Culture and psychopathology: An attempt at reconsidering the role of social learning / Peter FONAGY in Development and Psychopathology, 34-4 (October 2022)  

Public ISBD [article]  inDevelopment and Psychopathology > 34-4 (October 2022) . - p.1205-1220 Titre : Culture and psychopathology: An attempt at reconsidering the role of social learning Type de document : Texte imprimé et/ou numérique Auteurs : Peter FONAGY, Auteur ; Chloe CAMPBELL, Auteur ; Matthew CONSTANTINOU, Auteur ; Anna HIGGITT, Auteur ; Elizabeth ALLISON, Auteur ; Patrick LUYTEN, Auteur Article en page(s) : p.1205-1220 Langues : Anglais (eng) Mots-clés : Cognition  Humans  Learning  Mental Disorders/psychology  Psychopathology  Social Learning  culture  epistemic trust  joint attention  mentalizing  social cognition Index. décimale : PER Périodiques Résumé : This paper proposes a model for developmental psychopathology that is informed by recent research suggestive of a single model of mental health disorder (the p factor) and seeks to integrate the role of the wider social and cultural environment into our model, which has previously been more narrowly focused on the role of the immediate caregiving context. Informed by recently emerging thinking on the social and culturally driven nature of human cognitive development, the ways in which humans are primed to learn and communicate culture, and a mentalizing perspective on the highly intersubjective nature of our capacity for affect regulation and social functioning, we set out a cultural-developmental approach to psychopathology. En ligne : http://dx.doi.org/10.1017/s0954579421000092 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488 [article] Culture and psychopathology: An attempt at reconsidering the role of social learning [Texte imprimé et/ou numérique] / Peter FONAGY, Auteur ; Chloe CAMPBELL, Auteur ; Matthew CONSTANTINOU, Auteur ; Anna HIGGITT, Auteur ; Elizabeth ALLISON, Auteur ; Patrick LUYTEN, Auteur . - p.1205-1220. Langues : Anglais (eng) in Development and Psychopathology > 34-4 (October 2022) . - p.1205-1220 Mots-clés : Cognition  Humans  Learning  Mental Disorders/psychology  Psychopathology  Social Learning  culture  epistemic trust  joint attention  mentalizing  social cognition Index. décimale : PER Périodiques Résumé : This paper proposes a model for developmental psychopathology that is informed by recent research suggestive of a single model of mental health disorder (the p factor) and seeks to integrate the role of the wider social and cultural environment into our model, which has previously been more narrowly focused on the role of the immediate caregiving context. Informed by recently emerging thinking on the social and culturally driven nature of human cognitive development, the ways in which humans are primed to learn and communicate culture, and a mentalizing perspective on the highly intersubjective nature of our capacity for affect regulation and social functioning, we set out a cultural-developmental approach to psychopathology. En ligne : http://dx.doi.org/10.1017/s0954579421000092 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=488

A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder / Peter FONAGY in Development and Psychopathology, 21-4 (November 2009)  

