Frontiers in Psychology最新文献

Introduction: Borderline personality disorder is marked by emotional lability, unstable identity, and hypersensitivity to abandonment. Although mainstream treatments, such as dialectical behavior therapy, schema therapy, and mentalization-based therapy, reduce symptoms, they often bypass the subcortical affective systems shaped by early attachment trauma. This conceptual paper presents triangle therapy for borderline personality disorder, a neuroaffective intervention based on the premise that three ancestral affective conditions-silence, sound, and isolation-are hypothesized to shape autonomic dysregulation in borderline personality disorder.

Method: Triangle therapy for borderline personality disorder proposes a 30-session protocol involving progressive exposure to each condition over ten sessions. Stimulus duration would increase from 5 to 50 min under continuous therapist attunement without verbal interpretation. The model emphasizes embodied co-regulation to support potential autonomic integration of historically overwhelming affective states.

Hypothetical results: Potential outcomes may include recalibration of vagal and sympathetic tone, extinction of catastrophic prediction errors, and emergence of symbolic-affective processing. The model integrates polyvagal theory, affective neuroscience, and psychodynamic frameworks on early neglect. Safety protocols and inclusion criteria are specified to support empirical evaluation.

Discussion: Triangle therapy for borderline personality disorder is a theoretical model proposed to inform future research and clinical development. It is not a replacement for existing evidence-based treatments but is framed as a somatic pre-phase that may improve affective tolerance and therapy engagement. Empirical testing through pilot studies and multimodal physiological assessment is essential before clinical implementation. The protocol aims to provide new opportunities for treating severe affective instability in outpatient and inpatient settings.

Background: Binge eating is a complex and often underdetected condition characterized by recurrent episodes of excessive food intake accompanied by a perceived loss of control, leading to significant psychological and health consequences. Although pharmacological, psychological, and nutritional treatments are available, their effectiveness remains limited-possibly due to an insufficient understanding of the underlying cognitive and neurobiological mechanisms. Impulsivity, particularly food-specific impulsivity, has been identified as a key factor in binge eating, with inhibitory control deficits associated with increased cravings, maladaptive eating behaviors, and impaired decision-making. Recent studies suggest that inhibitory control training and non-invasive brain stimulation-especially intermittent theta burst stimulation (iTBS) targeting prefrontal regions such as the dorsolateral (dlPFC) or ventromedial prefrontal cortex (vmPFC)-may offer promising therapeutic effects. However, the combined use of cognitive and neuromodulatory interventions has been scarcely investigated. This study aims to determine the efficacy of iTBS combined with inhibitory control training in individuals with binge eating.

Methods and analysis: In this double-blind, randomized, controlled trial with parallel groups, 150 individuals with binge eating will be allocated to one of three groups. All participants will undergo inhibitory control training, differing only in the stimulation site: (1) active iTBS of the dlPFC, (2) active iTBS of the vmPFC, or (3) control site vertex stimulation. The interventions will consist of ten sessions over 2 weeks. Primary outcomes will be binge eating symptoms and food craving. Secondary outcomes will include changes in brain activation and connectivity (via fMRI), cognitive functioning, eating behavior, and biological markers. Assessments will be conducted pre-treatment, post-treatment, and at 3-month follow-up. Health service utilization will also be collected to evaluate cost-effectiveness and cost-utility.

Discussion: The results of this study will contribute to the evidence base for combined cognitive and neuromodulatory interventions aimed at improving eating behavior in individuals with binge eating.

Trial registration: The study was registered at http://www.clinicalTrials.gov, number NCT06649994.

Whereas cross-cultural differences in recognition of emotional facial expressions are widely established, less information exists regarding differences in their production. The current systematic review was conducted to summarize and clarify the role of culture in the production of emotional facial expressions. Following a two-step process, 21 peer-reviewed articles were included within the current review, from which four categories were generated exploring findings from child/infant and adult studies separately: (1) production of spontaneous expressions, (2) production of posed expressions, (3) comparison of spontaneous and posed expressions, and (4) others. Whereas the production of emotional facial expressions is shown to be largely universal, culturally variable nuances exist but vary according to spontaneous versus posed expressions.

Creative performance drives innovation, problem-solving, productivity, and competitiveness of organizations. This research comprehensively reviews existing studies on employees' creative job performance and integrates findings on individual factors that are associated with creative behavior. Examining 82 empirical studies of creative performance, 79 personal factors grouped into eight categories has been identified: demographic factors, personality, cognitive ability, motivation, emotions, self-efficacy, other performance dimensions, and a miscellaneous category. The most relevant personal factors associated with creative performance include educational level (r_w = 0.19, 95% CI [.12, .27], p < 0.001; I² = 55.66%), and moderate to strong positive associations for openness (r_w = 0.46, 95% CI [0.33,0.59], p < 0.001; I² = 93.76%), intrinsic motivation (r_w = 0.39, 95% CI [0.28, 0.50], p < 0.001; I² = 93.37%), creative process engagement (r_w = 0.52, 95% CI [0.23, 0.80], p < 0.001; I² = 97.39%), positive affect (r_w = 0.31, 95% CI [0.18, 0.43], p < 0.001; I² = 81.53%), and creative self-efficacy (r_w = 0.45, 95% CI [0.34, 0.56], p < 0.001; I² = 95.30%). The findings enhance the nomological network of creative performance, offer directions for future research, and suggest improvements for human resource processes, including employee selection, training, and performance assessment.

The article focuses on the communicative aspect of projective identification. By distinguishing between "communicative potential" and "communicative intention" and applying this distinction to the theory of projective identification, the article argues that the communicative aspect of the latter can be interpreted in two different ways. As will be shown, the different interpretations suggest a remarkably different metapsychological picture of what is happening between the analyst and the patient. Given that the distinction between communicative potential and communicative intention has not been established in the available literature, the ongoing debate is thus haunted by a fundamental ambiguity, that has both theoretical and clinical consequences.

