Psychodynamic Psychiatry最新文献_第2页

Mentalizing, Epistemic Trust, and the Active Ingredients of Psychotherapy. 心理化、认知信任与心理治疗的有效成分。

Psychodynamic Psychiatry Pub Date : 2024-12-01 DOI: 10.1521/pdps.2024.52.4.435

Chloe Campbell, Güler Beril Kumpasoğlu, Peter Fonagy

{"title":"Mentalizing, Epistemic Trust, and the Active Ingredients of Psychotherapy.","authors":"Chloe Campbell, Güler Beril Kumpasoğlu, Peter Fonagy","doi":"10.1521/pdps.2024.52.4.435","DOIUrl":"10.1521/pdps.2024.52.4.435","url":null,"abstract":"This article explores the implications of epistemic trust within the mentalizing model of psychopathology and psychotherapy, emphasizing the role of the restoration of epistemic trust in therapeutic settings. At the core of this exploration is the developmental theory of mentalizing, which posits that an individual's ability to understand mental states-both their own and others'-is cultivated through early caregiver interactions. The article expands on this concept by reviewing and integrating evolutionary theories suggesting that humans have evolved a unique sensitivity to teaching and learning through ostensive cues, enhancing our capacity for cultural transmission and cooperation. However, adversities such as trauma or neglect can disrupt this developmental trajectory, leading to epistemic disruption, where individuals struggle to engage with or learn from social experiences effectively. This disruption can manifest in psychological disorders, where mentalizing failures are associated with difficulties in social functioning and in maintaining relationships. The article proposes that psychotherapeutic approaches can effectively address these disruptions, and it outlines three key aspects of communication that unfold in psychotherapeutic interventions. It discusses how the effectiveness of these interventions may hinge on the reestablishment of epistemic trust, enabling patients to reengage with their social environments constructively and adaptively.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"52 4","pages":"435-451"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Unbroken Circle: From Child Analysis to Mentalization-Based Treatment (MBT) with Children, Adolescents, and Families. 无法打破的圆圈：从儿童分析到以儿童、青少年和家庭为对象的心智化治疗（MBT）。

Psychodynamic Psychiatry Pub Date : 2024-12-01 DOI: 10.1521/pdps.2024.52.4.452

Nick Midgley

{"title":"The Unbroken Circle: From Child Analysis to Mentalization-Based Treatment (MBT) with Children, Adolescents, and Families.","authors":"Nick Midgley","doi":"10.1521/pdps.2024.52.4.452","DOIUrl":"10.1521/pdps.2024.52.4.452","url":null,"abstract":"It is now more than 30 years since Peter Fonagy published his classic 1991 paper introducing the concept of \"mentalization\" into the psychoanalytic literature, and in the period since then mentalization-based treatment (MBT) has emerged as an important therapeutic approach. In reviewing the history of this treatment, it is often assumed that MBT emerged at the interface between three domains: first, the developmental research on theory of mind; second, the clinical challenges of treating borderline personality disorder; and third, the empirical research on intergenerational patterns of attachment. This article suggests that there was one more domain, which was equally important to the development of MBT and which is perhaps less widely recognized. This fourth domain was developments in child analysis, especially those taking place during the late 1980s and early 1990s at the Anna Freud Centre in London. Although the origins of MBT theory and technique in child work is perhaps not widely acknowledged, recognizing these roots helps us to better understand mentalizing therapy. It also enables us to see how the development of MBT for children, young people, and families can be understood as a closing of the circle in the development of mentalization-based interventions.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"52 4","pages":"452-472"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mentalization-Based Treatment for Adolescent Depression. 基于心理治疗的青少年抑郁症。

Psychodynamic Psychiatry Pub Date : 2024-12-01 DOI: 10.1521/pdps.2024.52.4.490

Patrick Luyten, Saskia Malcorps, Peter Fonagy

{"title":"Mentalization-Based Treatment for Adolescent Depression.","authors":"Patrick Luyten, Saskia Malcorps, Peter Fonagy","doi":"10.1521/pdps.2024.52.4.490","DOIUrl":"10.1521/pdps.2024.52.4.490","url":null,"abstract":"Depression is a very common mental health problem in adolescence. Although over the past decades a number of psychological interventions for depression in adolescence have been developed and empirically evaluated, recent systematic reviews and meta-analyses suggest that there is considerable room for improvement of their effectiveness. This is particularly true for the treatment of adolescents with \"complex\" depression, that is, those where depression is embedded within broader personality and relational problems, often related to a history of attachment trauma. Mentalization-based treatment (MBT) may be particularly effective in these cases, as it has a strong focus on temporary and long-term impairments in mentalizing (i.e., the capacity to understand the self and others in terms of intentional mental states), which are very typical of adolescents with depression. This article outlines a continuum of severity of depression as seen from a mentalizing perspective, ranging from the mild to moderate to the more severe end of the spectrum. This is followed by a summary of the mentalizing approach to understanding depression along the spectrum of severity, the empirical evidence supporting this approach, and a description of the basic principles of MBT for depression. We close with some thoughts about the future of MBT in the treatment of depression in adolescents.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"52 4","pages":"490-511"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Establishing a Method of Systematic and Reliable Analysis of Psychodynamic Process Notes. 建立系统可靠的心理动力学过程笔记分析方法。