Public ISBD [article]  inDevelopment and Psychopathology > 21-4 (November 2009) . - p.1355-1381 Titre : A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder Type de document : Texte imprimé et/ou numérique Auteurs : Peter FONAGY, Auteur ; Patrick LUYTEN, Auteur Année de publication : 2009 Article en page(s) : p.1355-1381 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The precise nature and etiopathogenesis of borderline personality disorder (BPD) continues to elude researchers and clinicians. Yet, increasing evidence from various strands of research converges to suggest that affect dysregulation, impulsivity, and unstable relationships constitute the core features of BPD. Over the last two decades, the mentalization-based approach to BPD has attempted to provide a theoretically consistent way of conceptualizing the interrelationship between these core features of BPD, with the aim of providing clinicians with a conceptually sound and empirically supported approach to BPD and its treatment. This paper presents an extended version of this approach to BPD based on recently accumulated data. In particular, we suggest that the core features of BPD reflect impairments in different facets of mentalization, each related to impairments in relatively distinct neural circuits underlying these facets. Hence, we provide a comprehensive account of BPD by showing how its core features are related to each other in theoretically meaningful ways. More specifically, we argue that BPD is primarily associated with a low threshold for the activation of the attachment system and deactivation of controlled mentalization, linked to impairments in the ability to differentiate mental states of self and other, which lead to hypersensitivity and increased susceptibility to contagion by other people's mental states, and poor integration of cognitive and affective aspects of mentalization. The combination of these impairments may explain BPD patients' propensity for vicious interpersonal cycles, and their high levels of affect dysregulation and impulsivity. Finally, the implications of this expanded mentalization-based approach to BPD for mentalization-based treatment and treatment of BPD more generally are discussed. En ligne : http://dx.doi.org/10.1017/s0954579409990198 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=847 [article] A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder [Texte imprimé et/ou numérique] / Peter FONAGY, Auteur ; Patrick LUYTEN, Auteur . - 2009 . - p.1355-1381. Langues : Anglais (eng) in Development and Psychopathology > 21-4 (November 2009) . - p.1355-1381 Index. décimale : PER Périodiques Résumé : The precise nature and etiopathogenesis of borderline personality disorder (BPD) continues to elude researchers and clinicians. Yet, increasing evidence from various strands of research converges to suggest that affect dysregulation, impulsivity, and unstable relationships constitute the core features of BPD. Over the last two decades, the mentalization-based approach to BPD has attempted to provide a theoretically consistent way of conceptualizing the interrelationship between these core features of BPD, with the aim of providing clinicians with a conceptually sound and empirically supported approach to BPD and its treatment. This paper presents an extended version of this approach to BPD based on recently accumulated data. In particular, we suggest that the core features of BPD reflect impairments in different facets of mentalization, each related to impairments in relatively distinct neural circuits underlying these facets. Hence, we provide a comprehensive account of BPD by showing how its core features are related to each other in theoretically meaningful ways. More specifically, we argue that BPD is primarily associated with a low threshold for the activation of the attachment system and deactivation of controlled mentalization, linked to impairments in the ability to differentiate mental states of self and other, which lead to hypersensitivity and increased susceptibility to contagion by other people's mental states, and poor integration of cognitive and affective aspects of mentalization. The combination of these impairments may explain BPD patients' propensity for vicious interpersonal cycles, and their high levels of affect dysregulation and impulsivity. Finally, the implications of this expanded mentalization-based approach to BPD for mentalization-based treatment and treatment of BPD more generally are discussed. En ligne : http://dx.doi.org/10.1017/s0954579409990198 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=847

A four-year multi-wave prospective study on the role of parental reflective functioning and parenting stress in the development of socio-emotional problems in internationally adopted children / Saskia MALCORPS in Development and Psychopathology, 36-1 (February 2024)  

Public ISBD [article]  inDevelopment and Psychopathology > 36-1 (February 2024) . - p.266-279 Titre : A four-year multi-wave prospective study on the role of parental reflective functioning and parenting stress in the development of socio-emotional problems in internationally adopted children Type de document : Texte imprimé et/ou numérique Auteurs : Saskia MALCORPS, Auteur ; Nicole VLIEGEN, Auteur ; Peter FONAGY, Auteur ; Patrick LUYTEN, Auteur Article en page(s) : p.266-279 Langues : Anglais (eng) Mots-clés : adoption  mentalizing  parental reflective functioning  parenting  stress Index. décimale : PER Périodiques Résumé : Parental reflective functioning (PRF) plays a protective role in the development of children with histories of early adversity, including adopted children. This is the first study to investigate the developmental trajectories of PRF and children?s socio-emotional problems in the first 4 years after international adoption (N = 48 families, mean age (T1) = 20.7 months) and to examine the mediating role of parenting stress in the relation between PRF and child socio-emotional problems. Multilevel modeling indicated that age at adoption and parent gender moderated the development of PRF and child socio-emotional problems. Moreover, decreases in PRF were associated with more socio-emotional problems in the children. These relations were mediated by parenting stress, and particularly feelings of incompetence and marital dissatisfaction. En ligne : https://dx.doi.org/10.1017/S0954579422001171 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=523 [article] A four-year multi-wave prospective study on the role of parental reflective functioning and parenting stress in the development of socio-emotional problems in internationally adopted children [Texte imprimé et/ou numérique] / Saskia MALCORPS, Auteur ; Nicole VLIEGEN, Auteur ; Peter FONAGY, Auteur ; Patrick LUYTEN, Auteur . - p.266-279. Langues : Anglais (eng) in Development and Psychopathology > 36-1 (February 2024) . - p.266-279 Mots-clés : adoption  mentalizing  parental reflective functioning  parenting  stress Index. décimale : PER Périodiques Résumé : Parental reflective functioning (PRF) plays a protective role in the development of children with histories of early adversity, including adopted children. This is the first study to investigate the developmental trajectories of PRF and children?s socio-emotional problems in the first 4 years after international adoption (N = 48 families, mean age (T1) = 20.7 months) and to examine the mediating role of parenting stress in the relation between PRF and child socio-emotional problems. Multilevel modeling indicated that age at adoption and parent gender moderated the development of PRF and child socio-emotional problems. Moreover, decreases in PRF were associated with more socio-emotional problems in the children. These relations were mediated by parenting stress, and particularly feelings of incompetence and marital dissatisfaction. En ligne : https://dx.doi.org/10.1017/S0954579422001171 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=523