Introduction: This paper presents an immersive art-science project that unites nature, voice, and technology to examine the dual role of radiation as both a force for destruction and a means of healing, through the experiences of two survivor communities: Hibakujumoku (trees that survived the atomic bombings of Hiroshima and Nagasaki) and individuals who lost their voices to head and neck cancer and rebuilt communication through radiotherapy, surgery, and rehabilitation.

Methods: Ten adults, post-laryngectomy, were recruited via Shout at Cancer, a UK charity focused on alaryngeal speech recovery. Over ten weeks, they attended six workshops combining group singing, creative writing, and reflective dialogue. Participants listened and responded to recordings of survivor trees from Japan, captured with contact microphones, accelerometers, and hydrophones. Infrared and thermal imaging revealed hidden vitality. These materials, integrated with participant vocal recordings, formed hybrid works presented as live performances and multimedia installations. Analysed data comprised workshop audio recordings and notes, participant reflections, creative texts where functioning as reflective accounts, researcher field notes and reflexive memos, and written reflections from collaborating artists. Data were analysed using reflexive thematic analysis within an interpretivist, arts-based participatory design.

Results: Reflexive thematic analysis identified three themes: (1) Parallel Survivorship-encounters with trees' "voices" prompted awe and reframed silence as endurance; (2) Reclaimed Agency-co-writing and performance supported identity, confidence, and public presence; (3) Collective Embodiment-shared vocal practice with human and non-human sounds fostered synchrony, joy, and social connection. Reflections from collaborating artists described reciprocal change, noting shifts toward listening, service, and shared authorship.

Discussion: Where radiation carries complex cultural meanings, these findings highlight the importance of reframing it within clinical and public health contexts-as both a source of harm, and a means of healing. The results demonstrate that immersive, nature-linked co-creation not only assists in meaning-making and relational wellbeing for individuals recovering from voice-altering cancer treatments, but also underscores the potential of such approaches to complement healthcare interventions by fostering emotional recovery and social connectedness. The study furthermore strengthens the existing underpinnings for future mixed-methods and longitudinal research to examine the broader impacts of arts-health collaborations.

Oscillatory activity is a hallmark of neural function across spatial and temporal scales, but its origins and computational roles remain only partially understood. Since our earlier caution against treating alpha-band activity as a unitary phenomenon, converging work has highlighted the need to interpret brain rhythms within their anatomical and functional context. Here we provide both a comprehensive review of this progress and a perspective-style framework, the resonant hierarchy, which situates oscillations within a nested scaffold spanning from dendritic microstructure to macroscale inter-areal coordination. At the cellular level, dendritic branches act as spatially organized filters with frequency-selective resonance properties. At larger scales, conduction delays and anatomical layout constrain dominant communication frequencies, aligning structural hierarchy with temporal coordination regimes. We argue that canonical rhythms (alpha, beta, gamma, etc.) should be understood not as fixed cognitive modules, but as emergent descriptors of these coordination regimes. In contrast to previous multiscale accounts that focus primarily on laminar microcircuits or network-level eigenmodes, we explicitly link dendritic resonance, laminar organization, and long-range conduction delays into a single cross-scale framework and articulate how they jointly shape latent population dynamics. This perspective unifies diverse findings and generates testable predictions: manipulations of dendritic resonance should systematically shift network oscillations; disruptions of conduction pathways should alter inter-areal alignment; and targeted neuromodulation may work best by nudging latent dynamics along resonant dimensions. In integrating review with framework, we aim to reposition oscillations as fundamental scaffolds of computation, offering a principled basis for future modeling, measurement, and intervention.

Non-suicidal self-injury (NSSI) is a prevalent global public health concern among adolescents, with bullying victimization recognized as a key risk factor, while the underlying cognitive mechanisms and interpersonal protective factors remain understudied. This study aimed to investigate (1) the relationship between bullying victimization and non-suicidal self-injury (NSSI) in adolescents, (2) the mediating role of rumination in the association between bullying victimization and NSSI, and (3) the moderating role of friendship quality in the relationship between rumination and NSSI. A sample of 692 adolescents was assessed using the Bullying Victimization Questionnaire, the Adolescent NSSI Behavior Assessment Questionnaire, the Ruminative Responses Scale (RRS), and the Friendship Quality Questionnaire (FQQ). Results indicated that: (1) Bullying victimization exerted a significant positive predictive effect on NSSI (explaining 59.85% of the variance); (2) Rumination partially mediated the link between bullying victimization and NSSI, accounting for 40.15% of the total effect; (3) Friendship quality moderated the relationship between rumination and NSSI (β = -0.002, p < 0.001), attenuating the detrimental impact of rumination on NSSI. These findings collectively suggest that bullying victimization, rumination, and lower friendship quality collectively heighten adolescents' risk of engaging in NSSI.

The mechanism of inter-brain synchrony (IBS) during role-playing in music psychodrama has received limited empirical attention. To address this gap, the present study employed functional near-infrared spectroscopy (fNIRS) hyperscanning to examine IBS in 46 participant pairs during music psychodrama role-playing. Behavioral results showed that negative emotion questionnaire scores were significantly lower following the intervention compared with pre-intervention levels. Neural results revealed that, relative to the resting state, music psychodrama role-playing significantly enhanced activation in the right dorsolateral prefrontal cortex (R-DLPFC) and the right frontopolar area (R-FT), and also produced a significant increase in IBS within the R-FT. These findings shed light on the neural mechanisms underlying role-playing in music psychodrama and provide empirical support for future intervention research.