Mentalization and Psychosis: A Rationale for the Use of Mentalization Theory to Understand and Treat Non-affective Psychotic Disorder
Tóm tắt
Social functioning can be severely impaired in non-affective psychotic disorder (NAPD). Current models of psychosis pathogenesis do not tend to focus on social dysfunction and pharmacological treatment fails to ameliorate it. In this article, we propose that mentalization theory provides a valuable contribution to the understanding and treatment of NAPD. Impaired mentalizing may contribute to both positive and negatives symptoms as well as social dysfunction observed in NAPD. Furthermore, impaired mentalizing may help explain the relation between childhood abuse, insecure attachment and psychosis. Mentalization based treatment may contribute to the functional recovery of NAPD patients as it targets the social cognitive processes underlying social interaction. The article includes a description of the principles of MBT in general, specific characteristics of using MBT with patients with NAPD and a clinical vignette to illustrate these principles.
Tài liệu tham khảo
Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. N. (1978). Patterns of attachment: A psychological study of the strange situation. London: Psychology Press.
Aleman, A., & Larøi, F. (2008). Hallucinations: The science of idiosyncratic perception. Washington, DC: American Psychological Association.
Arnsten, A. F. (2009). Stress signalling pathways that impair prefrontal cortex structure and function. Nature Reviews Neuroscience,10(6), 410.
Aydin, O., Balikci, K., Tas, C., Aydin, P. U., Danaci, A. E., Brüne, M., et al. (2016). The developmental origins of metacognitive deficits in schizophrenia. Psychiatry Research,245, 15–21.
Baron-Cohen, S., Leslie, A. M., & Frith, U. (1986). Mechanical, behavioural and intentional understanding of picture stories in autistic children. British Journal of Developmental Psychology,4, 113–125.
Bateman, A., & Fonagy, P. (1999). Effectiveness of partial hospitalization in the treatment of borderline personality disorder: A randomized controlled trial. American Journal of Psychiatry,156(10), 1563–1569.
Bateman, A. W., & Fonagy, P. (2004). Mentalization-based treatment of BPD. Journal of personality disorders, 18(1), 36–51.
Bentall, R. P., & Swarbrick, R. (2003). The best laid schemas of paranoid patients: Autonomy, sociotropy and need for closure. Psychology and Psychotherapy: Theory, Research and Practice,76(2), 163–171.
Berry, K., Barrowclough, C., & Wearden, A. (2008). Attachment theory: A framework for understanding symptoms and interpersonal relationships in psychosis. Behaviour Research and Therapy,46(12), 1275–1282.
Birchwood, M., Connor, C., Lester, H., Patterson, P., Freemantle, N., Marshall, M., et al. (2013). Reducing duration of untreated psychosis: Care pathways to early intervention in psychosis services. The British Journal of Psychiatry,203(1), 58–64.
Björgvinsson, T., & Hart, J. (2006). Cognitive behavioral therapy promotes mentalizing. In J. G. Allen & P. Fonagy (Eds.), Handbook of mentalization-based treatment (pp. 157–170). Chichester: Wiley.
Bowlby, J. (1980). Attachment and loss (Vol. 1). New York: Random House.
Brent, B. (2009). Mentalization-based psychodynamic psychotherapy for psychosis. Journal of Clinical Psychology,65(8), 803–814.
Brent, B. K., & Fonagy, P. (2014). A mentalization-based treatment approach to disturbances of social understanding in schizophrenia. In Social cognition and metacognition in schizophrenia (pp. 245–259). Cambridge, MA: Academic Press.
Brookwell, M. L., Bentall, R. P., & Varese, F. (2013). Externalizing biases and hallucinations in source-monitoring, self-monitoring and signal detection studies: A meta-analytic review. Psychological Medicine,43(12), 2465–2475.
Brunelin, J., d’Amato, T., Brun, P., Bediou, B., Kallel, L., Senn, M., et al. (2007). Impaired verbal source monitoring in schizophrenia: An intermediate trait vulnerability marker? Schizophrenia Research,89(1–3), 287–292.
Choudhury, S., Blakemore, S. J., & Charman, T. (2006). Social cognitive development during adolescence. Social Cognitive and Affective Neuroscience,1(3), 165–174.
