Mentalization in borderline personality disorder: From bench to bedside.

Published on Oct 1, 2015in Personality Disorders: Theory, Research, and Treatment3.623
路 DOI :10.1037/PER0000106
Carla Sharp59
Estimated H-index: 59
(UH: University of Houston),
Allison Kalpakci7
Estimated H-index: 7
(UH: University of Houston)
Sources
Abstract
The current special issue focuses on the potential of mentalizing as a translational construct for the understanding and treatment of borderline personality disorder (BPD). Mentalizing, which provides the central construct around which mentalization-based therapy (MBT) and theory is organized, refers to the capacity to meaningfully reflect on the mind of others as well as the self. In this introductory article to the special issue, we begin by discussing the need for and nature of translational research. We contend that translational research in mental health and personality disorder, in particular, lags behind that of other medical disorders because of the challenges inherent in meeting translational criteria. We discuss these criteria and we demonstrate the potential of the construct of mentalizing to meet translational criteria in the context of BPD. This article thereby provides the context for the other 3 papers in this special issue which each represent a different point along the translational spectrum. In all, our aim is to provide a foundation for the further evaluation of the usefulness and potential of mentalizing as translational construct in the context of BPD.
Figures & Tables
Download
馃摉 Papers frequently viewed together
References50
Newest
Tracing the development of mentalizing is central to understanding how we come to learn about the mind. Barring significant biological or developmental abnormalities, we all come to form an understanding of the mind and mental states. But how does this happen, and what accounts for individual differences in abilities to reason about mental states (i.e., desires, feelings, intentions)? The first section of the present article brings together relevant developmental research to outline the normativ...
Source
#1Patrick Luyten (Katholieke Universiteit Leuven)H-Index: 66
#2Peter Fonagy (UCL: University College London)H-Index: 135
Mentalizing is the capacity to understand ourselves and others in terms of intentional mental states, such as feelings, desires, wishes, attitudes, and goals. It is a fundamental capacity in our complex social environment. This article reviews our current understanding of the neurobiology of mentalizing. We first summarize the key assumptions of the mentalizing approach to normal and disrupted development. This is followed by discussion of the multiple dimensions of mentalizing and our emerging ...
Source
#1Matthias Schurz (University of Salzburg)H-Index: 20
#2Joaquim Radua ('KCL': King's College London)H-Index: 63
Last. Josef Perner (University of Salzburg)H-Index: 68
view all 5 authors...
Abstract We meta-analyzed imaging studies on theory of mind and formed individual task groups based on stimuli and instructions. Overlap in brain activation between all task groups was found in the mPFC and in the bilateral posterior TPJ. This supports the idea of a core network for theory of mind that is activated whenever we are reasoning about mental states, irrespective of the task- and stimulus-formats (Mar, 2011). In addition, we found a number of task-related activation differences surrou...
Source
#1Marianne Goodman (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 37
#2M. Mercedes Perez-Rodriguez (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 32
Last. Larry J. Siever (ISMMS: Icahn School of Medicine at Mount Sinai)H-Index: 111
view all 3 authors...
Clarifying the underlying biology of BPD, including the etiological mechanisms, genetic factors, and pathological processes is essential for a full understanding of the disorder and provides a basis for the development of more effective treatment intervention and preventive strategies (Beauchaine, Hong, & Marsh, 2008; Chanen & Kaess, 2012). Over the past two decades, neurobiological studies in adult BPD have made important strides, but inquiry into adolescent-onset BPD is still in its infancy. T...
Source
#1Anthony Bateman (St Ann's Hospital, Dorset)H-Index: 48
#2Peter Fonagy (UCL: University College London)H-Index: 135
The concept of mentalizing has captured the interest and imagination of an astonishing range of people鈥攆rom psychoanalysts to neuroscientists, from child development researchers to geneticists, from existential philosophers to phenomenologists鈥攁ll of whom seem to have found it useful. According to the Thompson Reuter maintained Web of Science, the use of the term in titles and abstracts of scientific papers increased from 10 to 2,750 between 1991 and 2011. Clinicians in particular have enthusias...
Source
#1Daniela Mier (University of Giessen)H-Index: 29
#2Stefanie Lis (University of Giessen)H-Index: 28
Last. Peter Kirsch (University of Giessen)H-Index: 66
view all 8 authors...
