Mentalizing in psychotherapy: patients’ and therapists’ reflective functioning during the psychotherapeutic process / Mentalizando en psicoterapia: funcionamiento reflexivo de pacientes y terapeutas durante el proceso psicoterapéutico

Abstract

There has been a growing interest in mentalization in clinical research given its relationship with normal and psychopathological functioning and its explanatory potential as a mechanism of psychotherapeutic change. This study uses the Reflective Functioning Scale (RFS) to identify and characterize mentalization manifestations in psychotherapeutic interaction. Method: the RFS was applied to a sample of relevant episodes — 44 sessions from five different psychotherapy processes carried out with adult patients who had different diagnoses. Results: we observed a higher probability of reflective functioning (RF) passages in relevant events than in neutral segments. There were no differences in the RF passages according to episode or actor type, but there were in RF Failures, which is more likely in patients and during rupture episodes. Discussion: although certain modifications are necessary, the RFS can be applied to clinical material, and it is a promising strategy for the study of mentalization within psychotherapy.     

Emotional Stability and Affective Self‐regulatory Efficacy Beliefs: Proofs of Integration between Trait Theory and Social Cognitive Theory

The present study aimed to investigate the development and interplay of emotional stability and affective self‐regulatory efficacy beliefs through adolescence to young adulthood. A latent growth curve approach was used to investigate level and stability of emotional stability and self‐efficacy in managing negative emotions and in expressing positive emotions. We found that initial levels of emotional stability and self‐efficacy beliefs are highly correlated. In accordance with the posited hypothesis, the growth rate of perceived self‐efficacy in managing negative emotions predicted the growth rate of emotional stability, whereas the opposite path was not significant. The growth rates of perceived self‐efficacy in expressing positive emotions and emotional stability were not related to each other. Taken together, these findings point to self‐efficacy beliefs as instrumental to the change of traits. Practical implications of results are discussed, highlighting the role of social cognitive theory in supplying the proper strategies to design effective interventions to enable people to make the best use of their potentials. Copyright © 2012 John Wiley & Sons, Ltd.     

A Longitudinal Investigation of Egoistic and Moralistic Self-Enhancement

This study used a 3-wave longitudinal design to investigate stability and change of egoistic and moralistic self-enhancement. Participants (n = 195) were followed for 6 years, from late adolescence (age 15) to emerging adulthood (age 21). A significant degree of rank-order stability was found that reveals a reasonable continuity in the individuals’ relative standing on measures of egoistic and moralistic self-enhancement. Latent growth curve analysis was used to track the developmental trajectories of the examined constructs. Findings revealed that egoistic self-enhancement is stable from 15 to 21 years, whereas moralistic self-enhancement slightly decreases during the same developmental period. Cross-lagged models were used to examine the reciprocal relations between self-enhancement and the Big Five personality traits. No prospective effects were found between the constructs, which develop independently from late adolescence to young adulthood, showing only synchronous associations. Implications for personality research and assessment are discussed.     

The longitudinal relations between self-esteem and affective self-regulatory efficacy

The present study examines the longitudinal relations between self-esteem and perceived affective self-regulatory efficacy (i.e., self-efficacy beliefs in managing negative emotions and in expressing positive emotions). Participants were a group of 206 late adolescents (47% males) aged 16, 18, 20 and 24 years at T1, T2, T3 and T4, respectively. Findings corroborated the posited paths of mutual relations, while pointing to a major contribution of self-esteem in predicting perceived affective self-regulatory efficacy across time. In particular, self-esteem consistently predicted subsequent levels of self-efficacy beliefs in managing negative emotions and in expressing positive emotions. Paths in the opposite direction were significant but small. Findings are discussed in light of the contributions of perceived affective self-regulatory efficacy to promote self-esteem from 16 to 24 years.     

Greater pressor reactivity in women with pre-eclampsia is not related to specific psychological or emotional stressors

To investigate whether emotional or psychosocial factors could be significantly related with the development of pre-eclampsia, 15 pregnant women with early diagnosis of pre-eclampsia and 15 normotensive pregnant controls of comparable age (23-37 yr.), gestational age (10-37 wk.), parity (70% primiparous), amount of instruction, and marital status underwent a blood pressure monitoring during a specific psychological assessment based on a semistructured interview followed by the administration of three different questionnaires: the Symptom Checklist 90-Revised, the Perceived Stress Questionnaire-Recent, and the Questionnaire about Social Relationships. Systolic and diastolic blood pressure and heart rate were measured at 2-min. intervals by an automatic device both during the interview and the questionnaires' administration. Both systolic and diastolic responses were significantly increased in both groups during the interview (deltaSBP = 15 vs. 10%; deltaDBP=28 vs. 15.8%), whereas no differences were observed in blood pressure while answering questionnaires. Conversely, differences in questionnaire responses between groups were not statistically significant. Present results confirm a greater pressor reactivity in these women with pre-eclampsia but does not specifically support that this was related to psychological or emotional stress.     

