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Related Experiment Video

Updated: Apr 12, 2026

Investigating the 'Uncatchable Smile' in Leonardo da Vinci's La Bella Principessa: A Comparison with the Mona Lisa and Pollaiuolo's Portrait of a Girl
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About stagnation and the emperor's new clothes.

Geert Crombez1

  • 1Department of Experimental-Clinical and Health Psychology, Ghent University, Henri Dunantlaan 2, 9000, Gent, Belgium, Geert.Crombez@UGent.be.

The Journal of Headache and Pain
|May 15, 2015
PubMed
Summary

The stagnation scale, validated for psychopathology screening, has critical limitations. Its items lack specificity, and it cannot identify repressed emotions, potentially misdirecting clinical focus.

Area of Science:

  • Psychiatry
  • Psychology
  • Clinical Assessment

Background:

  • The "stagnation scale" was validated by Innamorati et al. for psychopathology screening.
  • The scale's theoretical and clinical utility requires critical evaluation.

Purpose of the Study:

  • To critically assess the theoretical and clinical value of the stagnation scale.
  • To highlight the limitations of the stagnation scale in psychopathology screening.

Main Methods:

  • Critical review of the stagnation scale's theoretical underpinnings.
  • Analysis of the scale's item specificity and interpretability.

Main Results:

  • Items on the stagnation scale are not specific and may measure various psychological constructs like worry, self-worth, and distress.

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  • Questionnaires assess patient experiences but not underlying causal processes, limiting the scale's ability to identify repressed emotions.
  • Routine use of the scale may divert clinicians' attention from core patient issues and effective interventions.

    • Conclusions:

    • The stagnation scale's theoretical basis and clinical applicability are questionable.
    • The scale's lack of specificity and inability to probe causal mechanisms limit its diagnostic value.
    • Clinicians should exercise caution when using the stagnation scale to avoid misinterpretation and ensure patient-centered care.