Factitious disorder comorbid with bipolar I disorder. A case report

We describe a case of factitious disorder with physical and psychological symptoms comorbid with bipolar I disorder in a 37-year-old woman. Since the onset of bipolar disorder, which occurred at the age of 31, she increasingly complained of physical symptoms, compulsively seeking medical and surgical interventions. She has been hospitalised several times and her Munchausen-type factitious disorder recently appeared to be developing into Munchausen by proxy, involving her 11-year-old daughter. The patient adhered poorly to stabilising and antipsychotic drug treatment and did not improve through the years. We here analyse her mood phases, which were always associated with changes in the quality of factitious symptoms, according to whether the disorder was in its depressive phase (somatic complaints and suicidal ideation prevail), or in its manic or mixed phase (medical intervention-seeking and manipulation of clinicians to obtain surgical interventions). We also briefly discuss some important forensic issues to consider in similar cases, mainly stemming from the psychotic aspects of these two co-occurring disorders. Clinicians should be aware of some patients' ability to produce signs and symptoms of physical and/or psychological illness and consult psychiatrists before giving consent to invasive diagnostic procedures or surgery.     

The bank of italy in the european system of central banks

This article illustrates the legislative and organizational changes affecting the Bank of Italy as a consequence of its participation in the European System of Central Banks (ESCB). The Bank of Italy, while losing its independence in setting national monetary policy, will take part on an equal footing with the other member central banks in setting the single monetary policy for the Union through the participation of its Governor in the Governing Council of the European Central Bank (ECB). The implementation of the single monetary policy and the management of both the exchange rate regime and the official reserves will be decentralized.     

Pedagogy and deliberative democracy: insights from recent experiments in the United Kingdom

A growing body of research suggests the existence of a disconnection between citizens, politicians and representative politics in advanced industrial democracies. This has led to a literature on the emergence of post-democratic or post-representative politics that connects to a parallel seam of scholarship on the capacity of deliberative democratic innovations to ‘close the gap’. This latter body of work has delivered major insights in terms of democratic design in ways that traverse ‘politics as theory’ and ‘politics as practice’. And yet the main argument of this article is that this seam of scholarship has generally failed to explore the existence of numerous pedagogical relationships that exist within the very fibre of deliberative processes. As such, the core contribution of this article focuses around the explication of a ‘pedagogical pyramid’ that applies a micro-political lens to deliberative processes. This theoretical contribution is empirically assessed with reference to a recent project that sought to test different citizen assembly pilots around plans for English regional devolution. The proposition being tested is that a better understanding of relational pedagogy within innovations is vital, not just to increase levels of knowledge, but also to build the capacity, confidence and contribution of democratically active citizens.     

Grand Theft Auto is a “Sandbox” Game,but There are Weapons,Criminals, and Prostitutes in the Sandbox: Response to Ferguson and Donnellan (2017)

In this issue, (Ferguson, C. J., & Donnellan, B. D., Journal of Youth and and Adolescence, published online 21 June 2017) criticize one of our studies (Gabbiadini, A., Riva, P., Andrighetto, L., Volpato, C., & Bushman, B. J., PLoS ONE, 11: 1–14, 2016) that found violent sexist video games can reduce empathy for female violence victims in male players who identify with violent male game characters, and do so by increasing masculine beliefs. Their main criticism is a “straw person” argument built on a claim that we never made (i.e., a direct effect of sexist-violent video games on empathy). They also made several other criticisms of our article. We appreciate the opportunity to respond to their criticisms in this article. We also point out some flaws in their reanalysis. Despite their criticisms, the core contributions of our original article remain intact.     

Reply to ‘The politics of evidence: a response to Rulli and D'Odorico’

ABSTRACT

Indicators of carbon storage in forests and other land uses have gained much prominence to evaluate and endorse land-based climate change mitigation policies. The outcomes of such assessments can have direct livelihood implications for dwellers living at the forest–agriculture frontier, such as shifting cultivators or subsistence farmers. This contribution critically discusses the methodological relevance of carbon stock indicators to assess long-term emission dynamics of land uses, and furthermore addresses the ‘politics of measurement’ that can be involved in policy practice. From a complex socio-ecological systems perspective, the paper argues that carbon stock indicators provide necessary but not sufficient information to endorse land use policies with mitigation aims. While they may indicate one-off sequestration gains through vegetation and land-use change, they cannot account for permanent hidden emissions that emerge as part of the broader agrarian transitions that accompany land-use change. Over the long term, this may render related mitigation interventions ineffective, if not counterproductive. Furthermore, carbon stock estimates for future land-use scenarios sometimes draw on biased assumptions, or are constructed within histories of discrimination, through which they may further marginalize subaltern groups such as shifting cultivators. A paradigm shift is needed that includes more integrative assessment approaches.     

Government approval in Italy: Political cycle,economic expectations and TV coverage

This paper analyses government approval in Italy – which has become a key aspect for electoral support in the new party system of the Second Republic – exploring the influence that TV coverage exerts on approval net of traditional accounts of government support. Relying on both aggregate time series and pooled individual-level surveys analyses, it is shown that communication has a sizable impact on government approval. The popularity of Centre-Left and Centre-Right governments is affected evenly by the economy but differently by the news coverage of their activity. People with lower political interest are the most reactive to news coverage of government performance.     

Italy--reduced tax benefits for 'family REITs' and anti-avoidance provisions

Italian REITs, as defined under Article 37 of the Italian consolidatedlaw on the financial sector (Legislative Decree of 24 February1998 n 58) have traditionally enjoyed a favourable tax treatment.Since 2004 they have been exempt from income tax, whereas unit-holdershave been liable to a