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Information about several papers discussed at the XIV International Forum of the International Federation of Psychoanalytic Societies, which took place in Rome, Italy on May 23 and May 27 in 2006. A round-table discussion was chaired by Sergio Caruso, which focused on the theme "Contact and exchange between psychoanalytic groups and institutions.

The objective of the research was to understand the experience of families living a premature birth and to outline the current care plan in Italy. The survey was addressed to 150 parents of children born under the 34th week of pregnancy. Topics of the investigation were the implications on their family, social and working contexts, determined through a questionnaire enriched by a collection of narratives. Written testimonies were clustered through a Narrative Medicine method and matched with quantitative information. The main respondents were mothers of severe and moderate preterm children. Except for the Kangaroo Care, services were not uniformed amongst the centers and few home care supports resulted available for families. Sixty-seven percent of the mothers could not obtain a prolonged maternity leave and described the impacts on their working activities. Narratives revealed a low level of prevention, information and awareness on the risks of prematurity amongst families, few local networks among Neonatal Intensive Care Unit (NICU) teams, gynecologists and pediatricians, and the shortage of support for parents at work; these actions were collected in a Position Paper. Findings showed the integration between families' coping strategies and the offered care services for preterm births. Narrative tools could represent the bridge between families and health care teams. [ABSTRACT FROM AUTHOR]

This paper explores the connection between psychological type and personal wellbeing among a sample of 95 Catholic priests serving in Italy. Personal wellbeing was assessed by two measures: the Oxford Happiness Questionnaire and the Purpose in Life Scale. Psychological type was assessed by the Francis Psychological Type Scales that draw on the development of Jung's classic model that distinguishes between two orientations (extraversion and introversion), two perceiving functions (sensing and intuition), two judging functions (thinking and feeling), and two attitudes (judging and perceiving). The data demonstrated that lower levels of personal wellbeing were experienced by introverts than by extraverts. [ABSTRACT FROM AUTHOR]

Increasingly, people employ the term ‘allergy’ to define various pathological conditions, although the biomedical community lacks a consensus on a definition of the term. It has become a widespread and convenient label for diverse conditions, often going beyond biomedical diagnosis. The aim of this paper is to explore how allergic people narrate their illness experiences, focusing specifically on the relationship between words, senses and bodies. This paper is based on an ethnographic study in a medium-sized north Italian city conducted from 2004 to 2008, starting in a public hospital Allergy Unit, and then developing through snowball recruitment and referral methods. Interviews were conducted with 37 allergic people, four allergologists and four nurses. Allergic people's narratives constantly drew upon two main concepts: weakness and pollution. These are interpreted as sensorial dimensions expressing a conflicting relationship with the outside environment. It is argued that in times of marked individualism and social transformations, bodily states are of fundamental importance and the mobilisation of sensory concepts is an attempt to give order and meaning to a world that is perceived as constituted by threatening aspects, polluted and out of order. [ABSTRACT FROM PUBLISHER]

This paper expresses the views of a group of experts within the Italian Study Group on Dysphagia (GISD) concerning the role of the Audiologist-Phoniatrician in performing the dynamic endoscopic study of swallowing. [ABSTRACT FROM AUTHOR]

Compared with other ethnic groups, Chinese immigrants have a low profile and their voices, contributions, sufferings and needs are not widely recognised. This paper argues that the vulnerability of Chinese migrant workers is related to the poor working conditions in ethnic workplaces and the social isolation they experience, and that these two problems are interwoven. The data were obtained from an empirical survey involving 28 Chinese- and Italian-owned manufacturers in the textile, garment and leather sectors in the Veneto region of northern Italy, selected to enable comparisons to be made between conditions in Chinese-owned and Italian-owned businesses. [ABSTRACT FROM AUTHOR]

Background and Objectives: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease. Previous studies showed that perceived social support has an important role in enhancing patient's quality of life (QOL). However, the precise mechanisms through which social support exerts such an effect are not completely understood. The aim of this paper is to test two alternative models explaining the relationship between social support (positive and problematic) and two dimensions of QOL: Health-Related (HR-QOL) and Non-Health-Related (NHR-QOL).Design: Model A (mediation) hypothesized that positive support would reduce stress while problematic support would increase stress), and that this in turn would reduce QOL. Model B (moderation) hypothesized that the effect of support on QOL would be moderated by the experience of stress in that more stressed individuals would show stronger effects.Methods: Three hundred and forty-four Italian patients with SLE completed an online questionnaire.Results: Stress partially mediated the relationship between support and QOL dimensions (either HR-QOL and NHR-QOL) thus supporting Model B. As hypothesized, positive support reduced stress, while problematic support increased stress.Conclusions: These findings help to explain the complex relationship between social support, stress and QOL in patients with SLE. [ABSTRACT FROM AUTHOR]

This paper considers songs devoted to (and sung for) the football team AS Roma by its supporters. Some of these songs were written by the very famous Roman singer-songwriter Antonello Venditti, others by less famous authors and singers, and often simply by supporters, who created new lyrics to be sung at the stadium to the melodies of famous songs. Many of these songs can be described as love songs, suggesting that for many Romans there is no greater passion than that experienced and expressed for their football team. The article argues that Roma fans’ absurd passion for their football team has profound political implications. The act of assigning certain specific emotions to individuals and groups through football events and related cultural productions, such as songs, is dependent upon relations of power. Particular emotions are central to the identity of specific groups and communities, and therefore become, in a broad sense, political. This is especially true when they are performed in mass gatherings such as football matches and celebrations. Football emotions, and therefore emotional songs about football, therefore give body to political beliefs, identities and values. [ABSTRACT FROM PUBLISHER]

