The Mentalizing Approach to Psychopathology: State of the Art and Future Directions

Annual Review of Clinical Psychology, Journal Year: 2020, Volume and Issue: 16(1), P. 297 - 325

Published: Feb. 5, 2020

Mentalizing is the capacity to understand others and oneself in terms of internal mental states. It assumed be underpinned by four dimensions: automatic-controlled, internally-externally focused, self-other, cognitive-affective. Research suggests that disorders are associated with different imbalances these dimensions. Addressing quality mentalizing as part psychosocial treatments may benefit individuals various disorders. We suggest a helpful transtheoretical transdiagnostic concept explain vulnerability psychopathology its treatment. This review summarizes approach from developmental socioecological evolutionary perspective. then focus on application personality disorders, we studies have extended this other types psychopathology, including depression, anxiety, eating summarize core principles mentalization-based preventive interventions evidence for their effectiveness. conclude recommendations future research.

Language: Английский

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Mind matters: A meta-analysis on parental mentalization and sensitivity as predictors of infant–parent attachment.

Psychological Bulletin, Journal Year: 2017, Volume and Issue: 143(12), P. 1245 - 1272

Published: Aug. 14, 2017

Major developments in attachment research over the past 2 decades have introduced parental mentalization as a predictor of infant-parent security. Parental is degree to which parents show frequent, coherent, or appropriate appreciation their infants' internal states. The present study examined triangular relations between mentalization, sensitivity, and A total 20 effect sizes (N = 974) on relation attachment, 82 6,664) sensitivity 24 2,029) were subjected multilevel meta-analyses. results showed pooled correlation r .30 infant security, rs .25 for correlations sensitivity. meta-analytic structural equation model was performed examine combined effects predictors attachment. Together, explained 12% variance After controlling remained, .24; remained after .19. Sensitivity also mediated .07, suggesting that exerts both direct indirect influences imply should be incorporated into existing models map (PsycINFO Database Record

Language: Английский

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Development and validation of a self-report measure of epistemic trust

PLoS ONE, Journal Year: 2021, Volume and Issue: 16(4), P. e0250264 - e0250264

Published: April 16, 2021

Epistemic trust (ET) refers to in communicated knowledge. This paper describes the development and validation of a new self-report questionnaire, Trust, Mistrust Credulity Questionnaire (ETMCQ). We report on two studies (Study 1, n = 500; Study 2, 705) examining psychometric properties ETMCQ relationship between EMTCQ scores (i.e., an individual’s epistemic stance) exposure adverse childhood experiences, mental health symptoms, attachment, mentalizing general self-efficacy. The factor structure was examined using Exploratory Confirmatory Factor Analyses, its reliability test-retest were tested. Both yielded three correlated yet distinct factors–Trust, Credulity–and confirmed validity ETMCQ. Preregistered hypotheses replicated across both studies. Main findings suggest intriguing links developmental psychopathology constructs are consistent with thinking role stance undermining adaptation increasing risk problems. associated adversity higher global severity index factors partially mediated link early symptoms. positively difficulties understanding states insecure attachment styles. Post-hoc analysis identified that different styles differences stance. In addition, Trust not reduced levels symptoms did moderate impact adversity–findings congruent suggestion reduction mistrust credulity may be crucial common promoting resilience effectiveness psychotherapeutic interventions. investigation provide empirical measure what until now has been largely theoretical concept open avenues for future research.

Language: Английский

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The bodymind model: A platform for studying the mechanisms of change induced by art therapy

The Arts in Psychotherapy, Journal Year: 2016, Volume and Issue: 51, P. 63 - 71

Published: Oct. 6, 2016

Language: Английский

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The French Version of the Reflective Functioning Questionnaire: Validity Data for Adolescents and Adults and Its Association with Non-Suicidal Self-Injury

PLoS ONE, Journal Year: 2015, Volume and Issue: 10(12), P. e0145892 - e0145892

Published: Dec. 29, 2015

Introduction The capacity to understand one's own actions and those of others in terms cognitive affective mental states (i.e., reflective functioning or mentalizing) is thought play a critical role both typical atypical development. To date, however, no self-report tool available for assessing ability French-speaking samples. first aim this study investigate the reliability validity questionnaire (RFQ) adolescents adults. Secondly, we whether low levels were associated with non-suicidal self-injury. Methods 130 (66 females, Mage = 15.72, SDage 1.74) 253 adults (168 23.10, 2.56) completed French translation RFQ battery self-reported questionnaires assess set clinical (alexithymia; borderline traits; internalizing externalizing symptoms) psychological (empathy; mindfulness) variables. Results current results showed configural invariance original two-factor structure across satisfactory construct two subscales. Furthermore, observed that recent episodes self-injury lower adult, but not adolescent, sample. Discussion present research has methodological implications it provides evidence can be used reliably population. further shows impaired consider lie behind behaviors might self-injury, at least

