Sigmund Freud University

ABSTRACT Background Trust is a fundamental aspect of human relationships, crucial for navigating social interactions and forming meaningful connections. While the ability to accurately assess and update trust appraisals is essential for adaptive functioning, individuals with borderline personality disorder (BPD) experience significant challenges in trust processing that contribute to interpersonal dysfunction and treatment complications. Despite growing recognition of trust difficulties in BPD, a comprehensive understanding of these processes remains limited. Methods The present study aimed to evaluate and refine this model through a qualitative analysis of interviews with 25 Italian therapists specialising in personality disorders. Using thematic analysis, we explored clinicians' observations of trust dynamics in BPD patients, focusing on developmental factors, situational perceptions, emotional influences, prior beliefs, behaviours and trust learning capacity. Our findings largely aligned with and extended the theoretical model of trust impairments in BPD proposed by Preti et al. in 2023. Results Results revealed a complex interplay between long‐term and immediate factors in shaping trust processes: developmental experiences, rigid perceptions, emotional volatility, distorted beliefs, maladaptive behaviours, and impairment in trust learning were central to the trust dysfunctions in BPD. Two significant additions to the model emerged: emotional consequences of trust misattribution and behavioural activation triggered by emotional arousal. Conclusions These findings suggest that trust difficulties in BPD involve both planned behavioural consequences and immediate emotion‐driven reactions. The study provides important implications for clinical practice, emphasising the need for interventions that address both primary trust issues and secondary emotional‐behavioural responses.

Whether thrombectomy with or without emergent carotid stenting improves outcomes in patients with large vessel occlusion (LVO) stroke due to carotid artery dissection (CAD) is unknown. International multicentre observational study. Patients with LVO due to CAD undergoing thrombectomy with emergent stenting were compared to those without emergent stenting. The primary outcome was functional independence (modified Rankin Scale 0-2) at 3months, secondary outcomes included early neurological improvement (ENI) within 24-48h, successful recanalisation, symptomatic intracerebral haemorrhage (sICH) and mortality at 3months. Inverse probability of treatment weighting and multivariable Poisson regression were used to adjust for group imbalances and to estimate the effect size, respectively. Of 516 patients (mean age 53.8years, 76% male) undergoing thrombectomy, 167 (32.4%) and 349 (67.6%) were treated with or without emergent carotid stenting, respectively. After robust adjustment, emergent stenting was not associated with functional independence (adjusted risk ratio [aRR]=1.01; 95% confidence interval [CI], 0.89-1.15) or ENI (aRR=1.07; 95% CI, 0.95-1.21) but with successful recanalisation (aRR=1.29; 95% CI, 1.10-1.50) and reduced mortality at 3months (aRR=0.39; 95% CI, 0.15-0.99). Risk of sICH was equivalent (aRR=1.01; 95% CI, 0.95-1.06). In patients with LVO secondary to CAD, emergent stenting during endovascular procedure appeared safe, increased odds of successful recanalisation and reduced 3-month mortality rates. However, intraprocedural stenting was not associated with better functional outcome.

Abstract This chapter expands on Boesch’s I-Theory and its relevance to work and industrial psychology, particularly in relation to job satisfaction. Within the framework of Boesch’s Symbolic Action Theory, the “I” is conceptualized as an integrative stance that negotiates private and social should-values, which function as overarching meaning-making systems guiding individual actions. These should-values should not be regarded as static but rather as dynamic elements that evolve over time. Consequently, the integrative stance of the individual is not a fixed ontological structure but an open system that continuously adjusts. This adaptability enables individuals to reassess past experiences and anticipate future developments, shaping their present conduct. Drawing on Boesch’s I-Theory, a more holistic approach to job satisfaction is proposed, employing the multiple blank method to systematically uncover personal and ecological determinants within the action field. These insights are further applied to the challenges of leadership. Finally, the chapter explores how Boesch’s theory contrasts with other overarching theoretical frameworks.

Abstract Recreational drug use continues to rise worldwide (UNODC, 2025). Alongside growing consumption figures, which are receiving a lot of attention, a more subtle yet significant shift is emerging: The increasing use of new and largely unknown substances that are reshaping patterns and trends within the recreational scene (EMCDDA, 2024; Winstock et al., 2022). This online cross-sectional study (N = 716) explored recreational drug users’ perspectives by assessing socio-demographics, consumption patterns, motives, and emotional states (PANAS; Breyer & Bluemke, 2016) to identify subjective experiences and emerging trends. The results highlight particularities in the emotional experiences of recreational drug users, such as greater emotional reactivity compared to the standardized non-using sample. In addition, differences in the emotional experiences were also found between the different consumer groups, as well as in terms of the underlying motives for consumption. To understand recreational drug use and its developments, it is necessary to have in-depth knowledge about users. Examining their subjective experiences offers valuable insights and supports the development of health-promoting, user-oriented strategies, such as considering emotional aspects and underlying motives for use.