Debbané, M., Salaminios, G., Luyten, P., Badoud, D., Armando, M., Solida Tozzi, A., et al. (2016). Attachment, neurobiology, and mentalizing along the psychosis continuum. Frontiers in Human Neuroscience,10, 406.
de Jong, S., van Donkersgoed, R. J. M., Timmerman, M. E., Aan Het Rot, M., Wunderink, L., Arends, J., et al. (2019). Metacognitive reflection and insight therapy (MERIT) for patients with schizophrenia. Psychological Medicine49(2), 303–313.
Eisenstadt, P., Monteiro, V. B., Diniz, M. J., & Chaves, A. C. (2012). Experience of recovery from a first-episode psychosis. Early Intervention in Psychiatry,6(4), 476–480.
Fett, A. K. J., Viechtbauer, W., Penn, D. L., van Os, J., & Krabbendam, L. (2011). The relationship between neurocognition and social cognition with functional outcomes in schizophrenia: A meta-analysis. Neuroscience and Biobehavioral Reviews,35(3), 573–588.
Fonagy, P. (1989). On tolerating mental states. Theory of mind in borderline patients. Bulletin of Anna Freud Centre,12, 91–115.
Fonagy, P., & Allison, E. (2014). The role of mentalizing and epistemic trust in the therapeutic relationship. Psychotherapy,51(3), 372.
Fonagy, P., & Bateman, A. (2006). Progress in the treatment of borderline personality disorder. The British Journal of Psychiatry, 188(1), 1–3.
Fonagy, P., & Bateman, A. W. (2016). Adversity, attachment, and mentalizing. Comprehensive Psychiatry,64, 59–66.
Fonagy, P., Luyten, P., & Allison, E. (2015). Epistemic petrification and the restoration of epistemic trust: A new conceptualization of borderline personality disorder and its psychosocial treatment. Journal of personality disorders, 29(5), 575–609.
Fonagy, P., Luyten, P., Allison, E., & Campbell, C. (2017). What we have changed our minds about. Borderline personality disorder as a limitation of resilience. Borderline Personality Disorder and Emotion Dysregulation,4(1), 11.
Frith, C. D. (1992). The cognitive neuropsychology of schizophrenia. London: Psychology Press.
Gallese, V. (2005). Embodied simulation: From neurons to phenomenal experience. Phenomenology and the Cognitive Sciences,4(1), 23–48.
Green, M. F., Horan, W. P., & Lee, J. (2019). Nonsocial and social cognition in schizophrenia: Current evidence and future directions. World Psychiatry,18(2), 146–161.
Gumley, A., & Liotti, G. (2008). An Attachment Perspective on Schizophrenia: The Role of Disorganized Attachment, Dissociation, and Mentalization. In Moskowitz, A., Schäfer, I. Martin, J. & Dorahy, M. J., (Eds.), Psychosis, trauma and dissociation. Evolving Perspectives on severe psychopathology. Wiley Online Library, pp. 97–116.
Gumley, A. I., Taylor, H. E. F., Schwannauer, M., & MacBeth, A. (2014). A systematic review of attachment and psychosis: Measurement, construct validity and outcomes. Acta Psychiatrica Scandinavica,129(4), 257–274.
Harrington, L., Siegert, R., & McClure, J. (2005). Theory of mind in schizophrenia: A critical review. Cognitive Neuropsychiatry,10(4), 24.
Hartwell, C. E. (1996). The schizophrenogenic mother concept in American psychiatry. Psychiatry,59(3), 274–297.
Hasson-Ohayon, I., Goldzweig, G., Lavi-Rotenberg, A., Luther, L., & Lysaker, P. H. (2018). The centrality of cognitive symptoms and metacognition within the interacting network of symptoms, neurocognition, social cognition and metacognition in schizophrenia. Schizophrenia Research,202, 260–266.
Hendryx, M., Green, C. A., & Perrin, N. A. (2009). Social support, activities, and recovery from seriousmental illness: STARS study findings. Journal Behavioral Health Service Research,36(3), 320–329.
Holthausen, E. A., Wiersma, D., Cahn, W., Kahn, R. S., Dingemans, P. M., Schene, A. H., et al. (2007). Predictive value of cognition for different domains of outcome in recent-onset schizophrenia. Psychiatry Research,149, 71–80.
