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  1. Article ; Online: Revisiting Marion Milner's work on creativity and art.

    Stefana, Alberto

    The International journal of psycho-analysis

    2020  Volume 100, Issue 1, Page(s) 128–147

    Abstract: This article outlines the thinking of the English psychoanalyst and painter Marion Milner (1900-1998) and examines the issues of creativity and art, showing how her theory was influenced by the artistic and psychoanalytic milieu in which she was immersed. ...

    Abstract This article outlines the thinking of the English psychoanalyst and painter Marion Milner (1900-1998) and examines the issues of creativity and art, showing how her theory was influenced by the artistic and psychoanalytic milieu in which she was immersed. Milner, as a result of personal research on the inability to paint, came to believe that the creative artistic process, intended as the creation of new symbols that attribute a personal and subjective meaning to the newly created reality, occurs during moments of "primary madness" (of illusion of unity, of pre-logical fusion between subject and object), making it possible to have a relationship of reciprocity between internal and external reality. In such a process, the aesthetic experience of the artist at work plays a key role. Using Milner's ideas about the creative process as a base, the author investigates the links between psychoanalysis and the unconscious processes in symbol formation and artistic creation, showing that Milner's work is still relevant to psychoanalysis today.
    Language English
    Publishing date 2020-05-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 220636-5
    ISSN 1745-8315 ; 0020-7578
    ISSN (online) 1745-8315
    ISSN 0020-7578
    DOI 10.1080/00207578.2018.1533376
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Making the Best in a Bad Job: A Psychoanalytic Perspective on Communication with Children and Adolescents with Severe Physical Condutions.

    Stefana, Alberto / Gamba, Alessio

    The Psychoanalytic quarterly

    2023  Volume 92, Issue 3, Page(s) 463–497

    Abstract: Ill children/adolescents who suffer from severe organic diseases have to cope with their inner experiences, therapies, and the global burden of the disease. Although sometimes depression, anger, and death anxiety are openly encountered in medical ... ...

    Abstract Ill children/adolescents who suffer from severe organic diseases have to cope with their inner experiences, therapies, and the global burden of the disease. Although sometimes depression, anger, and death anxiety are openly encountered in medical settings, other times they can be partially hidden by a reactive and defensive path. In these scenarios, psychoanalysis is challenged to contribute the best comprehension of the intimate communication, maybe hidden, and the needs of the ill patients to express themselves. The best way a child can
    MeSH term(s) Adult ; Child ; Humans ; Adolescent ; Psychoanalysis ; Communication
    Language English
    Publishing date 2023-11-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207522-2
    ISSN 2167-4086 ; 0033-2828
    ISSN (online) 2167-4086
    ISSN 0033-2828
    DOI 10.1080/00332828.2023.2269940
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 386: Show issues Location:
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  3. Article ; Online: The Brief Version of the Mentalization Scale (MentS-12): Evidence-Based Assessment of Mentalizing Capacity.

    Stefana, Alberto / Jolić Marjanović, Zorana / Dimitrijević, Aleksandar

    Journal of personality assessment

    2024  , Page(s) 1–10

    Abstract: Recognizing the need for a concise self-report measure of mentalizing capacity, we developed a 12-item iteration of the well-established Mentalization Scale (MentS). Using college student and community samples of Serbian adults ( ...

    Abstract Recognizing the need for a concise self-report measure of mentalizing capacity, we developed a 12-item iteration of the well-established Mentalization Scale (MentS). Using college student and community samples of Serbian adults (
    Language English
    Publishing date 2024-04-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 121962-5
    ISSN 1532-7752 ; 0022-3891
    ISSN (online) 1532-7752
    ISSN 0022-3891
    DOI 10.1080/00223891.2024.2326884
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  4. Article ; Online: Erotic Feelings Towards Patients in the Psychotherapy Session: Investigating Their Relationship With the Characteristics of the Therapist, the Patient, and the Treatment.

    Stefana, Alberto / Youngstrom, Eric A

    Sexual abuse : a journal of research and treatment

    2023  , Page(s) 10790632231190081

    Abstract: Experiencing erotic feelings towards a patient is a fairly common occurrence, not pathological per se, during phases of psychotherapy. This study aims to analyze associations between, on the one hand, the presence in therapists of romantic attraction (RA) ...

    Abstract Experiencing erotic feelings towards a patient is a fairly common occurrence, not pathological per se, during phases of psychotherapy. This study aims to analyze associations between, on the one hand, the presence in therapists of romantic attraction (RA), sexual attraction (SA), or flirting behavior (FB) toward patients and, on the other hand, a series of characteristics of therapist, patient, and treatment. Between April and June 2022, 547 psychotherapists completed an online survey investigating their affective and behavioral responses toward their most recently treated patient. Compared to female therapists, males showed significantly higher prevalence of SA alone (
    Language English
    Publishing date 2023-07-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1283507-9
    ISSN 1573-286X ; 1079-0632
    ISSN (online) 1573-286X
    ISSN 1079-0632
    DOI 10.1177/10790632231190081
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    Zs.A 3271: Show issues Location:
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  5. Article ; Online: Mourning the Death of a Foreign Child.

