mobility, have become a popular mode of urban cargo transportation in China. Cargo TTW riders’ psychological factors and risky behaviors lead to a number of accidents. A questionnaire is designed by comprehensively considering these factors and behaviors of cargo TTW riders that includes eleven risk factors to quantitatively analyze the risky behaviors based on structural equation modeling (SEM). One thousand three hundred nineteen participants reported using cargo TTWs on a questionnaire distributed across the country. The characteristics of riding behavior data are analyzed to verify the three-layer risk theoretical framework of “Psychological factors (Personality traits/specific factors) - Psychological acceptability of risks (confidence/perception/attitude) - Risky behaviors”. The results show that anger has a strong direct effect on riding violations, while normlessness and altruism have a direct effect on riding errors. Workload has a weak but direct effect on risky behaviors, and riding feedback has a weak and mixed effect. In addition, high-risk groups are identified by analysis of variance (ANOVA) with rider population attributes. These quantitative analyses can help guide safety countermeasures to mitigate accidents involving cargo TTWs.     

A person-centred approach to understanding dark-side antecedents and students’ outcomes associated with physical education teachers’ motivation

The present study firstly establishes physical education (PE) teachers’ motivational profiles based on their autonomous motivation, controlled motivation and amotivation and, secondly, investigates how different PE teachers’ motivational profiles differ in terms of certain maladaptive antecedents (i.e. psychological need frustration, pressures perceived at work and burnout). It also addresses the differences in their students’ perception of autonomy support, psychological need satisfaction and autonomous motivation. A total of 105 PE teachers and their 2164 students completed validated questionnaires. Four profiles were retained in the cluster analysis. Results showed that teachers who were high on autonomous motivation displayed the most optimal pattern of outcomes, whereas teachers who were high on amotivation showed the opposite pattern. Analysis of the established profiles suggested that the experience of controlled motivation was linked with maladaptive outcomes among both teachers and students. Implications for educational policy and practice are discussed.