Howes, O. D., & Murray, R. M. (2014). Schizophrenia: an integrated socio-developmental-cognitive model. The Lancet,383(9929), 1677–1687.
Kantrowitz, J. T., Hoptman, M. J., Leitman, D. I., Silipo, G., & Javitt, D. C. (2014). The 5% difference: early sensory processing predicts sarcasm perception in schizophrenia and schizoaffective disorder. Psychological Medicine,44(1), 25–36.
Kelleher, I., Keeley, H., Corcoran, P., Ramsay, H., Wasserman, C., Carli, V., et al. (2013). Childhood trauma and psychosis in a prospective cohort study: Cause, effect, and directionality. American Journal of Psychiatry,170(7), 734–741.
Keysers, C., & Gazzola, V. (2007). Integrating simulation and theory of mind: From self to social cognition. Trends in Cognitive Sciences,11(5), 194–196.
Kim, S. (2015). The mind in the making: Developmental and neurobiological origins of mentalizing. Personality Disorders: Theory, Research, and Treatment,6(4), 356.
Kraan, T., Velthorst, E., Smit, F., de Haan, L., & van der Gaag, M. (2015). Trauma and recent life events in individuals at ultra-high risk for psychosis: Review and meta-analysis. Schizophrenia Research,161(2–3), 143–149.
Lana, F., Africa Cruz, M., Sola Victor, P., Marti-Bonany, J. (2017). Social cognition based therapies for people with schizophrenia: Focus on metacognitive and mentalization approaches. Schizophrenia Treatment. SM Groups Open access ebooks.
Lane, J. D., & Harris, P. L. (2015). The roles of intuition and informants’ expertise in children’s epistemic trust. Child Development,86(3), 919–926.
Leonhardt, B. L., Huling, K., Hamm, J. A., Roe, D., Hasson-Ohayon, I., McLeod, H. J., et al. (2017). Recovery and serious mental illness: A review of current clinical and research paradigms and future directions. Expert Review of Neurotherapeutics,17(11), 1117–1130.
Lind, S. E., & Bowler, D. M. (2009). Recognition memory, self-other source memory, and theory-of-mind in children with autism spectrum disorder. Journal of Autism and Developmental Disorders,39(9), 1231.
Lysaker, P. H., Buck, K. D., Fogley, R. L., Ringer, J., Harder, S., Hasson-Ohayon, I., et al. (2005). The mutual development of intersubjectivity and metacognitive capacity in the psychotherapy for persons with schizophrenia. Journal of Contemporary Psychotherapy,43(2), 63–72.
Lysaker, P. H., & Dimaggio, G. (2014). Metacognitive capacities for reflection in schizophrenia: Implications for developing treatments. Schizophrenia Bulletin,40(3), 487–491.
Main, M., & Solomon, J. (1990). Procedures for identifying infants as disorganized/disoriented during the Ainsworth Strange Situation. Attachment in the Preschool Years: Theory, Research, and Intervention,1, 121–160.
McLeod, H. J., Gumley, A. I., MacBeth, A., Schwannauer, M., & Lysaker, P. H. (2014). Metacognitive functioning predicts positive and negative symptoms over 12 months in first episode psychosis. Psychiatry Research,54(1), 109–115.
Mickelson, K. D., Kessler, R. C., & Shaver, P. R. (1997). Adult attachment in a nationally representative sample. Journal of Personality and Social Psychology,73(5), 1092.
Mikulincer, M. (1997). Adult attachment style and information processing: Individual differences in curiosity and cognitive closure. Journal of Personality and Social Psychology,72(5), 1217.
Mikulincer, M., & Shaver, P. R. (2012). An attachment perspective on psychopathology. World Psychiatry,11(1), 11–15.
Nolte, T., Bolling, D. Z., Hudac, C., Fonagy, P., Mayes, L. C., & Pelphrey, K. A. (2013). Brain mechanisms underlying the impact of attachment-related stress on social cognition. Frontiers in Human Neuroscience,7, 816.
Norman, R. M., Windell, D., Lynch, J., & Manchanda, R. (2013). Correlates of subjective recovery in an early intervention program for psychoses. Early Intervention in Psychiatry,7(3), 278–284.
