Psychiatria Hungarica最新文献

Introduction: Due to patients diagnosed with borderline personality disorder (BPD) can engage risky behaviors, it is necessary to develop evidence based interventions in healthcare that can help to reduce the most pressing problems. BPD-specific cognitive therapy-based mindfulness training (MBCT) can be a solution to this challange.

Literature review: Non-suicidal self-injury (NSSI) is a significant predictor of subsequent suicide attempts and occurs in 80% of BPD patients. It is related to impulse- and emotion-dysregulation (cognitive-emotional model), as well as the deficit of mindfulness skills, which are also key difficulties in BPD (emotional cascade model, mindfulness deficit theory). The cognitive-emotional reactivity model of NSSI based on the reactivity model in recurrent depression, the four-function model and theories above. The model differs situational, cognitive, emotional, physiological, and behavioral factors that can trigger or maintain NSSI, and it also helps to determine intervention points.

Study protocol: Our hypothesis is that the 8-week MBCT training is more effective in developing mindfulness skills, emotion- and impulse control, and in reducing self-harm also than waiting list or supportive therapy. Participants are BPD patients with NSSI, in a quasi-experimental repeated measure design, planned sample size is N=60 per group. Before the training there is a two-stage interview procedure, patients fill out a questionnaire survey and they have to sign a suicide prevention contract. The planned waiting time between the first interview and the start of the training is 8-12 weeks. The group sessions are based on the MBCT training protocol designed to reduce the risk of suicide, supplemented with BPD-specific elements (specific psychoeducation, loving-kindness meditation).

Discussion: Based on the effectiveness of small-sample research, our aim is to test the effectiveness of MBCT training among BPD patients based on the above protocol.

Lou Salomé (1861-1937) left her native Russia at the age of nineteen and began her university studies in Zurich. During her long life, the famous and less famous men who came into contact with her almost without exception came under her influence. Some had passionate love, some had platonic love, and some had a "more than" master and student relationship. Was she a muse or a femme fatale? An analysis of her special life path provides an answer to the question.

Background: According to research, there is a negative association between emotion regulation, mentalization difficulties and quality of life among adolescents. However, no former study examined the relationship between these three constructs in a Hungarian adolescent sample.

Methods: In our non-clinical cross-sectional study, 122 adolescents answered a list of demographic questions and then completed the Reflective Function Questionnaire (RFQ-H), the Emotion Regulation Difficulties Questionnaire (DERS) and the Quality of Life Scale (ILK) after informed consent. In our mediator model, we chose the Reflective Function Questionnaire as the independent variable, the Emotional Regulation Difficulties Questionnaire as the mediator and the Quality of Life Scale as the dependent variable.

Results: There was a significant relationship between mentalization dysfunction and emotional regulation difficulties (a=0.39, p< .01, ß=0.44). The direct effect between mentalization difficulties and low quality of life was not significant (c'=0.02, p=.73, ß=0.03), while the indirect effect between mentalization dysfunction and low quality of life mediated by emotional regulation difficulties was significant (ab=0.22 [0.13-0.33], ß=0.25 [0.14-0.36]).

Conclusion: Our results imply that emotional regulation mediates the relationship between mentalization and quality of life among the Hungarian adolescent sample, which have practical implications.

Virginia Woolf was one of the most talented and innovative writers of the 20th century. In our study, we review the family background of Virginia Woolf, affective spectrum disorders occuring in her family, as well as the genetic and psychosocial factors, such as the writer's childhood traumatization and coping strategies, which influenced the course and symptoms of her bipolar disorder. We summarize the data which are related to the supposed neuroprogressive processes and suicidal behaviour.

Professionals working in the field of psychiatry have recently been increasingly encountering patients seeking help who define themselves as transsexual. Gender identity and gender self-expression of transsexual people do not match their biological sex, and they also feel an intense desire and urge to change their officially registered gender at birth and their physical appearance - even by using hormone therapy or surgery. In their case, the diagnosis of gender identity disorder as a disease category enables the use of medical interventions and health services necessary for transition. At the same time, the diagnosis is complicated by the fact that there is currently no specific psychodiagnostic procedure suitable for the clear identification of gender identity disorder, and gender incongruence can also appear as a symptom of many other mental disorders. Therefore, careful differential diagnosis is essential to establish a well-founded diagnosis, with the help of this literature review that summarizes other mental illnesses with similar symptoms as well as the more common comorbid pathologies.

