The Mini Questionnaire of Personal Organization

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Clinical Psychology and Psychotherapy

Clin. Psychol. Psychother. 19, 78–90 (2012)


Published online 11 February 2011 in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/cpp.740

Assessment
The Mini Questionnaire of Personal Organization
(MQPO): Preliminary Validation of a New Post-
Rationalist Personality Questionnaire
Bernardo Nardi,1* Emidio Arimatea,1 Sara Giovagnoli,2 Stefano Blasi,1
Cesario Bellantuono1 and Giorgio Rezzonico3
1
Psychiatric Unit, Neurosciences Department, Polytechnic University of Marche, Ancona, Italy
2
Psychological Faculty, Bologna University, Bologna, Italy
3
MHCL, Department of Experimental Medicine, Milano-Bicocca University, Milan, Italy

Background: The Mini Questionnaire of Personal Organization (MQPO) has been constructed in order
to comply with the inward/outward Personal Meaning Organization’s (PMO) theory. According to
Nardi’s Adaptive Post-Rationalist approach, predictable and invariable caregivers’ behaviours allow
inward focus and a physical sight of reciprocity; non-predictable and variable caregivers’ behavi-
ours allow outward focus and a semantic sight of reciprocity.
Methods: The 20 items of MQPO have been selected from 29 intermediate (n = 160) and 40 initial items
(n = 204). Psychometric validation has been conducted (n = 296), including Internal Validity (Item-Total
Correlation; Factor Analysis), Internal Coherence by Factor Analysis, two analyses in Discriminant
Validity (n = 132 and n = 80) and Reliability by Test-Retest Analysis (n = 49). All subjects have been
given their written informed consent before beginning the test.
Results: The validation of the MQPO shows that the ultimate version is consistent with its post-
rationalist paradigm. Four different factors have been found, one for each PMO. Validity of the con-
struct and the internal reliability index are satisfying (Alpha = 0.73). Moreover, the results obtained are
constant (from r = 0.80 to r = 0.89). There is an adequate agreement between the MQPO scales and the
clinical evaluations (72.5%), as well as an excellent agreement (80.0%) between the scores of the MQPO
and those of the Personal Meaning Questionnaire.
Conclusion: The MQPO is a tool able to study personality as a process by focusing on the relationships
between personality and developmental process axes, which are the bases of the PMO’s theory, accord-
ing to the APR approach. Copyright © 2011 John Wiley & Sons, Ltd.

Key Practitioner Message:


• Adaptive post-rationalist approach.
• Cognitive psychotherapy.
• Easy and quick subjective screening of personality.
• Personal Meaning Organizations construction supported by Mini Questionnaire of Personal
Organization.
• Workup in clinical practice and research.

Keywords: Adaptive Post-Rationalist Approach (APR), Personal Meaning Organizations (PMO), Mini
Questionnaire of Personal Organization (MQPO)

*Correspondence to: Bernardo Nardi, Psychiatric Unit, Neurosciences Department, Polytechnic University of Marche, Ancona, Italy.
E-mail: b.nardi@univpm.it

Copyright © 2011 John Wiley & Sons, Ltd.


Mini Questionnaire of Personal Organization 79

BACKGROUND: THE POST-RATIONALIST and adaptive characteristics of the PMO (Nardi, 2007;
APPROACH Nardi & Bellantuono, 2008). The construct on the basis
of APR and Mini Questionnaire of Personal Organiza-
As known among cognitive constructivist approaches to tion (MQPO) was recently confirmed by functional
psychotherapy, the post-rationalist paradigm constitutes Magnetic Resonance Imaging (fMRI) and polymorphism
one of the most innovative, proposing a useful epistemo- studies also of our group (Nardi et al., 2008; Nardi and
logical theory of mental functioning with successful appli- Bellantuono, 2008; Nardi et al., 2010), that demonstrated
cations in clinical practice. The post-rationalist approach significant differences in emotional activations between
was conceptualized by Guidano in the 1980s (Guidano and the inward and outward subjects.
Liotti, 1983; Guidano, 1987, 1991) and it was developed In fact, moving from previous studies (Guidano, 1987,
‘from the perception of a discrepancy between the promising 1991; Arciero, 2006) on inward and outward developmen-
results of a psychotherapeutic practice making wide use of behav- tal processes, Nardi pointed out that in overlapping
iour therapy techniques and the limited explicative power of the situations concerning laugh, angry, fear or sleep, the child
learning principles forming the theoretical foundation of those perceives caregiver (and, in general, his/her environ-
techniques’ (1987). The main points of Guidano’s theory ment) as stable and predictable. In these conditions, it is
are: (1) the importance of subject’s manner of arranging easy to recognize and to predict experience. Furthermore,
and self-referring immediate experience to construct self- it is easy to decode caregiver’s and self facial expres-
identity and the lack of centrality and impartiality of ther- sions concerning basic feelings (fear, anger, sadness, and
apist-observer, and (2) the idea of the therapist as a happiness).
‘strategically oriented perturber’, which helps the subject to Constancy and predictability of caregiver’s behaviors
reach a more adaptive mental functioning; however, this and emotional expressions allow a precocious decoding
result can be obtained only into the borders of his/her of his/her own similar activations. For example, the
invariant modalities structured during development. There subject begins to perceive in which situations he/she
are ‘core organizing processes’ behind every human physio- feels sure or in danger conditions, protected or alone and,
logical or pathological experience. therefore, he/she reads through his/her internal activa-
The knowledge of the ‘self-system’ is central in clinical tions what happens in the environment (internal focus:
practice, influencing therapist’s attitude, assessment pro- ‘Inward’ lecture of experience).
cedures, self-observation method and dynamics of thera- On the contrary, when caregiver’s behaviors and expres-
peutic change. Furthermore, it allows a subject-centred sions are perceived as more complex and changing,
reconstruction of immediate experiencing, modifying depending from external situations, they result less pre-
dysfunctional patterns of self-perception and achieving dictable and more difficult to decode. The child needs to
substantive and lasting changes. In constructing the memorize more data and needs to update them continu-
therapeutic setting centred on the subjective way of self- ally; also nuclear scenes must be updated and reframed;
referring experience, Guidano (1991) proposed the ‘moviola emotional activations are connected to a self-evaluating
setting’, which consists in instructing clients to focus in a cognitive schemata (guilt, sense of self-inadequacy,
significant scene, on the difference between ‘immediate shame). In these conditions, the self develops moving
experiencing’ (‘how’) and their ‘explanations’ (‘why’) of it from a preliminary evaluation of environment, that
during and after the scene. In fact, ‘the “how” has to do with orients recognition of internal activations and self-percep-
the subjective experiencing, both in terms of how it is made up, tion (external focus: ‘Outward’ lecture of experience).
that is, its ingredients (e.g., ongoing patterns of flowing Therefore, along the process, developmental primary
imagery; multifaceted, opposing feelings; the felt sense of self) axis concerning inward/outward focus, predictability
and in terms of how it comes about, that is, what perception of and variability of caregiver (and, more in general, of envi-
events or circumstances brought it on’. ronment) drive each individual to reach the better adapta-
In this approach, the conceptualization of the ‘Personal tion that is possible; likewise, they drive the subject to
Meaning Organization’ (PMO, Guidano, 1987) individuates construct invariant skills in assimilating and self-referring
the specific arrangement of personal meaning processes by experience in order to maintain internal coherence. In
which each individual is provided with a sense of oneness fact, there is not an adaptive pre-eminence of inward or
and historical continuity in the course of his/her lifespan outward focus, but each one provides specific skills in
(Guidano, 1987). According to Guidano’s workup, by ana- decoding the self and the environment, in relation with
lysing the sequence of the images concerning a significant the main aspects perceived through attachment: inward
episode (in the ‘moviola setting’, a kind of psychological focus results more useful when the external world is per-
‘slow motion’) it is possible to reconstruct the subjective ceived as stable, predictable and, therefore, its changes
immediate experiencing of perturbing events. can generally be easily decoded in terms of physic protec-
Recently, an adaptive post-rationalist (APR) approach was tion or loneliness; outward focus, on the contrary, is
developed by Nardi in order to study the physiological suitable when environmental characteristics seem vague,