O’Driscoll, C., Laing, J., & Mason, O. (2014). Cognitive emotion regulation strategies, alexithymia and dissociation in schizophrenia, a review and meta-analysis. Clinical Psychology Review,34(6), 482–495.
Owens, K. A., Haddock, G., & Berry, K. (2013). The role of the therapeutic alliance in the regulation of emotion in psychosis: An attachment perspective. Clinical Psychology & Psychotherapy,20(6), 523–530.
Pereira, J. G., & Debbané, M. (2018). An integrative-relational approach in schizophrenia: From philosophical principles to mentalization-based practice. In I. Hipolito, J. Goncalves, & J. Pereira (Eds.), Schizophrenia and common sense (pp. 193–207). Cham: Springer.
Pinkham, A. E., Penn, D. L., Perkins, D. O., & Lieberman, J. (2003). Implications for the neural basis of social cognition for the study of schizophrenia. American Journal of Psychiatry,160(5), 815–824.
Read, J., Fosse, R., Moskowitz, A., & Perry, B. (2014). The traumagenic neurodevelopmental model of psychosis revisited. Neuropsychiatry,4(1), 65.
Ridenour, J., Knauss, D., & Hamm, J. A. (2019). Comparing metacognition and mentalization and their implications for psychotherapy for individuals with psychosis. Journal of Contemporary Psychotherapy, 49(2), 79–85.
Selten, J. P., van der Ven, E., Rutten, B. P., & Cantor-Graae, E. (2013). The social defeat hypothesis of schizophrenia: An update. Schizophrenia Bulletin,39(6), 1180–1186.
Semerari, A., Carcione, A., Dimaggio, G., Falcone, M., Nicolò, G., Procacci, M., et al. (2003). How to evaluate metacognitive functioning in psychotherapy? The metacognition assessment scale and its applications. Clinical Psychological Psychotherapy,10(4), 238–261.
Sprong, M., Schothorst, P., Vos, E., Hox, J., & Van Engeland, H. (2007). Theory of mind in schizophrenia: Meta-analysis. The British Journal of Psychiatry,191(1), 5–13.
Sroufe, L. A. (2005). Attachment and development: A prospective, longitudinal study from birth to adulthood. Attachment & human development,7(4), 349–367.
Stumbo, S. P., Yarborough, B. J. H., Paulson, R. I., & Green, C. A. (2015). The impact of adverse child and adult experiences on recovery from serious mental illness. Psychiatric Rehabilitation Journal,38(4), 320.
Thomas, E. C., Muralidharan, A., Medoff, D., & Drapalski, A. L. (2016). Self-efficacy as a mediator of the relationship between social support and recovery in serious mental illness. Psychiatric Rehabilitation Journal,39(4), 352.
Torre, J. B., & Lieberman, M. D. (2018). Putting feelings into words: Affect labeling as implicit emotion regulation. Emotion Review,10(2), 116–124.
Trémeau, F. (2006). A review of emotion deficits in schizophrenia. Dialogues in Clinical Neuroscience,8(1), 59.
Varese, F., Smeets, F., Drukker, M., Lieverse, R., Lataster, T., Viechtbauer, W., et al. (2012). Childhood adversities increase the risk of psychosis: a meta-analysis of patient-control, prospective-and cross-sectional cohort studies. Schizophrenia Bulletin,38(4), 661–671.
Velthorst, E., Nieman, D. H., Linszen, D., Becker, H., de Haan, L., Dingemans, P. M., et al. (2010). Disability in people clinically at high risk of psychosis. The British Journal of Psychiatry, 197(4), 278–284.
Weijers, J., Fonagy, P., Eurelings-Bontekoe, E., Termorshuizen, F., Viechtbauer, W., & Selten, J. P. (2018). Mentalizing impairment as a mediator between reported childhood abuse and outcome in nonaffective psychotic disorder. Psychiatry Research,259, 463–469.
Weijers, J., ten Kate, C., Eurelings-Bontekoe, E., Viechtbauer, W., Rampaart, R., Bateman, A., et al. (2016). Mentalization-based treatment for psychotic disorder: Protocol of a randomized controlled trial. BMC Psychiatry,16(1), 191.
White, C., Stirling, J., Morris, J., Montague, L., Tantam, D., & Lewis, S. (2009). Predictors of 10-year outcome of first-episode psychosis. Psychological Medicine,39, 1447–1456.