Introduction: The literature indicates that a more genuine parental reflective function positively relates to the child's well-being and adaptive parental cognitive emotion regulation strategies. However, this relationship has not been studied among Hungarian parents of adolescents. The present research aims to explore the relationship between parental mentalization, cognitive emotion regulation, and perception of children's quality of life among parents of 12- and 18-year-old adolescents.

Methods: In our cross-sectional, non-clinical study, 100 parents completed the Parental Reflective Function Questionnaire Adolescent Version (PRFQ-A), the Cognitive Emotion Regulation Questionnaire (CERQ), and the Quality of Life Questionnaire (ILK) after informed consent. In our mediator model, we chose the Quality of Life Questionnaire as a dependent variable and the Parental Reflective Functions Questionnaire Adolescent Version Certainty in Mental State subscale as an independent variable, and the mediator was the Positive Reappraisal subscale of the Cognitive Emotion Regulation Questionnaire.

Results: The direct path between the Certainty in Mental Conditions subscale and the Quality of Life Questionnaire (c'=1.63, p<.001, ß=0.33) was significant. However, the indirect pathway between the Certainty in Mental Conditions subscale and the Quality of Life Questionnaire through the Positive Reappraisal subscale was insignificant (∑ab=0.32 [-0.01- 0.65], ß=0.07).

Conclusion: Our results suggest that parental mentalization plays a crucial role in the perception of child's well-being among parents of adolescents, which has practical implications.

The staging model is widely used in medicine to determine progression, prognosis, and therapeutic decisions. The application of the staging model in psychiatry is currently limited due to etiological and clinical heterogenity. Accor ding to our current knowledge, bipolar disorder is a progressive psychiatric disease with different stages, which can be differentiated based on the course, clinical symptoms and responsiveness to therapy. In our review, we describe the most important clinical staging models of bipolar disorder and the neuroprogressive processes which are underlying them.

Two paintings by the Dutch-born painter Vincent van Gogh of his own and his friend Paul Gauguin's chair in Arles have had a major impact on twentieth and twenty-first century art, in the visual and photographic arts, literature and film. The literature interpreting the paintings, particularly art history, art psychology and psychiatry, agrees that the two paintings, painted in a psychotic state, can be seen as a coping response to van Gogh's fear of death, a kind of mourning. There is, however, another interpretation of the paintings, which emerges when the two paintings are seen as a unified whole. In this case, the picture refers to the relationship between artistic and emotional commitment, and conveys the message that the painter's artistic mission does not tolerate a partner, and that he must sacrifice his private life for his art. This concept is in line with the basic idea of the poem "Choice" by the Nobel Prize-winning Irish poet Samuel Butler Yeats. In some examples from the history of art, such as Csontváry, Gulácsy and Cézanne, creative and private life are indeed mutually exclusive, but in others, such as Leonardo da Vinci, Bach, Woolf and Joyce, artistic and emotional commitment have proved compatible.

The primary aim of this paper is to provide an analysis of the psychological dimensions underlying Vivian Maier's self-portraits. It presents information about the life and relationships of the artist, who lived as a nanny and left behind a photographic oeuvre that has remained unknown for years, as well as the impressions that those who knew her formed of her, and the role of photography in Maier's life. This is followed by an examination of the self-portraits, both in terms of the content and the underlying psychological processes that are thought to be behind them. In addition to psychodynamic interpretation, theories and concepts from existential psychology will provide a framework. By exploring the psychological contexts embedded in the images, the study contributes to a deeper understanding of Vivian Maier as an artist and as a person.

The Dynamic Drawing Examination (DRV) is a method developed by István Hárdi, which holds a significant position in the history of the psychology of visual expression. Hárdi began to create this method in 1956 and developed it over 67 years. The DRV focuses on the dynamic process of clinical and drawing changes, distinguishing among various aspects including formal categories, content features, personality levels, and temporal changes. The method pays special attention to avoiding signes-fixed and prejudicial psychoanalytic interpretations. During the evaluation, participants are asked to create a human drawing, an animal drawing, and a free drawing, which are then assessed based on the principle of confrontation and comparative analysis. The DRV represented an important advancement in psychiatric and psychological diagnostics, as it was built on new perspectives instead of traditional approaches.