Psychodynamic Psychiatry Pub Date : 2024-09-01 DOI: 10.1521/pdps.2024.52.3.358

Timothy Rice, Yonis Hassan, Arthi Vickneswaramoorthy, Natashaa Dalal, Michael Peral, Anton Livshin, Bernard Maskit, Wilma Bucci, Leon Hoffman

{"title":"Establishing a Method of Systematic and Reliable Analysis of Psychodynamic Process Notes.","authors":"Timothy Rice, Yonis Hassan, Arthi Vickneswaramoorthy, Natashaa Dalal, Michael Peral, Anton Livshin, Bernard Maskit, Wilma Bucci, Leon Hoffman","doi":"10.1521/pdps.2024.52.3.358","DOIUrl":"10.1521/pdps.2024.52.3.358","url":null,"abstract":"Introduction: Process notes contain unique information concerning core elements of a psychodynamic treatment. These elements may be both conscious and unconscious for the author. One element for study is the tendency to which a therapist writes about providing either supportive or expressive interventions. This study sought to establish a method of systematically and reliably identifying the records of therapists' interventions as supportive or expressive. Methods: Three early-career clinicians were trained in the use of a process note intervention rating scale constructed specifically for this study. Quantitative statistical analyses assessed the scale's reliability and internal consistency. Results: Interrater reliability analysis determined at a p of 0.005 a Fleiss's kappa of 0.24 and an intraclass correlation coefficient of 0.264, suggesting a low but statistically significant reliability between the raters. A Cronbach's alpha of 0.67 and a McDonald's omega of 0.53 suggested questionable internal consistency. Discussion: Early-career clinicians can reliably code the manifestations of interventions in psychodynamic process notes as supportive or expressive. Future studies may improve the reliability and internal consistency of the scale, add measures of interpretation content, and evaluate these data in relation to other core elements of process notes, such as the author's emotional engagement as manifested in language measures and clinical outcome.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"52 3","pages":"358-369"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Development of Psychodynamic Psychiatry in China. 心理动力学精神病学在中国的发展。

Psychodynamic Psychiatry Pub Date : 2024-09-01 DOI: 10.1521/pdps.2024.52.3.261

Zhengjia Ren

引用次数: 0

The Transformative Therapeutic Relationship: A Challenge and Opportunity. 变革性治疗关系：挑战与机遇。

Psychodynamic Psychiatry Pub Date : 2024-09-01 DOI: 10.1521/pdps.2024.52.3.327

Myron L Glucksman

引用次数: 0

Interpersonal Psychotherapy: A Review of Theory, History, and Evidence of Efficacy. 人际心理疗法：理论、历史和疗效证据回顾。

Psychodynamic Psychiatry Pub Date : 2024-09-01 DOI: 10.1521/pdps.2024.52.3.370

Scott Stuart, Jessica Schultz, Abigail Palmer Molina, Shaina Siber-Sanderowitz

引用次数: 0

Addressing At-the-Moment Defenses against Painful Affects: A Core Mechanism of Change in Psychodynamic Treatment. 应对痛苦情感的即时防御：心理动力学治疗的核心改变机制。

Psychodynamic Psychiatry Pub Date : 2024-09-01 DOI: 10.1521/pdps.2024.52.3.305

Leon Hoffman

{"title":"Addressing At-the-Moment Defenses against Painful Affects: A Core Mechanism of Change in Psychodynamic Treatment.","authors":"Leon Hoffman","doi":"10.1521/pdps.2024.52.3.305","DOIUrl":"10.1521/pdps.2024.52.3.305","url":null,"abstract":"There is an ongoing tension in the psychodynamic field between interpreting the meaning of a patient's verbal productions or actions and addressing the defenses utilized by the patient. Some authors maintain that implicit interactions between analyst and patient may be more important than the verbal interventions by the analyst. This article stresses the importance of observing and appropriately addressing how patients manage painful affects in the sessions. Focusing the patients' attention on their at-the-moment defenses as they occur in the session is an experience-near intervention and minimizes interventions that address issues far from the patient's consciousness and that require a high level of conjecture by the therapist. This technique can be utilized at any point in treatment, regardless of its duration and intensity. Several vignettes are provided that suggest that addressing defenses against painful affect is a pantheoretical construct and may be a common factor in psychodynamic treatment. A successful randomized control trial utilizing this technique with children (regulation-focused psychotherapy) is described. There have been limited empirical studies of the impact of therapists addressing defenses in sessions, but the work of J. Christopher Perry and colleagues, particularly the development of the Psychodynamic Intervention Rating Scales, offers an opportunity to further study the impact of defense interpretations and other interventions.","PeriodicalId":38518,"journal":{"name":"Psychodynamic Psychiatry","volume":"52 3","pages":"305-326"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142297562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Could Knowledge of Borderline Personality Disorder Benefit College Campus Mental Health? 对边缘型人格障碍的了解是否有益于大学校园心理健康？

Psychodynamic Psychiatry Pub Date : 2024-09-01 DOI: 10.1521/pdps.2024.52.3.256

Richard G Hersh

引用次数: 0

Demystifying Jung's "Archetypes" with Embodied Cognition. 用体现认知解密荣格的 "原型"。

Psychodynamic Psychiatry Pub Date : 2024-09-01 DOI: 10.1521/pdps.2024.52.3.283

Erik Goodwyn

引用次数: 0