Debbane, Martin;
Salaminios, George;
Weijers, Jonas;
Fonagy, Peter;
Fonseca-Pedrero, Eduardo;
Armando, Marco;
(2022)
Clinical evaluation and intervention of emerging psychosis: A mentalization-informed perspective.
In: Rocca, P and Bellino, S, (eds.)
Psychosis and Personality Disorders.
(pp. 125-143).
Springer, Cham: Cham, Switzerland.
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Abstract
The practice of clinical evaluation and intervention for schizophrenia spectrum and other psychotic disorders (SSPDs) is progressively integrating a developmental perspective, targeting premorbid, clinical high-risk, and early phases along the continuum of symptom severity. Notwithstanding important progress in early intervention, clinical challenges remain in SSPDs, most notably the chronic functional disabilities which impede recovery. In this chapter, we review the evidence suggesting that mentalizing, or the developmentally acquired capacity to think about mental states, may represent a resilience-strengthening intervention target along the different stages of unfolding SSPDs. This leads us to consider evaluation and intervention informed by mentalization-based therapy (MBT), as applied along the clinical continuum of symptom expression. A clinical vignette illustrates the challenges encountered in the different periods of unfolding psychotic psychopathology, and some of the therapeutic benefits yielded by mentalization-informed clinical practice.
| Type: | Book chapter |
|---|---|
| Title: | Clinical evaluation and intervention of emerging psychosis: A mentalization-informed perspective |
| ISBN-13: | 9783031090578 |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1007/978-3-031-09058-5_7 |
| Publisher version: | https://doi.org/10.1007/978-3-031-09058-5_7 |
| 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: | Schizophrenia, Mentalizing, High risk, Risk, Resilience, Continuum, Early intervention |
| UCL classification: | UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10156781 |
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