University of Oslo, Department of Psychology, Oslo, Norway.
Psychother Res. 2011 Jan;21(1):97-111. doi: 10.1080/10503307.2010.525759.
It has been suggested that deficits in mentalization are a core problem of borderline personality disorder and that enhancement of mentalization represents a central mechanism of change in psychotherapy with this group of patients. The present single-case study investigates changes in mentalization measured by the Reflective Functioning Scale on the Adult Attachment Interview and its relationship with clinical measures of psychopathology during a long-term psychotherapy. The usefulness of evaluating RF along three subdimensions, the object, content and process of RF, is underlined. Furthermore, it is argued that there is a complex interaction between RF and symptomatology that becomes evident when evaluating RF along the different subdimensions. Areas for future research clarifying the relationship between mentalization, psychotherapy and psychopathology are suggested.
有人认为，心理化能力缺陷是边缘型人格障碍的核心问题，而心理化能力的增强则代表了这类患者心理治疗的主要改变机制。本个案研究调查了在长期心理治疗过程中，通过成人依恋访谈中的反思功能量表（Reflective Functioning Scale）测量的心理化能力的变化及其与精神病理学临床测量指标之间的关系。强调了评估 RF 的三个子维度（RF 的对象、内容和过程）的有用性。此外，还认为 RF 和症状之间存在复杂的相互作用，当沿着不同的子维度评估 RF 时，这种相互作用就会变得明显。建议开展未来的研究，以阐明心理化、心理治疗和精神病理学之间的关系。