Copyright © 2011 John Wiley & Sons, Ltd. Clin. Psychol. Psychother. 19, 78–90 (2012)
80 B. Nardi et al.

complex or changing and, therefore, needing the assimila- signals orientate the construction of emotional schemata
tion of more cognitive parameters. The development of through a relevant importance of cognitive self-evalua-
emotional patterns is according with this aspect: in general tion. The subject learns to read information from his/her
(when there are not emergency situations for surviving), significant environment to update internal perceptions, in
inward activations consist essentially of basic feelings, terms of acceptance or refusal, high or low amiability, and
that don’t need complex cognitive evaluation to be importance or insignificance. Communication is centred
expressed, while cognitive processes are developed after, on semantic reciprocity, in terms of approval, decoding,
to explain the feeling perceived by the subject (i.e., why rules, and values; therefore, reciprocity develops along a
he/she gets frightened or sad). On the contrary, in outward process axis, from high to low patterns of semantic
activations, cognitive self-evaluation is essential to per- reciprocity.
ceive emotions, that are more complex and expressed as The evolutionary outward development allows to centre
emotional schemata (i.e., pride, shame or guilt needs a behaviours on perceiving and managing how one is pro-
preliminary evaluation of one’s own behaviour). tected or alone, orienting consequently his/her explora-
Inward/outward patterns are along the same process tory behaviour. By allowing to focus others’ internal
axis of development related to predictability and variabil- world, it promoted two other essential abilities of Homo
ity of caregiver; therefore, they appear more or less Sapiens: a) to utilize (when it is possible, anticipating too)
evident in different subjects, but in each individual one of external judgements and opinions, producing successful
the two is in any case prevalent, at least in specific catego- behaviours, and to update them when styles and modes
ries of experience. are changing, or b) to find patterns and theories to under-
In inward development the same emotional reciprocity stand human experience, adequately reordering it, despite
patterns are expressed in the same situations, and ability the contradictions observed and one’s own cognitive
in changes decoding is conditioned by one’s own per- limits.
ceived managing skills. Communication is centred on In outward development, when semantic reciprocity is
physical reciprocity: distance, availability of caregiver in high (not depending on quality – positive or negative – of
terms of protection or detachment; therefore, reciprocity the relationships), identity is constructed ‘in real-time’,
develops along a process axis, from high to low patterns step by step, basing on signals perceived from the external
of physical reciprocity (high protections and reassurance context, in terms of approval or disapproval, agreement
– loss and loneliness). or disagreement, and success or failure. A relevant impor-
The evolutionary inward development allows to centre tance is given to comparison with others, to the results
behaviour on perceiving and managing how one is pro- achieved and to the adaptive research of persons, situa-
tected or alone, orienting consequently his/her explora- tions, and activities which enable to draw the better
tory detachment. In fact, inward subjects can handle: a) self-esteem possible. In all these cases, that are outward
situations of proximity, availability of help, dependence, with high semantic reciprocity, the ‘contextualized’ PMO
and social sharing or, b) situations of distance, unavaila- become stable.
bility of help, independence, and social isolation. In outward development, when semantic reciprocity is
In inward development, when physical reciprocity is low (not depending on quality – positive or negative – of
high (not depending on the quality – positive or negative the relationships), identity is constructed on precepts,
– of significant relationships), identity is constructed rules, criteria about what is right or wrong, good or
controlling how the subject perceives his/her need of bad, and useful or useless. The subject orients his/her
protection or freedom: separation from caregiver and strategies to individuate a set of positive thought and
environmental exploration are possible when the subject behaviours, to reach certainties stabilizing perception of
feels the situation under control and, therefore, when the self and the world, and, at the same time, to keep out
he/she is sure of him/herself. In all these cases, that negative thoughts and behaviours. The fundamental
are inward with high physical reciprocity, the ‘controller’ parameters to evaluate his/her behaviour are not the
PMO becomes stable. results (as for contextualized outwards), but the self-
In inward development, when physical reciprocity is commitment. Research of reciprocity (consistent with own
low (not depending on the quality – positive or negative emotional self-evaluative schemata) is performed; the
– of significant relationships), identity is constructed subject appears consenting to instructions and rules, but
managing detachment and loneliness that the subject he/she is also looking for a new and original theory on
perceives as the habitual condition of his/her life-span, life, concerning significance of skills, relations, and goals.
trying to find the necessary resources to realize him/ In all these cases, that are outward with high semantic
herself. In all these cases, that are inward with low physi- reciprocity, the ‘principle oriented’ PMO become stable.
cal reciprocity, the ‘detached’ PMO become stable. Therefore, each individual has variable and constant
As above mentioned, in outward development com- modalities of self referring experience, typical of each
plexity and variability or ambivalence of environmental specific PMO; furthermore, in many cases, is it possible

Copyright © 2011 John Wiley & Sons, Ltd. Clin. Psychol. Psychother. 19, 78–90 (2012)
Mini Questionnaire of Personal Organization 81

observe that one subject can show secondary modalities, items, positive feeling concerning adequacy was preferred
evident in some situations during the life-span, that are for two reasons. The first was that in general, as for many
typical of another PMO (‘mixed’ PMO). Aim of this work other questionnaire items, positive feelings give a neutral
is to present the process of construction and validation of tone to questions; on the contrary, negative feelings involve
a quick and new self-report questionnaire, the MQPO, trouble, with a consequent evaluation of the specified situa-
based on adaptive and evolutive Nardi’s personality tion. The second reason was the research of ‘social desirabil-
approach, which investigate the inward PMO: ‘controller’ ity’ of contextualized subjects; in fact, to be approved and
and ‘detached’ and the outward PMO: ‘contextualized’ accepted, they could invalidate the truthfulness of their
and ‘principle oriented’. replies.

