‘Rich’ and ‘poor’ in mentalizing: Do expert mentalizers exist?

Mentalization theory is concerned with the capacity to notice, and make sense of, thoughts and feelings in self and others. This development may be healthy or impaired and therefore, by extension, it may be theorized that expertise in mentalizing can exist. Furthermore, a continuum from impairment t...

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Autores principales: Simon Rogoff, Alesia Moulton-Perkins, Fiona Warren, Tobias Nolte, Peter Fonagy
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Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/953fc6d293354ea5a5a8e9b843bf91b1
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spelling oai:doaj.org-article:953fc6d293354ea5a5a8e9b843bf91b12021-11-04T06:09:18Z‘Rich’ and ‘poor’ in mentalizing: Do expert mentalizers exist?1932-6203https://doaj.org/article/953fc6d293354ea5a5a8e9b843bf91b12021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8544847/?tool=EBIhttps://doaj.org/toc/1932-6203Mentalization theory is concerned with the capacity to notice, and make sense of, thoughts and feelings in self and others. This development may be healthy or impaired and therefore, by extension, it may be theorized that expertise in mentalizing can exist. Furthermore, a continuum from impairment to expertise should exist within separate dimensions of mentalizing: of self and of others. This study hypothesized that three groups would be distinguishable on the basis of their mentalizing capacities. In a cross-sectional design, Psychological Therapists (‘expert’ mentalizers; n = 51), individuals with a diagnosis of Borderline Personality Disorder (‘poor’ mentalizers; n = 43) and members of the general population (‘non-clinical controls’; n = 35) completed a battery of self-report measures. These assessed the mentalizing of self and of others (using an extended version of the Reflective Function Questionnaire (RFQ18)), alexithymia and cognitive empathy. As hypothesized, Psychological Therapists’ scores were higher than controls on self-mentalizing and control group scores were higher than those with BPD. Cognitive empathy scores in the BPD group indicated markedly lower capacities than the other two groups. Contrary to predictions, no significant differences were found between groups on mentalizing others in RFQ18 scores. The Psychological Therapist and BPD profiles were characterized by differential impairment with regards to mentalizing self and others but in opposing directions. Results suggest that the RFQ18 can identify groups with expertise in mentalizing. Implications of these results for the effectiveness of psychological therapy and of Psychological Therapists are discussed.Simon RogoffAlesia Moulton-PerkinsFiona WarrenTobias NoltePeter FonagyPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Simon Rogoff
Alesia Moulton-Perkins
Fiona Warren
Tobias Nolte
Peter Fonagy
‘Rich’ and ‘poor’ in mentalizing: Do expert mentalizers exist?
description Mentalization theory is concerned with the capacity to notice, and make sense of, thoughts and feelings in self and others. This development may be healthy or impaired and therefore, by extension, it may be theorized that expertise in mentalizing can exist. Furthermore, a continuum from impairment to expertise should exist within separate dimensions of mentalizing: of self and of others. This study hypothesized that three groups would be distinguishable on the basis of their mentalizing capacities. In a cross-sectional design, Psychological Therapists (‘expert’ mentalizers; n = 51), individuals with a diagnosis of Borderline Personality Disorder (‘poor’ mentalizers; n = 43) and members of the general population (‘non-clinical controls’; n = 35) completed a battery of self-report measures. These assessed the mentalizing of self and of others (using an extended version of the Reflective Function Questionnaire (RFQ18)), alexithymia and cognitive empathy. As hypothesized, Psychological Therapists’ scores were higher than controls on self-mentalizing and control group scores were higher than those with BPD. Cognitive empathy scores in the BPD group indicated markedly lower capacities than the other two groups. Contrary to predictions, no significant differences were found between groups on mentalizing others in RFQ18 scores. The Psychological Therapist and BPD profiles were characterized by differential impairment with regards to mentalizing self and others but in opposing directions. Results suggest that the RFQ18 can identify groups with expertise in mentalizing. Implications of these results for the effectiveness of psychological therapy and of Psychological Therapists are discussed.
format article
author Simon Rogoff
Alesia Moulton-Perkins
Fiona Warren
Tobias Nolte
Peter Fonagy
author_facet Simon Rogoff
Alesia Moulton-Perkins
Fiona Warren
Tobias Nolte
Peter Fonagy
author_sort Simon Rogoff
title ‘Rich’ and ‘poor’ in mentalizing: Do expert mentalizers exist?
title_short ‘Rich’ and ‘poor’ in mentalizing: Do expert mentalizers exist?
title_full ‘Rich’ and ‘poor’ in mentalizing: Do expert mentalizers exist?
title_fullStr ‘Rich’ and ‘poor’ in mentalizing: Do expert mentalizers exist?
title_full_unstemmed ‘Rich’ and ‘poor’ in mentalizing: Do expert mentalizers exist?
title_sort ‘rich’ and ‘poor’ in mentalizing: do expert mentalizers exist?
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/953fc6d293354ea5a5a8e9b843bf91b1
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