Speed of processing explains the picture–word asymmetry in conditional naming

In this study, we investigated picture (Experiments 1 and 2) and word (Experiments 3 and 4) processing using different tasks. In Experiments 1 and 3, easy and difficult conditional naming tasks were compared to a free naming task. In Experiments 2 and 4, easy and difficult conditional naming tasks were compared to easy and difficult manual forced-choice semantic decision tasks. For pictures, we showed that a difficult semantic categorization determined a cost for the conditional naming with respect to the free naming (Experiment 1). Also, we found that the difference in RTs between the easy and difficult conditional naming tasks was much smaller than the difference between the easy and difficult forced-choice semantic decision tasks (Experiment 2). For words, results showed that free reading was faster than easy conditional reading, which in turn was faster than difficult conditional reading (Experiment 3). An analogous pattern of results was obtained when the easy and difficult conditional reading tasks were compared to the easy and difficult forced-choice semantic decision tasks (Experiment 4). Globally, the results showed that whether a cost is observed or not depends upon the relative timing of the classification and name retrieval processes. A theoretical framework has been proposed.     

Effects of anandamide and morphine combinations on memory consolidation in cd1 mice: involvement of dopaminergic mechanisms

In the present research the interaction between the endogenous ligand for the cannabinoid CB1 receptor anandamide (arachidonylethanolamide) and morphine in memory consolidation was investigated. Four sets of experiments were carried out with CD1 mice tested in a one-trial inhibitory avoidance task. The drugs were administered intraperitoneally after training of the animals in the apparatus. In the first set of experiments morphine (0.3 or 0.5, but not 0.15mg/kg) or anandamide (3 or 6 but not 1.5mg/kg) dose-dependently impaired memory consolidation. In the second set of experiments the administration of an otherwise ineffective dose of anandamide (1.5mg/kg) enhanced the memory impairment exerted by morphine (0.3 and 0.5mg/kg) when the drugs were injected immediately after training. In the third set of experiments the combined treatments of anandamide (1.5mg/kg) and morphine (0.5mg/kg) 2h after training were ineffective showing that the effects observed on performance following immediate posttraining administration of anandamide and morphine combinations were reflecting direct influences on memory consolidation. In the fourth set of experiments otherwise ineffective doses of the D1 DA receptor agonist SKF 38393 or the D2 DA receptor agonist LY 171555 antagonized the memory impairment produced by anandamide and morphine in combination, suggesting a possible involvement of dopaminergic mechanisms.     

Syntactic breakdown and recovery of clausal structure in agrammatism

We studied the recovery of clause structures in four agrammatic patients by performing a longitudinal analysis of their spontaneous production. We classified their utterances in terms of legitimacy of the syntactic structure and rate of subordination. The results show that, initially, patients omit verbs, avoid subordination, just employ present tense, and substitute finite verbs with infinitives. During the recovery they start employing other tenses and subordinate clauses and reduce the use of infinitives. Data suggest a mixed syntactic and morphological origin of the impairment. Assuming that phrasal representations are built bottom-up from an array of lexical items, we propose that syntactic structures recover stepwise, with the lower portion of the syntactic tree becoming accessible before higher portions. We claim that, despite superficial similarities between agrammatic and children's speech, e.g., use of infinitives instead of finite verbs, a unified account is not viable.     

Age-of-acquisition effects in delayed picture-naming tasks

We report two experiments that explored the linguistic locus of age-of-acquisition effects in picture naming by using a delayed naming task that involved only a low proportion of trials (25 %) while, for the large majority of the trials (75 %), participants performed another task—that is, the prevalent task. The prevalent tasks were semantic categorization in Experiment 1a and grammatical-gender decision in Experiments 1b and 2. In Experiment 1a, in which participants were biased to retrieve semantic information in order to perform the semantic categorization task, delayed naming times were affected by age of acquisition, reflecting a postsemantic locus of the effect. In Experiments 1b and 2, in which participants were biased to retrieve lexical information in order to perform the grammatical gender decision task, there was also an age-of-acquisition effect. These results suggest that part of the age-of-acquisition effect in picture naming occurs at the level at which the phonological properties of words are retrieved.