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.     

A Quantum Field Theory Description of Elementary Fermion “Epigenetics”

I derive a number of impressive analogies between the modifications of the elementary components of Matter, generated by an external source of interaction, and the analogous modifications of the elementary components of an Organism. I will consider the interaction between the elementary components of matter and a weak classic magnetic field. This interaction will be treated in the theoretical quantum field theory formalism.     

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.