Career decisions are amongst the most important we make. Unsurprisingly, much published research exists on this particular aspect of career behaviour. However, the overwhelming majority of studies have been carried out on young people making initial career decisions. This paper extends our understanding by examining how mid-career adults in three European countries (Denmark, France and Italy) actually make career decisions. Characteristic patterns of behaviour recur when individuals approach points of transition or of crisis; each of these transitioning styles is illustrated by an iconic case. Emergent findings support the growing body of evidence that challenges the dominant policy and practice orthodoxy, which places rationality at the centre of the process, by recognising the importance of emotion and context. [ABSTRACT FROM PUBLISHER]

In national and international discourses, Italians are often represented as a greying population failing to reproduce itself. Italian women are targeted for their very low birth rates, while migrant women are scrutinized for their ‘excessive’ fertility and abortion rates. These demographic concerns over differential reproduction reflect ‘replacement anxiety’ about the below-replacement rates of Italians and the replacement of Italians by immigrants. Demographic anxieties coalesce with the intensifying of Catholic ‘vitapolitics’ manifesting in the paradox of pro-natalist interventions coexisting with the curtailment of fertility-enhancing reproductive technologies. The children of migrants emerge in some population discourses as a threat rather than a contribution to the reproduction of the nation. Drawing on multi-sited ethnographic research in Milan, this paper examines how reproduction in contemporary Italy has emerged as a contested social, political, and moral issue that invests Italian and migrant women in different ways, engendering different forms and terms of resistance and contestation. On what terms are subjects governed and called upon to govern themselves to be more ‘rational’ and ‘responsible’ reproducers of the nation? What subjectivities and local responses are engendered by the politics of reproduction in Italy? As different rationalities and notions of responsible reproduction circulate, ethnographic research sheds light on how anxieties over low birth rates are reappropriated and redeployed against the state, suggesting that subjects are not so easily governable by population and reproductive discourses. This research contributes to the literature on critical demography and the politics of reproduction and migration in the new Europe. [ABSTRACT FROM PUBLISHER]

The literature contains numerous reports on motivation in blood donors, although none of these are specific to blood donation in Italy and almost all of them focus on altruism and the desire to help others. Altruism is important, but a comprehensive analysis of donor motivation should examine all the factors affecting the decision to donate, including commitment to voluntary blood donor organizations. The aims of this paper are to verify if the motivational factors that influence the choice to donate blood in Italy are generally consistent with the findings from other countries reported in the literature and to focus on commitment to donor organizations as an additional factor. A sample of 895 whole blood donors completed a self-report questionnaire containing questions about: reasons for beginning to donate, people who influenced this choice, and level of commitment to voluntary blood donor organizations. The most frequently reported reasons for giving blood for the first time were “to help others” (56%), “influence of family/friends” (22%), and “social/moral obligation” (11.2%); commitment did not vary as a function of the leading motivation reported. Differences emerged between males, who more frequently reported having been influenced by parents and friends, and females, who referred more often to altruistic motives. The opportunity to check one's own state of health also played an important role (6.9%), especially for male donors. Overall, however, the decision to donate was primarily a personal choice (41.3%), although influence was also attributed to relatives (21.8%), friends (22.3%), and voluntary blood donor organizations (21.8%). The reported level of commitment to the donor organization was positively correlated with the number of total and annual donations made and number of new donors recruited. [ABSTRACT FROM PUBLISHER]

The aim of this paper is to highlight the public's appraisal of politicians' behaviour. We know from previous studies that citizens' judgements of politicians are related to social and political characteristics. Nevertheless, the impact of partisan ties, especially in European countries, has rarely been investigated. Using data drawn from surveys carried out in two neighbouring regions, in Switzerland and Italy, we focus on the supporters of two right-wing populist parties, the Lega Nord and the Lega dei ticinesi. Empirical evidence shows that, in contrast with the anti-establishment and anti-corruption discourse of these parties, their supporters are more indulgent vis-à-vis politicians' transgressions than the supporters of more moderate and left-wing parties. In order to interpret these findings, we consider the position of these populist parties in their respective party systems (both were involved in government coalitions at the time the survey was carried out), the behaviour and character of their leaders and their supporters' attitudes regarding public and private conduct. [ABSTRACT FROM AUTHOR]

The aim of the study was to explore cognitive and affective dimensions of ToM using the computerized Yoni task in participants with amnestic Mild Cognitive Impairment (aMCI=16), early stage of Parkinson's Disease (PD=14), and healthy controls (HC=18) Results demonstrated that the Yoni task was effective in discriminating between groups in 1th order cognitive dimension (MCI

Background: People suffering from mental disorders are affected by public stigma in many areas of daily life, including mental health services. Stigma among mental health professionals needs to be addressed. Aims: This study explores the path leading to attitudes toward seclusion and restraint practices among future mental health professionals, considering the complex interplay among demographic variables, personality, stigma, and experience in psychiatric services. Method: Network analysis and Structural Equation Modeling were used to explore 1512 Psychology students. The survey instrument included a form for demographic and academic variables, the Attribution Questionnaire-9, the Ten Items Personality Inventory, and few questions exploring attitudes toward open-door and restraint-free policies in Psychiatry. Results: The personality trait of Openness and previous experience with psychiatric patients resulted to play a positive effect on stigma. Openness was also associated with a better disposition towards restraint-free policies. Conversely, higher levels of stigma predicted a negative attitude toward no restraint, decreasing the positive effect of Openness. Conclusions: In conclusion, some personality traits may be associated with lower levels of stigma and a more open view about treatment policies in Psychiatry. Direct educational or professional experience with patients suffering from mental disorders may be a crucial factor in reducing the risk of stigmatizing attitudes in future professionals. [ABSTRACT FROM AUTHOR]