Principle Oriented Scale


METHODS It included 10 early items concerning outward and low
semantic reciprocity aspects. On this scale, items mainly
The MQPO Construction
described the importance to internalize criteria and rules,
The questionnaire was constructed following the above drawn by external context. The main themes of these
mentioned model, in order to assess the personality items were the effort in achieving an aim independently
profile. With respect to other questionnaires, based on a by the result obtained, the personal sense of equity,
rigid description of personality, MQPO was made to honesty and impartiality, and the support of personal
define personality as an evolving process. beliefs with respect to other’s sentences. In some of these
Through a initial ‘interview to experts’ (Kline, 1993; APA, items, emotional activations in doubt or ‘choice’ situa-
1999), a pool of five experienced post-rationalist thera- tions were investigated; in fact, in principle oriented
pists of the Adolescence Centre for the Promotion of subjects, logical and analytical abilities are preferred to
Youth Welfare of Ancona (Polytechnic University of achieve sureness in personal choices.
Marche) has chosen the themes in order to constructs the
initial 40 MQPO items. Selection of the self-report replies Controller Scale
was made to obtain a questionnaire employable both in It included 10 early items concerning inward and high
clinical practice and in researches that need to investigate physical reciprocity aspects. These items focused on the
the PMO quickly and according to standardized criteria. following themes: freedom, perceived as the faculty to
As instruction of the questionnaire, it was requested to move without imposed bonds, and control, perceived as
choose among different options the one in which the the personal ability to cope with situations, especially
replying person would better recognize himself/herself, when they could be new and unexpected. In fact, in con-
with the aim to catch, for each item, aspects close to the troller subjects, these two themes (concerning freedom
self and its functioning. In almost all the items, the mental and control) are closely connected. Items investigated the
states were described in specific situations concerning the physical trouble perceived when there is an impossibility
investigated themes: the specificity of situation character- to move freely, the positive sense of freedom when the
ized the related subjective point of view. subject controls a situation, the opposite sense of con-
The first formulation of the questionnaire included four straint when the others are those who control a situation.
scales and a sufficiently large number of items (40). It was investigated if perception of others is a reliable
According to the Nardi’s framework (2007), the four basis of protection or a cause of coercive bond. These
scales were the following. subjects have a clear and strong perception of their physi-
cal conditions, while their ability in emotional recognition
Contextualized Scale is lower; therefore, they employ the former ones to repre-
It included 10 early items concerning outward and high sent the latter ones. The items choice was thus directed
semantic reciprocity aspects. Items of this scale especially just on these physical aspects.
described the role of external environment on subjects.
Questions investigated both personal adequacy themes Detached Scale
obtained from others’ expectations and research of approval It included 10 early items concerning inward and low
concerning himself/herself in general or his/her own point physical reciprocity aspects. In these subjects, lecture con-
of view. Disapproval and others’ criticism were focused for cerning both the self and the environmental situations
the fact that, in contextualized subjects, they were perceived is made moving from the inner perception of emotional
mainly as an evidence of personal inadequacy and loss of activations. The self is drawn from the ability to manage
value. The last theme was the need to be considered, which detachment; loneliness is perceived as the basic condition
in such subjects is often associated to self-esteem, as described in life, but in physiological conditions, it does not implicate
in the theory. In these 10 items, feelings of adequacy or a negative view of himself/herself. Need of self-resolution
inadequacy and shame were submitted. In the choice of and autonomy are important in the self-confirmation. The

Copyright © 2011 John Wiley & Sons, Ltd. Clin. Psychol. Psychother. 19, 78–90 (2012)
82 B. Nardi et al.

