BACKGROUND: This case series highlights the connection between childhood intense imagery movements (IIM) and adult-reported maladaptive daydreaming (MD). Motor stereotypies occur in typically developing children and also with co-occurring neurodevelopmental differences. A subgroup with complex motor stereotypies reports accompanying intense imagery, often enhanced by the movements. This phenomenon can persist into adulthood and, in some cases, will need active management to prevent significant distress and impairment.
METHODS: Six adults, self-reporting maladaptive daydreaming associated with stereotypies, are presented to demonstrate the associations.
METHODS: The clinical significance and function of IIM and MD are unclear, but several hypotheses are discussed, including the mechanism of emotional regulation through sensory seeking, as a process for processing childhood psychological trauma, as intrusive thoughts or images as part of a subtype of Obsessive Compulsive Disorder, or as a result of diverse attentional networks seen in neurodevelopmental disorders.
CONCLUSIONS: This paper highlights important connections between IIM and MD. Many adults with MD show a childhood origin of stereotypical movements. Whilst immersive daydreaming may provide creativity and emotional regulation, there is evidence of distress and impairment of function for some adults, leading to MD diagnoses. Recognizing this phenomenon is important for all neurologists and physicians working with stereotypical movements.

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In all competitions where results are based upon an individual\'s performance the question of whether the outcome is a consequence of skill or luck arises. We explore this question through an analysis of a large dataset of approximately one million contestants playing Fantasy Premier League, an online fantasy sport where managers choose players from the English football (soccer) league. We show that managers\' ranks over multiple seasons are correlated and we analyse the actions taken by managers to increase their likelihood of success. The prime factors in determining a manager\'s success are found to be long-term planning and consistently good decision-making in the face of the noisy contests upon which this game is based. Similarities between managers\' decisions over time that result in the emergence of \'template\' teams, suggesting a form of herding dynamics taking place within the game, are also observed. Taken together, these findings indicate common strategic considerations and consensus among successful managers on crucial decision points over an extended temporal period.

Research into sexual aspects poses a fascinating challenge that is highly cogent to clinical profiling disciplines, but also constitutes a more \'narrative and culturally oriented\' approach to medicine and psychology. Assessments of subjects affected by gender dysphoria and their internal, relational and sexual world is a still more complex task, since these are very distressing and tormented issues for the subjects under study. Psychodiagnostics can be an important element in the various investigative, evaluative and therapeutic pathways. The authors have focused attention on the TIPE (Test di Induzione PsicoErotica: PsychoErotic Induction Test), an Italian projective psychodiagnostic tool that is used to explore the psychoerotic fantasies of subjects affected by gender dysphoria. The TIPE tests protocols of two samples of subjects have been examined. They projected particularly rich narrative aspects of the subjects\' psychoerotic imaginary world. The first sample, a clinical series, consisted of a total of eleven subjects, nine men and two women, mean age 43 years, who were undergoing assessment, firstly psychotherapeutic and then medicolegal, for sex rectification purposes; the second sample, the controls, consisted of fourteen subjects, nine men and five women, mean age 28 years, all heterosexual and with a problem-free history of sexual identity.

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In the history of psychoanalysis, the Schreber case has long been a source of controversy. Speculations about Schreber have abounded essentially because none of the speculators, including Freud (), has been constrained by the reality of interactive dynamics with Schreber on the couch. This author contends, however, that knowing someone analytically must involve the transference experience. He presents the case of Z, a middle-aged patient of his who described a fantasy that was uncannily similar to Schreber\'s, permitting a present-day reexamination of the original case, as well as ongoing speculations that include the way in which live clinical material can interact with the reading of a historical document.

This article presents a qualitative study realized in the Children\'s University Hospital of Parma, Italy, aimed at observing the effects of the fictional narrative in the emotions of the young patients. The results showed that, especially by means of projection, identification and symbolization, the imagination helps the children to elaborate in a positive way the bad emotions elicited by the experience of the disease and of the stay in hospital. Furthermore, the study was useful to the healthcare professionals in order to understand the emotive, cognitive and relational needs of the patients. We suggest the introduction of creative expression in the narrative medicine in addition to the autobiographical accounts, the questionnaires and the interviews in some particular care contexts.

In this paper, I lay out a blueprint for a child analysis, stipulating the terms and ethics of the Lacanian field of psychoanalysis, the position of the analyst in that field, and the invitation to the child to discover a space for desire in the work of play. Drawing on the grounding work of Freud, Lacan, Dolto, Lefort, Mannoni, and Mathelin, I describe the mainsprings of the psychoanalytic clinic with the child. I then offer a child case and its trajectory from the development of a phobia to a symptom, and show how the primal scene fantasy and its articulation can open a space for desire in a child\'s play. What is particular to this work of playing is the emergence of signifiers that chain across generations, and move into new metaphors that foreground the Real of the child\'s experience and desire.

This study investigated mind-wandering (MW) in children during a laboratory task, and explored the influence of children\'s attitudes towards MW on the accuracy of their subjective reports. Children\'s MW experiences were probed during the adapted Sustained-Attention-to-Response-Task (SART), and their attitudes was measured by a questionnaire, according to which children were divided into positive or negative group. Results showed that (1) MW in children was basically identical to MW in adults which was associated with poor performance, increased behavioural variability, and a prospective bias; (2) reliable correlations between behavioural correlates and MW frequency were observed in negative group, but not in positive group; and (3) positive group reported more MW than negative group, while no behavioural correlate was significantly different between the two groups. We concluded that (1) overall, children could accurately introspect their MW experiences during SART; and (2) children with positive attitudes provided invalid subjective reports of MW.

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