Introduction to Mentalisation

November 13, 2011 LOIS CHOI-KAIN, MD MEDDIRECTOR, GUNDERSON RESIDENCE OF MCLEAN HOSPITALCLINICAL INSTRUCTOR OF PSYCHIATRY, HARVARD MEDICAL SCHOOLM entalizationThanks toyAnthony Bateman and Peter Fonagy Dowden : Definitions The mental process by which an individual implicitlyand explicitlyinterprets the the actions of herselfand othersas meaningful on the basis of intentional mental statessuch as personal desires, needs, feelings, beliefs, and reasons. Bateman A, Fonagy P (2004), Psychotherapy for Borderline Bateman A, Fonagy P (2004), Psychotherapy for Borderline Personality Disorder Personality Disorder --MentalizationMentalization--Based Treatment. Oxford, : Based Treatment. Oxford, : Oxford University University : Two PeopleOTHERSELFF eelingsThoughtsMotivesIntentionsBeliefsD esiresNeedsFeelingsThoughtsMotivesIntent ionsBeliefsDesiresNeedsMentalizing interactively and emotionallyyMentalizing interactively{Each person has the other person s mind in mind (as well as their own){Self-awareness + other awarenessyMentalizing emotionally{Mentalizing in midst of emotional states{Feeling and thinking about feeling (mentalized affectivity){Feeling feltIn Other Words: DejargonifiedyTo see ourselves from the outside and others from the insideyUnderstanding misunderstandingyHaving mind in mindyIntrospection for subjective self-construction know yourself as others know you but also know your subj}}}}}

Mentalizing Instabilities in BPD yBPD is defined as a problem of instability of mentalizing {Individuals with BPD are often better at mentalizing than others at times, and under specific conditions, mentalizing

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