2,791 research outputs found
Delusional beliefs and reason giving
Delusions are often regarded as irrational beliefs, but their irrationality is not sufficient to explain what is pathological about them. In this paper we ask whether deluded subjects have the capacity to support the content of their delusions with reasons, that is, whether they can author their delusional states. The hypothesis that delusions are characterised by a failure of authorship, which is a dimension of self knowledge, deserves to be
empirically tested because (a) it has the potential to account for the distinction between endorsing a delusion and endorsing a framework belief; (b) it contributes to a
philosophical analysis of the relationship between rationality and self knowledge; and (c) it informs diagnosis and therapy in clinical psychiatry. However, authorship cannot provide a demarcation criterion between delusions and other irrational belief states
What’s wrong with ‘mental’ disorders? : a commentary on ‘What is a mental/psychiatric disorder? : from DSM-IV to DSM-V’ by Stein et al
The editorial by Stein et al. (2010) is timely and
relevant given the development of DSM-V and the
likely impact that such a development will have on
mental health services in the USA. The revision of the
DSM will also affect international psychiatric research
and global practice thanks to the interplay between the
development of DSM and ICD (Fulford & Sartorius,
2009). The editorial by Stein and colleagues is very rich
and there are many themes suitable for further examination
and discussion. For this response, however,
we have chosen to focus on two themes: the use of the
term ‘mental’ and the idea of psychiatric disorders
being ‘in’ an individual
Psychopathology as the basic science of psychiatry
We argue that psychopathology, as the discipline that assesses and makes sense of abnormal human subjectivity, should be at the heart of psychiatry. It should be a basic educational prerequisite in the curriculum for mental health professionals and a key element of the shared intellectual identity of clinicians and researchers in this field
The developmental course of adolescent paranoia: a longitudinal analysis of the interacting role of mistrust and general psychopathology
Paranoia is the erroneous idea that people are targeting you for harm, and the cognitive model suggests that symptoms increase with emotional and relational distress. A factor potentially associated with paranoia is mistrust, a milder form of suspiciousness. This study investigated the longitudinal course of non-clinical paranoia in a sample of 739 students (age range 10–12 at baseline assessment, 12–14 at second assessment) using data from the Social Mistrust Scale (SMS) and the paranoia subscale of the Specific Psychotic Experiences Questionnaire (SPEQ). Prevalence of mistrustful and high paranoia children was 14.6 and 15% respectively. Independently, baseline internalizing symptoms (b = 0.241, p < 0.001) and mistrust (b = 0.240, p < 0.001) longitudinally predict paranoia after controlling for confounders. The interaction of mistrust and internalizing symptoms at T1 increases the possibility of the onset of paranoia at T2. Therefore, the effect of mistrust on paranoia is more marked when internalizing symptoms are higher. Our results confirm the role of mistrust as a factor involved in the developmental trajectory of paranoia in adolescence, enhanced by the presence of internalizing symptoms. The implications of these results are both theoretical and clinical, as they add developmental information to the cognitive model of paranoia and suggests the assessment and clinical management of mistrust and internalizing symptoms in youth may be useful with the aim of reducing the risk of psychotic experiences
Citation expectations: are they realized? Study of the Matthew index for Russian papers published abroad
We consider the "Matthew effect" in the citation process which leads to reallocation (or misallocation) of the citations received by scientific papers within the same journals. The case when such reallocation correlates with a country where an author works is investigated. Russian papers in chemistry and physics published abroad were examined. We found that in both disciplines in about 60% of journals Russian papers are cited less than average ones. However, if we consider each discipline as a whole, citedness of a Russian paper in physics will be on the average level, while chemistry publications receive about 16% citations less than one may expect from the citedness of the journals where they appear. Moreover, Russian chemistry papers mostly become undercited in the leading journals of the field. Characteristics of a "Matthew index" indicator and its significance for scientometric studies are also discussed
Supplemental_Material – Supplemental material for Attempting to disentangle the relationship between impulsivity and longitudinal self-harm: Epidemiological analysis of UK household survey data
