bluuebunny/crossref_metadata_2025_split huggingface dataset:
Effectiveness of family metacognitive training in mothers with psychosis and their adolescent children: a multicenter study protocol
Authors: Ochoa Susana , Espinosa Victoria , López-Carrilero Raquel , Martinez Irene , Barrera Alejandro De Haro , Birulés Irene , Barajas Ana , Pélaez Trinidad , Díaz-Cutraro Luciana , Coromina Marta , González-Rodríguez Alexandre , Verdaguer-Rodríguez Marina , Gutiérrez-Zotes Alfonso , Palma-Sevillano Carolina , Montes Cristian , Gallego Judith , Paya Beatriz , Casanovas Francesc , Roldán María , Noval Emma , Varela Casals Paloma , Salas-Sender Miriam , Aznar Ana , Ayesa-Arriola Rosa , Pousa Esther , Canal-Rivero Manuel , Garrido-Torres Nathalia , Montserrat Clara , Muñoz-Lorenzo Laura , Crosas Josep María 
Published: March 2024

BackgroundMore than half of women with psychosis take care of their children despite the difficulties caused by the disease. Additionally, these kids have a higher risk of developing a mental health disorder. However, no interventions have been developed to meet these needs. Metacognitive Training (MCT) is a psychological intervention that has demonstrated its efficacy in improving cognitive insight, symptom management and social cognition in people with first-episode psychosis (FEP). Additionally, MCT has shown better results in women than men with FEP. This study aims to adapt and evaluate the efficacy of MCT-F in mothers and adolescent children in an online group context with the main purpose of improving family relationships, cognitive awareness and symptoms in women with psychosis and increase their children’s knowledge of the disease and their functioning. As secondary objectives, it also aims to evaluate improvements in metacognition, social cognition, symptoms, protective factors and self-perception of stigma.Materials and methodsA quasi-experimental design with participants acting as their own control will be carried out. Forty-eight mothers with psychosis and their adolescent children (between 12 and 20 years old) recruited from a total of 11 adult mental health care centers will receive MCT-F. Participants will be evaluated 11 weeks before the intervention (T1), at baseline (T2), and post-intervention (T3) with a cognitive insight scale, as a primary outcome. Measures of metacognitive and social cognition, symptoms, cognitive functioning, family and social functioning, protective factors (self-esteem, resilience, and coping strategies) and self-perceived stigma will be addressed as secondary outcomes. Assessment will also address trauma and attachment in mothers and, lastly, the feasibility and acceptability of MCT-F in both participant groups.DiscussionThis will be the first investigation of the efficacy, acceptability, and viability of the implementation of MCT-F. The results of this study may have clinical implications, contributing to improving mothers’ with psychosis and adolescents’ functioning and better understanding of the disease, in addition to the possible protective and preventive effect in adolescents, who are known to be at higher risk of developing severe mental disorders.Clinical trial registration:https://clinicaltrials.gov/, identifier [NCT05358457].
Improved clinical outcome prediction in depression using neurodynamics in an emotional face-matching functional MRI task
Authors: Pilmeyer Jesper , Lamerichs Rolf , Ramsaransing Faroeq , Jansen Jacobus F. A. , Breeuwer Marcel , Zinger Svitlana 
Published: March 2024

