Intervenções promotoras da capacidade de mentalização e função reflexiva: uma revisão integrativa
DOI:
https://doi.org/10.22235/cp.v17i1.2478Palavras-chave:
mentalização, intervenção, função reflexivaResumo
Esta revisão integrativa da literatura objetivou sistematizar as possibilidades de intervenções promotoras da Capacidade de Mentalização (CM) e Função Reflexiva (FR), publicadas entre 2008 a 2019. Utilizou-se os descritores “reflective functioning OR mentalizing OR mentalization AND intervention” e incluiu-se artigos empíricos, disponibilizados em Inglês, Português ou Espanhol, provenientes de diferentes áreas. Analisou-se os dados através das categorias: objetivos; delineamentos; participantes; tipo de intervenção utilizada; instrumentos de avaliação da intervenção empregados; resultados. Encontrou-se 34 artigos que predominantemente verificaram a eficácia das intervenções, possuíam delineamento quantitativo, voltados para adultos e, ainda, intervenções com potencial para fortalecer os vínculos pais/cuidadores-criança. Concluiu-se sobre a necessidade de se desenvolver instrumentos específicos para avaliar FR e CM, estudos que abordem a realidade brasileira e, ainda, a sistematização desses conceitos, que na maioria dos artigos, se apresentaram como sinônimos.
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Referências
Akhtar, S. (2007). Primeiros relacionamentos e sua internalização. Em E. Person, A.M. Cooper & G. Gabbard (Eds.), Compêndio de Psicanálise (pp. 54-66). Artmed.
Ashton, C. K., O’Brien-Langer, A., & Silverstone, P. H. (2016). The CASA Trauma and Attachment Group (TAG) Program for children who have attachment issues following early developmental trauma. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 25(1), 35-42.
Bain, K. (2014). “New beginnings” in South African shelters for the homeless: piloting of a group psychotherapy intervention for high‐risk mother–infant dyads. Infant Mental Health Journal, 35(6), 591-603. http://doi.org/10.1002/imhj.21457
Baptista, M. N. (2010). Questões sobre avaliação de processos psicoterápicos. Revista Psicologia em Pesquisa, 4(2).
Barnicot, K. & Crawford, M. (2019). Dialectical behaviour therapy v. mentalisation-based therapy for borderline personality disorder. Psychological Medicine, 49(12), 2060-2068. http://doi.org/10.1017/S0033291718002878
Bateman, A., O’Connell, J., Lorenzini, N., Gardner, T., & Fonagy, P. (2016). A randomised controlled trial of mentalization-based treatment versus structured clinical management for patients with comorbid borderline personality disorder and antisocial personality disorder. BMC Psychiatry, 16(1), 304. http://doi.org/10.1186/s12888-016-1000-9
Bo, S., Sharp, C., Beck, E., Pedersen, J., Gondan, M., & Simonsen, E. (2017). First empirical evaluation of outcomes for mentalization-based group therapy for adolescents with BPD. Personality Disorders: Theory, Research, and Treatment, 8(4), 396. http://doi.org/10.1037/per0000210
Bowlby, J. (1989). Uma base segura. Artes Médicas.
Bressi, C., Fronza, S., Minacapelli, E., Nocito, E. P., Dipasquale, E., Magri, L., Lionetti, F., & Barone, L. (2017). Short‐term psychodynamic psychotherapy with mentalization‐based techniques in major depressive disorder patients: relationship among alexithymia, reflective functioning, and outcome variables–a pilot study. Psychology and Psychotherapy: theory, research and practice, 90(3), 299-313. http://doi.org/10.1111/papt.12110
Cramer, B. & Palacio-Espasa, F. (1993). Técnicas psicoterápicas mãe/bebê. Artes Médicas.
Dalbem, J. X. & Dalbosco, D. D. (2005). Teoria do apego: bases conceituais e desenvolvimento dos modelos internos de funcionamento. Arquivos Brasileiros de Psicologia, 57(1), 12-24.
De Meulemeester, C., Vansteelandt, K., Luyten, P., & Lowyck, B. (2018). Mentalizing as a mechanism of change in the treatment of patients with borderline personality disorder: a parallel process growth modeling approach. Personality Disorders: Theory, Research, and Treatment, 9(1), 22. http://doi.org/10.1037/per0000256
Edel, M. A., Raaff, V., Dimaggio, G., Buchheim, A., & Brüne, M. (2017). Exploring the effectiveness of combined mentalization‐based group therapy and dialectical behaviour therapy for inpatients with borderline personality disorder–A pilot study. British Journal of Clinical Psychology, 56(1), 1-15. http://doi.org/10.1111/bjc.12123
Einy, S., Narimani, M., & Sadeghi-Movahhed, F. (2019). Comparing the effectiveness of mentalization-based therapy and cognitive-analytic therapy on ego strength and defense mechanisms in people with Borderline Personality Disorder. Quarterly of the Horizon of Medical Sciences, 25(4), 324-339. http://doi.org// 10.32598/hms.25.4.324
Enav, Y., Erhard-Weiss, D; Kopelman, M; Samson, A. C; Mehta, S; Gross, J. J., & Hardan, A. Y., (2019). A non randomized mentalization intervention for parents of children with autism. Autism Research, 12(7), 1077-1086. http://doi.org/10.1002/aur.2108
Ensink, K., Fonagy, P., Normandin, L., Berthelot, N., & Biberdzic, M. (2015). O papel protetor da mentalização de experiências traumáticas: implicações quando da entrada na parentalidade. Estilos Clínicos, 20(1), 76-91. http://doi.org/10.11606/issn.1981-1624.v20ilp76-91
Ensink, K., Maheux, J., Normandin, L., Sabourin, S., Diguer, L., Berthelot, N., & Parent, K. (2013). The impact of mentalization training on the reflective function of novice therapists: A randomized controlled trial. Psychotherapy Research, 23(5), 526-538. http://doi.org/10.1080/10503307.2013.800950
Esposito, G., Karterud, S., & Freda, M. F. (2019). Mentalizing underachievement in group counseling: Analyzing the relationship between members' reflective functioning and counselors' interventions. Psychological Services, 18(1), 73-83. http://doi.org/10.1037/ser0000350
Feliciano, D. de S. & Souza, A. S. L. (2011). Para além do seio: uma proposta de intervenção psicanalítica pais-bebê a partir de dificuldades na amamentação. Jornal de Psicanálise,44(81), 145-161.
