1,721,072 research outputs found

    Distopia e nuovo umanesimo: la lezione di Kurt Vonnegut

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    Il saggio analizza il primo romanzo di Kurt Vonnegut dal titolo Player Piano (1952) che, adottando le forme del genere utopico, narra di una realtà distopica. Era sua intenzione rappresentare una proiezione dell'America futura se avesse continuato a privilegiare i falsi miti della produttività, del successo e del primato del mercato. Ilium (la città dov'è ambientata la vicenda) ha solo l'immagine superficiale dell'utopia: al proprio interno sono presenti ingiustizie, separazioni e totale mancanza di solidarietà

    Psychosomatic syndromes and symptom severity in chronic psoriasis

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    Objective: To investigate whether and the extent to which psychosomatic syndromes and psychopathology are associated to psoriasis severity. Methods: Consecutive 282 outpatients with chronic psoriasis were assessed for psychopathology (with the Mini International Neuropsychiatric Interview), psychosomatic conditions (with the Diagnostic Criteria for Psychosomatic Research, DCPR), severity of psoriatic symptoms (with the Psoriasis Area and Severity Index, PASI), and illness-related quality of life (with the Dermatology Life Quality Index, DLQI). Results: Psychopathology was diagnosed in 26.6% patients while at least one DCPR syndrome in 67% of them and higher psychosomatic severity (>1 DCPR syn-drome) in 29.1%. Higher symptom severity (PASI>20) was significantly more preva-lent in patients with greater psychosomatic severity (29.1%) (d=1.25) – particularly, alexithymia (29.4%; d=0.83) – and poorer quality of life (DLQI>10) (d=0.86). Fur-thermore, after controlling for psychopathology, psychosomatic severity, and alex-ithymia, together with lower illness-related quality of life, independently predicted severity of symptoms, with large effect size (d=0.78 and d=1.75, respectively). Conclusions: DCPR clusters can be suggested as a useful tool for identifying psychological distress in psoriasis, significantly linked to both subjective (quality of life) and objective factors (severity of lesions and extension of affected skin areas) of the illness experience
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