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Viene illustrato un modello di presa in carico di famiglie con un figlio paziente, caratterizzato da: 1. Una fase preliminare di raccolta di informazioni che permette la formulazione precoce di ipotesi e la costruzione di una alleanza con ciascuno. 2. Una conduzione sempre in équipe, privilegiando la co-terapia all'uso dello specchio unidirezionale. 3. L'alternanza di formati, anche individuali, condotti da ciascuno dei membri dell'équipe.

In the contemporary media landscape, the visual component of armed conflicts tends to be articulated in two distinct imaginaries. On one hand, we observe a ‘view from above’ generated by aircrafts, UAVs, and satellites; on the other, we encounter videos and photographs shot with consumer technologies by people on the ground such as regular soldiers, militiamen, guerrillas, NGOs, and civilians. Through the internet, these ‘low images’ have created a new imaginary. Among the devices that mark the iconography of the wars of the new millennium, a prominent place is occupied by minute-sized videographic instruments usually secured on the operator’s head, called helmet cameras. These devices are characterised by two elements: the first-person view and the prosthetic relationship with the human body. The machine vision hence presupposes a form of witnessing inextricably related to the subject’s mobility. Helmet cameras produce an embodied experience of war in which the visual perspective echoes the agency of a body at risk that is exposed to the stimuli and the dangers of the battlefield. Focusing primarily on the television docu-series Taking Fire (2016), the paper aims to explore all the elements that mark helmet cameras as a real topos of the contemporary war imagery, pointing to the relationship between vision, technical device, and body. The essay highlights recurring features of the images on both filmic and content levels, adopting an interdisciplinary perspective. Starting from studies on point-of-view shots and documentary filmmaking, the essay demonstrates how helmet camera images are profoundly influenced by several trends shaping the contemporary media landscape, including the post-photographic approach, the videogame world, the aesthetics of extreme sports, and the social network culture.

Les auteurs decrivent les differentes portes d’entree qu’ils ont progressivement integrees dans leur travail de psychotherapeutes a l’ecole de Milan.

Les auteurs ont compare leurs observations de peres rencontres lors de leurs prises en charge datant des annees 1990 avec celles faites en 2016 et 2017. Ils constatent que les peres traditionnels disparaissent, mais que rares sont les « nouveaux peres » rencontres en therapie. Par ailleurs, de plus en plus de peres, meme separes, sont demandeurs et constituent des ressources pour la therapie familiale.Le temoignage de Matteo Selvini sur la relation de sa mere Mara Selvini Palazzoli avec son propre pere, ainsi que les descriptions faites par les trois auteurs de leur rapport avec leur propre pere, montrent combien il est necessaire de faire un travail sur soi pour depasser les limites liees au fait d’avoir eu un pere traditionnel. Les interviews des etudiants en formation montrent que d’avoir eu « un nouveau pere », ou de repenser un pere traditionnel, permet de mieux aider les peres en therapie.Le lien avec les enfants constitue un puissant levier pour mobiliser les parents, autant les peres que les meres. En effet, les competences parentales n’ont pas de sexe : les distinctions entre paternel et maternel ont ete historiquement determinees par la culture patriarcale et sont minimisees dans la culture moderne de la parentalite « partagee ».

Beginning in the nineteenth century, topographic and then cartographic operations (land registry, defense maps) developed nationally in Europe. All the States participated in it, creating scientific bodies that dictated the fundamental lines. Thus were born the "geodetic commissions". These exist and still operate in the EU, with the exception of Italy. The Italian Geodetic Commission was an Italian public body that was the Italian counterpart of the International Association of Geodesy. In 1975 the commission was declared a non-useful body according to the law of 20 March 1975 n. 70 and then suppressed with the Presidential Decree of 4 July 1977. I avoid the comment, leaving it to the readers.

Kawasaki disease (KD)is an idiopathic acute febrile illness that primarily occurs in children &lt, 5 years of age and can lead to artery lesions if not promptly treated. Recent studies have shown possible correlations between KD onset and currents and air pollutants.The present study describes results on the correlation between environmental conditions, frequency, and variability ofKD onset in children under five years of age in Emilia-Romagna, a region of Northern Italy, over the period from 2000 to 2017. Since there are substantial climatic differences between the western-central (Emilia) and the eastern area (Romagna) of the region, the data for these areas are analyzed separately. The environmental factors considered are observed local surface daily temperature, daily precipitation, upper air wind regimes, and local air pollution. The results indicate that in Emilia-Romagna, KD onset occurs mainly during late autumn and early spring, which is in agreement with the literature. The frequency of KD onset in Emilia is significantly higher in months characterized by a high frequency of southerly flow, which is associated with milder than average night-time temperature, and in years with a prevailing south-westerly mean flow. These results are consistent with other studies, suggesting that certain wind conditions are more favorable for disease onset, which are possibly associated with one or more airborne agents.