Since early 2000, Italian regions have been taking a 'multilevel' approach to territorial planning by seeking a 'shared vision' between different strategic planning levels: the regional level with the territorial plans of the regions, the national level with the National Strategic Framework based on the so-called 'strategic platforms', and the European level with the Trans-European Network for Transport corridors and European Spatial Development Perspective polycentrism. Territorial cohesion and territorial competitiveness constitute objectives of all these planning levels and related visions to a certain extent. But they are understood in different ways at the different levels. Thus, coordination between these 'multilevel' visions—the chief problem of any multilevel governance—often presents radical problems. Structural incoherencies or incompatibilities between the different visions make interaction difficult, and coordination even impossible. Efforts are needed to work towards the goal of better coordination between visions, so that they can at least speak a common language in relation to the existing territorial problems and possible strategies. [ABSTRACT FROM AUTHOR]

Older adults have been identified as a high-risk population for COVID-19, therefore it is crucial to understand how they perceived and reacted to the emergency. We examined age-related differences in emotions, cognitive attitudes, and behavioral responses to the COVID-19 crisis. Based on the Socioemotional Selectivity Theory, we expected to find a positive approach in older adults, which may translate into lower compliance with restrictive measures. Methods: We analyzed data (n = 306) from a nation-wide online survey conducted between April 1st and April 16th, 2020. We compared young (18–29 years), middle-aged (30–50 years), and older (65–85 years) adults' self-reported emotions, attitudes toward the emergency, and compliance with governmental rules. Results: Older adults showed lower negative emotions than young and middle-aged adults. Also, older adults were more confident about COVID-related information received, more favorable toward the restrictive measures, and perceived lower underestimation of the emergency compared to the other age groups. However, older people anticipated a longer time for the emergency to resolve. No age-related differences in compliance with the rules emerged. Conclusion: Older people showed a positive attitude toward the emergency. This attitude was confined in the here and now and did not extend to expectations for the future. Compliance with rules was high across our sample. However, less compliant individuals were also less confident in COVID-related information received by the media and official sources, suggesting the importance of providing precise and reliable information to promote adherence to restrictive measures. [ABSTRACT FROM AUTHOR]

This study argues that the notion of learning preferences (rooted within a coherent and established theory of personality and individual differences) may be more fruitful than the largely contested notion of learning styles. The case is illustrated by extrapolation from psychological type theory in the light of the profile of 581 students enrolled in undergraduate programmes embracing the sociology of religion at Padua University, Italy, employing the Italian translation of the Francis Psychological Type Scales. Overall the data demonstrated a relatively balanced need for teaching and learning approaches appropriate for introverts and extraverts, for sensing types and intuitive types, and for feeling types and thinking types. At the same time, the group was heavily weighted in terms of judging types over perceiving types, indicating a priority toward structured and disciplined presentation of the curriculum. [ABSTRACT FROM AUTHOR]

The involuntary migratory flows from Africa to Europe have raised new theoretical and methodological challenges for psychologists who find themselves managing the critical situations of migrants at the borders. Among other factors, the psychological distress experienced by some of them appears to be strongly conditioned by religious beliefs which, in turn, makes it difficult to diagnose and treat them properly according to the tradition of Euro-American psychology. Indeed, the risk is to apply western medical and psychiatric categories to the mental health issues of migrants, missing the meaning that the expressed distress could be acquired within a different cultural framework. The present contribution describes a clinical case developed in a migrant camp in Italy, initially framed as "hallucinatory psychosis". After the deconstruction of this diagnostic label, a few therapeutic practices will be outlined. These are derived from the Dialogical Self Theory and from the social constructionist concept of Multi-Being, which are considered particularly suitable for understanding psychological distress in a multicultural setting and for planning interventions in troubled situations of involuntary migration. [ABSTRACT FROM AUTHOR]

Aims: The onset and maintenance of cannabis use have been explained with reference to the Theory of Planned Behaviour (TPB). At the same time, personal values play an important role in determining appropriate behaviour during social interactions, and cannabis use is no exception. Combining Schwartz’s Theory of Human Values and the TPB offers a framework for identifying the relationship between adolescents’ personal values structure and cannabis use. The two main aims of this study are to: (1) test a predictive model that combines these two theories to explore the interaction of cultural and personal variables that influence cannabis use during adolescence; and (2) analyse the moderation effect of four European countries on the proposed model.  Methods: A total of 3768 secondary school students from Spain, Italy, Romania and Portugal completed a questionnaire on personal values and the TPB applied to cannabis use intention. Direct and indirect effects were assessed using path analysis and moderation effects using multi-group analysis. Results: Collectivistic values (i.e. conformity and tradition) were associated with low cannabis intention and use, individualistic values (i.e. hedonism and power) with higher cannabis intention and use. Regarding the moderation effect of countries, the effects of attitudes on intention and cannabis use were higher among Italian participants, who also showed a high prevalence of cannabis use. Meanwhile the effect of abstinence self-efficacy was lower among Romanian and Portuguese participants, both of whom reported lower cannabis use. Conclusion: The results support the notion that personal values are background variables that affect cannabis use through the TPB variables. [ABSTRACT FROM AUTHOR]