IntroductionApproximately one in six people will experience an episode of major depressive disorder (MDD) in their lifetime. Effective treatment is hindered by subjective clinical decision-making and a lack of objective prognostic biomarkers. Functional MRI (fMRI) could provide such an objective measure but the majority of MDD studies has focused on static approaches, disregarding the rapidly changing nature of the brain. In this study, we aim to predict depression severity changes at 3 and 6 months using dynamic fMRI features.MethodsFor our research, we acquired a longitudinal dataset of 32 MDD patients with fMRI scans acquired at baseline and clinical follow-ups 3 and 6 months later. Several measures were derived from an emotion face-matching fMRI dataset: activity in brain regions, static and dynamic functional connectivity between functional brain networks (FBNs) and two measures from a wavelet coherence analysis approach. All fMRI features were evaluated independently, with and without demographic and clinical parameters. Patients were divided into two classes based on changes in depression severity at both follow-ups.ResultsThe number of coherence clusters (nCC) between FBNs, reflecting the total number of interactions (either synchronous, anti-synchronous or causal), resulted in the highest predictive performance. The nCC-based classifier achieved 87.5% and 77.4% accuracy for the 3- and 6-months change in severity, respectively. Furthermore, regression analyses supported the potential of nCC for predicting depression severity on a continuous scale. The posterior default mode network (DMN), dorsal attention network (DAN) and two visual networks were the most important networks in the optimal nCC models. Reduced nCC was associated with a poorer depression course, suggesting deficits in sustained attention to and coping with emotion-related faces. An ensemble of classifiers with demographic, clinical and lead coherence features, a measure of dynamic causality, resulted in a 3-months clinical outcome prediction accuracy of 81.2%.DiscussionThe dynamic wavelet features demonstrated high accuracy in predicting individual depression severity change. Features describing brain dynamics could enhance understanding of depression and support clinical decision-making. Further studies are required to evaluate their robustness and replicability in larger cohorts.
Governance, policy, and health systems responses to the COVID-19 pandemic in Thailand: a qualitative study
Authors: Tuangratananon Titiporn , Rajatanavin Nattadhanai , Khuntha Sarayuth , Rittimanomai Salisa , Asgari-Jirhandeh Nima , Tangcharoensathien Viroj 
Published: March 2024

BackgroundSince 2020, Thailand has experienced four waves of COVID-19. By 31 January 2022, there were 2.4 million cumulative cases and 22,176 deaths nationwide. This study assessed the governance and policy responses adapted to different sizes of the pandemic outbreaks and other challenges.MethodsA qualitative study was applied, including literature reviews and in-depth interviews with 17 multi-sectoral actors purposively identified from those who were responsible for pandemic control and vaccine rollout. We applied deductive approaches using health systems building blocks, and inductive approaches using analysis of in-depth interview content, where key content formed sub-themes, and different sub-themes formed the themes of the study.FindingsThree themes emerged from this study. First, the large scale of COVID-19 infections, especially the Delta strain in 2021, challenged the functioning of the health system’s capacity to respond to cases and maintain essential health services. The Bangkok local government insufficiently performed due to its limited capacity, ineffective multi-sectoral collaboration, and high levels of vulnerability in the population. However, adequate financing, universal health coverage, and health workforce professionalism and commitment were key enabling factors that supported the health system. Second, the population’s vulnerability exacerbated infection spread, and protracted political conflicts and political interference resulted in the politicization of pandemic control measures and vaccine roll-out; all were key barriers to effective pandemic control. Third, various innovations and adaptive capacities minimized the supply-side gaps, while social capital and civil society engagement boosted community resilience.ConclusionThis study identifies key governance gaps including in public communication, managing infodemics, and inadequate coordination with Bangkok local government, and between public and private sectors on pandemic control and health service provisions. The Bangkok government had limited capacity in light of high levels of population vulnerability. These gaps were widened by political conflicts and interference. Key strengths are universal health coverage with full funding support, and health workforce commitment, innovations, and capacity to adapt interventions to the unfolding emergency. Existing social capital and civil society action increases community resilience and minimizes negative impacts on the population.
Arthropods as Vectors of Grapevine Trunk Disease Pathogens: Quantification of Phaeomoniella chlamydospora on Arthropods and Mycobiome Analysis of Earwig Exoskeletons
Authors: Brandenburg Elisa Maria , Voegele Ralf Thomas , Fischer Michael , Behrens Falk Hubertus 
Published: March 2024

Viticulture worldwide is challenged by grapevine trunk diseases (GTDs). Involvement of arthropods in the dissemination process of GTD pathogens, notably esca pathogens, is indicated after detection of associated pathogens on arthropod exoskeletons, and demonstration of transmission under artificial conditions. The present study is the first to quantify spore loads via qPCR of the esca-relevant pathogen Phaeomoniella chlamydospora on arthropods collected in German vineyards, i.e., European earwigs (Forficula auricularia), ants (Formicidae), and two species of jumping spiders (Marpissa muscosa and Synageles venator). Quantification of spore loads showed acquisition on exoskeletons, but most arthropods carried only low amounts. The mycobiome on earwig exoskeletons was described for the first time to reveal involvement of earwigs in the dispersal of GTDs in general. Metabarcoding data support the potential risk of earwigs as vectors for predominantly Pa. chlamydospora and possibly Eutypa lata (causative agent of Eutypa dieback), as respective operational taxonomical unit (OTU) assigned genera had relative abundances of 6.6% and 2.8% in total reads, even though with great variation between samples. Seven further GTD-related genera were present at a very low level. As various factors influence the successful transmission of GTD pathogens, we hypothesize that arthropods might irregularly act as direct vectors. Our results highlight the importance of minimizing and protecting pruning wounds in the field.
Groupes - Un seul ou deux psychothérapeutes ?
Authors: Chapelier Jean-Bernard , Avron Ophélia , Privat Pierre 
Published: March 2024

