bahareh deljou

 The level of activity of behavioral brain systems is one of the effective factors in the occurrence or persistence psychopathic behaviors. Therefore, the aim of this study was to structurally model primary and secondary psychopathic disorder based on behavioral brain systems.

 This research is applied in terms of purpose and descriptive in terms of correlational research method. The statistical population of this study includes all medical students of Tabriz University of Medical Sciences. A total of 284 subjects were selected as a sample by convenience sampling method and they performed Lonson, Kiel and Fetispatrick Psychopathy Scale and the Carver and White Brain-Behavioral Systems Scale. Data were analyzed using Pearson correlation coefficient and structural equation modelling with SPSS software version 24 and LISREL version 8.80.

 The results showed that the behavioral activation system has a positive and significant relationship with primary and secondary psychopathy and the behavioral inhibition system has a negative and significant relationship with primary and secondary psychopathy (P <0.01). The results of structural equation model showed that behavioral activator system and behavioral inhibition system have an effective role on primary and secondary psychopathy (P <0.01). Also, the results of structural equation model showed acceptable model (2/df= 2.50, RMSEA= 0.075, CFI= 0.96, NFI= 0.94, GFI= 0.94).

 According to the function of activating systems and behavioral inhibition, pathological personality traits can be oriented or corrected before the formation and stabilization of these traits.

To date, of essential goals in psychiatry and establishment of future medical centers is creating therapeutic environments with the aim of improving clinical outcomes, preventing the progression of personality difficulties to serious psychiatric disorders, increasing self-satisfaction in society, facilitating personal growth and actualization, as well as reducing high medical costs. In this regard, the Personality Modulation Clinic in 2016 in Tabriz University of Medical Sciences was established, with the aim of providing appropriate mental health services for clients who do not fulfill criteria for a specific mental disorder, in the traditional classifications; nevertheless, desiring to eliminate inner obstacles towards mental growth, self-actualization, spirituality and the proper well-being they lack. The services in this clinic provide clients with support in order to seek innovative growth opportunities within themselves, by removing inner obstacles towards personality development. These obstacles are roughly equivalent to the diagnosis of “personality difficulty” in the 11th edition of the International Classification of Diseases (ICD-11). Moreover, the therapeutic foundation of this clinic is an emerging medical paradigm known as Cosmetic Psychiatry. At the beginning of any new scientific establishment, as usually happens, and was true for this clinic as well, the bond of philosophical concepts are unveiled, and this is the irreversible and undeniable link between science and philosophy. Thereby, important questions appeared, which were approached philosophically.

Mental health and treatment approaches have indeed garnered attention in health care. Treatment approaches have shifted from severe and chronic disorders prevalent in the past to milder disorders. Further, these approaches aid in improving performance, health, happiness, and superiority.1 To this end, new diagnostic systems have been introduced to move away from traditional approaches (i.e., stratified diagnosis and treatment) to a dimensional approach. This shift in attitude may affect major current mental health practices requiring innovative approaches, guidelines, and care to revolutionize mental health. Thus, setting up the clinic of personality modulation was inevitable as it provides educational-therapeutic services in accordance with the most up-to-date diagnostic classification system. It can also promote the growth of mental health. Even healthy people or those who pay attention to their mental growth and development can also benefit from the clinic's services. In a dimensional approach, services are provided for those who fall in the category of difficult code of personality in the new psychiatric divisions of the ICD-11. These services will lead to their personal and professional development.
To compensate for the shortcomings of previous classification systems, the ICD-11 has adopted a dimensional approach, a new approach to the classification of personality disorders, in which the focus is primarily on diagnosing and determining the severity of the disease. Moreover, the range of symptoms includes five ranges of traits related to personality disorders. These five domains encompass Negative Affectivity, Detachment, Dissociality, Disinhibition, and Anankastia .2,3 Thierry, Crawford, Mulder, Bleschfeld, Farnam, et al.,4 establishing this dimensional classification, proposed a new diagnosis called personality difficulty. Diagnosis of the personality difficulty is not a psychological disorder in itself. However, it can still be used for the clinical benefit of virtually normal individuals and has been included in the Z-scores of the ICD-11 for Non-Patients. This diagnosis consists of people who are neither typically ill nor have a personality disorder. Rather, these people have problems with life management that causes medical problems and incurs costs for the community and treatment systems.5 The researchers concluded that the proposed changes could aid clinical efficacy in diagnosing the personality disorder and selecting appropriate treatment. In this way, the misconceptions concerning the false label attached to the disorder term can be dispelled.4
Therefore, current psychiatry is moving in a direction with a program not only for patients but also for almost normal people who have problems in their lives or feel that there are some difficulties in developing their personality. One style of psychiatric treatment called cosmetic psychiatry6 or positive psychiatry7 has attracted attention among the whole range of psychiatric disciplines. Cosmetic Psychiatry refers to the empowerment and strengthening of people's cognitive, behavioral, and emotional processes who do not suffer from a specific disorder. In other words, the treatment is to improve a person's mental state in the absence of any clinical disorder.8 The development of the ICD-11 has led to innovative approaches which were not available before. The reason for the clinic's foundation lies in the philosophical theories presented by Georg Wilhelm Friedrich Hegel and Sadr al-Muta'allehin Shirazi. They saw soul and psyche as a constantly evolving category. According to their theories, the soul is inherently growing and ascending unless a factor disrupts this process.

