[et_pb_section fb_built=”1″ _builder_version=”4.16″ custom_padding=”28px|0px|0|0px|false|false” da_disable_devices=”off|off|off” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on”][et_pb_row _builder_version=”4.16″ custom_padding=”27px|0px|0|0px|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text _builder_version=”4.27.6″ header_font=”||||||||” header_text_color=”#000000″ header_4_font=”|700||on|||||” header_4_text_align=”center” header_4_text_color=”#000000″ header_4_font_size=”19px” header_4_letter_spacing=”1px” global_colors_info=”{}”]<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ specialty=”on” _builder_version=”4.16″ custom_padding=”24px|0px|25px|0px|false|false” da_disable_devices=”off|off|off” global_colors_info=”{}” da_is_popup=”off” da_exit_intent=”off” da_has_close=”on” da_alt_close=”off” da_dark_close=”off” da_not_modal=”on” da_is_singular=”off” da_with_loader=”off” da_has_shadow=”on”][et_pb_column type=”3_4″ specialty_columns=”3″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_row_inner _builder_version=”4.16″ global_colors_info=”{}”][et_pb_column_inner saved_specialty_column_type=”3_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_blurb title=”Editorial in Hungarian” url=”https:\/\/mppt.hu\/magazin\/pdf\/vol28issue3\/NPH_2026_szeptember_p139-141_SzerkesztoiLevel.pdf” url_new_window=”on” image=”https:\/\/mppt.hu\/wp-content\/uploads\/2019\/04\/pdf.png” icon_placement=”left” image_icon_width=”105%” content_max_width=”1100px” _builder_version=”4.27.6″ header_font=”||||||||” header_font_size=”17px” header_line_height=”1.3em” body_font=”||on||||||” body_line_height=”1.3em” custom_padding=”1px|||||” link_option_url=”https:\/\/mppt.hu\/magazin\/pdf\/vol28issue3\/NPH_2026_szeptember_p139-141_SzerkesztoiLevel.pdf” link_option_url_new_window=”on” image_max_width=”105%” global_colors_info=”{}”]<\/p>\n
G\u00e1bor Faludi<\/p>\n
[\/et_pb_blurb][et_pb_blurb title=”Measuring Hyperactivation and Deactivation of the Attachment System: The Hungarian Adaptation and Validation of the Attachment Defenses Questionnaire (ADQ-HU-32)” url=”https:\/\/mppt.hu\/magazin\/pdf\/vol28issue3\/v28i3p142.pdf” url_new_window=”on” image=”https:\/\/mppt.hu\/wp-content\/uploads\/2019\/04\/pdf.png” icon_placement=”left” image_icon_width=”105%” content_max_width=”1100px” _builder_version=”4.27.6″ header_font=”||||||||” header_font_size=”17px” header_line_height=”1.3em” body_font=”||on||||||” body_line_height=”1.3em” custom_padding=”1px|||||” link_option_url=”https:\/\/mppt.hu\/magazin\/pdf\/vol28issue3\/v28i3p142.pdf” link_option_url_new_window=”on” image_max_width=”105%” global_colors_info=”{}”]<\/p>\n
Brigitta Ungv\u00e1ri, P\u00e9ter Szab\u00f3, Katalin Csig\u00f3<\/p>\n
[\/et_pb_blurb][et_pb_toggle title=”Abstract” closed_toggle_text_color=”#000000″ closed_toggle_background_color=”rgba(0,0,0,0)” icon_color=”#0c71c3″ open_icon_color=”#0c71c3″ _builder_version=”4.27.6″ title_letter_spacing=”1px” text_orientation=”justified” custom_padding=”0px||10px” border_width_all=”0px” border_width_bottom=”1px” global_colors_info=”{}”]<\/p>\n
Introduction: <\/strong>The attachment system is a threat-sensitive regulatory system that, when functioning optimally, fosters a sense of attachment security. When caregiver responsiveness is lacking, secondary defensive strategies\u2014deactivation and hyperactivation\u2014are recruited to manage threat and become central organizing principles of affect regulation. Our aim is to enable the assessment of these strategies in Hungarian by adapting and validating the Attachment Defenses Questionnaire (ADQ-HU-32). [\/et_pb_toggle][et_pb_blurb title=”The Global Mode of Experience in Psychodynamic Movement and Dance Therapy \u2013 Bodily Awareness as a Therapeutic Factor: Effects and Clinical Considerations” url=”https:\/\/mppt.hu\/magazin\/pdf\/vol28issue3\/v28i3p162.pdf” url_new_window=”on” image=”https:\/\/mppt.hu\/wp-content\/uploads\/2019\/04\/pdf.png” icon_placement=”left” image_icon_width=”105%” content_max_width=”1100px” _builder_version=”4.27.6″ header_font=”||||||||” header_font_size=”17px” header_line_height=”1.3em” body_font=”||on||||||” body_line_height=”1.3em” link_option_url=”https:\/\/mppt.hu\/magazin\/pdf\/vol28issue3\/v28i3p162.pdf” link_option_url_new_window=”on” image_max_width=”105%” global_colors_info=”{}”]<\/p>\n Adrienne Incze<\/p>\n [\/et_pb_blurb][et_pb_toggle title=”Abstract” closed_toggle_text_color=”#000000″ closed_toggle_background_color=”rgba(0,0,0,0)” icon_color=”#0c71c3″ open_icon_color=”#0c71c3″ _builder_version=”4.27.6″ title_font=”|600|||||||” title_letter_spacing=”1px” text_orientation=”justified” min_height=”39px” custom_padding=”0px||10px” border_width_all=”0px” border_width_bottom=”1px” global_colors_info=”{}”]<\/p>\n Bodily awareness has become a central therapeutic factor in psychodynamic and body-oriented psychotherapies, yet its clinical effects and theoretical status remain insufficiently integrated. This paper offers a clinically grounded account of bodily awareness work in Psychodynamic Movement and Dance Therapy (PMT), conceptualising the body as the primary medium of lived experience rather than as an object of intervention. Drawing on phenomenology, developmental psychoanalysis, and clinical theory, the paper argues that therapeutic change in PMT unfolds through prereflective, embodied processes that precede verbal reflection and symbolic articulation. To integrate these perspectives, it introduces the concept of the global mode of experience<\/em>, defined as an amodal, prereflective organisation of experience in which bodily sensation and affective vitality are lived as an integrated whole. Rooted in Daniel Stern\u2019s work, this mode is understood as a stable, activatable capacity rather than a regressive state, with orientation to the reality of the here-and-now fundamentally preserved. The paper positions the global mode of experience as a clinically orienting framework for understanding both the therapeutic effects and the limitations of bodily awareness work, highlighting the importance of timing, containment, and indication in psychodynamic movement and dance therapy. [\/et_pb_toggle][et_pb_blurb title=”The relationship between psychopathological symptoms and therapeutic change in relation to personality organization in a psychotherapeutic inpatient setting” url=”https:\/\/mppt.hu\/magazin\/pdf\/vol28issue3\/v28i3p176.pdf” url_new_window=”on” image=”https:\/\/mppt.hu\/wp-content\/uploads\/2019\/04\/pdf.png” icon_placement=”left” image_icon_width=”105%” content_max_width=”1100px” _builder_version=”4.27.6″ header_font=”||||||||” header_font_size=”17px” header_line_height=”1.3em” body_font=”||on||||||” body_line_height=”1.3em” custom_padding=”0px||0px|||” link_option_url=”https:\/\/mppt.hu\/magazin\/pdf\/vol28issue3\/v28i3p176.pdf” link_option_url_new_window=”on” image_max_width=”105%” global_colors_info=”{}”]<\/p>\n Tibor Cece Kiss , Andr\u00e1s L\u00e1ng<\/p>\n [\/et_pb_blurb][et_pb_toggle title=”Abstract” closed_toggle_text_color=”#000000″ closed_toggle_background_color=”rgba(0,0,0,0)” icon_color=”#0c71c3″ open_icon_color=”#0c71c3″ _builder_version=”4.27.6″ title_font=”|600|||||||” title_letter_spacing=”1px” text_orientation=”justified” custom_padding=”0px||10px” border_width_all=”0px” border_width_bottom=”1px” global_colors_info=”{}”]<\/p>\n Background: <\/strong>In the assessment of personality disorders, the growing popularity of the dimensional approach (DSM-5 AMPD, ICD-11) has led to an increased emphasis on the role of psychodynamically based structural diagnosis. The key question is how the level of deeper personality organization (STIPO-R) relates to surface complaints (MMPI-2) and whether it can predict therapeutic outcome independently of symptom severity.<\/p>\n <\/p>\n Objective: <\/strong>The aim of our research is to explore the relationship between the level of personality organization and psychopathological symptoms, and to examine whether the level of personality organization predicts symptomatic change during psychotherapeutic treatment.