Pedersen Signe Holm, Poulsen Stig, Lunn Susanne
J Am Psychoanal Assoc. 2015 Aug;63(4):671-94. doi: 10.1177/0003065115602440.
The theory of mentalization has recently been applied in the area of eating disorders (Skårderud 2012). This article reports a qualitative study based on interviews with five women suffering from bulimia nervosa. All five scored high on the Reflective Functioning Scale, indicating a highly developed ability to mentalize. The present qualitative study, which focuses on the women's capacity to relate to and regulate affects, supports the finding that they are relatively skilled at reflecting on their own and others' thoughts and emotions. However, this highly developed capacity for mentalization is apparently not helping them regulate their emotions. This suggests that the capacity to mentalize may not be as closely related to the capacity to regulate affects as Fonagy et al. (2002) have proposed. Indeed, the concept of mentalization may be overinclusive and in need of stricter definition. Thus, it might be envisaged that while the ability to mentalize is closely related to the ability to put feelings into words (the opposite of alexithymia), an ability to mentalize may not necessarily entail a capacity to regulate affects. Finally, the study illustrates that far from all eating-disordered patients have problems mentalizing.
心理化理论最近已应用于饮食失调领域（斯卡德鲁德，2012年）。本文报告了一项基于对五名神经性贪食症女性患者访谈的定性研究。这五名患者在反思功能量表上得分都很高，表明具有高度发达的心理化能力。本定性研究关注这些女性患者理解和调节情感的能力，支持了她们相对擅长反思自己和他人的思想及情感这一发现。然而，这种高度发达的心理化能力显然并没有帮助她们调节情绪。这表明心理化能力可能并不像费纳吉等人（2002年）所提出的那样与情感调节能力密切相关。事实上，心理化的概念可能过于宽泛，需要更严格的定义。因此，可以设想，虽然心理化能力与用言语表达情感的能力密切相关（与述情障碍相反），但心理化能力不一定意味着具有调节情感的能力。最后，该研究表明，远非所有饮食失调患者都存在心理化问题。