Subclinical personality difficulties are the source of many interpersonal problems, and it is necessary for psychiatry residents to gain a comprehensive knowledge of the concepts of personality and personality disorders, including subclinical disorders. Clinical education is one of the most important aspects of medical students’ training. Improving the quality of this course is of particular importance. The services provided at the Personality Modulation Clinic of Razi Educational and Medical Center in Tabriz have been designed based on available scientific evidence and experiences for individuals with personality difficulties. The current research evaluates the effects of a new treatment known as the “Personality Biopsychological Approach” for individuals with personality difficulty for the first time given the absence of such an integrated and coherent program in clinical education. There are five main phases of study design: assessing patients’ needs, assessing psychiatric residents’ needs, formulating educational goals, the design of treatment model, and implementation. The current study found that society’s mental health is a top priority for national growth and development. Therefore, training psychiatrists in this field plays a crucial role in ensuring both individuals’ and society’s health and well-being. This study indicates that psychiatry residents’ acquaintance with this issue can increase their ability in the correct diagnosis and intervention in preventing the exacerbation of psychiatric disorders.

 Psychopath evaluation and conceptualization in non–clinical individuals has attracted increasing attention in recent years. Psychopathy is a set of emotional, interpersonal, and behavioral traits that represent cruelty, recklessness, deception, bigotry, excitement, and aggression. Underlying individual differences in Antisocial Personality Disorder (APD) are biological issues. One of the personality theories that addressed individual differences, especially biological differences, is Eysenck's theory of personality. Eysenck's personality traits model describes APD based on the following traits: extraversion, neuroticism, and psychoticism. Thus, the present study aimed to investigate the relationship between personality traits of primary and secondary psychopathy based on Eysenck’s model.

 The present correlational research applied structural equation modeling. The statistical population of this study included all medical students in Tabriz City, Iran, in the academic year of 2019–2020. In total, 284 subjects were selected using the convenience sampling method. The inclusion criterion of the study included medical students. Besides, the exclusion criteria of the study were the presence of active mental health disorders and absence from >2 sessions. The required data was gathered by the Levenson Self–Report Psychopathy Scale (LSRP) (Levenson et al., 1995) and Eysenck Personality Questionnaire–Revised Short (EPQ–RS) (Eysenck et al., 1985). The obtained data were analyzed using Pearson correlation coefficient and structural equation modeling in SPSS and LISREL. The significance level of all tests was 0.01.

 The collected results indicated that neuroticism had a direct and significant relationship with primary APD (Beta=0.301, p<0.001) as well as secondary APD (Beta=0.823, p<0.001). Psychosis had a direct and significant relationship with primary APD (Beta=0.502, p<0.001) as well as secondary APD (Beta=0.310, p<0.001); however, extraversion had no significant relationship with primary APD (Beta=–0.123, p=0.061) as well as secondary APD (Beta=0.122, p=0.080). Furthermore, the collected data fitted with the proposed research model (x2/df=2.46, CFI=0.96, GFI=0.91, NFI=0.94, RMSEA=0.072).

 According to the current research results, Eysenck's theory has a tremendous influence on the development of theoretical and research etiology of psychopathy and supports the major role of Eysenck's theory in APD.

COVID-19 pandemic crisis has put everyone in the most vulnerable position, facing the onslaught death. The contemporary human beings used to see themselves as very safe and far from death. However, the COVID-19 crisis has greatly increased the likelihood of death, guiding a large number of people to their deepest psychological conflicts: being versus non-being, life versus death. Reactivation of the basic conflicts of the human psyche by events in the external world are among the most effective factors of psychic states and behaviors. Considerable events, particularly those with disastrous consequences, can reactivate the most fundamental conflicts of the human soul, the conflicts about being versus nonbeing, with the resultant emergence of existential anxiety and astonishment! Attracting the attention of the contemporary humans to their being and the profound comprehension of the inevitable nonbeing would guide towards new approaches which are in accordance with Paul Tillich’s formulations, regarding types and expressions of existential anxiety. Ought to be in mind that these approaches would not be necessarily positive or negative, thereby the possibility of the emergence of nonproductive and even destructive approaches lies ahead, though the vice versa is also true

One of the major challenges that humankind have not properly dealt with is Mindbody problems. Through which ways, an immaterial entity (Soul) emerges out of a material body, and the relationship that exists between these two entities have constantly stimulated proposed explanations to find novel models in this regard. Mulla Sadra‟s “substantial motion theory” suggests providing an extensive explanation concerning the relationship between mind and soul. Sadra considered "change" as an all-pervasive reality running through the entire universe including the category of substance. According to Sadra, in certain circumstances that have the potential to occur only in humans, for the aforementioned reason, matter changes essentially and converts to the soul. Mutational changes occur in the substance of matter like the emergence of life out of unliving matter, and self-aware soul‟s appearance out of unaware matter. Based on Mulla Sadra‟s perspective, contemplating, along with investigating the situations based on this fundamental transformation, endorses sufficient perception of the relation between spirit and body.