    Stefana, Alberto

    Indian journal of pediatrics

    2017  Volume 84, Issue 3, Page(s) 245

    Language English
    Publishing date 2017-03
    Publishing country India
    Document type Letter
    ZDB-ID 218231-2
    ISSN 0973-7693 ; 0019-5456
    ISSN (online) 0973-7693
    ISSN 0019-5456
    DOI 10.1007/s12098-016-2264-2
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    Zs.A 826: Show issues Location:
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  6. Article: Enhancing Psychotherapy Outcomes by Encouraging Patients to Regularly Self-Monitor, Reflect on, and Share Their Affective Responses Toward Their Therapist: Protocol for a Randomized Controlled Trial.

    Stefana, Alberto / Vieta, Eduard / Fusar-Poli, Paolo / Youngstrom, Eric A

    JMIR research protocols

    2024  Volume 13, Page(s) e55369

    Abstract: Background: The quality of the therapeutic relationship is pivotal in determining psychotherapy outcomes. However, facilitating patients' self-awareness, reflection on, and sharing of their affective responses toward their therapist remains ... ...

    Abstract Background: The quality of the therapeutic relationship is pivotal in determining psychotherapy outcomes. However, facilitating patients' self-awareness, reflection on, and sharing of their affective responses toward their therapist remains underexplored as a potential tool for enhancing this relationship and subsequent treatment outcomes.
    Objective: The primary objective of this study is to examine whether and how the patients' regular self-monitoring and self-reflection (fostered by the systematic compilation of a brief postsession battery) on their affective reactions toward the psychotherapist impact the quality of the therapeutic relationship and treatment outcomes in individual psychotherapy. Secondary objectives are to (1) explore whether and how the characteristics of the patient, the therapist, and the process moderate the effect of regular self-monitoring on the therapeutic relationship and outcomes; (2) examine the relationships between the affective response of the patient, the alliance, and the result of the therapy session outcome; and (3) explore how the affective responses of the patient unfold or change throughout the course of the therapy.
    Methods: We conducted a 1:1 randomized controlled trial of adults in individual psychotherapy versus individual psychotherapy plus self-monitoring. Participants will be enrolled through the web-based recruitment platforms "ResearchMatch" and "Research for Me," and data will be collected through web-based surveys. Participants in the control group will receive only their regular individual psychotherapy (treatment as usual) and will not complete postsession questionnaires. Participants in the intervention group will continue their regular individual psychotherapy sessions and complete the "in-Session Patient Affective Reactions Questionnaire" and the "Rift In-Session Questionnaire" following each therapy session in the 10 weeks of the trial. Additionally, after completion of the postsession battery, they will receive general written feedback encouraging them to discuss their feelings and reflections with their therapist. Participants in both groups will complete a comprehensive psychological assessment at baseline, midtrial (week 5), and end-of-trial (week 10). The primary outcome measure of the trial is the "Clinical Outcomes in Routine Evaluation-Outcome Measure," while the secondary outcomes are the "Real Relationship Inventory-Client-Short Form," the "Working Alliance Inventory-Short Revised," and the number of scheduled therapy sessions that the patient has missed or canceled.
    Results: The trial was approved by the institutional review board of the University of North Carolina at Chapel Hill. Recruitment started in September 2023. A total of 475 individuals completed the baseline assessment. Data collection was completed in February 2024. The results are expected to be published in the autumn of 2024.
    Conclusions: This study could reveal key information on how regular self-monitoring and introspection can influence both the therapeutic relationship and treatment outcomes. Findings have the potential to shape interventions, enhance the efficacy of psychotherapeutic sessions, and possibly offer a cost-effective strategy for improving patients' well-being.
    Trial registration: ClinicalTrials.gov NCT06038747; https://classic.clinicaltrials.gov/ct2/show/NCT06038747.
    International registered report identifier (irrid): DERR1-10.2196/55369.
    Language English
    Publishing date 2024-04-08
    Publishing country Canada
    Document type Journal Article
    ZDB-ID 2719222-2
    ISSN 1929-0748
    ISSN 1929-0748
    DOI 10.2196/55369
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: From Die Traumdeutung to The Squiggle Game: A Brief History of an Evolution.

    Stefana, Alberto

    American journal of psychoanalysis

    2017  Volume 78, Issue 2, Page(s) 182–194

    Abstract: It is often possible to retrace the history of a new concept or a new technique, identifying precursor and reflections that would lay the foundations for the birth of something "new". This also applies to the "squiggle game" of Donald W. Winnicott, one ... ...

