L’ozio e la noia: casi clinici

"The Devil finds work for idle hands": this is the high negative idiom that describes for a long idleness and that hides the doing nothing idea, that in this article we try to discredit; in fact idleness can be considered a moment of great creativity that, even better, opposes to nothing's idea. We can suppose that the "nothing's idea" characterizes not the idleness but the boredom. Or better, a particular type of boredom, invincible and that deprives everything of all meanings and in this way we can define as mental illness

Un caso clinico di GAD (Generalized Anxiety Disorder)

The term "anxiety" includes a group of emotional, behavioural, cognitive and somatic symptoms. Anxiety is obviously the most important symptom of Generalized Anxiety Disorder (GAD). We report a clinical case of GAD. GAD is difficult to include into a well-defined diagnostic category because it is very difficult to define clear aetiology, evolution, clinical features and therapy of the disorder. Studying GAD is important because it has a negative influence on everyday life, affecting relationships, social life and work. We attempted to demonstrate a possible association between GAD and other psychiatric disorders, such as personality disorders and mood disorders. We also reviewed therapeutic approaches at our disposal

EPA-1707 – From delusional perception to annulment drive (1962–1971)

In 1962 ‘Some notes on paranoidal and schizophrenic delusional perception’ by the Italian psychiatrist Fagioli has been published. After having left the Psychiatric Hospital in Venice and a neurobiological approach, Fagioli studied clinical phenomenology in Padua. He was inclined to criticize the neurological pathogenesis in Psychiatry. His approach made him introducing in the Schneider's delusional perception a study that focused on a delusional meaning attribution as simultaneous to the act of a normal perceiving. The simultaneity of both perception and meaning attribution has been remarked as reaction to an environmental stimulus, but, differently from classical psychopathology, in this reaction the perception is not altered, while the thought is. Moreover, we have to observe that thought is connected to reality and to the affective state. This theoretical position could be distinguished from the classical psychopathological vision, that considers the delusional perception such as an alteration of perception, like can be observed in neurological damage, or considers the perception as normal but not understandable (‘ohne Anlass’). The idea of a thought reaction determined a view to a second level of thought, beyond the consciousness. So that in 1971 Fagioli formulated the annulment drive (‘pulsione di annullamento’), a psychic reaction to a disappointing stimulus from the human affective environment. Since this mechanism, a psychopathological process can originate. In our opinion, the ‘pulsione di annullamento’, being an immediate and non-conscious activity toward the human reality out of the subject, goes into delusional perception concept of simultaneity in more depth