<\/p>\n <\/p>\n Method: <\/strong>We conducted STIPO-R interviews with adult patients (N=157) treated at the T\u00fcnd\u00e9rhegy Psychotherapy Department upon admission, as well as MMPI-2 questionnaires at the beginning and end of treatment. We analyzed the relationship between the variables using correlation tests and applied hierarchical linear regression analysis to control for the statistical effect of “regression to the mean.”<\/p>\n <\/p>\n Results:<\/strong> The STIPO-R dimensions showed moderate convergent validity with the MMPI-2 psychopathology scales. When analyzing therapeutic change, controlling for initial symptom severity, higher STIPO-R scores (lower organizational level) predicted significantly smaller improvements in Negative Emotionality (NEGE) and Psychoticism (PSYC).<\/p>\n <\/p>\n Conclusion: <\/strong>The STIPO-R goes beyond symptom description: it can predict therapeutic resistance, which may be a consequence of structural deficits (e.g., difficulties with affect regulation and reality control). For patients with lower levels of personality organization, structural diagnosis can help set realistic therapeutic goals and emphasize personality disorder-specific interventions (e.g., transference focus).<\/p>\n <\/p>\n Keywords: <\/strong>personality organization, structural diagnosis, STIPO-R, MMPI-2, therapeutic outcome, regression to the mean<\/p>\n [\/et_pb_toggle][et_pb_blurb title=”Virtual Mental Health Assistance: Online Plat-form for Psychiatric Assessment and Follow-Up” url=”https:\/\/mppt.hu\/magazin\/pdf\/vol28issue3\/v28i3p187.pdf” url_new_window=”on” image=”https:\/\/mppt.hu\/wp-content\/uploads\/2019\/04\/pdf.png” icon_placement=”left” image_icon_width=”105%” content_max_width=”1100px” _builder_version=”4.27.6″ header_font=”||||||||” header_font_size=”17px” header_line_height=”1.3em” body_font=”||on||||||” body_line_height=”1.3em” custom_padding=”1px|||||” link_option_url=”https:\/\/mppt.hu\/magazin\/pdf\/vol28issue3\/v28i3p187.pdf” link_option_url_new_window=”on” image_max_width=”105%” global_colors_info=”{}”]<\/p>\n Zsombor Erdei, G\u00e1bor Faludi<\/p>\n [\/et_pb_blurb][et_pb_toggle title=”Abstract” closed_toggle_text_color=”#000000″ closed_toggle_background_color=”rgba(0,0,0,0)” icon_color=”#0c71c3″ open_icon_color=”#0c71c3″ _builder_version=”4.27.6″ title_letter_spacing=”1px” text_orientation=”justified” min_height=”30px” custom_padding=”0px||10px” border_width_all=”0px” border_width_bottom=”1px” global_colors_info=”{}”]<\/p>\n A psychiatric diagnosis is necessary, but it does not by itself describe a patient\u2019s current clinical state in full. Digital assessment systems therefore need to link standardised measures with clinical exploration that develops according to the patient\u2019s responses and with repeated assessments. We describe the structure and initial clinical use of Virtual Mental Assistance (VMA), a rule-based, web-based psychiatric assessment and follow-up system developed by our group. The single-centre, non-randomised study included 28 outpatients. Their mean age was 43.0 years (SD = 2.8); 18 identified as women, 8 as men, and 2 did not provide this information. All participants completed the institutional assessment and at least part of one home assessment. Based on the responses provided, VMA activates the relevant modules from a set of 13. It combines DSM\u20135\u2013TR-based structured questions, standardised measures, cognitive tasks, and repeated self-reports while retaining the source of each data point. The clinician interface presents a rapid overview, a detailed symptom- and scale-based breakdown, and time-series and contextual views. Risk and safety information is displayed separately. A distinctive feature of the system is the integration of response-dependent clinical exploration, standardised measurement, repeated follow-up, and multiple clinical views within a single patient profile with item-level traceability. The findings are limited to the technical and structural feasibility of this approach. This sample does not allow conclusions about diagnostic validity, psychometric performance, usability, or clinical utility. These questions require prospective validation of a stable system version using predefined reference standards and outcome measures.