Mentalization promotion and affect mobilization in clinical work

IF 0.9 Q2 PSYCHOLOGY, PSYCHOANALYSIS

International Forum of Psychoanalysis Pub Date : 2022-04-25 DOI:10.1080/0803706X.2022.2039407

Daniela de Robertis

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Abstract

Abstract The author presents a model of clinical intervention based on patients’ mentalization, or mind reading, that is, the function of the mind to understand the mind. The action of mind reading means a type of thought, mostly not conscious, implicit, often not even encoded in words, that expresses the meaning “I think that you think that I think.” Thoughts about the analyst’s states of mind crowd the minds of patients, taking shape in these questions: “What do you think I have in mind?” and so “How do you plan to act towards me?” If the analyst does not capture and does not disambiguate the doubts, the patient’s perplexity and insecurity can intensify and produce emotions of anxiety, fear, fright, but also anger towards a silent interlocutor. Conversely, the analyst who mentalizes the state of mind of the patient and verbalizes it heteroregulates the patient’s fears and anxiety level. Mentalization and affect regulation are also related to the analyst’s recognition of the patient’s metacognition process. At the conclusion of the theoretical section, a clinical sketch shows examples, and highlights in therapeutic work the abovementioned theoretical issues.

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临床工作中的心理化促进与情感动员

摘要:作者提出了一种基于患者心理化或读心的临床干预模式，即心理理解心理的功能。读心术指的是一种思想，大多是无意识的，隐含的，通常甚至不用语言编码，它表达的意思是“我认为你认为我认为”。关于精神分析师心理状态的想法充斥着病人的脑海，形成了这些问题:“你认为我在想什么?”以及“你打算怎样对待我?”如果分析师没有捕捉到疑虑，也没有消除疑虑，患者的困惑和不安全感就会加剧，并产生焦虑、恐惧、恐惧的情绪，也会对沉默的对话者产生愤怒。相反，精神分析者将病人的精神状态具体化并用语言表达出来，从而调节病人的恐惧和焦虑水平。心理化和情绪调节也与精神分析师对患者元认知过程的认知有关。在理论部分的结尾处，临床小品展示了例子，并在治疗工作中突出了上述理论问题。

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

International Forum of Psychoanalysis PSYCHOLOGY, PSYCHOANALYSIS-

CiteScore

0.80

自引率

28.60%

发文量