Après quelques réflexions critiques sur la littérature traitant de la co-thérapie, les auteurs tentent de rendre compte des raisons qui leur font préférer mener seul les psychothérapies de groupe à long terme (avec ou sans psychodrame).
A partir d’exemples cliniques, ils montrent dans un premier temps que le fait d’être seul autorise une mobilité et une disponibilité plus grande, ce qui permet d’ajuster la distance entre le groupe de manière plus adaptée. En second lieu il leur semble que le couple de thérapeutes introduit des paramètres d’une telle complexité que les phénomènes de transfert, contre-transfert et inter-transfert deviennent très difficiles à analyser. De ce fait ils jugent préférable que le thérapeute assume seul les angoisses du groupe en se gardant toutefois la possibilité d’en référer à un tiers (hors du groupe). Enfin, ils indiquent les raisons culturelles et institutionnelles qui peuvent déterminer le choix entre co ou monothérapie.
De l'élaboration de la relation d’objet au cours de thérapies de groupes d’enfants dysharmoniques de deux à six ans
Authors: Briguet-Lamarre Maïté 
Published: March 2024

La elaboracion de la relacion de objeto en las terapias de grupo de ninos disarmonicos de 2 a 6 anos.
La terapia de grupo expuesta en este articulo esta destinada a ninos de dos a sein anos acompanados de sus educadoras habituates en la instituicion. Los ninos pueden satisfacer sus necesidades motrices, vivir experiencias corporates primitivas con las educadores pues el proyecto es permitirles recuperar la confianza y el placer en la relacion con los adultos abandonando progresivamente los mecanismos de defensa regresivos.
Un ejemplo clinico ilustra el trabajo del terapeuta en particular en el mecanismo de defensa en el clivaje.
Terreno de cuidados privilegiados para los ninos, el grupo terapeutico es tambien un lugar de ayuda y de formacion de las educadoras que contienen cotidianamente las angustias de estos ninos.
La diffraction des groupes internes
Authors: Kaës René 
Published: March 2024

The diffraction of internal groups.
The different processes by which the representation of internal groups within dreams are demonstrated in this article through a series of dream analyses : condensation and formation of conglemerate persons, multiplication of likenesses, diffraction of a dream idea or of the dreamer into several elements of the dream content linked together through primary logical connexions. An analysis is proposed of this process (including its effects on object representation) and of the grouped self - with regard to the distribution of instinctual energy - in their role as instruments of the hallucinatory manifestation of wishes. The same process is put into effect in numerous works of art and within the space characteristic of group bonds. The concept of an internal group is articulated, inside the psychodramatic clinic, with the organisation of the group bond : in that context it is proposed to consider how certain economic forms of the intra-psychic dramatisation are selectively mobilised and worked on within intersubjective psychodramatic space. Some suggestions are put forward concerning transference and attentiveness to the group associative chain.
Le transfert pervers et la famille
Authors: Eiguer Alberto 
Published: March 2024

La transferencia perversa y la familia.
A partir de una definicion de la transference en terapia familiar, analizamos su manifestacion en el caso de las familias con disfuncionamiento perverso, principalemente en aquellas donde se encuentra un paciente toxicómano. La transference se caracteriza aqui por 6 rasgos = contrato o pacto perverso, voluptad, pervertizacion de los objetivos originales de la cura, proselitismo, burla, y ataque del pensamiento. Aportamos la experience del analisis individual donde esta transference ha sido caracterizada. En todos los casos, este tipo de relacion sirve aleatoriamente el desea de immovilismo y una economia dominada por las carences de apuntalamiento y vivencia de vacio. Las repercusiones contra-transferenciales son igualmente estudiadas.
Alliances inconscientes et pacte dénégatif dans les institutions
Authors: Kaës René 
Published: March 2024