The psychologist described here had been working in the company under discussion for about two years before he joined our research team. As a result, his situation in the company, by all accounts, could no longer be changed. Moreover, even before his appointment, he had been friendly with one of the two owners. Our account of the workings of the company reconstructs the interventions our team suggested to the psychologist. These were proposed for two main reasons. The first was to provoke responses likely to yield information that otherwise might not be forthcoming. The second, by contrast, was the result of the group’s exasperation when it became clear that it could not influence the repetitive game of the partners. Deciding that the company was “sick” and in need of “therapy,” the group proposed its interventions.

The authors show how the theory of attachment has been fundamental to help part of the movement of family therapy to get rid of the limits of a systemic purism that doesn’t consider the evolutive history of the patient and that focuses only on the resources ignoring the limits of the patients and of their families. The theory of attachment is decisive to build up hypotheses, which do not remain confined in the here and now: it can be used as a deductive map that helps the therapist in his work of making hypotheses not only on the development of the patient, but also on problems regarding his childhood and on the reactions of the caregiver. The five re-organizations of the disorganized attachment are a useful guide that puts together the individual personality traits with their possible relational schemes. They help to understand the evolutive paths that lead to different personality disturbs. In this way not only the strategic subject is focused but also the suffering one. These theoric thoughts are explained in a more extensively exposed clinic case and other more concise examples.

Tourette syndrome (TS) and attention-deficit and hyperactivity disorder (ADHD) are co-morbid neurodevelopmental conditions affecting more commonly male patients. We set out to determine the impact of co-morbid ADHD on cognitive function in male children with TS by conducting a controlled study. Participants included four matched groups of unmedicated children (age range 6–15 years): TS (n=13), TS+ADHD (n=8), ADHD (n=39), healthy controls (n=66). Following clinical assessment, each participant completed a battery of tests from the Wechsler Intelligence Scale for Children-III, the Italian Battery for ADHD, the Tower of London test, the Corsi test, and the Digit Span test. All patient groups reported significantly lower scores than healthy controls across the neuropsychological tests involving executive functions. The TS+ADHD group was the most severely affected, followed by the ADHD group and the TS group, particularly in the tests assessing planning ability, inhibitory function, working memory and visual attention, but not auditory attention. Problems in executive functions are more common in patients with neurodevelopmental disorders than controls. Deficits in planning ability, inhibitory function, working memory and visual attention reported by children with TS appear to be more strongly related to the presence of co-morbid ADHD symptoms than core TS symptoms.

Objective Gilles de la Tourette syndrome (GTS) is a neuropsychiatric disorder characterized by multiple motor and vocal tics and commonly associated with co-morbid conditions. Despite early reports of increased prevalence of headache in both children and adults with GTS, little is known about the nature of this co-morbidity. We conducted a collaborative study based in specialist clinics to compare the prevalence and characteristics of headache in paediatric and adult patients with GTS. Methods We assessed a total of 140 patients with GTS for the presence and characteristics of headache: 109 children and adolescents (age range 6-17 years) and 31 adults (age range 18-55, randomly selected from a clinical sample of 200 patients) seen at specialist clinics. A further comparison was performed between the group of adults with headache (n =15) and a subgroup of gender-matched children with headache (n =16). Results In our study, the prevalence of headache was 48.4% in adults with GTS and 22.9% in children with GTS (p = 0.01). Adults with GTS presented with higher tic severity and poorer quality of life compared to younger patients (p = 0.01). There was a significant difference in the headache types: tension type headache was significantly more commonly reported by adults with GTS, whereas migraine was significantly more commonly reported by children with GTS (p = 0.02). Adults with GTS and co-morbid headache consistently presented with higher tic severity and poorer quality of life compared to children with GTS and co-morbid headache (p = 0.01). Conclusions Headache is confirmed as a relatively common co-morbidity of GTS, particularly in adult patients seen at specialist clinics. The higher prevalence of headache in adults with GTS (especially tension-type headache) compared to younger patients could be related to higher tic severity and poorer quality of life in our adult clinical sample. If replicated, these findings can inform clinical practice in guiding targeted screening and management interventions for headache in patients with GTS across the lifespan.

