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Radoslaw Tomalski

Radoslaw Tomalski
Research Centre for Trauma & Dissociation · SWPS

PhD MD

About

37
Publications
57,184
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109
Citations
Citations since 2017
24 Research Items
96 Citations
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Publications

Publications (37)
Article
The concepts of depersonalisation and derealisation refer to alteration in how an affected individual feels about oneself and their environment. Both these experiences may range from mild and episodic to severe and chronic. When clinically severe, these symptoms can be the basis for the diagnosis of depersonalisation-derealisation disorder; however...
Method
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Maladaptive Daydreaming Scale (MDS-16), Polish version
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Background: Delusional misidentification is a psychotic symptom relating to misidentifying one’s own or someone else’s identity, objects, places, or events. Although rare cases of dissociative amnesia comorbid with psychotic episodes are discussed in literature, there are no such reports referring to the delusional misidentification syndrome. Meth...
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Few studies on Possession Trance Disorder (PTD) describe diagnostic and research procedures in detail. This case study presents the clinical picture of a Caucasian Roman-Catholic woman who had been subjected to exorcisms because of her problems with affect regulation, lack of control over unaccepted sexual impulses, and somatoform symptoms accompan...
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In many cultures, people use the concept of spirit possession to explain abrupt changes in behavior and identity or problems with affect regulation. High incidence of traumatic experiences are also found among “possession” victims but there are few studies exploring in detail their clinical presentations. This study reports the symptoms of two wome...
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Explaining the biology of dissociative identity disorder and its clinical aspects is one of the major challenges in modern neuroscience. The complexity and the unique nature of this disorder, coupled with insufficient biopsychological models needed for creating universal therapeutic procedures, make the treatment difficult. The vast majority of neu...
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ICD-10 and DSM-5 do not provide clear diagnosing guidelines for DID, making it difficult to distinguish ‘genuine’ DID from imitated or false-positive cases. This study explores meaning which patients with false-positive or imitated DID attributed to their diagnosis. 85 people who reported elevated levels of dissociative symptoms in SDQ-20 participa...
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The notion of evil spirits influencing human behaviour or mental processes is used in many cultures to justify various symptoms or experiences. It is also expressed in psychotic delusions of possession, but there is limited research in this area. This study explores how patients with schizophrenia came to the conclusion that they were possessed, an...
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There is a gap in research exploring the experiences and explanatory models of people labelled in local communities as possessed. While previous accounts often focused on the links between possession and dissociative disorders or psychosis, the current study elaborates on problems attributed to possession in women with features of personality disor...
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Złożony zespół stresu pourazowego (complex post-traumatic stress disorder, cPTSD) to nowe rozpoznanie, które pojawi się w 11. edycji klasyfikacji psychiatrycznej ICD (International Classification of Diseases – Międzynarodowa Klasyfikacja Chorób). Łączy ono cechy zaburzenia stresowego pourazowego i zaburzenia osobowości. W artykule omówiono historię...
Method
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This is the English version of the Structured Clinical Interview for Voice-Hearers (version 1.5)
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Verbal auditory hallucinations are commonly associated with schizophrenia. However, different studies show that this symptom was also reported by individuals with other disorders, and by healthy people as well. This led to developing a notion of a continuum, which suggests that the experience of hearing voices has similar qualities, no matter in wh...
Method
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Wywiad pogłębiony eksplorujący doświadczenie halucynacji słuchowych słownych
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The aim of this paper is to describe various forms of psychoform and somatoform dissociation, illustrating them with typical positive and negative symptoms. Different obstacles in identifying these symptoms during clinical assessment are also mentioned, including: insufficient training for psychiatrists, psychologists and psychotherapists about dis...
Article
Objective: This study tests psychometric properties of the Polish Dissociative Experiences Scale (DESR-PL) with a revised scoring system and its capacity, alongside its short form (DESR-T), to screen for dissociative disorders. Both pen-and-paper (p&p) and online forms were tested. Method: Validity and reliability were examined in a sample of 540...
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Background and aims: Maladaptive daydreaming (MD) has many features of behavioural addiction but research exploring this syndrome is limited. This case study provides a qualitative exploration of MD. Method: A structured clinical interview and mental state examination of a patient with MD was video-recorded and transcribed verbatim. Transcript...
