Document Detail

Hypermentalizing in adolescent inpatients: treatment effects and association with borderline traits.
MedLine Citation:
PMID:  23342954     Owner:  NLM     Status:  MEDLINE    
Sharp et al. (2011) recently demonstrated that in adolescents with borderline traits the loss of mentalization is more apparent in the emergence of unusual alternative strategies (excessive theory of mind or hypermentalizing) than in the loss of the capacity per se (no mentalizing or undermentalizing). This suggests that hypermentalizing could be a worthwhile social-cognitive treatment target in adolescents with borderline traits. The aim of the current study was to examine (1) whether a reduction in excessive theory of mind or hypermentalizing is achieved between admission and discharge for adolescent inpatients; (2) whether the hypothesized reduction is more apparent in adolescents meeting criteria for BPD compared with psychiatric controls; and (3) whether other forms of mentalizing would also be sensitive to and malleable by inpatient treatment in the same way we expected hypermentalizing to be. The "Movie for the Assessment of Social Cognition" Task (Dziobek et al., 2006) was administered to consecutive admissions to an adolescent inpatient setting (n = 164) at admission and discharge, alongside measures of borderline symptomology and interview-based diagnosis of BPD. Results demonstrated that 41% (n = 68) of the sample met full or intermediate criteria for BPD on an interview-based measure of BPD. A relation between borderline traits and hypermentalizing that appears to be independent of internalizing and externalizing problems was demonstrated. Hypermentalizing, but not other forms of social-cognitive reasoning (as measured by the Child Eyes Test, Basic Empathy Scale and the Mentalizing Stories Test for Adolescents), was found to be malleable through a milieu-based inpatient treatment. Clinical implications of the findings for the organization of treatment settings for adolescents are discussed.
Carla Sharp; Carolyn Ha; Crystal Carbone; Sohye Kim; Katie Perry; Laurel Williams; Peter Fonagy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of personality disorders     Volume:  27     ISSN:  1943-2763     ISO Abbreviation:  J. Pers. Disord.     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-24     Completed Date:  2013-07-19     Revised Date:  2014-02-24    
Medline Journal Info:
Nlm Unique ID:  8710838     Medline TA:  J Pers Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  3-18     Citation Subset:  IM    
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MeSH Terms
Borderline Personality Disorder / diagnosis,  psychology*,  therapy
Diagnostic and Statistical Manual of Mental Disorders
Inpatients / psychology
Interview, Psychological
Social Behavior
Theory of Mind*
Grant Support
095844//Wellcome Trust

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