1,720,962 research outputs found

    Misurare il senso di vuoto: validazione della versione italiana della Subjective Emptiness Scale (SES-I) e sviluppo di una versione modificata (M-SES-I).

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    A feeling of emptiness is considered by the DSM-5 only as a symptom of BPD, despite evidence from clinical work and literature suggest that the feeling of emptiness is a transdiagnostic construct. However, few works have been made mainly due to the paucity of assessment methods. This work aims to present a) the validation of the Italian version of the Subjective Emptiness Scale (SES-I), a recent self-report for the assessment feelings of emptiness; b) the construction of a modified version of the SES, the Modified Subjective Emptiness Scale (M-SES-I) and its preliminary application in a non-clinical sample In the first studies, a total of 111 participants were divided in a clinical (n=63, M=44.13, SD=12.49) and non-clinical sample (n=48, M=34.13, SD= 11.48). Along with SES-I, participants from both groups completed the PID-5, MCMI-III, SITBQ-NS and the BDI-II. A principal component analysis (PCA) was used to investigate the structure of the SES-I, Mann-Whitney’s U was used to test the difference between groups, validity was examinate with Spearman’s Rho correlations between clinical variables. Reliability was tested with Chronbach’s alpha and MIIC. PCA shows a unidimensional structure. Clinical group has significantly higher scores on SES compared to non-clinical group. Validity and reliability were adequate. The SES-I is a valid and reliable instrument for assessing a feeling of emptiness as transdiagnostic construct. The research shows some limits: firstly, the sample size was too little and there was high diagnostic heterogeneity in clinical group, secondly, results shows that the unidimensional structure seems to be inadequate to measure the whole construct. To overcome this second limit, a modified version of the SES was proposed. The M-SES-I was preliminary tested in a non-clinical sample (n=88, M=31.66, SD=7.78). ESEM model confirm the hypothesis that the instrument was composed by three factors that measure different components of the experience of emptiness. Preliminary results show that a 18 item version of the M-SES-I was valid ad reliable in non-clinical population

    Borderline personality disorder and ageing: Myths and realities

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    Purpose of review: Although mental health issues in ageing individuals have been receiving more attention, borderline personality disorder (BPD) in older adults and the elderly has been relatively neglected. This article aims to review the current state of knowledge about BPD in these age groups. Recent findings: Studies have consistently reported decreasing prevalence rates of BPD among ageing individuals. This may be attributed to the ageing process itself and/or different clinical features due to which meeting the diagnostic criteria for BPD becomes more difficult. Ageing individuals with BPD often present in a way that makes them look 'atypical' compared to younger individuals with the same condition. In particular, this pertains to somewhat attenuated and less overt manifestations of impulsivity. However, the basic pattern of overall symptoms instability continues to characterize ageing individuals with BPD, in addition to depressive symptoms, feeling of emptiness, anger, unstable interpersonal relationships, turbulent responses when needs are not met, various somatic complaints and other symptoms. Summary: Clinicians should be aware of different clinical features of BPD as patients get older. Diagnostic criteria for BPD may need to be revised to reflect this reality, allow accurate diagnosis and minimize the risk of overlooking BPD in ageing individuals

    Mental health risks for cultural heritage professionals within the framework of disaster risk reduction: An exploratory study on the emotional impact of ruins after the 2016 earthquake in central Italy