main theme of this scale was loneliness; it is perceived in appeared extremely clear, easy to understand and discrimi-
difficult situations as the destiny to be without help or it is nating enough the different PMO; 9 items were modified
used as an adaptive response when others are absent, and 11 were excluded in the second formulation of the
distant, unreliable or unsympathetic. questionnaire because they were redundant, unclear or
because some questions were too related to social desirabil-
ity and suggested a specific kind of answer. In the first
Construction of the First Formulation of
version of the questionnaire, subjects answered on a five-
the Questionnaire
points Likert scale. Administration allowed to evaluate the
The first formulation of the questionnaire, pilot study, main answer value for each item: ‘neither true nor false’
aimed to verify in a different way the main features that (the intermediate value number 3) was often chosen when
would have characterized the questionnaire. Checking the a subject did not understand the question or he/she was
construct validity of the questionnaire, 14 nursing science uncertain. Therefore, the intermediate answer was excluded
students (5 males and 9 females; mean age = 21.35; SD = and answer options were distributed on 6 values; the total
2.74), 22 physiotherapy science students (7 males and 15 number of items was reduced to 29. The Table 1 summa-
females; mean age = 41.13; SD = 7.22) of Medicine and rizes the validation steps and the corresponding popula-
Surgery Faculty, Marche Polytechnic University and 31 tion samples.
childhood subjects from the Adolescence Centre for the
Promotion of Youth Welfare of Ancona (11 males and 20
Construction of the Second Formulation of
females, in short therapy for different neurotic problems;
the Questionnaire
mean age = 19.16; SD = 4.85) have been tested. These sub-
jects were included in the study for the fact that their PMO In the second formulation of the questionnaire consisting
was known, in order to have an external evaluation. In of 29 items, a sample of 160 subjects (mean age = 36.6;
the first phase of the research, a clinical session, focusing SD = 12.4), 65 males (mean age = 38.9; SD = 13.3) and 95
significant episode in ‘moviola’, was done in order to have females (mean age = 35.0; SD = 11.5) was used for data
been used to know the PMO of each subject (according to analysis. The subjects did not know their own PMO before
the Guidano’s criteria modified by Nardi. During the com- the evaluation and they did not show any psychopathol-
pilation, every item of the questionnaire was analysed with ogy. All the subjects gave consent and authorization to
each subject asking him/her what he/she understood personal data elaboration (in the case of minors, consent
about the item and which mental processes addressed was given by their parents), according to law DL 196/03.
him/her to the given answer as ‘thinking aloud’. This Thirty-five subjects (22%) 15 male and 20 female (mean
group of 67 subjects represented about the 30% of the initial age = 46.6; SD = 12.2) came from northern Italy (Liguria,
sample (n = 204). This group allowed a preliminary qualita- Lombardia and Emilia Romagna), while 23 subjects
tive screening on the items comprehensibility. (14.5%), 13 male and 10 female (mean age = 37.6; SD =
In addition, further 137 subjects (45 males and 92 females; 13.6) came from southern Italy (Puglia, Campania and
mean age = 26.9; standard deviation [SD] = 16.2) were Molise); the other subjects (63.5%) 37 males, 65 females
considered in order to obtain a quantitative analysis on the (mean age = 33.1; SD = 10.5) came from central Italy, in
40 initial items. They were 68 pupils of ‘Giovanni Pascoli’ particular from the Marche Region. Data obtained from
secondary school of Ancona (26 males and 42 females; this questionnaire’s version were analysed in order to
mean age = 13.7; SD = 0.37) and 69 of their parents (19 males make a further selection of the items, following the litera-
and 50 females; mean age = 42.94; SD = 4.03), all following ture’s commonly accepted directions (Nunnally, 1978;
a welfare promotion course. All the subjects gave consent APA, 1999). Frequency Analysis of all the items has per-
to personal data elaboration (in the case of minors, consent mitted to find the item where more than 75% of subjects
was given by their parents), according to Italian law D.L. gave the same answer at the item’s negative limits (1 or
196/03. The Statistical Package for the Social Sciences 2) and the item’s positive limits (5 or 6).
(SPSS) 15.0 was used for the data analysis. The Frequency This operation has permitted to find the not-discrimi-
Analysis of each items (n = 204) allowed to evaluate if the nating items, in which all the subjects tended to give the
items were discriminant and what was the answers distri- same answer because of social desirability or a not clear
bution in the sample evaluated (Nunnally, 1978; APA, formulation and/or banality of the question. Anyway,
1999). Besides, thanks to information come from cognitive some items showing a high percentage of answer at posi-
interview, it was possible to find the incomprehensible or tive or negative limits were included all the same because
controversial items. The 40 items were administrated con- they resulted theoretically important for the description
sidering that their number would later be reduced on the and the determination of a specific PMO (item 29, 27, 23,
basis of validity and effectiveness indexes, according to 17, 11, 9 and 4).
the aim to verify the viability of a very short questionnaire. This analysis has permitted to delete nine items (2, 3, 6,
The analysis of these initial items showed that 20 items 7, 10, 14, 15, 18 and 25) because they did not show a good

Copyright © 2011 John Wiley & Sons, Ltd. Clin. Psychol. Psychother. 19, 78–90 (2012)
Mini Questionnaire of Personal Organization 83

Table 1. Mini Questionnaire of Personal Organization (MQPO) validation steps and corresponding population samples

Step of the validation Number of items Sample (n) External evaluation Main statistic analysis
1st step 40 204 Clinical session with an Frequency analysis
episode in ‘moviola’
(n = 67)
2nd step 29 160 None Frequency analysis;
Varimax rotation’s method for
factor analysis
3rd step 20 296 Discriminant validity: Pearson correlation analysis for
PMQ (n = 80); item-total correlation;
Clinical session with an Bartlett’s test of sphericity and
episode in ‘moviola’ Varimax rotation’s method
(n = 132) for factor analysis;
Cronbach’s alpha for internal
coherence;
Correlation Analysis for test–
retest analysis;
Frequency Analysis for
correctional grid;
Index % of discriminant
function for discriminant
validity

result distribution (Frequency Analysis) and did not dis- among students of the Marche Polytechnic University
criminate the PMO (see final version of the questionnaire, (n = 34; 11.5%) and among colleagues psychologists
Appendix). The SPSS 15.0 was used for data analysis. The and psychiatrists (n = 39; 13.2%); they had not a post-
choice of the definitive items has also been confirmed rationalist theoretical education and, therefore, they
by the Factor Analysis. This analysis was done using the didn’t know their own PMO before the evaluation, and
Maximum Likelihood extraction method and the Varimax they did not show any psychopathology. All the subjects
rotation’s method (with the Kaiser normalization). Results gave the consensus for the personal data use in com-
obtained confirmed the good coherence of the question- pliance with the Italian law DL 196/03.
naire’s inner structure with respect to the PMO factors
(Table 2). Internal Validity: Item-Total Correlation
The remaining 20 items (showed in Table 2, five for each The internal homogeneity of the subscales was tested
PMO) were used for the next analysis: Controller PMO with the item-total Correlation Analysis, in which the
scale was made up of the items 22, 23, 24, 27 and 29; relation between each item and its own subscale total
Detached PMO scale was made up of the items 4, 8, 12, 16 was analysed. Items with non-significant correlation
and 20; Contextualized PMO scale was made up of the index with their own subscale were rejected. Moreover,
items 1, 5, 9, 13 and 17; Principle Oriented PMO scale was Correlation Analysis between each item and the total
made up of the items 11, 19, 21, 26 and 28. score of all subscales was used to verify how the item was
linked with the other questionnaire subscales (items
belonging to a specific PMO that were significant in other
subscales were rejected or submitted to check).
Validation of the Final Formulation of
the Questionnaire
Internal Validity: Factor Analysis
Sample The questionnaire inner structure was studied by means
For the final version of the instrument, which is made of factor analysis. This analysis permitted to evaluate if
up of 20 items (five for each PMO), a sample of 296 sub- and how the questionnaire’s items were grouped in
jects was tested (mean age = 35.3; SD = 12.0): 108 males factors, which should reflect the questionnaire’s basic
(mean age = 37.5; SD = 12.9) and 188 females (mean age theory. Therefore, the items distribution was evaluated
= 34.1; SD = 11.3). The subjects have been recruited among in function of the four PMO. The SPSS 15.0 statistical
staff and friends of the Adolescence Centre for the package (Statistical Package for the Social Sciences; IBM
Promotion of Youth Welfare of Ancona (n = 222; 75.3%), Corporation, Route 100 Somers, NY 10589, State of New

Copyright © 2011 John Wiley & Sons, Ltd. Clin. Psychol. Psychother. 19, 78–90 (2012)
84 B. Nardi et al.

