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The assessment of mentalization: measures for the patient, the therapist and the interaction

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. Green open access

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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.

Type: Article
Title: The assessment of mentalization: measures for the patient, the therapist and the interaction
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s10879-019-09420-z
Publisher version: https://doi.org/10.1007/s10879-019-09420-z
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Mentalizing, measures, conversation analysis, psychotherapy, mentalization-based-therapy.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health > Neonatology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health > Womens Cancer
URI: https://discovery.ucl.ac.uk/id/eprint/10069103
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