Language: Английский

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The Mentalization Scale (MentS): A Self-Report Measure for the Assessment of Mentalizing Capacity

Journal of Personality Assessment, Journal Year: 2017, Volume and Issue: 100(3), P. 268 - 280

Published: April 24, 2017

The psychometric properties of a new 28-item self-report measure mentalization, the Mentalization Scale (MentS), were examined in 2 studies: with sample employed adults and university students (N1 = 288 + 278) persons borderline personality disorder (BPD) matched controls (N2 62 62). Besides MentS, both studies measures attachment Big Five; Study 1 also included assessments empathy emotional intelligence. MentS whole-scale internal consistency was good community acceptable clinical (α .84 .75, respectively). A principal components analysis data yielded 3 interpretable factors, or subscales: Self-Related (MentS-S), Other-Related (MentS-O), Motivation to Mentalize (MentS-M). These showed reliabilities .74-.79), except for MentS-M .60). scores further exhibited coherent pattern correlations cognate constructs Five, relating positively empathy, trait ability intelligence, openness, extraversion, conscientiousness, negatively avoidance anxiety, neuroticism. Persons BPD scored significantly lower on total MentS-S. proposed scale is thus deemed suitable quick, yet meaningful, mentalization individual differences research contexts.

Language: Английский

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Elevated empathy in adults following childhood trauma

PLoS ONE, Journal Year: 2018, Volume and Issue: 13(10), P. e0203886 - e0203886

Published: Oct. 3, 2018

Traumatic events increase the risk of depression, but there is also evidence that adversity can lead to posttraumatic growth, including increased compassion and prosocial behavior. To date no empirical research pinpointing childhood trauma an in trait empathy adulthood. Although somewhat counter-intuitive, this might be predicted if not only increases fear future threat renders individual more sensitive suffering others. We explored possible link using multiple studies, self-report measures, non-clinical samples. Results across samples measures showed that, on average, adults who reported experiencing a traumatic event had elevated levels compared did experience event. Further, severity correlated positively with various components empathy. These findings suggest person's ability take perspective another understand their mental emotional states, impact long-standing. Future needs test seen performance how these extend clinical populations.

Language: Английский

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Interpersonal Problems in Borderline Personality Disorder: Associations With Mentalizing, Emotion Regulation, and Impulsiveness

Journal of Personality Disorders, Journal Year: 2019, Volume and Issue: 35(2), P. 177 - 193

Published: March 28, 2019

Interpersonal problems are a core symptom of borderline personality disorder (BPD). This study investigated the relationship between emotion dysregulation, impulsiveness, and impaired mentalizing in context predicting interpersonal BPD. A total 210 patients with BPD completed Difficulties Emotion Regulation Scale (DERS), Barratt Impulsiveness (BIS-11), Reflective Functioning Questionnaire (RFQ), Inventory Problems (IIP-32). The authors conducted three path models, either mentalizing, regulation, or impulsiveness as exogenous variable. dysregulation attentional predicted directly, whereas hypomentalizing only indirectly throughout impulsiveness. results suggest that these domains contribute significantly to Moreover, might affect on via its effect regulation. argue focusing regulation treatments have interlinked beneficial effects problems.

Language: Английский

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Multidirectional Pathways between Attachment, Mentalizing, and Posttraumatic Stress Symptomatology in the Context of Childhood Trauma

Psychopathology, Journal Year: 2020, Volume and Issue: 53(1), P. 48 - 58

Published: Jan. 1, 2020

Exposure to traumatic stressful events in childhood is an important risk factor for the development of posttraumatic symptomatology. From a mentalization-based developmental perspective, adversity can affect attachment children and may result insecure impaired mentalizing abilities, which increase lifetime psychopathology. The present cross-sectional study examined potential mediating role insecurity on relationship between trauma symptomatology.Adults who had experienced neglect abuse (n = 295, 184 patients with personality disorder 111 community controls) completed self-report measures stress (PTSD) symptoms, dissociative experiences, adult insecurity, mentalizing.Structural equation modelling results revealed that together lower mediated link PTSD experiences.The findings show play significant roles reporting symptomatology among survivors neglect, treatment implications therapy as beneficial individuals history trauma.

Language: Английский

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The protective role of mentalizing: Reflective functioning as a mediator between child maltreatment, psychopathology and parental attitude in expecting parents

Child Abuse & Neglect, Journal Year: 2019, Volume and Issue: 95, P. 104065 - 104065

Published: June 27, 2019

Language: Английский

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