Table 2. Factorial matrix by Varimax rotation’s method on 29 items (n = 160)

Item Factor I Factor II Factor III Factor IV


Controller Personal Meaning Contextualized Detached Principle Oriented
Organizations (PMO) PMO PMO PMO
M1 0.023805 0.708384 −0.0666 −0.10577
M2 0.236626 0.130991 0.16372 −0.00162
M3 −0.01088 0.178705 −0.13174 −0.08642
M4 −0.00773 0.030349 0.580523 0.071402
M5 0.123372 0.836059 −0.03164 0.025103
M6 0.287194 −0.58845 0.171368 0.0863
M7 0.16114 −0.35986 0.156799 0.556754
M8 0.115266 0.074063 0.627241 0.044495
M9 0.083932 0.298134 −0.28655 −0.06944
M10 0.622672 0.001247 −0.05686 0.182061
M11 0.197308 −0.39373 0.1691 0.335095
M12 0.471671 −0.12682 0.389477 −0.01992
M13 −0.02456 0.707913 0.159814 −0.19662
M14 0.328945 0.180415 0.126586 −0.03323
M15 0.142142 −0.4851 0.094254 0.365774
M16 0.157634 −0.09967 0.62478 0.061228
M17 0.233506 0.63419 −0.01147 −0.21337
M18 0.218602 0.138079 0.021076 −0.14664
M19 0.237396 −0.29913 −0.07986 0.444834
M20 0.2825 −0.13418 0.450093 0.111444
M21 0.369634 −0.20345 0.241397 0.431251
M22 0.51305 0.014031 0.034508 0.045422
M23 0.599559 0.205849 −0.01217 0.34404
M24 0.642756 −0.06992 0.060467 0.094477
M25 0.519253 0.059456 0.249068 −0.1417
M26 0.0974 −0.10627 0.121472 0.602137
M27 0.588449 −0.04373 0.12309 0.305886
M28 0.165522 −0.19706 0.288239 0.366259
M29 0.635495 0.003308 0.127562 0.109371

York, United States) was used for data analysis. To esti- subject’s PMO, in order to allow a correct classification of
mate the parameters that more likely caused the model, subjects.
the maximum likelihood methods was used. Besides, To verify the Discriminant Validity of the MQPO, in
to simplify factor’s interpretation, factors were rotated order to assign the subjects to the ‘right’ PMO, it was
by means of Varimax rotation’s method with Kaiser necessary that the comparison between obtained results
normalization. in the questionnaire and subject’s assessed PMO came
from different evaluations. The Discriminant Validity
Reliability: Internal Coherence was verified using the classifications obtained from the
The internal validity represents the questionnaire’s ‘Personal Meaning Questionnaire’ (PMQ) as reference
internal coherence; in other words, a good internal coher- (Picardi, 2003). The comparison between results obtained
ence shows that questionnaire subscales measure differ- by MQPO and PMQ gave us a percentage index of agree-
ent aspects of the same construct (according to the criteria ment. The PMQ is a standardized and validated instru-
described in Methods, ‘The MQPO costruction’). Both the ment, effective for the valuation of subject’s PMO; the
four subscales reliability and the full questionnaire were dependability of its results was used as an estimation of
studied by means of Cronbach’s alpha model. the MQPO efficiency. The choice of using the PMQ as
reference for the efficiency valuation of the MQPO clas-
Discriminant Validity sification system was made because they shared the same
The final purpose of this research was to obtain a useful theoretical paradigm, which was the reference for the
and effective tool to discriminate and classify subjects in creation of the two different instruments. A sample of 80
their own PMO; in other words, our expectation was that subjects was used (mean age = 35.6; SD = 11.3; male = 25
subjects belonging to one specific organization would and female = 55); each person of the sample completed
get high scores in the items relevant to the specific both questionnaires (PMQ and MQPO). The PMQ’s

Copyright © 2011 John Wiley & Sons, Ltd. Clin. Psychol. Psychother. 19, 78–90 (2012)
Mini Questionnaire of Personal Organization 85

classification divided the sample in 24 subjects des- about 3 months, was chosen for not being much too long
cribed with ‘Phobic organization’ (that according to (to avoid changed effects caused to life events), nor much
the Nardi’s paradigm corresponded to the controller too short (to avoid learning effects, or rather to avoid that
PMO), 27 subjects described with ‘Eating disorder the subjects could answer in a coherent way just because
organization’ (that according to the Nardi’s paradigm they perfectly remembered the answers given at the first
corresponded to the contextualized PMO), 23 subjects compilation of the questionnaire).
described with ‘Obsessive organization’ (corresponding
to the principle oriented PMO) and 6 subjects described Correctional Grid
with ‘Depressive organization’ (corresponding to the For the subjects’ classification and assignation to the
detached PMO). different PMO, the normative values of the used sample
Furthermore, the Discriminant Validity has been were calculated, as they were considered adequately rep-
evaluated using the external and shared diagnosis of two resentative of the general population. By means of average
different clinical session, focusing significant episode in and variance calculation for each subscale (Frequency
‘moviola’ obtained from the expert psychotherapists’ Analysis), each subject was assigned to his/her own PMO
interview. on the basis of the obtained questionnaire’s score. If the
The comparison between the questionnaire obtained subject obtained a better value than the average of the
results and the ‘real’ subject’s PMO came from different general population (total sum of the score for each
external diagnosis, giving us a percentage index of agree- subscale), he/she was assigned to that specific PMO (as
ment. For this valuation, a sample of 132 subjects was probability of belonging to it).
used (mean age = 37.6; SD = 12.4; male = 53 and female =
79). The external diagnosis divided the sample in 66
contextualized PMO subjects, 20 principle oriented PMO RESULTS
subjects, 31 controlled PMO subjects and 14 detached
Internal Validity: Item-Total Correlation
PMO subjects.
As shown in Table 3, the Pearson correlation analysis
Reliability: Test–Retest Analysis showed significant scores concerning the relations
The test’s final version was proposed to 49 subjects (19 between each subscale and the items concerning that sub-
males and 30 females; mean age = 38.1; SD = 11.2) in two scale. In fact, the relation between each item and the total
different times to verify the obtained results time stability. score of the other subscales was adequate at the structure
The time elapsed between the two test administrations, in four subscales of the questionnaire.