Patients with borderline personality disorder (BPD) have severe problems in social interactions that might be caused by deficits in social cognition. Since the findings about social-cognitive abilities in BPD are inhomogeneous, ranging from deficits to superior abilities, we aimed to investigate the neuronal basis of social cognition in BPD. We applied a paradigm with three social cognition tasks, differing in their complexity: basal processing of faces with a neutral expression, recognition of ...
Source
#1Eia Asen (CompuServe)H-Index: 16
#2Peter Fonagy (Anna Freud Centre)H-Index: 135
This article attempts to bridge two seemingly different and yet related worlds, the intra-psychic and the interpersonal, by viewing systemic practice(s) through a mentalization-based lens. It is argued that in therapy there needs to be a deliberate, conscious and consistent focus on mentalizing. The emerging mentalization-based therapy for families is an innovative approach and a distinctive model which is systemic in essence, deriving its ideas and practices from a variety of diverse systemic a...
Source
#1Carla Sharp (UH: University of Houston)H-Index: 59
#2John Monterosso (SC: University of Southern California)H-Index: 50
Last. P. Read Montague (VT: Virginia Tech)H-Index: 57
view all 3 authors...
Neuroeconomic methods combine behavioral economic experiments to parameterize aspects of reward-related decision-making with neuroimaging techniques to record corresponding brain activity. In this introductory article to the current special issue, we propose that neuroeconomics is a potential bridge for translational research in psychiatry for several reasons. First, neuroeconomics-derived theoretical predictions about optimal adaptation in a changing environment provide an objective metric to e...
Source
#1Andrew M. Chanen (University of Melbourne)H-Index: 38
#2Michael Kaess (University of Melbourne)H-Index: 39
This paper reviews recent studies of biological and environmental risk and protective factors and patterns of continuity leading to borderline personality disorder (BPD). It focuses on prospective studies of children and adolescents and studies of young people with borderline pathology, reporting findings from genetics, neurobiology, experimental psychopathology, environmental risk, and precursor signs and symptoms. Studies of individuals earlier in the course of BPD demonstrate relatively consi...
Source
#1E. Jane Costello (Duke University)H-Index: 89
#2William E. Copeland (Duke University)H-Index: 53
Last. Adrian Angold (Duke University)H-Index: 111
view all 3 authors...
Background: Little is known about changes in the prevalence of psychiatric disorders between childhood and adolescence, and adolescence and adulthood. Methods: We reviewed papers reporting prevalence rates of psychiatric disorders separately for childhood, adolescence, and early adulthood. Both longitudinal and cross鈥恠ectional papers published in the past 15 years were included. Results: About one adolescent in five has a psychiatric disorder. From childhood to adolescence there is an increase i...
Source
Cited By23
Newest
#1Laura Sallin (University of Fribourg)
#2Isabelle Geissb眉ehler (University of Fribourg)
Last. Ueli Kramer (U of W: University of Windsor)H-Index: 18
view all 7 authors...
Objective. We examined the role of expressed self-contempt in therapy for borderline personality disorder (BPD). Based on previous literature on BPD, we assumed an association between the self-cont...
Source
#1Ericka Ball Cooper (SHSU: Sam Houston State University)H-Index: 2
#2Jaime L. Anderson (SHSU: Sam Houston State University)H-Index: 14
Last. Amanda Venta (UH: University of Houston)H-Index: 17
view all 5 authors...
BACKGROUND The mentalization theory posits that interpersonal difficulties and maladaptive personality traits develop from an insecure attachment pattern with one's caregiver and corresponding deficits in mentalizing-the ability to understand others' and one's own mental states. Mentalizing deficits have been theorized as the basis for all psychopathology, with the paradigmatic case being Borderline Personality Disorder. Nevertheless, developments in the personality field indicate personality pa...
Source
#1Sebastian Euler (UCL: University College London)H-Index: 1
#2Tobias Nolte (UCL: University College London)H-Index: 13
Last. Peter Fonagy (UCL: University College London)H-Index: 135
view all 6 authors...
