Mentalization

Mentalization is the capacity to perceive and interpret behavior in terms of intentional mental states, to imagine what others are thinking and feeling, and is a concept that has taken the psychological and psychoanalytic worlds by storm. This collection of papers, carefully edited by Fredric Busch, clarifies its import as an essential perspective for understanding the human psyche and interpersonal relationships. The book is divided into theoretical, research and clinical papers, reflecting how the investigators thoughtfully and purposefully pursued each of these goals. Those involved in identifying mentalization have also made consistent efforts to measure and research the concept. Thus, in addition to expanding the theoretical bases and implications of mentalization and identifying clinically useful applications, the authors describe research that scientifically grounds the concept.
Mentalization addresses and expands upon a number of implications of mentalization. These include: What are the broader implications for mentalization with regard to social and evolutionary development? How does mentalization interdigitate with other psychoanalytic models? How is mentalization systematically assessed? What clinical correlates have been found? How do we understand variations in the capacity for mentalization, even within a given individual? What are the applications of mentalization in the clinical arena, including specific disorders? Readers of this volume will find their clinical work to be more productive and their view of the human psyche broadened.

Fredric N. Busch is a Clinical Associate Professor at Weill Cornell Medical College and a faculty member of the Columbia University Center for Psychoanalytic Training and Research. He is on the editorial board of Psychoanalytic Inquiry, and has authored over 30 publications as well as 10 books or book chapters. His writing and research has focused on the links between psychoanalysis and psychiatry, including psychodynamic approaches to specific disorders, psychoanalytic research, and psychoanalysis and medication. He has co-authored 3 books on the psychoanalytic approach to specific disorders: Manual of Panic Focused Psychodynamic Psychotherapy, Psychodynamic Approaches to the Adolescent with Panic Disorder, and Psychodynamic Treatment of Depression. He has been involved in research on panic focused psychodynamic psychotherapy, including the first study to demonstrate efficacy of psychodynamic treatment of panic disorder, recently published in the American Journal of Psychiatry. Additionally, Dr. Busch has written on integrating the theoretical conceptualizations and clinical approaches of psychoanalytic treatments and medication, including co-editing an issue of Psychoanalytic Inquiry on this topic, and co-authoring two seminal papers on "treatment triangles", addressing the complex interactions of the psychotherapist, psychopharmacologist, and patient. He is also the author, along with Larry Sandberg, of Psychotherapy and Medication (Analytic Press, 2007).

Part I: Theory. Fonagy, The Mentalization-Focused Approach to Social Development. Gergely, Unoka, The Development of the Unreflective Self. Bouchard, Lecours, Contemporary Approaches to Mentalization in the Light of Freud's Project. Part II: Research. H. Steele, M, Steele, On the Origins of Reflective Functioning. Yeomans, Clarkin, Diamond, Levy, An Object Relations Treatment of Borderline Patients with Reflective Functioning as the Mechanism of Change. Part III: Clinical. Rudden, Milrod, Aronson, Target, Reflective Functioning in Panic Disorder Patients: Clinical Observations and Research Design. Slade, Working with Parents in Child Psychotherapy: Engaging the Reflective Function. Diamond, Kernberg, Discussion. Target, Commentary.