Table 3. Factorial matrix by Varimax rotation’s method on 20 items (n = 296)

Item Factor I Factor II Factor III Factor IV


Controller Personal Meaning Contextualized Detached Principle Oriented
Organizations (PMO) PMO PMO PMO
M22 0.724 0.009 0.111 −0.089
M23 0.601 0.282 −0.008 0.350
M24 0.645 0.018 0.086 0.173
M27 0.565 0.081 0.179 0.266
M29 0.570 0.160 0.046 0.170
M1 0.020 0.644 −0.010 −0.313
M5 0.059 0.828 −0.008 −0.188
M9 0.101 0.413 −0.158 −0.007
M13 0.087 0.545 0.183 −0.454
M17 0.143 0.574 −0.001 −0.219
M4 −0.058 −0.020 0.664 0.062
M8 0.062 0.057 0.731 −0.009
M12 0.222 −0.057 0.514 0.170
M16 0.078 −0.070 0.687 0.031
M20 0.186 −0.055 0.519 0.242
M11 0.159 −0.226 0.039 0.376
M19 0.147 −0.171 0.031 0.553
M21 0.287 −0.150 0.151 0.543
M26 0.049 −0.108 0.104 0.446
M28 0.136 −0.175 0.187 0.440

Copyright © 2011 John Wiley & Sons, Ltd. Clin. Psychol. Psychother. 19, 78–90 (2012)
86 B. Nardi et al.

Table 4. Correlational matrix between extracted factors and Personal Meaning


Organizations (PMO)

PMO Factor I Factor II Factor III Factor IV


Contextualized Pearson correlation 0.133* 0.978** 0.254** 0.175**
p 0.034 0.000 0.000 0.005
Controller Pearson correlation 0.936** 0.166** −0.336** −0.088
p 0.000 0.008 0.000 0.161
Principle Oriented Pearson correlation −0.021 0.150* 0.203** 0.969**
p 0.736 0.017 0.001 0.000
Detached Pearson correlation −0.468** 0.267** 0.886** 0.194**
p 0.000 0.000 0.000 0.002
* Correlation is significant at the 0.05 level (2-tailed).
** Correlation is significant at the 0.01 level (2-tailed).

Internal Validity: Factor Analysis show high correlation index with the other items. It was
possible to define factor III as a Detached factor.
The Bartlett’s test of sphericity was significant (χ = 2
The items relevant to the principle oriented profile,
1764.60; p < 0.001); therefore, the factorial model was
items 11, 19, 21, 26 and 28, showed the most high correla-
considered adequate to the data. The Factor Analysis was
tion index with factor IV and they showed low correlation
done with the 20 definitive items, five for each PMO.
index with the other extracted factors. Factor IV did not
By means of the Factor Analysis, with the use of the
show high correlation index with the other question-
maximum likelihood extraction method, and the Varimax
naire’s items. It was possible to define factor IV as a
rotation’s method with Kaiser normalization, four factors
Principle Oriented factor.
explaining the 42.21% of the total variance were extracted.
Moreover, correlation between each subscale and each
The Eigen values referred to these factors had, respec-
extracted factor coefficients, which were the factor’s
tively, a value of: 2.23, 2.16, 2.16 and 1.87. Each of these
score calculated for each subject, was evaluated. After
factors explained, respectively, the 11.17%, 10.84%, 10.82%,
the calculation of each factor’s value, subject for subject,
and 9.37% of the total variance. The coefficients of each
correlation analysis between the factorial values and
factor was analysed depending on its relation with each
the real total score calculated for each subscale was
other item. The observation of the factorial matrix showed
applied. As showed in Table 4, the correlation’s index
that the different items analysed had a good correlation
reflected the relationship showed from the factor analysis:
with the factor that represent their own PMO, while there
the controller PMO was significantly correlated with
were not high correlation indexes with factors that repre-
factor I, showing the higher correlation’s index with this
sent different PMO (Table 3).
factor (r = 0.936; p = 0.000); the contextualized PMO was
Items 22, 23, 24, 27 and 29, which represented the answer
significantly correlated with factor II, showing the higher
relevant to the controlled profile, showed the most high
correlation’s index with this factor (r = 0.978; p = 0.000).
correlation index with factor I, and they were scarcely
The detached PMO was significantly correlated with
correlated with the other factors extracted; factor I did not
factor III, showing the higher correlation’s index with
show high correlation with the other questionnaire’s
this factor (r = 0.886; p = 0.000). The principle oriented
items. It was possible to define factor I as a Controller
PMO was significantly correlated with factor IV and it
factor.
shows the higher correlation’s index with this factor
Items 1, 5, 9, 13 and 17, which should discriminate the
(r = 0.969; p = 0.000).
contextualized profile, resulted to be mostly linked to
factor II and they resulted to be scarcely correlated with
Reliability: Internal Coherence
the other extracted factors; factor II did not show high
correlation index with the other questionnaire’s items. It The internal validity has been evaluated through the
was possible to define factor II as a Contextualized factor. calculation of Cronbach’s alpha. The analysis showed
Items 4, 8, 12, 16 and 20, which were relevant to the good internal reliability index both for the total score
detached profile, showed a high correlation index with (Alpha = 0.73), and for each subscale.
factor III and they resulted to be not much correlated with Controller PMO scale = 0.78, Contextualized PMO scale
the other factors, thus also in this case, factor III did not = 0.78, Principle Oriented PMO scale = 0.68, Detached

Copyright © 2011 John Wiley & Sons, Ltd. Clin. Psychol. Psychother. 19, 78–90 (2012)
Mini Questionnaire of Personal Organization 87