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    Across the disaster risk reduction (DRR) community, there is a growing recognition that protecting cultural heritage has a key role in strengthening community sense and resilience. Despite this, however, cultural heritage first aiders, that is, heritage professionals managing the activities of securing movable and immovable cultural heritage in emergencies after disasters, are not adequately recognized in the DRR framework with respect to the mental risks they face, working in the field of emergencies. This study aims to explore the specific quality of mental health risks for cultural heritage first aiders, analyzing the emotional impact of the sight of cultural heritage ruins on a sample of cultural heritage first aiders, compared with a sample of emergency psychologists and earthquake victims, together with exploring the possible role of collateral variables, such as personality traits. Participants were 30 Italian adults who have been involved, to different degrees and roles, in the 2016 Central Italy (Marche region) earthquake or immediately after, for post-disaster emergency activities. Results showed an interesting gradient of the emotional impact of heritage ruins, with heritage professionals at the apex of it. Moreover, heritage professionals showed a higher aesthetic-artistic sensitivity together with the presence of post-traumatic stress long after the disaster event, thus highlighting a specific profile of risk for mental health, which should be taken into serious account by the scientific community. A suggestion is finally proposed on the potential usefulness of including pre-disaster psychological training for cultural heritage aiders in the DRR strategies, also in light of the increasing need for a person-centered approach integrating Mental Health and Psychosocial Support (MHPSS) in the DRR framework

    Self-Injurious Thoughts and Behaviors Questionnaire-Nonsuicidal (SITBQ-NS): Development and validation of a revised version of the Self-Injurious Thoughts and Behaviors Interview (SITBI) for the self-assessment of nonsuicidal self-injury

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    Objective: Despite the fact that nonsuicidal self-injury (NSSI) has become an important issue among clinicians and researchers all over the world, in Italy there is still a lack of instruments able to assess it. The objective of this study is to develop and validate the Self-Injurious Thoughts and Behaviors Questionnaire-Nonsuicidal (SITBQ-NS), a self-report measuring the whole NSSI spectrum, that is, from ideation to act. Method: SITBQ-NS was administered to 51 adult patients recruited from public mental health services together with the Millon Clinical Multiaxial Inventory (MCMI-III), the Beck Hopelessness Scale (BHS), the Deliberate Self-Harm Inventory (DSHI), and the Nepean Dysphoria Scale (NDS-I). Results: SITBQ-NS demonstrated excellent internal consistency (α=0.983). NSSI thoughts were present in 56.9% of participants, and NSSI behaviors were present in 49% of participants. Similar NSSI functions were found among participants, except for “To end suicidal ideation,” which was more common among those having NSSI thoughts (34.1%) than those exhibiting NSSI behaviors (21.6%). There were strong positive correlations between the scores of SITBQ-NS and the scores of BHS, DSHI and NDS-I. Also, there were weak to strong positive correlations between the scores of SITBQ-NS and some MCMI-III scales. Conclusions: The SITBQ-NS shows very good psychometric properties, being a useful and easy-to-handle instrument for measuring the whole NSSI spectrum. Further research in clinical samples is neede

    The Feeling of Emptiness: A Review of a Complex Subjective Experience

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    A feeling of emptiness is commonly encountered in clinical practice, but it is poorly understood, with incongruent approaches to its definition and possible role in various disorders. This review examines the conceptualization of the feeling of emptiness and its place in psychopathology. We found an imbalance between theoretical approaches to this phenomenon and empirical research, and argue that more studies using adequate assessment tools are needed. Based on our literature review, we propose that a feeling of emptiness is a complex, negative emotional state that is experienced in different ways by different individuals. This feeling includes a physical or bodily component, a component of aloneness or social disconnectedness, and a component of a deep sense of personal unfulfillment or lack of purpose. The feeling of emptiness is related to other emotional states (dysphoria, boredom, loneliness, and numbness) and overlaps to some extent with them. Although the feeling of emptiness is most often considered in the context of borderline personality disorder, it is also encountered in depression, narcissistic personality disorder, and schizophrenia spectrum disorders, with its features potentially varying between different conditions. The feeling of emptiness may lead to nonsuicidal self-injury and may also have an important relationship with suicidality. We conclude by offering suggestions for further research, emphasizing a need to refine the multidimensional conceptualization of the feeling of emptiness and to better understand its manifestations and relationships with other emotions within various forms of psychopathology

    Going Beyond Counting First Authors in Author Co-citation Analysis

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    The 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

    Variations on the Author

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    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

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    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
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