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Prioritization of Psychopathological Symptoms and Clinical Characterization in Psychiatric Diagnoses: A Narrative Review.
JAMA Psychiatry
November 2024
Psychiatric Institute, University of Illinois at Chicago, Chicago.
Article Synopsis
- Psychiatry addresses brain-mediated conditions without clear biological markers, making diagnosis challenging.
- A review of nine diagnostic systems reveals limitations in traditional frameworks like DSM and ICD, with newer approaches having their own drawbacks.
- It may be more effective to describe patients based on their specific symptoms instead of relying solely on established diagnostic categories, while still acknowledging the necessity of DSM and ICD for practical purposes like insurance reimbursement.
Pathography is a medical anthropological approach that examines the relationship between creation and psychiatric disorders through psychopathological and psychoanalytical lenses using case studies. Since it was first defined in the mid-1960s, pathography in Japan has kept pace with current advances in psychopathological research. However, to date, the findings of pathographic research in Japan have not been published in English.
View Article and Find Full Text PDFRole of narcissism in parental alienation phenomenon. A narrative review.
Riv Psichiatr
April 2024
Department of Philosophy, Sociology, Education & Applied Psychology (FISPPA), University of Padua, Italy.
Parental Alienation Syndrome (PAS) is a term addressed to describe negative, psychopathological feelings, thinking and behaviours, including hostility and fear, exhibited by children who have been alienated from one parent by the other parent. Despite its relevance in the clinical psychology field, theoretical and empirical contributions to understanding and deepening the many facets of this concept are still few. In particular, literature aimed at disentangling the alienating parent's psychological characteristics is scarce and fragmented.
View Article and Find Full Text PDFLogics of Discovery II: Lessons from Poetry-Parataxis as a Method That Can Complement the Narrative Compulsion in Vogue in Contemporary Mental Health Care.
Brain Sci
September 2023
Department of Health Sciences, University of Florence, 50139 Florence, Italy.
This paper highlights the limitations of narrative logic in mental health care, and in particular of "narrative vigilance"-the tendency to watch over experience via narrativisation, and to tether the concrete particulars of experience to the hypothetical structure of a narrative signification. Narrative logic is grounded in hypotaxis-the syntactic structuring whereby a discourse is characterised by different levels of subordination using linking words that connect, especially in terms of temporal and explanatory consequentiality. I offer an alternative approach based on parataxis-the practice of placing phrases or parts of speech next to each other without subordinating conjunctions.
View Article and Find Full Text PDFUnderstanding psychoanalytic work online and back to the couch in the wake of the COVID-19 pandemic: an investigation among Italian psychoanalysts.
Front Psychol
June 2023
Department of Psychology, University of Milano-Bicocca, Milan, Italy.
Background: Worldwide, psychotherapists' clinical experience went through rapid developments with transition to teletherapy during the COVID-19 pandemic. Literature on the use of remote psychoanalysis was not conclusive, leaving the issue of the consequences of the necessary setting alternation open. This study aimed to investigate the psychoanalysts' experiences of shifting to remote work and then returning to in-person setting, considering the effect of the patients' attachment styles and personality configurations.
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