PMO scale = 0.77 (Table 3). It is important to remember hypothesis to draw four different factors from the items
that each subscale was made up of five items previously of the questionnaire through the factorial analysis has
selected by means of the answer’s frequency analysis, the been verified, checking how much the four different
item-total correlation analysis and the subscale-item cor- factors have been found related to every PMO; on the
relation analysis. contrary, every factor has not showed tall indexes of
correlation with the other items of the questionnaire.
In accord with the theoretical model, the method of the
Discriminant Validity oblique factorial rotation has been selected, with the
purpose to make these factors not independent (Kline,
In order to analyse the discriminant function, two dif-
1993).
ferent kinds of subject’s external diagnosis was used as
The good agreement among the classification obtained
dependent variables and the score obtained from the
by the MQPO and the clinical evaluation provided by the
four questionnaire subscales were used as independent
experienced therapists supports the adequacy of the test.
variables. By the discriminant function, the Discriminant
Besides, the classification of the sample results very good
Validity (evaluated using the external shared diagnosis of
in comparison with the results obtained to the PMQ
two different expert ‘moviola setting’ interviews) showed
(Picardi, 2003), which is made up of a wide number of
that 72.5% of the sample was correctly classified (i.e., the
items (68). The results we obtained show the elevated
subjects were assigned to the same profile of the external
efficiency of the classification offered by the MQPO, veri-
diagnosis used as reference). Considering that random
fied by the comparison with the PMQ. Finally, good
assignment of the samples would correctly assign subjects
outcome have been achieved in validity of the construc-
to the correct PMO with a percentage of 25% (Klecka,
tion, inside validity, reliability of the test and stability in
1980), the calculated percentage was satisfying.
time of results.
When the Discriminant Validity has been verified using
It has been difficult to recruit subjects with principle
as reference the classification obtained from the PMQ, the
oriented or detached PMO. This is in accord with clinical
calculation of the discriminant function was by means of
experience: in fact, in the general population, the percent-
PMQ classification (used as independent variable) and
age of actually detached subjects is very low; never-
the 4 subscales scores (used as dependent variables).
theless, the composition of the samples is suitable at the
Through the discriminant function, 80% of the subjects
methodological accuracy of a casual sampling and
were correctly classified. In other words, the subjects were
homogeneous.
assigned to the same profile of the PMQ classification. The
The questionnaire investigates some significant aspects
excellent result showed the high efficacy of the classifica-
of personality; anyway, for the complexity and coherence
tion methods of the MQPO, which we verified by means
of personality processes, tests cannot substitute clinical
the comparison with a reliable and validate test like the
examination, which allows a detailed and meticulous
PMQ (Picardi, 2003).
focus on unconscious and non-verbal subjective
functions.
MQPO is available in evaluating how the subject sees
Reliability: Test–Retest Analysis
himself/herself. For example, inwards make a prevalent
The test reliability, that is the results’ time stability, has focus from inside, are centred more on sensory activations
been measured by means of correlation analysis. The than on introspection; therefore, during validation, their
analysis obtained significant correlation’s index between choice of items narrowed centring on physical and practi-
the score relevant to the two different test’s questionnaires cal aspects of subjective perceptions. For this reason, it
for each item measured. The correlation analysis between came up that inwards do not need much self-swindle. On
the total score subscales of the two different test admin- the contrary, for the outwards, others’ opinions are central
istrations was significant (Controller PMO scale r = 0.85; and they need a continuous tuning on significant external
p = 0.000, Contextualized PMO scale r = 0.80; p = 0.000; signals. In this case, the fear of others’ evaluation could
Principle Oriented PMO scale r = 0.81; p = 0.000; Detached affect the subject, even if he/she was not in a ‘face to face’
PMO scale r = 0.89; p = 0.000). It is possible to conclude condition. For example, many contradictions between
that the instrument has showed a good reliability con- clinical evaluation and PMO scales results can be
cerning time stability of the results (Table 4). explained in this manner. In addition, many cases, in
which replies were distributed with high heterogeneity
among two or three different scales, were referable to
contextualized, who tried to give coherence and stability
DISCUSSION
to their personal meaning; in fact, the unconscious effort
The results obtained by the final version of the question- of self-referring experience according to the positive or
naire were according to the theoretical APR approach. The negative sense of the self is driven by emotional schemata

Copyright © 2011 John Wiley & Sons, Ltd. Clin. Psychol. Psychother. 19, 78–90 (2012)
88 B. Nardi et al.