Mentalizing in mothers and children with type 1 diabetes / Stefanella COSTA-CORDELLA in Development and Psychopathology, 33-1 (February 2021)  

Public ISBD [article]  inDevelopment and Psychopathology > 33-1 (February 2021) . - p.216-225 Titre : Mentalizing in mothers and children with type 1 diabetes Type de document : Texte imprimé et/ou numérique Auteurs : Stefanella COSTA-CORDELLA, Auteur ; Patrick LUYTEN, Auteur ; Diego COHEN, Auteur ; Francisca MENA, Auteur ; Peter FONAGY, Auteur Article en page(s) : p.216-225 Langues : Anglais (eng) Mots-clés : child mentalizing  parental mentalizing  reflective functioning  type 1 diabetes Index. décimale : PER Périodiques Résumé : Studies suggest that the relationship between psychosocial well-being and type 1 diabetes (T1D) is bidirectional, with T1D typically having a negative influence on psychological functioning, which in turn negatively affects the course of T1D. Here, we investigate the potential role of the capacity for mentalizing, or reflective functioning, in children and their mothers in diabetes control. We tested differences in mentalizing as assessed by the Reflective Functioning Scale in two groups of mother-son dyads with good (GDC) versus poor (PDC) diabetes control. Fifty-five boys (8-12 years old) and their mothers were recruited from the Juvenile Diabetes Foundation in Santiago, Chile. The mothers were interviewed with the Parental Development Interview and the children with the Child Attachment Interview, and both were scored for reflective functioning by using the Reflective Functioning Scale. Self-report measures of stress and diabetes outcomes were completed by the mothers and children, and levels of glycated hemoglobin (HbA1c) were assessed as an index of diabetes control. The results showed that both maternal and child reflective functioning were higher in the GDC than the PDC group and were negatively correlated with HbA1c in the total sample. Our findings suggest an important role for mentalizing in diabetes outcomes, but further prospective research is needed. En ligne : http://dx.doi.org/10.1017/s0954579419001706 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=442 [article] Mentalizing in mothers and children with type 1 diabetes [Texte imprimé et/ou numérique] / Stefanella COSTA-CORDELLA, Auteur ; Patrick LUYTEN, Auteur ; Diego COHEN, Auteur ; Francisca MENA, Auteur ; Peter FONAGY, Auteur . - p.216-225. Langues : Anglais (eng) in Development and Psychopathology > 33-1 (February 2021) . - p.216-225 Mots-clés : child mentalizing  parental mentalizing  reflective functioning  type 1 diabetes Index. décimale : PER Périodiques Résumé : Studies suggest that the relationship between psychosocial well-being and type 1 diabetes (T1D) is bidirectional, with T1D typically having a negative influence on psychological functioning, which in turn negatively affects the course of T1D. Here, we investigate the potential role of the capacity for mentalizing, or reflective functioning, in children and their mothers in diabetes control. We tested differences in mentalizing as assessed by the Reflective Functioning Scale in two groups of mother-son dyads with good (GDC) versus poor (PDC) diabetes control. Fifty-five boys (8-12 years old) and their mothers were recruited from the Juvenile Diabetes Foundation in Santiago, Chile. The mothers were interviewed with the Parental Development Interview and the children with the Child Attachment Interview, and both were scored for reflective functioning by using the Reflective Functioning Scale. Self-report measures of stress and diabetes outcomes were completed by the mothers and children, and levels of glycated hemoglobin (HbA1c) were assessed as an index of diabetes control. The results showed that both maternal and child reflective functioning were higher in the GDC than the PDC group and were negatively correlated with HbA1c in the total sample. Our findings suggest an important role for mentalizing in diabetes outcomes, but further prospective research is needed. En ligne : http://dx.doi.org/10.1017/s0954579419001706 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=442