<\/p>\n <\/p>\n Keywords: <\/strong>digital psychiatry; psychiatric assessment; follow-up; clinical decision support; VMA<\/p>\n [\/et_pb_toggle][et_pb_blurb title=”The experience sampling method and its clinical perspectives: a tool for measuring psychological functioning in everyday life” url=”https:\/\/mppt.hu\/magazin\/pdf\/vol28issue3\/v28i3p199.pdf” url_new_window=”on” image=”https:\/\/mppt.hu\/wp-content\/uploads\/2019\/04\/pdf.png” icon_placement=”left” image_icon_width=”105%” content_max_width=”1100px” _builder_version=”4.27.6″ header_font=”||||||||” header_font_size=”17px” header_line_height=”1.3em” body_font=”||on||||||” body_line_height=”1.3em” link_option_url=”https:\/\/mppt.hu\/magazin\/pdf\/vol28issue3\/v28i3p199.pdf” link_option_url_new_window=”on” image_max_width=”105%” global_colors_info=”{}”]<\/p>\n \u00c1rmin Gyarmati, Levente R\u00f3nai, Bertalan Polner<\/p>\n [\/et_pb_blurb][et_pb_toggle title=”Abstract” closed_toggle_text_color=”#000000″ closed_toggle_background_color=”rgba(0,0,0,0)” icon_color=”#0c71c3″ open_icon_color=”#0c71c3″ _builder_version=”4.27.6″ title_letter_spacing=”1px” text_orientation=”justified” min_height=”30px” custom_padding=”0px||10px” border_width_all=”0px” border_width_bottom=”1px” global_colors_info=”{}”]<\/p>\n The dynamic interplay of cognitions, affective states, and behavior, along with their contextual embeddedness and differences between individuals \u2013 constitutes a central determinant of mental well-being. Empirical research investigating these aspects has traditionally relied on cross-sectional self-report measures capturing global self-concepts or retrospective accounts spanning weeks to months, as well as assessments conducted under controlled laboratory conditions. However, results derived from such research have limited ecological validity, are susceptible to recall bias, and their conclusions do not always generalize to the everyday functioning of individuals. In our paper, we present the experience sampling method (experience sampling method; ESM), a method that enables the real-time assessment of psychological phenomena and processes within the context of everyday life. During the procedure, participants typically report on their momentary thoughts, emotions, behaviors, and related contextual factors multiple times a day over several days. This allows the examination of psychological functioning with high temporal resolution and ecological validity. The aim of this paper is to provide a brief methodological overview of the experience sampling method, the possibilities for analyzing and interpreting the data obtained, and to present the main areas of application and clinical uses of the method. Finally, we will also address the general limitations of experience sampling and the challenges of its implementation in specialized care.<\/p>\n <\/p>\n Kulcsszavak:<\/strong> experience sampling method, longitudinal study methods, ecological validity, clinical application<\/p>\n [\/et_pb_toggle][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][et_pb_column type=”1_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_image src=”https:\/\/mppt.hu\/wp-content\/uploads\/2026\/09\/NPH_2026_szeptember_B1_HR.jpg” title_text=”NPH_2026_junius_B1.indd” align_tablet=”center” align_phone=”” align_last_edited=”on|desktop” _builder_version=”4.27.6″ box_shadow_style=”preset3″ global_colors_info=”{}”][\/et_pb_image][\/et_pb_column][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" Volume 28, Number 3, September 2026G\u00e1bor FaludiBrigitta Ungv\u00e1ri, P\u00e9ter Szab\u00f3, Katalin Csig\u00f3Introduction: The attachment system is a threat-sensitive regulatory system that, when functioning optimally, fosters