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The clinical management of the borderline personality disorder (BPD), and of emotional dysregulation disorders in general, raises problems both during the diagnostic and the treatment processes. Despite these challenges, clinical experience and the data from the literature make evident that the remission of the symptoms and the recovery from such disorders is now possible, under the condition of being treated with continuity. Various effective therapeutic approaches are available, such as the Dialectical Behavioral Therapy (DBT), the Mentalization-based Therapy (MBT), the Transference Focused Therapy (TFP). Of late, although the current body of research remains limited, preliminary evidence suggests that the multilevel experiential approach, Group Experience Therapy (GET) has shown promise in managing emotional dysregulation, reducing suicidal and self-harming behaviors, and enhancing patients’ quality of life. This paper serves as a brief introduction to the model’s rationale.
This study explores the evolution of Hospital Psychology Services (HPS) over the past decade, analyzing how professionals represent structural, functional, and managerial changes. Grounded in Semiotic-Cultural Psychology Theory (SCPT), the research employs Automated Co-occurrence Analysis for Semantic Mapping (ACASM) to examine interview data from 27 Italian HPS. Four themes emerged: Organizational complexity, Organizational challenges, Service networking, and Service consolidation. Results reveal bipolar semantic structures organizing these representations, notably Professional practice vs Networking and Challenges vs. Empowerment. The study provides a first overview of how the representational world of hospital psychologists can serve as a marker of the transformations taking place in the sector.
The Emmanuel Community, a long-standing Italian organization in the field of addiction, has undergone a significant transformation, mirroring changes in community-based organizations. It has shifted from hospitality-based care for marginalized users to structured treatment centers, moving from a total system logic to healthcare-oriented interventions. This study aims to map the organizational culture within the community, analyzing how cultural change interacts with organizational inertia and identifying models that guide professionals in integrating the autonomy of the network. Through the online administration of a battery of questionnaires, the responses of 95 participants were collected. The data was analyzed using Multiple Correspondence Analysis and Cluster Analysis. The results showed that the Emmanuel community is characterized by five symbolic universes: Idealizers, Self-referential, Professional Communities, Disengaged, Disillusioned. These clusters show how change has introduced standardized practices and responsibilities, improving the measurement of treatment but potentially weakening the relational and inclusive aspects, reducing empathy and patient participation. The results suggest the need to balance professionalization with the traditional values of the community to maintain an effective and human-centered treatment model.
The integration of individual and organizational interventions, with a focus on well-being and effectiveness/efficiency, currently represents a key area of development within both psychological and managerial disciplines. We propose to reunite these elements, traditionally treated separately, through a paradigm of subjectivity conceived as the way individuals make sense of their relationship with the world, functioning both at the intrapsychic level and as a negotiated construction across contextual settings. Drawing on a comprehensive review of the scientific literature, we will introduce the SOS approach - Synergy between Organization and Subjectivity – also introducing an intervention method that allows the integration of six strategic dimensions: the SCOPRI Method - Significances, Competencies, Organization, Processes, Relationships, and Image.
The purpose of this study is to give an overview of the extent, range, and nature of existing studies on active ageing in marginal areas. This overview will enable researchers, policymakers, and communities to understand the key challenges and opportunities related to improving older adults’ quality of life in marginal areas. This takes the form of a scoping review in which Arksey’s and O’Malley’s methodology is adopted. A total of 41 contributions were considered relevant for our purposes. The studies selected show that the key issues concerning active ageing in marginal areas are the following: i) quality of life, ii) care needs, and iii) social inclusion.