Interpersonal problems are a core symptom of borderline personality disorder (BPD). This study investigated the relationship between emotion dysregulation, impulsiveness, and impaired mentalizing in the context of predicting interpersonal problems in BPD. Two-hundred and ten patients with BPD completed the Difficulties in Emotion Regulation Scale (DERS), Barratt Impulsiveness Scale (BIS-11), Reflective Functioning Questionnaire (RFQ), and Inventory of Interpersonal Problems (IIP-32). We conducte...
Source
#10Sylvia Steinmann (Heidelberg University)H-Index: 1
Background Aggressive behaviour is a prevalent and harmful phenomenon in patients with borderline personality disorder (BPD). However, no short-term, low-cost programme exists that specifically focuses on aggression. Aims Attuning therapy modules to pathogenetic mechanisms that underlie reactive aggression in BPD, we composed a 6 week mechanism-based anti-aggression psychotherapy (MAAP) approach for the group setting, which we tested against a non-specific supportive psychotherapy (NSSP). Method...
Source
#1Bo BachH-Index: 22
#2Sune BoH-Index: 15
Last. Jared W. KeeleyH-Index: 20
view all 3 authors...
Source
Modulare Psychotherapie setzt an die Stelle storungsspezifischer Psychotherapieprogramme Module als eigenstandige funktionelle Einheiten, die untereinander vielfaltig kombiniert werden konnen. Angesichts der Heterogenitat in der Symptomatik der Borderline-Personlichkeitsstorung (BPS) und der hohen Komorbiditat werden als Therapie-Targets Funktionsbeeintrachtigungen gewahlt, die direkt an den subjektiv erlebten Problemen der Betroffenen ansetzen. Solche zentralen Funktionsbeeintrachtigungen bei d...
Source
#1N谩ndor N茅methH-Index: 4
#2Agnes PeterfalviH-Index: 8
Last. Mar铆a Rosa Sim贸n (PTE: University of P茅cs)H-Index: 28
view all 5 authors...
Patients with borderline personality disorder (BPD) experience interpersonal dysfunctions; therefore, it is important to understand their social functioning and the confounding factors. We aimed to investigate the mentalizing abilities and executive functioning (EF) of BPD patients and healthy subjects and to determine the relative importance of BPD diagnosis and EF in predicting mentalizing abilities while controlling for general IQ and comorbid symptom severity. Self-oriented mentalizing (oper...
Source
#1Sergi Ballesp铆 (Autonomous University of Barcelona)H-Index: 12
#2Jaume Vives (Autonomous University of Barcelona)H-Index: 12
Last. Neus Barrantes-Vidal (Autonomous University of Barcelona)H-Index: 32
view all 7 authors...
Somatization processes are usually associated with a lack of insight or with emotional unawareness, especially in adolescents where the ability for self-reflection is beginning to mature. However, the extent to which different levels of insight explain variations in somatization remains understudied. This study aimed to evaluate whether high-level emotional awareness (comprehension) but not low-level awareness (only attention) is needed to psychologically cope with suffering, thus leading to low...
Source
#1Ueli Kramer (UNIL: University of Lausanne)H-Index: 18
AbstractObjective: The present paper elaborates a process perspective of change in psychotherapy for personality disorders (PDs). Firstly, the paper reviews the literature of mechanisms of change in treatments of PD, with the main focus on emotional processing and socio-cognitive processing. Secondly, it proposes an illustrative case-series analysis of eight cases, drawn from a mediation analysis conducted within the context of a randomized controlled trial for borderline personality disorder (B...
Source
#1Sergi Ballesp铆 (Autonomous University of Barcelona)H-Index: 12
#2Jaume Vives (Autonomous University of Barcelona)H-Index: 12
Last. Neus Barrantes-Vidal (Autonomous University of Barcelona)H-Index: 32
view all 5 authors...
Abstract An increasing volume of evidence suggests that mentalization (MZ) can be an important factor in the transition from mental health to mental illness and vice versa. However, most studies are focused on the role of MZ in specific disorders. This study aims to evaluate the relationship between MZ and mental health as a trans-diagnostic process. A sample of 172 adolescents aged 12 to 18 years old (M鈥=鈥14.6, SD鈥=鈥1.7; 56.4% of girls) was assessed on measures of MZ, psychopathology and psycho...
Source
This website uses cookies.
We use cookies to improve your online experience. By continuing to use our website we assume you agree to the placement of these cookies.
To learn more, you can find in our Privacy Policy.