a sense of attachment security. When caregiver responsiveness is lacking, secondary defensive strategies\u2014deactivation and hyperactivation\u2014are recruited to manage threat and become central organizing principles of affect regulation. Our aim is […]<\/p>\n","protected":false},"author":5,"featured_media":54150,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"project_category":[129],"project_tag":[],"class_list":["post-54162","project","type-project","status-publish","has-post-thumbnail","hentry","project_category-2026-2"],"_links":{"self":[{"href":"https:\/\/mppt.hu\/en\/wp-json\/wp\/v2\/project\/54162","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mppt.hu\/en\/wp-json\/wp\/v2\/project"}],"about":[{"href":"https:\/\/mppt.hu\/en\/wp-json\/wp\/v2\/types\/project"}],"author":[{"embeddable":true,"href":"https:\/\/mppt.hu\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/mppt.hu\/en\/wp-json\/wp\/v2\/comments?post=54162"}],"version-history":[{"count":8,"href":"https:\/\/mppt.hu\/en\/wp-json\/wp\/v2\/project\/54162\/revisions"}],"predecessor-version":[{"id":54172,"href":"https:\/\/mppt.hu\/en\/wp-json\/wp\/v2\/project\/54162\/revisions\/54172"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mppt.hu\/en\/wp-json\/wp\/v2\/media\/54150"}],"wp:attachment":[{"href":"https:\/\/mppt.hu\/en\/wp-json\/wp\/v2\/media?parent=54162"}],"wp:term":[{"taxonomy":"project_category","embeddable":true,"href":"https:\/\/mppt.hu\/en\/wp-json\/wp\/v2\/project_category?post=54162"},{"taxonomy":"project_tag","embeddable":true,"href":"https:\/\/mppt.hu\/en\/wp-json\/wp\/v2\/project_tag?post=54162"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Methods: <\/strong>We used a three-stage development process. (1) We first compiled a 121-item pool with expert- and AI-supported translation\u2013back-translation process, content refinement, and additions. (2) We then conducted an exploratory factor analysis on a large sample (N= 861; M = 39.5 years; 39% male), yielding a 50-item, eight-factor version. (3) On a new sample (N = 543; M = 28.43 years; 35% male), we performed exploratory and confirmatory factor analyses, removed underperforming subscales (emotional withdrawal, self-sacrifice), and produced the final 32-item version. Convergent validity was tested against the ECR-R-HU-SF and MMQ scales; group differences by marital status were examined with ANOVA.
Results: <\/strong>The final ADQ-HU-32 showed a six-factor structure: two eight-item subscales (vulnerability suppression, distancing) for deactivation, and four four-item subscales (chronic proximity seeking, relational hypervigilance, rumination, splitting) for hyperactivation. Model fit indices were acceptable to excellent (RMSEA= 0.045\u20130.067; SRMR = 0.027\u20130.066; CFI = 0.93\u20130.96; TLI = 0.92\u20130.95), and internal reliability was adequate (\u03c9\/\u03b1\u00a0= 0.75\u20130.89). Deactivation showed medium-to-strong positive associations with ECR avoidance and MMQ relational discomfort and mistrust; hyperactivation correlated strongly with ECR anxiety and positively with MMQ emotional dyscontrol and other dysfunctional dimensions. Both higher-order factors were negatively related to overall mentalization scores. By marital status, singles scored higher and married individuals lower on both deactivation and hyperactivation.
Conclusion: <\/strong>The ADQ-HU-32 is a psychometrically sound, reliable instrument for assessing attachment-related defensive strategies. Future work should test it in clinical populations to evaluate its suitability for the empirical study of personality pathology.
Keywords: <\/strong>attachment system, attachment deactivation, attachment hyperactivation, affect regulation, questionnaire adaptation, Hungarian population<\/p>\n
(Neuropsychopharmacol Hung 2026; 28(3): 162\u2013175)<\/em>
Keywords: <\/strong>global mode of experience, psychodynamic movement and dance therapy, amodal perception, bodily awareness, prereflective experience, predictive processing<\/p>\n