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Autor(es)
de la Cerda, Cecilia; Dagnino, Paula |
ISSN:
1664-1078 |
Idioma:
eng |
Fecha:
2021-09-20 |
Tipo:
Artículo |
Revista:
Frontiers in Psychology |
Datos de la publicación:
vol. 12 Issue: Pages: |
DOI:
10.3389/fpsyg.2021.725739 |
Descripción:
Funding Information: We would like to express our gratitude to the patient and therapist who took part in this study and also to the raters and judges. We also thank Universidad de Playa Ancha de Ciencias de la Educación, Universidad Alberto Hurtado, Innovation Fund for Competitiveness (FIC) from the Ministry of Economy, Development, and Tourism, the ANID Millennium Science Initiative/Millennium Institute for Research on Depression and Personality-MIDAP ICS13_005 and the Center of Psychotherapy Research (CIPSI). Funding Information: We would like to express our gratitude to the patient and therapist who took part in this study and also to the raters and judges. We also thank Universidad de Playa Ancha de Ciencias de la Educaci?n, Universidad Alberto Hurtado, Innovation Fund for Competitiveness (FIC) from the Ministry of Economy, Development, and Tourism, the ANID Millennium Science Initiative/Millennium Institute for Research on Depression and Personality-MIDAP ICS13_005 and the Center of Psychotherapy Research (CIPSI). Funding Information: This study was supported by the Universidad de Playa Ancha de Ciencias de la Educación, Universidad Alberto Hurtado, Universidad San Sebastian and Innovation Fund for Competitiveness (FIC) from the Ministry of Economy, Development and Tourism, the ANID Millennium Science Initiative/Millennium Institute for Research on Depression and Personality-MIDAP ICS13_005. Publisher Copyright: © Copyright © 2021 de la Cerda and Dagnino. |
Resumen:
Mentalizing, conceived as the capacity to attribute intentional mental states as implicit or underlying behavior of an individual or others, has gained interest within psychodynamic clinical research due to its potential as a change mechanism. Variations and qualities of mentalization have been studied through reflective functioning (RF). But only few studies are analyzing it throughout the psychotherapeutic interaction, identifying its level for therapists and patients. In contrast, brief psychodynamic therapy has a long tradition for establishing a focus to be worked upon. Lately, a multischematic focus has arisen, considering both conflict and personality functioning focuses as key elements on successful psychotherapies. This study aimed to identify mentalizing manifestations of patients and therapists through change episodes of one successful brief psychodynamic therapy and establish the relationship between these mentalizing manifestations and the type and depth of the therapeutic focus being worked on (conflict or personality functioning). Only 37.5% of speaking turns were able to be coded with RF; 77% of these had moderate to high RF and 22% had low or failure RF. The patient had 91% of low or failure RF, while the therapist only had 9% of low or failure RF. As for moderate to high RF, patients had 39%, while therapists had 61%. The patient showed a similar number of low or failure RF interventions and moderate to high RF interventions in conflict episodes. Meanwhile, the therapist only performs moderate to high-level RF interventions. In episodes in which personality functioning is worked on, both patient and therapist show a greater presence of interventions of moderate to high levels of RF. Finally, mentalizing interactions and non-mentalizing interactions were found on segments with conflict, and only mentalizing interactions were found on personality functioning segments. |
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