Centre for Developmental Psychiatry and Psychology, Department of Psychiatry, School of Clinical Sciences at Monash Health, Monash University, Australia.
Early in Life Mental Health Service, Monash Health, Australia.
J Pers Disord. 2019 Apr;33(2):145-163. doi: 10.1521/pedi_2018_32_336. Epub 2018 Feb 22.
Mentalization is proposed to underlie the disturbed interpersonal relatedness that is a hallmark of borderline personality disorder (BPD). Despite growing evidence of BPD in adolescents, studies examining mentalization in relation to adolescent BPD have remained limited. Given contradictory findings of this relationship, particularly with adults, further research of mentalization in adolescents with BPD is warranted. The current study further clarifies the nature of mentalizing impairments, related to BPD, by examining different aspects of mentalization between adolescents with BPD (n = 26) and a group of healthy controls (n = 25). Findings support studies that suggest that mentalization may be an important treatment target, influencing BPD symptoms and interpersonal functioning in adolescents with BPD. They also support the importance of examining mentalizing abilities in relation to varying levels of complexity, interpersonal contexts, and levels of arousal. Limitations and further research are discussed.
心理化被认为是边缘型人格障碍（BPD）人际相关障碍的基础。尽管青少年中 BPD 的证据越来越多，但研究表明，心理化与青少年 BPD 之间的关系仍有限。鉴于这种关系的矛盾发现，特别是与成年人的关系，进一步研究青少年 BPD 中的心理化是有必要的。本研究通过检查 BPD 青少年（n=26）和一组健康对照组（n=25）之间心理化的不同方面，进一步澄清了与 BPD 相关的心理化障碍的性质。研究结果支持了一些研究，这些研究表明，心理化可能是一个重要的治疗目标，影响青少年 BPD 患者的 BPD 症状和人际关系。它们还支持了在不同复杂程度、人际关系背景和兴奋水平下检查心理化能力的重要性。讨论了局限性和进一步的研究。