Background: ICU patients must be kept conscious, calm, and cooperative even during the critical phases of illness. Enteral administration of sedative drugs might avoid over sedation, and would be as adequate as intravenous administration in patients who are awake, with fewer side effects and lower costs. This study compares two sedation strategies, for early achievement and maintenance of the target light sedation. Methods: This was a multicenter, single-blind, randomized and controlled trial carried out in 12 Italian ICUs, involving patients with expected mechanical ventilation duration > 72 h at ICU admission and predicted mortality > 12% (Simplified Acute Physiology Score II > 32 points) during the first 24 h on ICU. Patients were randomly assigned to receive intravenous (midazolam, propofol) or enteral (hydroxyzine, lorazepam, and melatonin) sedation. The primary outcome was percentage of work shifts with the patient having an observed Richmond Agitation-Sedation Scale (RASS) = target RASS ±1. Secondary outcomes were feasibility, delirium-free and coma-free days, costs of drugs, length of ICU and hospital stay, and ICU, hospital, and one-year mortality. Results: There were 348 patients enrolled. There were no differences in the primary outcome: enteral 89.8% (74.1-100), intravenous 94.4% (78-100), p = 0.20. Enteral-treated patients had more protocol violations: n = 81 (46.6%) vs 7 (4.2%), p < 0.01; more self-extubations: n = 14 (8.1%) vs 4 (2.4%), p = 0.03; a lighter sedative target (RASS = 0): 93% (71-100) vs 83% (61-100), p < 0.01; and lower total drug costs: 2.39 (0.75-9.78) vs 4.15 (1.20-20.19) €/day with mechanical ventilation (p = 0.01). Conclusions: Although enteral sedation of critically ill patients is cheaper and permits a lighter sedation target, it is not superior to intravenous sedation for reaching the RASS target. Trial registration: ClinicalTrials.gov, NCT01360346. Registered on 25 March 2011.

Gilles de la Tourette syndrome (GTS) is a neurodevelopmental condition characterized by the presence of motor and vocal/phonic tics. Although GTS was initially believed to be a rare medical condition, the results of recent epidemiological studies have shown that 0.3%–1% of school age children fulfill current diagnostic criteria. As the presence of comorbid behavioral symptoms has been consistently documented in most patients, GTS is considered as a quintessentially neuropsychiatric condition at the interface between neurology (movement disorder) and psychiatry (behavioral condition). Specifically, frequent comorbidities such as obsessive–compulsive disorder and attention-deficit and hyperactivity disorder often have a deeper impact on health-related quality of life than the tics themselves. The etiological mechanisms of tics and associated behavioral problems are still elusive and an increased focus on the role of both genetic and epigenetic factors, including chromatin regulation, can shed light on the pathophysiology and inform treatment approaches.

At Sapienza the chair of topography, immediately after the Second World War, was covered by Giovanni Boaga. The great scholar, who at the time was also Direttore Generale del Catasto e dei Servizi Tecnici Erariali, was looking for an assistant. He was introduced to a young Roman, tall and handsome, brilliantly graduated in engineering, who had served in the Royal Army as a lieutenant and was briefly in Stuttgart for relations with the Wehrmacht. The assignment was immediately given to him, but shortly after the engineer entered in the cadastral administration, where he would then conduct his entire career. The young man was Enrico Vitelli, born in 1919; military service in Pavia, where he met a kind and beautiful young lady of excellent family, who would later become his wife.

Corrado Mazzon, nato a Venezia nel 1918 e patrizio veneziano, passò dall'Universití al Politecnico, chiamato da un altro fisico, Mariano Cunietti, di lui minore per un paio d'anni, che era gií nel prestigioso Istituto di Geodesia e Topografia diretto da Gino Cassinis, allora anche direttore del Politecnico (non esisteva ancora la qualifica di "Rettore”, vedi in (Monti, Selvini 2017).

The ex-President of the Italian Society of Photogrammetry and Topography (1995-1998) returns to a subject really dear to him: the reforms on the profession of Surveyor, the proliferation of the Bachelors Degrees for Surveyors and the shameful elimination of the Geodesic Commission of the Italian Republic, deemed "useless institution".