ABSTRACTThis introduction is part of a special section on the anthropology of anxiety. As a collection, it offers an innovative anthropological approach to anxiety as a social, political, and ontological condition rather than a clinical disorder. Each paper builds on theoretical and philosophical traditions, from Heidegger to Tillich to Lacan to Freud, to explore how anxiety inhabits fields of relations defined by radical social shifts, existential uncertainties, or political, moral, or ethical crises. What is unique about this collection is that each article argues anxiety is found when semantically overdetermined and conflicting scripts of the future, narratives of the past, and potentialities for selfhood collide. It defines anxiety as a condition of multiple disturbances that can inhabit various discourses and practices, affects and feelings, collective actions, and individual sensibilities. It emphasizes the leaky, destructive, emancipatory, and transformative nature of anxiety by examining institutional and political borderlands, liminal and multivocal identities, emerging and disrupting configurations of intimacy, and, by doing so, defines anxiety in relation to courage, love, desire, pain, hurt, and guilt rather than simply fear.

HighlightsWhat are the main findings?Negative parenting practices (poor monitoring, inconsistent discipline, corporal punishment) partially mediate the relationship between Cognitive Disengagement Syndrome (CDS) symptoms and youth anxiety, depression, and oppositional–defiant symptoms.Positive parenting practices, although beneficial, did not play a significant mediating role in these associations.What is the implication of the main finding?Children’s CDS-related difficulties may lead parents to adopt negative parenting behaviors, which in turn exacerbate psychopathological symptoms in their offspring.Clinical and preventive interventions should prioritize reducing negative parenting practices, alongside promoting positive ones, to mitigate the impact of CDS on youth mental health.Background/Objectives: Cognitive Disengagement Syndrome (CDS) is a clinical condition primarily characterized by inattention, hypoactivity, and mind-wandering, which has not yet been recognized as an official diagnostic category. Although there are overlaps between CDS and ADHD, evidence supports the semi-independence of CDS from the ADHD-Inattentive subtype. Importantly, while the impact of ADHD on parenting styles has been studied, no previous research has investigated the potential influence of CDS difficulties on parenting behaviors. Both CDS and ADHD are associated with internalizing and externalizing symptoms, which are influenced by negative parenting styles. The severity of ADHD is known to predict the use of dysfunctional parenting patterns; however, no studies have yet investigated how CDS difficulties might affect parenting styles. Due to the similarities between CDS and ADHD, it is reasonable to hypothesize a similar relationship. This study aims to examine the potential mediating role of parenting styles—both negative and positive—in the relationship between CDS difficulties and internalizing and externalizing symptoms. Methods: The sample is composed of 369 Italian school-aged children (9.38 ± 2.34 years old). Parents reported on their children’s psychopathology, CDS difficulties, and their own parenting strategies. Results: Analyses conducted using Hayes’ PROCESS tool indicated that only negative parenting styles partially mediated the relationship between CDS difficulties and parent-reported youth anxiety, depression, and oppositional defiant disorder. Conclusions: These findings highlight the importance of interventions aimed at both addressing CDS in children and improving parenting strategies to enhance youth psychopathological outcomes.

ABSTRACT Patients in psychotherapy often struggle to articulate inner experiences, especially after trauma. Yet the therapeutic process relies on the gradual emergence of verbal expression. Expressive poetry therapy offers a transitional medium, bridging the gap between pre-verbal affect and communicable language. This paper presents the Triad of Triangulation Mechanisms, a model integrating insights from psychoanalytic, narrative, and arts-based therapies into three interrelated dimensions: Contentual Triangulation (through metaphor and symbolic language), Spatial Triangulation (within the therapeutic “transitional space”), and Temporal Triangulation (via past, present, and future narratives). Drawing on interdisciplinary literature and clinical experience, the model frames how poetic writing functions as a mediating third to foster agency, containment, and integration. It offers a structure for understanding poetry therapy’s capacity to transform fragmented experience into shared speech, with implications for clinical work and future research.

Abstract Charisma plays an important role in every society. In certain cases, the sources for this are of the same origin (transcendental or worldly). Charismatic leaders and people enjoy the trust of their members and can determine norms and values. This article starts from the Weberian definition of charisma and aims to find out to what extent it is transferable to the Alevi Dede.

As mass violence—especially that occurring during periods of war, colonialization, or foreign occupation—is generally accompanied by contested perceptions of geopolitical space, the subsequent question of where the violence took place is inevitable. This issue is of central importance for how we understand, commemorate, and teach these important historical events. Did the violence take place in the country that existed there before the violence began, in the country that existed at the time of the violence, in the country that covered that area after the violence had ended, or in the country to which that region now belongs? This set of four studies ( N = 841) examines how the geopolitical framing of historical violence influences perceptions of collective responsibility for that violence, and whether the effects of geopolitical framing extend across time and interpersonal communication partners. The findings suggest that by placing the violence within a given country, that nation was perceived as more responsible for it, an effect that continued to influence memory and assessments of responsibility over time. These effects also influenced how people told others about the violence, thereby influencing the subsequent assessments of others in a similar fashion.