Radoslaw Tomalski

• PhD MD
• Faculty Member at Research Centre for Trauma & Dissociation

Diagnoza zaburzeń z kręgu schizofrenii często przysłania inne problemy psychopatologiczne, np. zespół stresu pourazowego, którego częstość w ciągu całego życia u osób z psychozą jest znacznie wyższa niż w populacji ogólnej i wynosi od 14% do 53%. Samo doświadczenie psychozy i jej leczenie, zwłaszcza przy pierwszym epizodzie, może być urazowe oraz c...

Introduction In recent years there has been a notable expansion of psychotherapeutic approaches to treat people experiencing auditory verbal hallucinations (AVH). While many psychotherapists conceptualize voices as “dissociative parts” and apply therapeutic techniques derived from the field of dissociation, research investigating AVH from this pers...

Maladaptive daydreaming (MD) refers to excessive absorption in fantasy worlds, sometimes for many hours a day, which interferes with academic, occupational and social functioning. It shares features of a behavioural addiction which may negatively impact psychotherapy of patients with personality disorders. Links were found between MD and vulnerable...

Depersonalisation and derealisation (DepDer) are alterations in consciousness occurring in both healthy people and those with mental problems, including trauma-related disorders. Depersonalisation relates to emotional detachment or numbing and distorted bodily sensations. Derealisation is associated with experiencing the environment as unreal or st...

Maladaptive daydreaming (MD) defines excessive use of fantasy which replaces human interaction and/or interferes with academic, interpersonal, or vocational functioning. This study tests psychometric properties of the Polish version of the Maladaptive Daydreaming Scale (PMDS-16) and a short 5-item version derived from it (PMDS-5), and their capacit...

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...

Maladaptive Daydreaming Scale (MDS-16), Polish version

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...

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...

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...

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...

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...

The notion of evil spirits influencing human behavior 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, and...

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...

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...

This is the English version of the Structured Clinical Interview for Voice-Hearers (version 1.5)

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...

Wywiad pogłębiony eksplorujący doświadczenie halucynacji słuchowych słownych

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...

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...

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...

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...

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...

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...

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

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...

Polska adaptacja popularnego na świecie narzędzia do oceny nasilenia objawów dysocjacyjnych (głównie psychoformicznych) opracowana w 1986 przez Bernstein & Putnam.

Pytania dotyczą różnych symptomów fizycznych lub doświadczeń cielesnych, które pacjent mógł doświadczać przez krótki moment albo przez dłuższy okres. Pacjent proszony jest o zaznaczenie, w jakim stopniu w ciągu ostatniego roku miał tego typu doświadczenia.

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...

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...