School of Health and Human Sciences.
Psychotherapy (Chic). 2021 Mar;58(1):50-67. doi: 10.1037/pst0000341. Epub 2020 Sep 3.
Children who are exposed to trauma often develop difficulties with reflective functioning, affect, and emotion regulation. These problems are thought to arise from and are reflective of disruptions in the process of mentalization, or the human capacity to interpret and reflect upon the thoughts, feelings, wishes, and intentions of oneself and others. This scoping review sought to describe the empirical support for focusing on mentalization processes in psychotherapy for children who have been exposed to trauma. Two independent researchers searched electronic databases, Psychology and Behavioral Sciences Collection, MEDLINE, PsycARTICLES, PsycINFO, and Cochrane. Search terms child, trauma, mentalization and mentalization-based therapy were applied. A total of 425 studies were screened against the inclusion criteria, to include 18 studies comprising quasi-experimental, cross-sectional, naturalistic, case-control, and case studies. In all, 3 themes were identified across the articles: (a) trauma and mentalization, (b) measurement of mentalization, and (c) charting recovery. The literature suggests the role of mentalization treatment in the remission of symptoms for internalizing and externalizing disorders and shaping mentalization deficits over time. Mentalization focused treatments may also improve reflective functioning, emotional regulation capacity and the quality of attachment. The implementation of a child mentalization-based model as a preventative intervention may contribute to increased positive outcomes for vulnerable children. This scoping review presents an overview of the evidence for program developers, mental health services, family support services and those in independent practice that wish to adopt a mentalization approach in child psychotherapy. Future systematic reviews are needed to support this evidence. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
遭受创伤的儿童通常会在反思功能、情感和情绪调节方面出现困难。这些问题被认为源于并反映了心理化过程的中断，即人类解释和反思自己和他人的思想、感受、愿望和意图的能力。本范围综述旨在描述关注经历过创伤的儿童心理化过程的心理治疗的实证支持。两名独立的研究人员搜索了电子数据库，包括心理学和行为科学收藏、MEDLINE、PsycARTICLES、PsycINFO 和 Cochrane。应用了儿童、创伤、心理化和心理化治疗等搜索词。根据纳入标准筛选了 425 项研究，其中包括 18 项准实验、横断面、自然主义、病例对照和病例研究。总的来说，文章中确定了 3 个主题：（a）创伤与心理化；（b）心理化的测量；（c）恢复情况。文献表明心理化治疗在缓解内化和外化障碍的症状以及随着时间的推移塑造心理化缺陷方面的作用。心理化焦点治疗还可能提高反思功能、情绪调节能力和依恋质量。实施儿童心理化模型作为预防干预措施，可能有助于增加弱势儿童的积极结果。本范围综述为希望在儿童心理治疗中采用心理化方法的方案开发者、心理健康服务机构、家庭支持服务机构和独立从业者提供了证据概述。需要进行未来的系统评价来支持这一证据。（PsycInfo 数据库记录（c）2021 APA，保留所有权利）。