A structural–developmental psychodynamic approach to psychopathology: Two polarities of experience across the life span / Sidney J. BLATT in Development and Psychopathology, 21-3 (August 2009)  

Public ISBD [article]  inDevelopment and Psychopathology > 21-3 (August 2009) . - p.793-814 Titre : A structural–developmental psychodynamic approach to psychopathology: Two polarities of experience across the life span Type de document : Texte imprimé et/ou numérique Auteurs : Sidney J. BLATT, Auteur ; Patrick LUYTEN, Auteur Année de publication : 2009 Article en page(s) : p.793-814 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Consistent with principles of developmental psychopathology, this paper presents a broad psychodynamic structural developmental perspective that establishes conceptual continuities between processes of normal personality development, personality organization, concepts of psychopathology, and processes of therapeutic change. The major assumption of this approach is that personality development proceeds in a dialectic synergistic interaction between the development of capacities for interpersonal relatedness and the development of self-definition or identity. Extensive research demonstrates that these two dimensions define two broad types of personality organization, each with a particular experiential mode; preferred forms of cognition, defense, and adaptation; unique qualities of interpersonal relatedness and specific types of object and self-representation. Severe disruptions of this normal dialectic developmental process result in various forms of psychopathology organized in two basic configurations in which there is distorted defensive preoccupation, at different developmental levels, with one of these polarities (relatedness or self-definition) at the expense of the development of the other dimension. This paper reviews empirical findings supporting this approach to normal and disrupted personality development throughout the life cycle and considers its relationship to the internalizing–externalizing distinction in childhood and adolescence, attachment theory, and research on the interaction between biological and psychosocial factors in development across the life span. Finally, we discuss the implications of this approach for intervention and prevention. En ligne : http://dx.doi.org/10.1017/s0954579409000431 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=784 [article] A structural–developmental psychodynamic approach to psychopathology: Two polarities of experience across the life span [Texte imprimé et/ou numérique] / Sidney J. BLATT, Auteur ; Patrick LUYTEN, Auteur . - 2009 . - p.793-814. Langues : Anglais (eng) in Development and Psychopathology > 21-3 (August 2009) . - p.793-814 Index. décimale : PER Périodiques Résumé : Consistent with principles of developmental psychopathology, this paper presents a broad psychodynamic structural developmental perspective that establishes conceptual continuities between processes of normal personality development, personality organization, concepts of psychopathology, and processes of therapeutic change. The major assumption of this approach is that personality development proceeds in a dialectic synergistic interaction between the development of capacities for interpersonal relatedness and the development of self-definition or identity. Extensive research demonstrates that these two dimensions define two broad types of personality organization, each with a particular experiential mode; preferred forms of cognition, defense, and adaptation; unique qualities of interpersonal relatedness and specific types of object and self-representation. Severe disruptions of this normal dialectic developmental process result in various forms of psychopathology organized in two basic configurations in which there is distorted defensive preoccupation, at different developmental levels, with one of these polarities (relatedness or self-definition) at the expense of the development of the other dimension. This paper reviews empirical findings supporting this approach to normal and disrupted personality development throughout the life cycle and considers its relationship to the internalizing–externalizing distinction in childhood and adolescence, attachment theory, and research on the interaction between biological and psychosocial factors in development across the life span. Finally, we discuss the implications of this approach for intervention and prevention. En ligne : http://dx.doi.org/10.1017/s0954579409000431 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=784

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