Literature suggests that several demographic variables are linked with religiosity in adolescence, such as gender, age and parental religiosity. The sample consisted of 910 young people (53% female) between 14 and 19 years of age, attending secular secondary schools in Rome, Italy. They self-identified as heterosexual adolescents (91.6%), and lesbian/gay (LG) adolescents (8.4%). High scores of positive attitudes toward God, Jesus, the Bible, prayer and church were associated with female gender, higher father’s religiosity, and higher mother’s religiosity, but not with age of the participants. As expected, heterosexual orientation was associated with a more positive attitude toward Christianity, controlling for sex, age, and parental religiosity. [ABSTRACT FROM AUTHOR]

We investigated lesbians' negative affect toward gay and lesbian scenarios with feminine/negative characteristics. Seventy-one Italian lesbians responded to self-report questionnaires. Analyses tested that feminine gay man scenario (GF) would elicit negative affect more than the other three scenarios (feminine/masculine lesbian woman and masculine gay man) and that participants' internalized sexual stigma would be a moderator of the relation between their self-perceived femininity and negative affect. When lesbians reported low self-perceived femininity, stigma levels did not affect the evaluation of the GF. Instead, when self-perceived femininity were higher, lesbians with high stigma reported more negative emotions than lesbians with low stigma. [ABSTRACT FROM AUTHOR]

This study investigates the direct and indirect effect of three types of unsafe behaviours (i.e. errors, generic violations and smartphone-specific violations) on the likelihood of near crashes and actual crashes among Italian cyclists. We considered smartphone-specific violations as a different unsafe behaviour subtype that enhances the probability of committing errors, thus increasing the likelihood of being involved in near crashes. Furthermore, we hypothesized that near crashes will predict actual crashes. Results revealed that errors predicted near crashes, whereas generic and smartphone-specific violations did not. Near crashes mediated the effect of errors on crashes. Moreover, smartphone-specific violations predicted crashes throughout its consecutive effects on errors and near crashes. These findings contribute to deepen our understanding of the relationship between cyclists’ unsafe behaviours, near crashes and actual crashes. To our knowledge, the present study is the first that links errors to near crashes among cyclists. [ABSTRACT FROM PUBLISHER]

Our aim was to describe the differences in consumption of types of meal (complete/incomplete) eaten at lunch and dinner by gender in people of different age groups (children, young adults and seniors). In particular, we wanted to investigate the differences in choice of meal based on perceived weight. The study involved 516 participants, of which 156 were children (8-12y), 187 were young adults (19-30y) and 173 were elderly (65-90y). A cross-sectional analysis was carried out into the choice of meal type based on the different age groups and genders, on the three Body Mass Index categories (under, normal, overweight), on the three levels of self-perception (slim, normal and heavy) and on the degrees of perception of one's body weight (underestimation, accurate estimation, overestimation). The food eaten was grouped into three types of daily meal: (a) incomplete, (b) complete lunch or dinner, (c) always complete. Differences emerged in the type of meal eaten according to age, gender and perceived weight. The results show gender differences in associations with meal type according to the way in which body mass is measured or perceived. The choice of complete/incomplete meal type changes according to whether real weight or perceived weight is considered. [ABSTRACT FROM AUTHOR]

Background and Objectives: A long research tradition has investigated the impact of stress on university students by assuming that individuals have a limited reservoir of resources, and that negative events and circumstances progressively drain resources thereby producing exhaustion. A recent research tradition, instead, has focused on the detrimental consequences of discrepant levels of implicit (ISE) and explicit (ESE) self-esteem on the development of stress-related symptoms. The present research attempted to merge the aforementioned approaches, with the aim of explaining significant predictors of stress.Design: Within the framework of a Longitudinal Structural Equation Model, we followed a moderated-mediated approach.Method: A sample of university students (N = 209; 66% females) completed a questionnaire battery including measures of ISE, ESE, perceptions of negative events, and emotional exhaustion. Participants were assessed once a week for eight consecutive weeks.Results: ISE significantly moderated the relationship between ESE and negative events; in turn, the latter significantly predicted emotional exhaustion. Monte Carlo method for assessing mediation showed that negative events significantly mediated the relationship between incongruent self-esteem and emotional exhaustion.Conclusions: The detrimental role of incongruent self-esteem has been corroborated. Practical implications and suggestions for future research dealing with stress in a university setting were provided. [ABSTRACT FROM AUTHOR]

This qualitative study aims at identifying the main representations of the international adoption process through a comparative analysis of 62 Italian stories about international adoption. Content analysis involves the use of thematic analysis as well as computer-assisted text analysis. Results show that adoption is represented varying from a polarization in which “the positive” is situated in the “adoptive world” while “the negative” pertains to the world of the origins, to a more integrated representation in which both the adoptive context and the origins entail positive aspects. [ABSTRACT FROM PUBLISHER]

This study examines Ross’ thesis that intuitive types are more open than sensing types to mystical experience among a sample of 1155 Italians who completed the Francis Psychological Type Scales alongside the Mystical Orientation Scale. The data supported Ross’ thesis. Intuitive types recorded a significantly higher mean score than sensing types on the index of mystical orientation. Ranking the 16 complete types according to their mean mystical orientation scores located INFPs with the highest scores and ISTJs with the lowest scores. [ABSTRACT FROM PUBLISHER]

The author looks at the challenge of conducting ethnography in migration-related detention centers. Topics discussed include the definition of migration-related detention as the removal of liberty of migrants because of their irregular status, the study being done on border control operations in the Identification and Expulsion-CIE of Ponte Galeria in Rome, Italy, and the power struggle between the author and police staff over access inside the CIE.