Semestrale di studi e ricerche di geografia, N. 2 (2019)

SIFET, the Italian Society of Photogrammetry and Topography, has many honorary members. In this article a proposal for a new one.

Some considerations of Prof. Attilio Selvini on the evanescent role of the Universities, on the ever more incessant emergence of the spin-offs and on the paid courses promoted by these academic spin-offs within the Universities.

Some considerations of Prof. Attilio Selvini on the evanescent role of the Universities, on the ever more incessant emergence of the spin-offs and on the paid courses promoted by these academic spin-offs within the Universities.

SIFET, the Italian Society of Photogrammetry and Topography, has many honorary members. In this article a proposal for a new one.

Le diagnostic de personnalite est indispensable pour les therapeutes exclusivement systemiciens. Il est necessaire d’integrer dans la pensee systemique un diagnostic de personnalite base sur la theorie de l’attachement, les reorganisations de l’attachement desorganise et les adaptations post-traumatiques. Idees fondamentales pour combattre les risques de l’extremisme systemique et des psychopedagogismes stereotypes qui en decoulent, comme par exemple celui de la depathologisation ou de l’emancipation manquee du patient designe. Nous devons recuperer la richesse de la dimension individuelle : le patient n’est pas un symbole vide dans l’organigramme d’une structure familiale.

In Tourette syndrome, motor and phonic tics are associated with a spectrum of psychiatric disorders. As proxy report instruments are commonly used to assess children with Tourette syndrome, we investigated the relationship between child and mother ratings of behavioral problems. We enrolled 28 children with Tourette syndrome (25 males; mean age, 13.9 years) and 61 gender- and age-matched healthy controls (55 males; mean age, 14.7 years). Clinicians completed measures of tic severity, and all children completed the Youth Self-Report version of the Child Behavior Checklist, while their mothers completed the Child Behavior Checklist. In the clinical group, Youth Self-Report scores were significantly lower than mothers’ Child Behavior Checklist scores across the majority of subscales (especially affect and somatization). In contrast, for the control group, mother and child ratings only differed for the externalizing behavior subscales. Clinicians should be aware of these differences between self and mother ratings for specific behavioral problems in Tourette syndrome.

Background:Gilles de la Tourette syndrome (GTS) is a chronic childhood-onset neuropsychiatric disorder with a significant impact on patients’ health-related quality of life (HR-QOL). Cavanna et al. (Neurology 2008; 71: 1410–1416) developed and validated the first disease-specific HR-QOL assessment tool for adults with GTS (Gilles de la Tourette Syndrome-Quality of Life Scale, GTS-QOL). This paper presents the translation, adaptation and validation of the GTS-QOL for young Italian patients with GTS.Methods:A three-stage process involving 75 patients with GTS recruited through three Departments of Child and Adolescent Neuropsychiatry in Italy led to the development of a 27-item instrument (Gilles de la Tourette Syndrome-Quality of Life Scale in children and adolescents, C&A-GTS-QOL) for the assessment of HR-QOL through a clinician-rated interview for 6–12 year-olds and a self-report questionnaire for 13–18 year-olds.Results:The C&A-GTS-QOL demonstrated satisfactory scaling assumptions and acceptability. Internal consistency reliability was high (Cronbach’s alpha > 0.7) and validity was supported by interscale correlations (range 0.4–0.7), principal-component factor analysis and correlations with other rating scales and clinical variables.Conclusions:The present version of the C&A-GTS-QOL is the first disease-specific HR-QOL tool for Italian young patients with GTS, satisfying criteria for acceptability, reliability and validity.

Over the last few years, aripiprazole has been proposed as a potentially useful medication for tics in patients with Tourette syndrome (TS). Aripiprazole has been associated with fewer adverse effects compared with other atypicals; however, little is known about its tolerability profile in the TS population. This study assessed the prevalence and characteristics of adverse effects resulting from the use of aripiprazole in a retrospective chart review of 29 patients with TS. Six patients (20.7%) discontinued aripiprazole because of the severity of specific adverse effects. The most commonly reported adverse effects were sedation ( n = 9, 30%) and sleep problems ( n = 5, 17%). In the majority of cases, adverse effects were not severe. There were no differences in demographic or clinical variables between the patients who did or did not experience adverse effects. The discontinuation rate of 20.7% suggests that aripiprazole is safe and reasonably well tolerated for use in TS. The prevalence of adverse effects appears to increase with treatment duration.

