Profiles of mentalizing in individuals with antisocial behavior: comparing state- and trait-mentalizing.

IF 3 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-07-03 DOI:10.1080/10503307.2025.2517560

Brenda De Wit-De Visser, Madeleine J N Rijckmans, Jeroen K Vermunt, Matthijs J W Hamakers, Arno van Dam

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引用次数: 0

Abstract

Objectives: Mentalizing is a crucial factor in understanding antisocial behavior. The current study focuses on mapping mentalization within a population of patients with antisocial behavior (n = 108) and compares trait and state mentalizing.

Methods: Three instruments were used to assess mentalizing abilities: the Reflective Functioning Scale, an emotion recognition task, and a Virtual Reality experiment. Mentalizing profiles were determined with latent class analyses and subsequently examined their relations.

Results: Patients with antisocial behavior exhibited poor mentalizing capacities. They showed problems with general mentalizing capacities, specific problems in emotion recognition and reduced emotional reactivity. Half of the participants displayed reduced trust towards others during state mentalizing, indicating imbalances between automatic and controlled mentalizing. A part of the population showed hostile attribution bias, related to increased anger and threat perception and reduced experienced trust in direct social interaction. State-mentalizing and trait-mentalizing were not related.

Conclusion: The findings align with previous studies on mentalizing in individuals with antisocial personality disorder. However, this study underscores the importance of further investigating the heterogeneity of mentalizing capacity within this population, especially in comparing state- and trait mentalizing. Mapping underlying mentalizing patterns of these patients may provide directions for tailoring therapeutic interventions.

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反社会行为个体的心理化特征：状态心理化与特质心理化的比较。

目的：心理化是理解反社会行为的关键因素。目前的研究重点是在反社会行为患者群体中绘制心理化图谱（n = 108），并比较特质心理化和状态心理化。方法：采用反思功能量表、情绪识别任务和虚拟现实实验三种工具对被试的心智化能力进行评估。通过潜在类别分析确定心智化概况，并随后检查它们之间的关系。结果：反社会行为患者心理化能力差。他们表现出一般心智能力的问题，情绪识别的特定问题和情绪反应的减少。一半的参与者在状态心理化过程中对他人的信任减少，表明自动心理化和控制心理化之间的不平衡。一部分人表现出敌意归因偏见，这与在直接社会互动中增加的愤怒和威胁感知以及减少的经验信任有关。状态心理化与特质心理化不相关。结论：这些发现与先前关于反社会人格障碍患者心智化的研究相一致。然而，这项研究强调了进一步调查这一人群心理化能力异质性的重要性，特别是在比较状态和特质心理化方面。绘制这些患者潜在的心理模式可能为定制治疗干预提供方向。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.