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Celem tego artykułu jest przedstawienie zagadnień dotyczących rozpoznawania zaburzeń dysocjacyjnych, a przede wszystkim trudności wynikających z niejednoznacznego posługiwania się w literaturze i praktyce klinicznej pojęciem dysocjacji oraz ze złożoności teorii opisujących to zjawisko. Przydatne będzie zatem zaprezentowanie różnych sposobów rozumie...
Article
Purpose The main objective of this study was to test the psychometric properties of the Polish version of SDQ-20 and the capacity of this instrument, alongside a set of five questions derived from it (SDQ-5), to screen for dissociative disorders. The Somatoform Dissociation Questionnaire (SDQ-20) has been used in many language versions to evaluate...
Method
Full-text available
This Structured Clinical Interview for Voice-Hearers (SCIV) is a clinician administered interview guide to explore the experience of auditory hallucinations, explanatory models associated with the voices, and strategies to cope with the distressing ones. It includes a number of close- and open-ended questions and interviewers are also encouraged to...
Method
Full-text available
Dissociative Experiences Scale - Revised (DES-R), originally developed by Bernstein & Putnam (1986) with a new scoring system by Pietkiewicz, Hełka, and Tomalski (2018). For information about calculating scores and the cut-off point for dissociative disorders see: https://doi.org/10.1016/j.ejtd.2019.02.003
Method
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Skala doświadczeń dysocjacyjnych Taxon to krótki test przesiewowy dla osób z podejrzeniem zaburzeń dysocjacyjnych. Test zawiera osiem itemów zaczerpniętych z polskiej adaptacji narzędzia Dissociative Experience Scale (Bernstein & Putnam, 1986), zgodnie z zaleceniami Waller, Putnam i Carlson (1996), ale wykorzystuje nową skalę odpowiedzi w stosunku...
Method
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Polska adaptacja popularnego na świecie narzędzia do oceny nasilenia objawów dysocjacyjnych (głównie psychoformicznych) opracowana w 1986 przez Bernstein & Putnam.
Article
The paper discusses the processes that occur in the psychotherapeutic treatment of patients with schizophrenia. Various theoretical concepts within psychoanalytical framework concerning psychotic functioning in a therapeutic relationship are presented. The author highlights specific demands that such treatment imposes on practitioners. Special atte...
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Background and Objectives: Alexithymia is a personality trait that may affect the development and course of obesity and effectiveness of treatment. The aim of the study is to assess the prevalence of alexithymia in obese women beginning a weight reduction program and determine the relationships between alexithymia and anxiety, depression, and binge...
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Otyłość jest chorobą przewlekłą, której częstość występowania znacznie się zwiększyła w ostatnich latach. Mimo coraz lepszego poznania czynników wpływających na rozwój otyłości, odległe efekty jej leczenia pozostają niezadowalające. Na efektywność leczenia otyłości mogą istotnie wpływać jej aspekty psychologiczne, które często są niedoceniane i nie...
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Alexithymia and dissociation are considered mechanisms which help coping with traumatic experiences. The author analyses the relationship between alexithymia and dissociation on theoretical grounds and reviews the research data concerning that relationship. Alexithymia and dissociation are constructs that overlap in their part that is dependent of...
Article
Alexithymia and dissociation are considered mechanisms which help coping with traumatic experiences. The author analyses the relationship between alexithymia and dissociation on theoretical grounds and reviews the research data concerning that relationship. Alexithymia and dissociation are constructs that overlap in their part that is dependent of...
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STRESZCZENIE WSTĘP. Otyłości często towarzyszy zjawisko żarłocznego jedzenia. Celem niniejszej pracy było stwierdzenie, czy istnieje związek między występowaniem napadów objadania się a przerywaniem leczenia otyłości w warunkach ambulatoryjnych. MATERIAŁ I METODY. Zbadano 73 otyłe osoby (58 kobiet i 15 mężczyzn; śr. wieku 45,8 ± 14,9 roku; śr. BMI...
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Dissociation is defined as a disruption in the usually integrated functions of consciousness, memory, identity or perception of the environment. It has been described as manifesting in experiences of amnesia, absorption, depersonalization and derealization. Dis-sociation has been found in varying levels in the general population. However, pathologi...
Article
Dissociation is defined as a disruption in the usually integrated functions of consciousness, memory, identity or perception of the environment. It has been described as manifesting in experiences of amnesia, absorption, depersonalization and derealization. Dissociation has been found in varying levels in the general population. However, pathologic...
Article
Eating disorders are of complex aetiology. Disturbances of early relations with caregivers are one of its elements, resulting in later disordered affect regulation. The theories concerning disorders of affect regulation focus on alexithymia research. Thus a review of literature published in the years 1993-2005 on links between alexithymia and eatin...
Article
Streszczenie Choroba nowotworowa jest doświadczeniem trudnym, u niektórych osób-urazowym. Zaburzenia stresowe pourazowe należą do potencjalnych skutków takiego doświadczenia, często nie rozpoznawanych lub nie uzyskujących należnej im uwagi. W poniższej pracy dokonano przeglądu aktualnych badań dotyczących specyfiki stresora, jakim jest choroba nowo...
Article
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Spektroskopia rezonansu magnetycznego (MRS) i funkcjonalne obrazowanie MR (f MRI) w badaniach nad patofizjologią schizofrenii Klinika Psychiatrii i Psychoterapii ŚAM, Katowice; NZOZ Feniks, Sosnowiec Wstęp Obrazowanie mózgu za pomocą tomografii komputerowej (TK) a także tomografii rezonansu magnetycznego (MRI) wniosło wiele informacji o zmianach st...