Supplemental material, Supplemental_Material for Attempting to disentangle the relationship between impulsivity and longitudinal self-harm: Epidemiological analysis of UK household survey data by Angharad N de Cates, Gennaro Catone, Paul Bebbington and Matthew R Broome in International Journal of Social Psychiatry</p
Epidemiological pattern of bullying using a multi-assessment approach:Results from the Bullying and Youth Mental Health Naples Study (BYMHNS)
BACKGROUND: Bullying is a widespread phenomenon that has captured attention from mental health researchers. Several studies have assessed bullying prevalence with some methodological concerns.OBJECTIVES: Preliminary, we analyzed the psychometric properties of two bullying scales for victimization (the multidimensional peer victimization scale - MPVS) and for perpetration (the bully subscale of the Illinois bully scale - IBS-B); then, we estimated bullying prevalence; finally, we evaluated the effect of gender and classroom on the phenomenon.PARTICIPANTS AND SETTING: 2959 students from the metropolitan city of Naples constituted the sample.METHODS: Data collection was obtained using a multi-assessment approach that included both single-item questions and intensity scales in order to compare the two methods.RESULTS: The two scales resulted valid and showed good reliability. The MPVS displayed a 1-factor second order model. The IBS-B had a mono-factorial structure. Both showed full invariance for gender and classroom. Prevalence of victimization was 37% whereas that for perpetration was 21%. As expected we obtained several bullying prevalence results depending on the specificity of questions and in particular repetitiveness of episodes. There was a good correspondence between results of single-item questions and multi-item scales. Finally results demonstrated several differences for gender and classroom attended.CONCLUSION: In this epidemiological study the multi-assessment approach identified different but complementary features of bullying phenomena. The use of the two measurement approaches allowed us to obtain more precise and exhaustive information on bullying prevalence and compare it with previous findings.</p
The Future of Phenomenological Psychopathology
Those who turn to phenomenological psychopathology as an answer to problems in psychiatric healthcare may find a philosophical tradition rooted in the early-mid 20th century that has done little to adapt to modern ideas in psychiatric healthcare and psychiatric research. The Renewing Phenomenological Psychopathology project, funded by the Wellcome Trust and led by Professor Matthew Broome and Professor Giovanni Stanghellini, calls for reflection, revitalization and reconstruction of this discipline, diversifying global scholarship and working with lived experience scholars, so that it can pave new paths in psychiatric understanding. The contributions of the current special issue aim to breathe new life into a vital method in psychopathology and to chart its future trajectory
The future of phenomenological psychopathology
Those who turn to phenomenological psychopathology as an answer to problems in psychiatric healthcare may find a philosophical tradition rooted in the early-mid 20th century that has done little to adapt to modern ideas in psychiatric healthcare and psychiatric research. The Renewing Phenomenological Psychopathology project, funded by the Wellcome Trust and led by Professor Matthew Broome and Professor Giovanni Stanghellini, calls for reflection, revitalization and reconstruction of this discipline, diversifying global scholarship and working with lived experience scholars, so that it can pave new paths in psychiatric understanding. The contributions of the current special issue aim to breathe new life into a vital method in psychopathology and to chart its future trajector
Subjective disturbances in emerging psychosis
Subjective disturbances in mental processes are the focus of the concept of basic symptoms (BSs), which provides a biopsychosocial model of psychosis, as well as the concept of self-disorders or self-disturbances (SDs) that aims at providing a comprehensive model of schizophrenia centered around the philosophical notion of “self.” Irrespective of the conceptual context, these subjective disturbances seem to aggregate in psychotic disorders, especially of the schizophrenia spectrum, and have been linked to several neurobiological aberrations. In particular, perceptual and cognitive BSs have been described and validated as psychosis-risk criteria that complement the ultrahigh risk criteria and might serve an earlier risk detection. Thus, both the psychosis-predictive value and the neurobiological foundation of these subjective disturbances make them valuable targets in early detection and etiological research
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