Transgender people experience systematic oppression due to societal endorsement of binary notions of gender. As a result, they are at risk for self-stigmatization via the internalization of negative attitudes about being transgender. Thus, researchers need instruments to assess the multilayered nature of transgender identity and its role in the experience of mental health and well-being. This study evaluated the psychometric characteristics of the Transgender Identity Survey (TIS) in an Italian sample of 149 transgender people. The TIS assesses levels of pride, shame, alienation, and passing in transgender populations, providing researchers and clinicians with an instrument that can evaluate both positive aspects of transgender identity and internalized transphobia. Confirmatory factor analyses showed that the original four-factor model had adequate fit to the data obtained from the Italian sample, with the exception of one item. Both convergent and predictive validity were assessed and partially confirmed, indicating that the TIS is significantly correlated with some of the enacted stigma and mental health outcome measures (perceived stress, depression, and anxiety). This study provides both clinicians and researchers with a tool to assess positive and negative aspects of identity in transgender populations. [ABSTRACT FROM AUTHOR]

This research wants to verify the effectiveness of couple's treatment, when a neurodegenerative disease affects one of the two partners. The disease affects not only the ailing individual, but also the dynamics within the couple. Fourteen patients affected by neurodegenerative diseases participated in an emotionally focused couple therapy (EFT) with their spouses. We collected a measure of the quality of life (SF-36) and relationship satisfaction (DAS) at the beginning and at the end of the treatment for both partners. The results show an improvement in quality of life and couple contentment, underlining the usefulness of such a psychotherapeutic intervention on the couple. [ABSTRACT FROM AUTHOR]

This article focuses on the topic of the nuclear fear and its ideological use in Italy during the period of the Cold War (1950s–1980s). I argue that the debate on nuclear weapons in Italy played an important role especially among intellectuals affiliated with the Italian Communist Party, in a delicate historical moment between the crisis of traditional Marxist Communism and the rising of the New Left. By contextualizing the subject of the nuclear bomb in Italy within the theoretical categories of realism and symbolism in the first half of the article, I demonstrate how the representation of the atomic bomb in the 1950s and 60s was caught up in the representative framework of Marxist realism. In doing so, I concentrate on a special issue of the periodicalIl Verriand on the finale of Michelangelo Antonioni’s filmL’eclisse. In the second part, I describe how the debate about the atomic weapon transitioned from reality to symbol through an analysis of the topic of nuclear fear in Paolo Volponi’s novelsCorporaleandIl pianeta irritabile. In conclusion, I emphasize how the atomic explosion becomes a symbol for a psychoanalytical state of melancholia, following a perceived loss of Marxism as a viable answer to socio-economic problems, as a way to decipher this period of modern Italian history. Nevertheless, I ultimately suggest that the apocalyptic images of destruction, both in Volponi and Antonioni, bear a messianic message of social change and suggest the possibility of a post-Marxist ideology taking place in the new world order. [ABSTRACT FROM PUBLISHER]

Objective: The study was conducted to explore the knowledge of pregnant women about influenza, influenza vaccine during pregnancy and the attitudes regarding immunization.Methods: A questionnaire based on the model proposed by Yudin in 2009 was translated, adapted and administered to 309 pregnant women in the third trimester of pregnancy between October 1 and December 1, 2013 at San Giovanni Calibita Fatebenefratelli hospital of Rome (Italy).Results: Most of the interviewed women (68.9%) answered that influenza is highly contagious, 34.6% of them believed that pregnant women have the same risk of complications as non-pregnant women. Only 5.8% were aware that the vaccine is recommended for women in the second and third trimester of pregnancy and only 14.2% of women answered that the vaccine is safe during pregnancy. Only 3/309 women reported recommendation and offer of vaccination during current pregnancy, but none of them was vaccinated.Conclusions: Overall, knowledge regarding influenza, implications during pregnancy and influenza vaccine was poor among pregnant women. In Italy, the National Vaccine Prevention Plan 2012-2014 recommends influenza vaccine during pregnancy, but only 18/309 were aware of this recommendation. These results suggest that in order to increase influenza vaccine acceptance it is necessary to improve pregnant women knowledge about influenza and to offer education to healthcare providers. [ABSTRACT FROM AUTHOR]

Purpose: The primary aim of this study was to investigate changes in sexual function in males and their partners following severe TBI. Secondary aims of the study were to explore the relationship between selected sociodemographic, emotional/behavioural and sexual function variables. Methods: Twenty males with a history of severe TBI and 20 healthy controls (HC) and their respective partners were recruited. Sexual life was assessed with the Sexuality Evaluation Schedule Assessment Monitoring (SESAMO). Study participant level of self-awareness was evaluated by the Awareness Questionnaire, whereas their neuropsychiatric and psychopathological statuses were assessed by the NPI, the HAM-D and STAI. Results: A reduction in desire and frequency of sexual intercourse was found in all survivors and their partners. Moreover, higher levels of survivor depression correlated with lower partner harmony. Survivor feelings toward their partners gradually decreased over time, as did the ability to make decisions as a couple. The comparison with HC couples revealed that both survivors’ and their partners’ exaggerated the extent of disease. Conclusions: After male severe TBI, men appear to have a reduced quality of their sexual life, which may be more a result of relationship dysfunction than a sexual performance deficit related to their brain injury history. [ABSTRACT FROM PUBLISHER]

