Mentalization Saara Salo, PhD , psychologist , HUCH/Helsinki University Hospital , Pilke-Clinic 2014. What is mentalizing ?.
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Mentalizing is a form of imaginative mental activity about others and onseself, namely perceiving and interpreting human behaviour in terms of intentional mental states (e.g., needs, desired, feelings, beliefs, goals, purposes, and reasons)
Bateman & Fonagy, 2012
Dysfuntional mentalizing leads to disorders of of self-experience
Which is central in all forms of psychopathologies
Based on mentalization principles
Main aim is to enhance the very capacity of mentalize (as opposed to social support, reducing symptoms etc.)
Developed over the past 10--15 years
Original focus of BPD
Various parenting programa
Awareness of the impact of affects
Capacity to trust
Acquisition of this capacity depends on the quality of attachment relationships
Especially the quality of early affect mirroring
Disruptions of early attachment and later trauma have the potential to disrupt the capacity of mentalizing
Berlin LJ. Interventions to enhance early attachments. In Berlin L, Ziv Y, Amaya-Jackson L, Greenberg M. Enhancing early attachments. New York: Guildford Press 2005, s. 3–33.
Meins, Fernyhough, Russell, & Clark-Carter, 1998; Meins et al., 2002; Osario et al, 2012; Bernier et al., 2012)
WHEN MENTALIZATION GOES WRONG..
In adults, there is accumulating evidence that mentalization based therapies work with
Antisocial personality disorder (Bateman & Fonagy, 2012)
In parents, appropriate parental reflective funtioning (A. Slade) predicts attachment security, adaptive social skills and increased sense of self-efficacy
Minding the Baby
Adaptation for substance-abusing mothers in residential treatment (Suchman et al., 2012)
Families First / Finnish national Program
BABY Magic / Pregnant Depressed Moms
With families (MBFT) developed at the Anna Freud Institute /London
Focused on patients minds
Relate to current event or activity – mental reality
Use of therapist’s mind as a model – seek to mentalize the current relationship
Identify non-mentalizing and recover from it
Allen, J., Fonagy, P., & Bateman, A. (2008). Mentalizing in clinical practice. American psychiatric publications.
Bateman, A., & Fonagy, P. (2012). Handbook of mentalizing in mental health practice. American Psychiatric Association.
Fonagy, P., Gergely, G., Jurist, E., & Target, M. (2002). Affect regulation, mentalization and the development of the self. Other Press.
George, C, Kaplan, N., & Main, M. (1985). Adult Attachment Interview. Department of Psychology, Uni- versity of California, Berkeley.
Marvin R, Cooper G, Hoffman K, Powell B. The Circle of Security Project: Attachment-based intervention with caregiver-preschool child dyads. Attachment and Human Development 2002; 4, 107-124.
Midgley, N., & Troupp, C. (2013). Core features: The mentalizing loop. Dia-materiaali Mentalization Based Family Therapy Training, Helsinki.
Midgley, N., Vrouva, I. (Eds.) (2012). Minding the Child: Mentalization-based interventions with children, young people and families. London Routledge.
Mäkelä J., Salo S. 2011. Theraplay - vanhemman ja lapsen välinen vuorovaikutushoito lasten mielenterveysongelmissa. Duodecim 2011; 127: 327- 34.
Stern, D. The present moment in psychotherapy and everyday life. Norton, 2004.