THE ROLE OF PSYCHODYNAMIC AND PERSONALITY ASSESSMENT IN LONELINESS.

4区 医学 Q2 Medicine Psychiatria Danubina Pub Date : 2024-12-01 DOI:10.24869/psyd.2024.293
Darko Marčinko, Nika Sutara
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引用次数: 0

Abstract

This review article explores the relationship between psychodynamic factors, personality organization, and loneliness. It focuses on extensive research into attachment styles, shame, pathological narcissism, and personality disorders. Insecure attachment styles, both anxious and avoidant, emerge as significant predictors of loneliness. Their effects are shown to be mediated by disconnection-rejection schemas and diminished emotional intelligence. The shame and pathological narcissism, especially narcissistic vulnerability, also correlate strongly with increased loneliness and decreased life satisfaction. Identity diffusion, a core concept in Kernberg's personality organization model, is closely linked to chronic, pervasive loneliness. Notably, individuals diagnosed with personality disorders report substantially higher levels of loneliness compared to the general population. The article also highlights a reciprocal relationship between loneliness and depression, particularly important among adolescents. Early relational experiences are emphasized as having a role in shaping social-emotional development and the experience of loneliness. Empathy was identified as a powerful factor against loneliness and its associated depressive symptoms. It serves as a mediator in the loneliness-depression relationship and as a crucial element in both clinical practice and community well-being. This holistic perspective deepens our understanding of human relationships in modern society and advises a holistic, empathetic approach to addressing loneliness and related mental health challenges.

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心理动力学和人格评估在孤独感中的作用。
本文旨在探讨心理动力因素、人格组织与孤独感之间的关系。它侧重于对依恋类型、羞耻感、病理性自恋和人格障碍的广泛研究。不安全的依恋类型,包括焦虑型和回避型,都是孤独的重要预测因素。他们的影响被证明是由断开-拒绝图式和情商下降介导的。羞耻感和病态自恋,尤其是自恋的脆弱性,也与孤独感的增加和生活满意度的下降密切相关。身份扩散是克恩伯格人格组织模型中的一个核心概念,它与慢性的、普遍的孤独感密切相关。值得注意的是,与一般人群相比,被诊断患有人格障碍的个体报告的孤独程度要高得多。这篇文章还强调了孤独和抑郁之间的相互关系,这在青少年中尤为重要。早期的人际关系经历被强调为在塑造社会情感发展和孤独体验方面具有重要作用。共情被认为是对抗孤独及其相关抑郁症状的有力因素。它在孤独-抑郁关系中起着中介作用,在临床实践和社区福祉中都是至关重要的因素。这种整体视角加深了我们对现代社会人际关系的理解,并建议采用整体的、同理心的方法来解决孤独和相关的心理健康挑战。
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来源期刊
Psychiatria Danubina
Psychiatria Danubina 医学-精神病学
CiteScore
3.00
自引率
0.00%
发文量
288
审稿时长
4-8 weeks
期刊介绍: Psychiatria Danubina is a peer-reviewed open access journal of the Psychiatric Danubian Association, aimed to publish original scientific contributions in psychiatry, psychological medicine and related science (neurosciences, biological, psychological, and social sciences as well as philosophy of science and medical ethics, history, organization and economics of mental health services).
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