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Projects

Projects (2)
Project
Alterations in consciousness are common experiences in health individuals and patients with a variety mental disorders. Depersonalization (a sense of detachment from one’s mind or body) and derealization (experiencing the external world as dreamlike or unreal) can be experienced with different intensity and in various contexts, for example, during meditation, religious practices or intense sports exhaustion. Such states may also be natural reactions to traumatic experiences, when the mind detaches itself from overwhelming feelings and one’s surroundings as a way of coping. Some forms of depersonalization and derealization are chronic, significantly dysfunctional, cause distress, and are regarded as pathological. Yet there are no empirical studies that compare normal and pathological depersonalization / derealization, how they relate to trauma, and how individuals subjectively experience them. In this project, structured clinical interviews will be conducted with healthy people (practitioners of extreme sports and participants of charismatic prayer groups) and psychiatric patients with a variety of mental disorders, to analyze and compare their personal experiences of depersonalization and derealization. Such studies are necessary to help clinicians recognize and diagnose these alterations in consciousness which are likely to indicate trauma-related disorders, subsequently leading to better diagnostics, referral, and treatment. The project is founded by a polish governmental institution, the National Research Center. Project website: http://badaniepsyche.pl/projekt/odmienne-stany-swiadomosci
Project
The main objective of this project is to analyse and produce a systematic description of phenomena and symptoms accompanying possession, compare different clinical presentations of possession against diagnostic criteria of various disorders, analyse alterations in consciousness and behaviour in terms of memory, sense of control, accompanying affects and other clinically significant symptoms, and explore how people make meaning of their experiences and seek help. ‘Possession’ relates to change in behaviour and sense of identity, attributed to supernatural forces. The ‘possessed’ often seek help from priests, hoping that exorcisms will help them restore a sense of control over their body, speech or mind. There are Christian communities in Poland where individual and group exorcisms are held regularly. Studies show that people with ‘possession’ have often had traumatic experiences, including emotional, physical or sexual abuse, but they rarely linked these events with possession. Focusing on possession and exorcisms can delay treatment, divert attention from problems in the family, and also have potentially re-traumatising effects in the case of people with trauma history. Although ‘possession’ evokes the interest of many anthropologists, very few psychological studies have been carried out, even though symptoms relating to possession are described in psychiatric manuals. There have been no studies applying comprehensive clinical examinations to diagnose the possessed and understand their symptoms dynamics. Project website: http://badaniepsyche.pl/projekt/opetanie