RESUMEN
In this article, the process of mentalizing, its components, and role in self-regulation and attachment are reviewed. An examination is presented of the neurodevelopmental changes affecting the adolescent's capacity to mentalize and the role of such compromised mentalizing in the adolescent's vulnerability to adaptive breakdown and psychopathology, in general, and to emerging personality disorders, in particular. The principles, objectives, and core features of mentalizing-based treatment and its application to adolescents and families are discussed.
Asunto(s)
Conducta del Adolescente/psicología , Psicología del Adolescente , Psicoterapia/métodos , Teoría de la Mente/fisiología , Adolescente , Trastorno Bipolar/psicología , Trastorno Bipolar/terapia , Corteza Cerebral , Emociones , Humanos , AutoimagenRESUMEN
The authors describe the development of a theory-driven assessment and research protocol at the Adolescent Treatment Program of The Menninger Clinic. First, the theoretical framework behind a mentalization-based model for assessment and treatment is described. Next, the process whereby measures were selected to operationalize key components of the mentalization-based model is discussed, including a brief discussion of each measure and assessment procedure. The next section describes the clinical and research use of the data collected. Here, the authors describe how outcomes assessment information is integrated into the clinical decision-making process, and they outline the research questions they aim to answer through the assessment protocol. The authors conclude with a section on the challenges, pitfalls, and future directions of the project.
Asunto(s)
Protocolos Clínicos , Cognición , Hospitalización/estadística & datos numéricos , Trastornos Mentales/epidemiología , Trastornos Mentales/rehabilitación , Proyectos de Investigación , Pensamiento , Adolescente , Femenino , Humanos , Masculino , Grupo de Atención al Paciente , Teoría Psicológica , Resultado del TratamientoRESUMEN
The author delineates various patterns of psychopathology and impaired relationship capacities in persons referred to the Professionals in Crisis program, patterns that are often associated with failure to respond to prior treatment. He articulates a model of treatment that entails a synergy among three domains of intervention: enhancing mentalizing, strengthening impulse control, and promoting awareness of others' mental states. He addresses the challenges this approach poses for both patients and staff members as they develop attachment relationships that foster mentalizing.