Research on suicide and homicide rates has neglected an integrated model seeking to explain social variation in the direction of lethal violence. The present investigation explores the association between measures of social deprivation on the relative incidence of suicide over homicide in Italian provinces. Data refer to official government sources on lethal violence rates and measures of social deprivation. The central dependent variable (SHR) is the tendency towards suicide measured as the suicide rate divided by the sum of the suicide and homicide rates. Data were available for 102 Italian provinces in the Census year 2001. The percentage of the population marked by two indicators of deprivation (low education, household population density) were negatively associated with the SHR. The results are largely consistent with a stream of previous research that connects deprivation with a relatively high probability for disadvantaged populations to direct aggression outwardly in the form of homicide rather than inwardly in the form of suicide. The present study specifies which elements of deprivation best predict the direction of violence and is the first study for the Italian context. [ABSTRACT FROM AUTHOR]

Purpose: The objective of this study is to determine whether persons with neuropsychiatric disorders experience a common set of psychosocial difficulties using qualitative data from focus groups and individual interviews.Method: The study was performed in five European countries (Finland, Italy, Germany, Poland and Spain) using the focus groups and individual interviews with persons with nine neuropsychiatric disorders (dementia, depression, epilepsy, migraine, multiple sclerosis, Parkinson’s disease, schizophrenia, stroke and substance dependence). Digitally recorded sessions were analysed using a step-by-step qualitative and quantitative methodology resulting in the compilation of a common set of psychosocial difficulties using the International Classification of Functioning, Disability and Health (ICF) as a framework.Results: Sixty-seven persons participated in the study. Most persons with neuropsychiatric disorders experience difficulties in emotional functions, sleeping, carrying out daily routine, working and interpersonal relationships in common. Sixteen out of 33 psychosocial difficulties made up the common set. This set includes mental functions, pain and issues addressing activities and participation and provides first evidence for the hypothesis of horizontal epidemiology of psychosocial difficulties in neuropsychiatric disorders.Conclusions: This study provides information about psychosocial difficulties that should be covered in the treatment and rehabilitation of persons with neuropsychiatric disorders regardless of clinical diagnoses.Implications for RehabilitationEmotional problems, work and sleep problems should be addressed in all the treatments of neuropsychiatric disorders regardless of their specific diagnosis, etiology and severity.Personality issues should be targeted in the treatment for neurological disorders, whereas communication skill training may also be useful for mental disorders.The effects of medication and social environment on patient’s daily life should be considered in all the neuropsychiatric conditions. [ABSTRACT FROM AUTHOR]

This study examines the processes underlying the association between job insecurity and emotional exhaustion, proposing that lack of reciprocity in the organizational exchange relationship is a main theoretical explanation for this association. Specifically, based on the social exchange perspective, we compared and tested two distinct mediating mechanisms: psychological contract breach and distributive injustice. These two indicators of lack of reciprocity constitute the explanatory process through which job insecurity relates to emotional exhaustion, the primary component of burnout. Data analyses from a sample of 322 blue-collar workers in Italy confirmed the mediational hypotheses. A contrast test revealed that distributive injustice was the indicator with more explanatory strength. The results contribute to research on the theoretical explanations of the adverse consequences of job insecurity, considering the nature and antecedents of psychological distress from an organizational exchange perspective. [ABSTRACT FROM AUTHOR]

Southern European countries, like Italy and Spain, have been severely affected by the recent economic crisis. This has affected their labour market in terms of increased unemployment, while many of those in employment feel more insecure. As a consequence, many individuals turn to education as a step to making a career change. The opportunities and hindrances stemming from socio-economic institutions such as vocational education and training (VET) and higher education, labour market regulations and career guidance are highly influential in the ways in which individuals manage their career transitions and engage in lifelong learning. This article outlines the structural conditions in the two countries in respect to career guidance provision and reflects, based on individual accounts of mid-career workers, how individuals negotiate the system. [ABSTRACT FROM PUBLISHER]

One of the most typical features characterising modern ways of living and working is represented by the dynamism required by individuals in navigating their career paths. This article explores some case studies of career development collected through biographical interviews carried out within the Italian strand of the Cedefop project. These relate to individuals showing different levels of career dynamism (from very active micro-entrepreneurs up to subjects who had to give up their career-related aspirations because of disabilities). They demonstrate, powerfully, three main drivers of career development: reflexivity, self-identity and resilience. Some theoretical references regarding such drivers are here briefly taken into account through a specific conceptual framework. Where the case studies hint at these drivers, and allude to the role played by career guidance, extracts are presented verbatim. In the concluding section, the need for new further research in this field is emphasised, both at the theoretical and at the empirical level. [ABSTRACT FROM PUBLISHER]

This article focuses upon the processes whereby individuals reframe their career goals and career direction mid-way through their working lives. Three cases, drawn from Denmark, Germany and Italy, are used to exemplify these processes. The cases are part of a larger study which included the development of a model that could accommodate the different ways in which learning could support labour market transitions across the life-course, where these transitions may involve shifts away from initial occupational identities. The model was used to inform the case analysis whereby career reframing processes could be viewed from three perspectives: reframing as a process of identity development, as a form of relational, emotional, practical and cognitive development and taking place within particular opportunity structures. [ABSTRACT FROM PUBLISHER]