Uncounscious alliances and pacts of denial within institutions.
Unconscious alliances are those psychical formations related to the bond created -as an effect of each subjects' unconscious within an inter-subjective whole-among the subjects themselves and within the relation¬ ship of each to the whole that they make up. These alliances describe the co-repressive function exercised by the collective entity (couple , group, institution) in its relation to repression within the individual subject. They open the door to the analysis of the role of the unconscious of an Other which is more than singular inside the psychic space of the subject. Three types of unconscious alliance are proposed and examined through the analysis of a couple and an institution : the community of the renuncia¬ tion of instinct (S. Freud), the narcissistic contract (P. Aulagnier), the pact of denial (R. Kaës).
Institution, pouvoir et créativité
Authors: Enriquez Eugène 
Published: March 2024

Institution, power and creativity.
Contemporary authors tend to evoke the death-bearing aspects of institutions. Without avoiding the question of the death instinct, the author asks himself the question of the conditions required for an institution to allow for the autonomy of individuals and to become a source of life and creativity. He insists on the necessity of a passage by way of the murder of the founding father (or fathers) and of the indispensible reconciliation with the father that must follow (passage from the idealised father to the symbolic father), on the vocations of "exotes" within the transformation of institutions, on the importance of the elucidation of functions and powers and on the central role of the sublimation process.
Relaxation à inductions variables et groupe thérapeutique
Authors: Cohen-Léon Simone 
Published: March 2024

Relajación con inducciones variables y grupo terapeutico.
Partiendo del enfoque clínico de dos grupos terapéuticos, se intentará precisar la especificidad del encuentro entre el método de relajación con inducciones variables (M. Sapir y colaboradores) y el trajabo en el grupo. El énfasis puesto en la dimensión corporal, por lo tanto individual, permite en el grupo el abordaje analítico de ciertas zonas muy arcaicas en los pacientes que no soportarian un análisis en ese momento de su evolución, ni podrían aprovechar un cara a cara.
Adolescence : une sortie ?
Authors: Linda Saiegh Mina 
Published: March 2024

Adolescencia : una salida ?
A partir de la experiencia clínica con adolescentes y del trabajo en los grupos de padres, el autor presenta en este artículo cuáles son las modificaciones y características observadas en las estructuras familiares en este período. La problemática adolescente no puede comprenderse sino es en relación al medio familiar y social. Es preciso hacer una lectura teniendo cuenta de très niveles : intrasubjetivo, intersubjetivo y transubjetivo.
Disparition et réapparition dans des groupes d’enfants et d’adolescents Atteints par la violation des droits de l’homme
Authors: Jaitin de Langer Rosa 
Published: March 2024

Desaparición y reaparición en los grupos de niños y adolescentes
El material que presentamos es la síntesis de la supervisión de tres grupos de niños de desaparecidos : uno, de niños de corta edad, un segundo de niños prepuberes en período de latencia y un último de adolescentes. El grupo terapéutico como soporte permite el surgimiento de la organisación psiquica, estructural, individual y colectiva del estado confusional debido a la pérdida del objecto y al abandono vivído por la desaparición de los padres. Los grupos se organizan sobre un modo de sociabilidad sincrética, sin lograr constituirse como un «Yo-Piel». Un contrato de soporte que pueda servir de espacio intermediario, transicional, de apoyo, es diflcil a establecer.
Abord de l’agressivité dans le transfert
Authors: Schiavinato Jacques 
Published: March 2024

La agresividad en los grupos terapéuticos de adolescentes : como la tratamos, como puede cobrar sentido y como se puede elaborar en la transferencia sobre los terapeutas.
Presentación del contenido de dos funciones de un grupo de psicodrama de adolescentes de 14-15 años, compuesto de cuatro muchachas y tres varones con una pareja de terapeutas dentro de CMPP (Centro médico psico-pedagógico).
Folie privée et fonctions des groupes
Authors: Brusset Bernard 
Published: March 2024

