Shaw, C;
Lanceley, E;
Lo, C;
Hales, S;
Rodin, G;
(2020)
The assessment of mentalization: measures for the patient, the therapist and the interaction.
Journal of Contemporary Psychotherapy
, 50
pp. 57-65.
10.1007/s10879-019-09420-z.
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Abstract
PURPOSE: Mentalization has been clearly defined in the literature as a relational concept and yet in surveys and transcript-based measures it is almost universally treated as an individual capacity. That approach has value but may not capture the emergent nature of mentalization, as it is jointly constructed within a relational context. // METHODS: We report here on a critical evaluation of measurement approaches commonly used to conceptualize and assess mentalization and argue for the value of conversation analysis (CA) as an alternative approach. // RESULTS: A variety of approaches have been shown to have utility in assessing mentalization as an individual capacity. We illustrate how conversation analysis allows for an in-depth-analysis of mentalization as it is co-created across different contexts in real-life therapy sessions. This method of analysis shifts the focus from content to process. // CONCLUSIONS: Conversation analysis is a potentially valuable tool to support training, to assess treatment integrity, and to improve outcomes with mentalization-based interventions.
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