Background: The correlation between single neuropsychiatric symptoms and functional outcome in hip fracture patients is little investigated in the literature, and it is not yet established which neuropsychiatric symptoms are the most important determinants of functional outcome. Aim: To determine which neuropsychiatric symptoms are the most important determinants of functional outcome. Methods: This prospective study was carried out in 204 consecutive patients with primary diagnosis of hip fracture admitted to our Rehabilitation Unit for a course of rehabilitation. Neuropsychiatric symptoms were assessed at admission with the Neuropsychiatric Inventory (NPI). Outcome measures of rehabilitation were: final score, efficiency and effectiveness in motor-Functional Independence Measure (motor-FIM), and discharge destination. Pearson's correlation coefficients were used to assess the relationship between NPI variables and the outcome measures, while backward stepwise regression was used to identify determinants of the outcome measures. Results: Pearson's correlation showed that night-time behavior disturbances were related to all outcome measures, while agitation, depression, elation, apathy, disinhibition and irritability were significantly related to motor-FIM outcomes. At multivariate regression analysis agitation was the only determinant of final motor-FIM score, while irritability was the only determinant of efficiency and effectiveness in motor-FIM score. No neuropsychiatric symptom was a determinant of discharge destination. Conclusions: This study highlights that in hip fracture patients there are relationships between specific neuropsychiatric symptoms and functional outcome. Among the neuropsychiatric symptoms, irritability and agitation are the most important. They are associated to poor functional outcome and are the only determinants of motor-FIM outcome measures. [ABSTRACT FROM AUTHOR]

Several studies have shown a relevant presence of anxiety feelings among renal transplant patients. This study examines the impact of transplant-related stress and social support on anxiety. Two hypotheses were examined: H1: High transplant-related stressors and low social support are related to high anxiety (additive hypothesis); H2: Social support moderates the detrimental impact of transplant-related stressors on anxiety (buffer hypothesis). One hundred and four kidney transplant recipients (54% male), with a mean age of 50.8 (SD = 12.6), volunteered to participate in a cross-sectional study that included a face-to-face interview and several self-administered scales. Hierarchical regression analyses indicated that higher transplant-related stressors are associated with higher levels of anxiety (F change(2, 92) = 17.4,p < .001, ∆R2 = 24%), but, contrary to our prediction, social support was not directly related with anxiety. However, social support has a moderating effect on the relationship between high transplant-related stressors and anxiety (F change(1, 91) = 5.2,p < .05, ∆R2 = 3%). The results are consistent with the hypothesis that social support has a buffering role on the patients’ distress following renal transplantation and suggest that their psychological well-being could benefit from enhancing the perception of social support in post-operative care. [ABSTRACT FROM PUBLISHER]

The aim of this work is to propose a brief comment about the role of psychology in the cases of infertility and assisted reproductive treatments with particular reference to the Italian situation. [ABSTRACT FROM AUTHOR]

Grounded in achievement goal theory and self-determination theory, this cross-sectional study examined the relationship between perceived motivational climate and individuals’ motivation as well as the mediation effect of psychobiosocial states as conceptualised within the individual zones of optimal functioning (IZOF) model. Young students (N= 167, age range 14–15 years) taking part in physical education classes completed measures of teacher-initiated motivational climate, task and ego orientation, motivation and psychobiosocial states. Simple and serial mediation analyses indicated that a perceived mastery climate and individuals’ task orientation were related to intrinsic motivation and identified regulation through the mediation of pleasant/functional psychobiosocial states. In contrast, a perceived performance climate was related to external regulation and amotivation through the mediation of unpleasant/dysfunctional psychobiosocial states. Regression analysis results also showed that discrete psychobiosocial states accounted for a significant proportion of variance in motivational variables. Taken together, findings highlight the role of psychobiosocial states as mediators of the relationship between motivational climate and an individual’s motivation, and suggest that educators should consider a wide range of individual’s functional and dysfunctional reactions deriving from their instructional activity. [ABSTRACT FROM PUBLISHER]

There is currently little empirical evidence regarding how patients’ attachment patterns manifest in individual psychotherapy. This study compared the in-session discourse of patients classified secure, dismissing, and preoccupied on the Adult Attachment Interview (AAI). Rather than focusing on content or form alone, this study analyzed how patients’ discourse elicits and maintains emotional proximity with the therapist. The AAI was administered to 56 patients prior to treatment and one session for each patient was rated with the Patient Attachment Coding System (PACS) by four independent raters, blind to patients’ AAI classification. Significant differences were found in the discourse of patients with different attachment patterns. Namely, secure and preoccupied patients showed more contact-seeking behavior than dismissing patients, who avoided emotional proximity more, while preoccupied patients resisted therapists’ help more than did secure and dismissing patients. These results suggest that the different attachment patterns may have distinctive manifestations in the psychotherapy process that can be tracked by external observers. [ABSTRACT FROM PUBLISHER]

The present study explores how health professionals evaluate care at the end of life and what they consider to be a good death. We conducted four focus groups with 37 health professionals and used a grounded theory-based approach to analyze the transcripts of the discussions. A lack of organization, training, formalized procedures, and communication with dying persons and their families emerged. Difficulty in defining a good death derived from the ethical dilemmas that involved places to die, palliative care, and end-of-life decision making. [ABSTRACT FROM PUBLISHER]

Objective: To describe and compare psychological, behavioural and adjustment problems in pre-school patients with acquired brain lesions of different aetiology. Methods: Three groups of patients with acquired brain lesions (14 patients post-TBI, 18 brain tumour survivors and 23 patients with vascular or infectious brain lesions), ranging in age between 24-47 months, received a psychological evaluation, including the Child Behavior Checklist for Ages 2-3 (CBCL) and the Vineland Adaptive Behavior Scales (VABS). Results: About half of the total sample (47.2%) showed psychological and behavioural problems. Difficulties vary according to the aetiology of the brain lesions. Brain tumour survivors showed more marked internalizing problems, whereas children with vascular or infectious brain lesions scored higher on the CBCL externalizing scales. Children with traumatic brain injury reported intermediate scores on most of the CBCL scales. Conclusions: Psychological and behavioural difficulties are very common, not only among school-aged children and adolescents, but also among pre-schoolers with acquired brain lesions. The relevance and the impact of these difficulties must necessarily be considered when developing psychological treatment and rehabilitation plans and planning for social re-entry. [ABSTRACT FROM AUTHOR]