developed moving from the attachment relationship. The developmental process axes, which are the bases of the
self-report questionnaire turns around verbal component PMO, according to Nardi’s APR approach (Nardi, 2007;
and each item can individuate the correct PMO only if Nardi & Bellantuono, 2008). Further investigations will be
emotional activation is coherent with the explanation of useful to improve MQPO discriminating abilities. With
that experience. Therefore, discrepancy between MQPO respect to other tests, in its actual version the MQPO
and clinical evidence can be evaluated as a consequence appears as a rapid and effective mean of investigation,
of the manner in which subject sees himself/herself as which supports the constructions related to the PMO and
‘self-expert’. As we observed in the course of cognitive the inward/outward modalities to perceive reciprocity,
interviews, a change of emotional activation was possible both in normal and in pathological conditions.
every time the relation between ‘how I feel myself’ and
‘how I see myself’ changes. In fact, the self-swindle pat-
terns, more than a specific limit of MQPO, can be consid- COMPETING INTERESTS
ered the limit of all which belongs to explanations (i.e., to
The authors declare that they have no competing
narrative plots of the subject). By this point of view, any
interests.
reply is reliable, even where the discrepancy between
clinical profile and MQPO’ score becomes evident: what
the subject sees and tells about himself/herself has a great
AUTHORS’ CONTRIBUTIONS
importance in his/her comprehension; moreover, his/her
self-swindles are ‘true’ (in terms of motivation, social BN, EA, GR and CB developed the initial design of the
desirability, introspection and self-observation proce- study. SG and SB were responsible for data analysis.
dures). Self-representation is a genuine expression of the All authors revised the manuscript and interpretation,
subjective processes of becoming an individual and its they agreed with the final submitted version of the
clinical utility must be evaluated by the expert: the results manuscript.
must be carefully evaluated through the corrective grid
based on normative values and, when necessary, the
subject must be clinically evaluated to focus on his/her ACKNOWLEDGEMENTS
pattern of immediate experiencing.
The authors thank Furio Lambruschi and Silvio Lenzi
Concerning clinical implications, with the above men-
(Centro Sinesis, ‘Scuola Bolognese di Psicoterapia
tioned precautions, MQPO can be used with advantage
Cognitiva’) for the precious collaboration in the recruit-
to obtain a functional diagnosis according to the cognitive
ment of the sample. They thank, besides for the help in
post-rationalist approach, both in sane and pathological
the construction and in the administration of the ques-
population. In fact, the test can be used to draw a quick
tionnaires, the colleagues of the Adolescence Centre for
and easy profile of PMO, despite complexity of the theo-
the Promotion of Youth Welfare in Ancona, Sara Rupoli,
retical model. Finally, PMO can be considered as an
Francesca Tittarelli, Daniela Simonetti, Roberta Rossini,
expression of the self, like an adequately constant descrip-
Stefania Macchiarolo, Laura Cucinella, Mery Mengarelli,
tive personality aspect. Since results were obtained by
Marco Brandoni, Gianni Castellucci, Ilaria Capecci,
four different categories, it is doubtless statistically
Marzia Di Nicolò, Sabrina Laurenzi, Matteo Cedraro and
significant with respect to the simple inward/outward
Chiara Lucarelli.
evaluation. This result represents a meaningful support
contribution of the construct of PMO that can subse-
quently be integrated by further searches of fMRI, which
have already shown significant differences in emotional
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Klecka, W.R. (1980). Discriminant analysis. Newbury Park, CA: 7. If I must chose between opposite solutions, I hold my
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Angeli. 8. (8.) I generally think that I am alone and that there is
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evolutionary conceptualization of the Personal Meaning tendenza costante pensare di essere solo/a e che tra me e gli
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European Psychotherapy (Vol. 8, pp. 5–16). Norderstedt: 9. (9.) It’s important that my opinion is subscribed by
Psychotherapy in Europe, CIP-Medien.
Nardi, B., Capecci, I., Fabri, M., Polonara, G., Mascioli, G.,
people that I hold in esteem (Per me è importante che il
Cavola, G., Di Nicolò, M., Laurenzi, S., Rocchetti, D., Brandoni, mio punto di vista venga condiviso dalle persone alle quali
M., Rocchetti, G., Salvolini, U., Manzoni, T., & Bellantuono, C. tengo)
(2008). fMRI investigation of emotional activations during 10. I feel good with people who proved to me they are
visual processing of other or own facial expressions in subjects reliable (Sto bene con persone che mi hanno dimostrato di
with inward or outward personality. Rivista di Psichiatria, essere affidabili)
43(4), 233–241.
11. (3.) The commitment I put in doing things makes me
Nardi, B., Rezzonico, G., & Bellantuono, C. (2010). Toward a
scientific framework for the personal meaning organization feel good, rather than others’ appreciation (Mi fa star
(PMO) paradigm: neuroimaging and genetic studies. Italian meglio l’impegno che metto nel fare una cosa, piuttosto che
Journal of Psychiatry (QUIP), 29(3), 81–88. la considerazione da parte degli altri)
Nunnally, J.C. (1978). Psychometric theory (2nd ed.) New York: 12. (12.) I feel that I cannot rely on anyone, so I must
McGraw-Hill. strongly commit myself to face reality, since results
Picardi, A. (2003). First steps in the assessment of cognitive- only depend on me (Visto che non posso contare su
emotional organization within the framework of Guidano’s
model of the self. Psychotherapy and Psychosomatics, 72, nessuno, quando devo affrontare qualcosa cerco di metter-
363–365. cela tutta, tanto dipende solo da me)
Rubino, V., Blasi, G., Latorre, V., Fazio, L., D’Errico, I., Mazzola, 13. (13.) I feel embarrassed and inadequate when the
V., Caforio, G., Nardini, M., Popolizio, T., Hariri, A., Arciero, others criticize me (Quando gli altri mi criticano o mi
G., & Bertolino, A. (2007). Activity in medial prefrontal cortex disapprovano mi fanno sentire a disagio e inadeguato/a)
during cognitive evaluation of threading stimuli as a function 14. I feel safe only in conditions in which I can quickly get
of personality style. Brain Research Bulletin, 74, 250–257.
in touch with subjects that can protect me (Mi sento
sicuro/a in una situazione, solo quando so che posso rintrac-
ciare tempestivamente le persone che mi possono proteggere)
15. It’s more important for me to comply with what is
APPENDIX true than to be agreed or protected by others (È più
importante attenermi a quello che per me è vero piuttosto
The MQPO: English and Original Italian Text
che essere approvato/a o protetto/a dagli altri)
1. (1.) To feel myself adequate, I don’t disappoint other’s 16. (16.) To be successful in life, one must strongly commit
expectations (Per sentirmi adeguato/a è molto importante him/herself facing his/her destiny of loneliness (Per
per me non deludere le aspettative degli altri) riuscire nella vita uno/a si deve impegnare a fondo con-
2. If I meet myself by chance in a little-known environ- frontandosi con il proprio destino di solitudine)
ment, I am looking for who can protect me rather than 17. (17.) I feel myself important if I am appreciated and
who can accept me (Se mi trovo in un ambiente che required by others (Essere apprezzato/a e ricercato/a dagli
conosco poco, cerco di individuare non tanto chi mi accetta, altri mi fa sentire importante)
ma chi mi può proteggere dai pericoli) 18. In my opinion one is alone especially if there is nobody
3. When I must reach a decision, I spend much time in who protects him/her in necessity or risk situations (Per
chewing which can be the right decision for me me una persona è sola soprattutto quando non ha nessuno che
(Quando devo decidere passo molto tempo a rimuginare la può proteggere in caso di bisogno o di pericolo)
sulla soluzione giusta per me) 19. (7.) To feel myself fair and impartial, I take into con-
4. (4.) For me loneliness is the basic life condition (Per sideration more my internal rules more than other’s
me la solitudine è la condizione di base della vita) opinion (Per sentirmi equo/a ed imparziale, mi capita
5. (5.) It’s important for me to understand if I have abitualmente di tenere più in considerazione le mie
other’s approval (Per me è importante capire se gli altri norme interne, piuttosto che il parere di chi mi circonda)
mi approvano o meno) 20. (20.) In my life I always had to shift for myself, as I
6. It’s vital for me to be able to move freely, not depend- cannot count on other’s help (Nella mia vita ho sempre
ing on others’ opinions (Per me è fondamentale muovermi dovuto cavarmela da solo/a, non potendo contare sull’aiuto
liberamente, indipendentemente dal giudizio degli altri) degli altri)

Copyright © 2011 John Wiley & Sons, Ltd. Clin. Psychol. Psychother. 19, 78–90 (2012)
90 B. Nardi et al.

21. (11.) I usually don’t change my opinion when I am 25. I feel good with people who don’t overrun my
criticized by others (Non tendo a cambiare le mie convin- space (Sto bene con persone che non entrano nei miei spazi)
zioni quando vengo criticato/a dagli altri) 26. (15). In doubt situations, others’ opinions are less
22. (2.) I have a feeling of constriction when I cannot important than mine (Nelle situazioni di dubbio le idee
move freely (Quando non mi posso muovere liberamente degli altri pesano meno rispetto alle mie)
mi manca l’aria) 27. (14). It’s essential for me to be able to come in and out
23. (6.) I feel free and not constricted when I have the situ- freely from a situation (Per me è fondamentale poter
ation under control (Mi fa sentire libero/a e non costretto/a entrare e uscire da una situazione liberamente)
avere il controllo di una situazione) 28. (19.) When I have a doubt, I tend to ignore other’s
24. (10). When I feel controlled, I generally feel myself expectations (Quando ho una incertezza tendo ad ignorare
constricted and not free rather than disregarded le aspettative degli altri)
(Abitualmente, se vengo controllato/a, più che sentirmi 29. (18.) I feel good with reliable people who don’t oppress
svalutato/a dagli altri, mi sento costretto/a e non me with their requests (Sto bene con persone affidabili
libero/a) che non mi opprimono con le loro richieste)

Copyright © 2011 John Wiley & Sons, Ltd. Clin. Psychol. Psychother. 19, 78–90 (2012)
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