    Abstract It is often possible to retrace the history of a new concept or a new technique, identifying precursor and reflections that would lay the foundations for the birth of something "new". This also applies to the "squiggle game" of Donald W. Winnicott, one of the Winnicottian "creations" in which the distinctive signs of its fatherhood are more evident as, at the same time, are evident several debts to other scientists: from Freud's interpretation of dreams, through Jung, Klein and Fordham to Milner's "free drawings".
    MeSH term(s) History, 20th Century ; Humans ; Psychoanalysis/history ; Psychoanalytic Interpretation ; Psychoanalytic Theory ; Psychoanalytic Therapy/methods
    Language English
    Publishing date 2017-10-02
    Publishing country England
    Document type Historical Article ; Journal Article
    ZDB-ID 219399-1
    ISSN 1573-6741 ; 0002-9548
    ISSN (online) 1573-6741
    ISSN 0002-9548
    DOI 10.1057/s11231-018-9138-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.B 543: Show issues Location:
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  8. Article ; Online: Development and validation of an 8-item version of the Real Relationship Inventory-Client form.

    Stefana, Alberto / Fusar-Poli, Paolo / Vieta, Eduard / Gelso, Charles J / Youngstrom, Eric A

    Psychotherapy research : journal of the Society for Psychotherapy Research

    2024  , Page(s) 1–17

    Abstract: Objective: To develop and validate a very brief version of the 24-item Real Relationship Inventory-Client (RRI-C) form.: Method: Two independent samples of individual psychotherapy patients (: Results: The 8-item RRI-C (RRI-C-SF) preserves the two- ...

    Abstract Objective: To develop and validate a very brief version of the 24-item Real Relationship Inventory-Client (RRI-C) form.
    Method: Two independent samples of individual psychotherapy patients (
    Results: The 8-item RRI-C (RRI-C-SF) preserves the two-factor structure: Genuineness (
    Conclusion: The RRI-C-SF is a reliable measure that can be used for both research and clinical purposes. It enables a nuanced assessment of the genuineness and the realism dimensions of the real relationship.
    Language English
    Publishing date 2024-03-18
    Publishing country England
    Document type Journal Article
    ZDB-ID 1080323-3
    ISSN 1468-4381 ; 1050-3307
    ISSN (online) 1468-4381
    ISSN 1050-3307
    DOI 10.1080/10503307.2024.2320331
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    Zs.A 3316: Show issues Location:
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  9. Article ; Online: The body talks. Psychosomatic disorders during the developmental years.

    Stefana, Alberto

    Minerva pediatrica

    2016  Volume 68, Issue 4, Page(s) 312–313

    MeSH term(s) Adolescent ; Communication ; Humans ; Male ; Psychophysiologic Disorders/diagnosis ; Psychophysiologic Disorders/psychology ; Psychophysiologic Disorders/therapy ; Psychotherapy/methods
    Language English
    Publishing date 2016-08
    Publishing country Italy
    Document type Case Reports ; Journal Article
    ZDB-ID 123571-0
    ISSN 1827-1715 ; 0026-4946
    ISSN (online) 1827-1715
    ISSN 0026-4946
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  10. Article ; Online: Development and preliminary validation of the Clinician Affective REsponse (CARE) scale.

    Stefana, Alberto / Fusar-Poli, Paolo / Langfus, Joshua / Vieta, Eduard / Youngstrom, Eric

    Research in psychotherapy (Milano)

    2024  Volume 27, Issue 1

    Abstract: The present study reports on the development and validation of the clinician affective response (CARE) scale. The CARE scale was designed as a self-report measure of therapists' patterns of thoughts, feelings, and behaviors toward the patient during an ... ...

    Abstract The present study reports on the development and validation of the clinician affective response (CARE) scale. The CARE scale was designed as a self-report measure of therapists' patterns of thoughts, feelings, and behaviors toward the patient during an individual psychotherapy session. An initial pool of 116 items was generated, and its quality was evaluated by subject matter experts. Validation data were gathered from licensed psychotherapists (n=554). We used exploratory factor analysis and item response theory-graded response modeling to select items, confirmatory factor analysis to test how well the factor structure fit the data, and k-fold cross-validation to ascertain the robustness of the model. Criterion validity was evaluated by correlating the scores of the scale with the characteristics of therapists, patients, and treatment. The selected model consists of 15 items and a 3-factor structure, which showed excellent model fit, good internal consistency, and evidence of criterion validity. The CARE scale, short and quick to complete, enables therapists to reflect on and recognize their inner experiences and quantify these experiences in ways conducive to statistical analysis and research. Furthermore, the monitoring of these affective reactions toward their patients can guide therapeutic interventions and inform clinical supervisors.
    Language English
    Publishing date 2024-03-21
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2654235-3
    ISSN 2239-8031 ; 2239-8031
    ISSN (online) 2239-8031
    ISSN 2239-8031
    DOI 10.4081/ripppo.2024.736
    Database MEDical Literature Analysis and Retrieval System OnLINE

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