Systemic therapy theories should highlight the development patterns that lead to personality disorders. It is often mistaken to connect a symptom to the way in which the family acts here and now. Researches on family deficiency, on traumatic development, on attachment disorganization, and on the five reorganizations are the fundamentals for family and individual treatments of personality disorders.

Reflections on the second test for the qualifying examination to the freelance profession of surveyor.

Con una ricerca su 179 casi visti negli ultimi otto anni l’autore discute l’efficacia di un primo incontro familiare per coinvolgere nel trattamento gli adolescenti non richiedenti, cioe la quasi totalita degli adolescenti che giungono a contatto di uno psicoterapeuta. Descritta una tipologia di nove tipi di adolescenti non collaboranti e di due tipi di collaboranti, vengono esposte le linee guida e le tecniche della presa in carico dell’adolescente, dal primo contatto fino al primo/secondo colloquio familiare: sicurezza nella seduta, coinvolgimento emotivo, autorevolezza del terapeuta, spiegazioni psicologiche, condivisione delle proprie storie, ricostruzione di appartenenza.

L’integrazione del modello sistemico con la teoria dell’attaccamento consente di vedere in modo circolare l’interazione tra il bambino e la sua famiglia e quindi anche quelle deviazioni del percorso che conducono ai disturbi della personalita. L’autore sintetizza le cinque strategie di riorganizzazione dell’attaccamento proponendole come matrici delle personalita post-traumatiche e diagnosi di personalita che dovrebbero sostituire quelle stigmatizzanti (borderline e masochismo). La ricerca sulle correlazioni tra tratti di personalita e storia familiare apre la strada di terapie parallele individuali e familiari.

Tourette syndrome is a neurodevelopmental disorder characterized by multiple tics and commonly associated with behavioral problems, especially obsessive-compulsive disorder and attention-deficit hyperactivity disorder (ADHD). The presence of specific personality traits has been documented in adult clinical populations with Tourette syndrome but has been underresearched in younger patients. We assessed the personality profiles of 17 male adolescents with Tourette syndrome and 51 age- and gender-matched healthy controls using the Minnesota Multiphasic Personality Inventory-Adolescent version, along with a standardized psychometric battery. All participants scored within the normal range across all Minnesota Multiphasic Personality Inventory-Adolescent version scales. Patients with Tourette syndrome scored significantly higher than healthy controls on the Obsessiveness Content Scale only (P = .046). Our findings indicate that younger male patients with Tourette syndrome do not report abnormal personality traits and have similar personality profiles to healthy peers, with the exception of obsessionality traits, which are likely to be related to the presence of comorbid obsessive compulsive symptoms rather than tics.

Con questo articolo l’autore propone un esempio di ricerca sull’anoressia restrittiva, utilizzando un modello sistemico familiare ed individuale integrativo della sofferenza basto sulla teoria dell’attaccamento e lo studio della personalita. Nell’anoressia il tratto chiave di matrice evitante della personalita sembra essere quello di una iper-responsabilizzazione compiacente che paralizza una effettiva empatia sia verso se stessa che verso i familiari.

Young patients with Tourette Syndrome (TS) can exhibit poor emotional control and aggression. We explored anger in young patients with TS. Twenty-five patients diagnosed with TS and 41 healthy controls completed the State-Trait Anger Expression Inventory (STAXI). Parents and teachers completed the child behavior checklist and Conners’ Parent/Teacher Rating Scales-Revised. STAXI scores were not significantly different between patients with TS and controls. However, many proxy-rated measures linked to anger and externalizing problems were significantly higher in TS. As proxy-rated instruments revealed more oppositional and aggressive behaviors in young patients with TS, they are important in the multidimensional assessment of TS. These findings offer useful insights into the nature of anger symptoms in young patients with TS and provide a basis for more effective diagnosis and management.

The article is a reflection on the actual value of information technology applied to cartography. In particular the author wonders how thousands of data can be really useful in as many databases which are difficult to understand to the same technicians who should have use them.

Nella prima parte dell'articolo gli autori discutono delle difficoltŕ della psicoterapia in generale, e di quella sistemica in particolare, nell'affrontare il tema della resilienza vale a dire del trauma e del suo superamento. Difficoltŕ dei sistemici prevalentemente legare al totem della depatologizzazione ed al conseguente tabů della diagnosi. Nella seconda parte viene delineato un percorso tipico o ideale in sei fasi per l'elaborazione dei traumi, quale guida per valutazioni cliniche che consentono un processo terapeutico organizzato e strutturato.