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Utilizzo del test di Rorschach nella diagnosi di disturbo dell’identità di genere e nella valutazione dell’idoneità alla riassegnazione chirurgica del sesso
No full textGender identity disorder (GID) is a mental disorder in which gender identity is incongruent with the anatomical sex, in the absence of any clear and defined genetic or biological alteration. The diagnosis of GID as well as the assessment of patient suitability for sexual reassignment surgery (SRS) are prerequisite to the legal recognition procedure. The aim of this study was to evaluate the usefulness of the Rorschach test in differential diagnosis determination and primarily in providing information on patient suitability for SRS, in the framework of the clinical, therapeutic and forensic psychometric and psychodiagnostic assessment, and according to the World Professional Association For Transgender Health criteria. For this purpose we analysed the Rorschach responses of 47 patients (33 GID and 14 GID NAS). Results show that DIG NAS patients have greater difficulties in stress control and less adaptability, which could lead to disorganisation, impulsiveness, behavioural disorders, as well as higher levels of situational and chronic stress, with altered thought patterns and uncontrolled ideation, a higher frequency of thought disorders and disturbed relations, with lower quality and less adaptive interpersonal relationships, which are characterized by dependency and aggressive behaviours. This research shows that the Rorschach test cannot be used alone in the determination of the differential diagnosis between DIG and DIG NAS in the diagnosis and evaluation of patient suitability for sexual SRS, especially when comparing groups which do not shows significant differences in the prevalence of the main - psychotic, depressive and anxiety - psychopathological disorders
Fattori psicosociali e sindrome dell’intestino irritabile. Review della letteratura. Medicina Psicosomatica, 50, 1, 17-23, gennaio-marzo 2005.
No full textValutazione del transessualismo primario e secondario tramite il Rorschach Conprehensive System: confronto tranx-culturale di due gruppi di transessuali italiani e belgi.
No full textAlexythimia and psychopathology in patients with psychiatric and functional gastrointestinal disorders
No full textBACKGROUND: Alexithymia and psychopathology may influence the way individuals experience psychological distress and somatic symptoms. This study evaluated patients referred to psychiatric and gastroenterologic outpatient settings in order to investigate the levels of alexithymia and psychopathology, and the possible role of alexithymia in symptom perception and health care utilization. The association between psychiatric disorders and functional gastrointestinal disorders (FGIDs) was also assessed.
METHODS: Psychopathology (by the Revised 90-item Symptom Checklist), alexithymia (by the 20-item Toronto Alexithymia Scale), and gastrointestinal symptoms (by the Gastrointestinal Symptom Rating Scale) were evaluated in 52 psychiatric outpatients and 58 medical outpatients with FGIDs. Two comorbid subgroups of 25 psychiatric patients with FGIDs and 38 FGID patients with psychiatric disorders were formed and compared.
RESULTS: Forty-eight percent of the psychiatric patients had associated FGIDs, and 65.5% of the FGID patients had associated psychiatric disorders. The FGID patients had significantly less psychopathology, but significantly higher alexithymia and more severe gastrointestinal symptoms, than the psychiatric patients. In the comparison of the two subgroups with comorbidity, FGID patients with psychiatric disorders were still more alexithymic and had less psychopathology than psychiatric patients with FGIDs, but gastrointestinal symptoms were not significantly different.
CONCLUSION: Patients with 'functional' gastrointestinal symptoms attending a medical care service are likely to be highly alexithymic, whereas those attending a psychiatric care service are likely to show severe psychopathology. Alexithymia seems to influence the presentation of 'functional' somatic symptoms and the type of health care utilization
Utilità e limiti del Disegno della Famiglia nella valutazione dei casi di child sexual abuse, in ambito peritale; uno studio casistico
No full textThis study aims, to make a contributions exclusively casuistic, at assess the ability of the Design of the Family to identify the graphic signs of sexual abuse, in the evaluation of child sexual abuse. Two groups, composed by 8 minors with ascertained (by the Italian Magistrature) sexual abuse, and 8 minors belonging to the control group, respectively, were compared. The drawings were analysed through an ad hoc grid composed by 17 graphic indicators.
Results don't show that two groups are very different in all examined variables. To date, it seems neither possible nor methodologically appropriate to use this tool in the forensic field as "proof" of any abuse suffered by the child
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Child Abuse: The Human Figure Drawing Test in Evaluating Minors
Full text linkThe Human Figure Drawing Test (HFDT) is widely used in clinical and forensic settings. The inappropriate use
of this instrument is widespread. This article highlights the expressive and communicative value of children’s drawings in
child abuse investigations. The drawings of 3 groups of children (11 certified as abused; 11 suspected of being abused,
and 11 certified as non-abused) were examined in order to determine the appropriateness of their use in suspected
cases of child abuse. The results of our study appear to be divergent. As of the writing of this article, there is no
methodologically correct way in which to utilize this instrument that would reveal specific “graphic indicators of abuse”
using the drawings of abused, or presumably abused children
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