Locura privada y funciones de los grupos.
Ciertos pacientes en psicoterápia psicoanalitica individual preveen, al participar a grupos diversos, algunos complementos del tratamiento de lo que ellos perciben como su locura privada. En cierta medida, lo que allí pasa puede ser utilizado en el trabajo analítico, ya que la dimensión de defensa y la de transferencia lateral no impiden lafecundidad de éstas experiencias de las cuales la teoria de los grupos y del pensamiento en grupo podrian sacar partido.
Le dessin comme médiation groupale
Authors: Jaitin Rosa 
Published: March 2024

El dibujo como mediación grupal.
Yo supuse que la cuestión del dibujo colectivo da cuenta de una crisis epistémica inducada por un proceso de regresíon temporal, formal y tópico, que estaria ligado a la situación del grupo de formación en la institución y a la mediación propuesta. Para ello incluí très niveles como método de interpretación de los dibujos grupales : el aspecto metommico, las relaciones espacio-temporales y el análisis metafórico de los dibujos grupales. Esto me permitió construir cadenas de representaciones gráficas (a nivel formal, tópico y temporal de cada dibujo) a través de las cuales he observado diferentes representaciones culturales del espacio epistémico en los dibujos.
A continuación presento un dibujo grupal y très dibujos individuals del mismo grupo. La regresión formal de la representación del espacio epistémico se présenta como la diferencia escencial entre el dibujo individual y el dibujo grupal.
Un père, pairs et passe
Authors: Marcelli Daniel 
Published: March 2024

Un padre, par y pasa.
Si el grupo terapèutico de adolescentes corresponde bastante estrechemente a las necesidades pulsionales y a las defensas caractenstícas de esa edad, el autor muestra que hay diferencias entre las chicas y los chicos. Estas diferencias explican por parte el hecho que las jovenes adolescentes parezcan mas bien refractarias a emprender un trabajo de grupo terapeutico, mientras que las adolescentes de mas edad toleran mejor ésta proposicion ; en los chicos la relacion es inversa.
Psychothérapie de groupe avec anorexiques et boulimiques : perspectives cliniques
Authors: Jaffè Ronny 
Published: March 2024

Psychotherapeutic group for anorexics and bulimics clinical aspects.
The author, through the presentation of this clinic matter, wants to mark the chance of using the analitycal group even in very particular and also extreme situations, as working with anorexic et bulimic teen-agers. The author starts from the theorical and clinical point of view by Bion and the Italian school, that much has done in deepening and developping Bion’s thought : we can remember, among others, Corrao, Neri, Gaburri, Baruzzi. The group is led and dealt in tis holistic dimension, even tough, in its internal, individualities and specificities of everyone are searched and understood ; the author thinks that this is very important for anorexic and bulimic patients. As a matter of fact, if constituing a common identification, based on a shared sorrow, can be necessary, at the beginning, in the following evolution of the group, it is also important to make single specificities
Interrogations sur la notion d’identification
Authors: Avron Ophélia 
Published: March 2024

Interrogantes sobre la noción de identificación

Cuestionamiento sobre la noción de identificación en el contexto de la teoría psicoanalítica y algunos inicios para enfocar un descentre de la función de apropiación identificante.
Desde una perspectiva donde el sujeto y el entorno son considerados como recíprocamente activos y transformadores, la noción de identificación podria perder en parte su interés en beneficio de otros procesos grupales. Pero éstos reclaman ser todavía más precisados y articulados con el conjunto de una teorización psicoanalítica que tendría que ser tambièn ella retomada.
Petit groupe et identifications, institutions et fondation. Nouvelles approches
Authors: Missenard André 
Published: March 2024

Dans les petits groupes avec psychanalystes, les positions respectives initiales des analystes — qui sont fondateurs de la situation — et des participants, sont en décalage.
Ce décalage favorise et développe des effets de transfert. Ceux-ci sont à l’origine des processus identificatoires inconscients, archaïques ou secondaires, qui structurent la vie psychique dans ces groupes. Ils sont décrits dans le présent travail.
Les groupes ou les institutions établies par un fondateur sont dans une relation d’objet primaire à celui-ci. La possibilité, ou non, d’élaboration de cette relation a des effets sur le destin du groupe et/ou de l’institution.