Uses of the term NIMBY (‘not in my back yard’) were analysed in the three main Italian newspapers between 1992 and 2008. In the first study, a content analysis of 231 articles containing the term NIMBY showed two main views of the issues raised: one, aligned with the conventional view, according to which protesters are mainly driven by parochialism, emotionalism and ignorance, and the other consistent with the most innovative literature on this issue, which presents NIMBY conflicts as struggles for justice and democracy. The second study, which adopted the discursive psychology perspective on the articles characterised by the co-occurrence of the words ‘NIMBY’ term and ‘protest’, confirmed those results. Overall, there are multiple and diverse portrayals of NIMBY conflicts in the Italian press; the idea that the press supports traditional views of such conflicts, is, in part, unfounded. [ABSTRACT FROM PUBLISHER]

Background: Although debate on adolescent pregnancies has continued for many years, only a few studies have paid attention to the attitudes of health workers and their perceptions of these teens. Objective: The main purpose of this study was to investigate and describe midwives’ and psychologists’ perceptions of the pregnant teens arriving at the health centres – either who wanted to become mothers or to interrupt pregnancy – analysing health workers’ reflections on their experiences of caring for these teens during pregnancy in the Italian context. Methods: Interviews were conducted with 22 health workers in order to describe their perceptions of Italian pregnant adolescents. Interviews were analysed using thematic analysis. Results: Data analysis identified three themes arising from health workers narrations: ‘teen identities’, with the subthemes confused teens, omnipotent teens and immigrant teens; ‘maternal bonding’, with the subthemes supportive mothers and self-centred mothers; and ‘social support demand’, with the subthemes support-seeking teens, self-excluded teens and unsupportive young partners. Conclusion: The results provide an interesting picture of health workers’ perceptions of Italian pregnant adolescents adding new knowledge that will be useful for better planning interventions with pregnant teenagers. [ABSTRACT FROM PUBLISHER]

Based on survey data of 1000 young people aged 18-29 and semi-structured interviews with 51 young people aged 18-34 living in a north-western Italian region, the article explores how they account for their first heterosexual intercourse. Young people describe and make sense of their experiences by referring to sexual scripts; narrative sequences that represent the legitimate rules and moves of the heterosexual game. The article shows the complex intertwining of compliance with, adaptation and negotiation of, and challenge to gendered sexual scripts. On the one hand, at the beginning of their sexual careers young people follow gendered scripts strongly shaped by a double standard: young men more often place their first sexual intercourse within a context of emotional and relational detachment, while young women tend to interpret their sexual debut as a romantic experience. On the other hand, the research findings point to processes of negotiation and re-definition of scripts based on three different cultural logics: the denaturalization of sexual scripts; the reversal or inversion of gendered scripts; and the convergence with or the construction of a common 'degendering' script. [ABSTRACT FROM AUTHOR]

Background. Occupational support workers in the mental healthcare sector are exposed to considerable occupational stress and have little access to stress management facilities. Aims. This article describes the process behind creating a web-based stress management intervention (SMI) for occupational support workers in the mental healthcare sector. Method. Mixed methods were used to inform the content of the web-based SMI, following MRC strategy for designing interventions and PRIMA-EF guidelines for best practice in SMI design. We conducted a literature review to ascertain the content of interventions that had been shown to be successful in reducing stress in mental healthcare populations. In addition, we conducted focus groups in order to assess specific stressors that individuals in the occupational support sector deemed to be important. Results. The literature review showed that a variety of methods had been successful for reducing occupational stress in the mental healthcare sector including: Relaxation and Cognitive Behavioural Therapy techniques, and skills training in; time management, problem-solving and communication. Individuals in the focus groups identified both personal and organisational stressors to be addressed in the intervention. Conclusions. This intervention was developed with reference to a design strategy, using input from the target population. [ABSTRACT FROM AUTHOR]

Until now, studies related to gender identity disorder (GID) in adult patients carried out within the framework of attachment theory have been scarce. The current research project aimed to explore the theme related to the specific nature of the current states of mind with respect to attachment in adult male patients suffering from GID, and to evaluate simultaneously the level of psychopathology associated with conditions of GID. The first 18 patients suffering from GID, who came to the Functional Area of Psychology of the Clinical Department of Neuroscience and Behaviour of the 'Federico II' University Hospital between 2005 and 2007 to psychological assistance for problems connected to gender dysphoria, were registered in sequential order. The following tests were administered to all patients: (a) investigation of case histories and motivation, (b) Minnesota Multiphasic Personality Inventory (MMPI-2), and (c) Adult Attachment Interview. The results show an increase, among people with GID, of insecure conditions of the mind and of unresolved/disorganized conditions of the mind with respect to traumas or losses. Results obtained by MMPI-2 confirm the absence of other psychopathological conditions previously reported in the scientific literature. Based on the results of our exploratory research, we discuss how psychological intervention could have a dual objective of improving the possibility of access to a fuller and more satisfying emotional-relational life and of allowing an adequate working-through of complex traumatic events, which appear to affect the life experiences of individuals with GID and, often, seem not to have been adequately worked through. [ABSTRACT FROM AUTHOR]