Fonagy, P. & Allison, E. (2012). What is mentalization? The concept and its foundations in developmental research. Em N. Midgley & I. Vrouva, Minding the child: Mentalization-based interventions with children, young people and their families (pp. 11-34). Routledge/Taylor & Francis Group.
Fonagy, P. & Target, M. (1997). Attachment and reflective function: their role in self-organization. Development & Psychopathology, 9(04), 679-700. https://doi.org/10.1017/s0954579497001399
Fonagy, P. & Target, M. (2006). The mentalization-focused approach to self pathology. Journal of Personality Disorders, 20(6), 544-576. http://doi.org/10.1521/pedi.2006.20.6.544
Fonagy, P. (1999). Persistencias transgeneracionales del apego: una nueva teoria. Aperturas Psicoanaliticas, 3, 1-17.
Fonagy, P., Twemlow, S. W., Vernberg, E. M., Nelson, J. M., Dill, E. J., Little, T. D., & Sargent, J. A. (2009). A cluster randomized controlled trial of child‐focused psychiatric consultation and a school systems‐focused intervention to reduce aggression. Journal of Child Psychology and Psychiatry, 50(5), 607-616. http://doi.org/10.1111/j.1469-7610.2008.02025.x
Freda, M. F., Esposito, G., & Quaranta, T. (2015). Promoting mentalization in clinical psychology at universities: A linguistic analysis of student accounts. Europe's Journal of Psychology, 11(1), 34. http://doi.org/10.5964/ejop.v11i1.812
Griffiths, H., Duffy, F., Duffy, L., Brown, S., Hockaday, H., Eliasson, E., Graham, J., Smith, J., Thomson, A., & Schwannauer, M. (2019). Efficacy of mentalization-based group therapy for adolescents: the results of a pilot randomised controlled trial. BMC Psychiatry, 19, 167-180. https://doi.org/10.1186/s12888-019-2158-8
Hertzmann, L., Target, M., Hewison, D., Casey, P., Fearon, P., & Lassri, D. (2016). Mentalization-based therapy for parents in entrenched conflict: a random allocation feasibility study. Psychotherapy, 53(4), 388. http://doi.org/10.1037/pst0000092
Holmes, J. (2006). Mentalizing from a psychoanalytic perspective: What’s new? Em J. Allen & P. Fonagy (Eds.), The Handbook of Mentalization Based Treatment (pp. 31-50). John Wiley & Sons.
Howieson, J. & Priddis, L. (2015). A Mentalizing‐based approach to family mediation: harnessing our fundamental capacity to resolve conflict and building an evidence‐based practice for the field. Family court review, 53(1), 79-95. http://doi.org/10.1111/fcre.12132
Ingley‐Cook, G. & Dobel‐Ober, D. (2013). Innovations in practice: group work with children who are in care or who are adopted: lessons learnt. Child and Adolescent Mental Health, 18(4), 251-254. http://doi.org/10.1111/j.1475-3588.2012.00683.x
Jakobsen, J. C., Gluud, C., Kongerslev, M., Larsen, K. A., Sørensen, P., Winkel, P., Lange, T., Sogaard, U., & Simonsen, E. (2012). ‘Third wave’cognitive therapy versus mentalization-based therapy for major depressive disorder: a protocol for a randomised clinical trial. BMC Psychiatry, 12(1), 232. http://doi.org/10.1186/1471-244X-12-232
Kelly, K., Slade, A., & Grienenberger, J. F. (2005). Maternal reflective functioning, mother–infant affective communication, and infant attachment: exploring the link between mental states and observed caregiving behavior in the intergenerational transmission of attachment. Attachment & Human Development, 7(3), 299-311. http://doi.org/10.1080/14616730500245963
Kivity, Y., Levy, K.N., Wasserman, R.H., Beeney, J.E., Meehan, K.B., & Clarkin, J.F. (2019). Conformity to prototypical therapeutic principles and its relation with change in reflective functioning in three treatments for borderline personality disorder. Journal of Consulting and Clinical Psychology, 87(11), 975-988. http://doi.org/10.1037/ccp0000445
Lecannelier, F. (2006). Estrategias de intervención temprana en salud mental. Revista Psicología & Sociedad, 1-9.
Leonardi, J. L. (2017). Métodos de pesquisa para o estabelecimento da eficácia das psicoterapias. Interação em Psicologia, 21(3), 176-186. http://doi.org/10.5380/psi.v2li3.54757
Malda-Castillo, J., Browne, C., & Perez-Algorta, G. (2019). Mentalization-based treatment and its evidence-base status: A systematic literature review. Psychology and Psychotherapy: Theory, Research and Practice, 92(4), 465-498. http://doi.org/10.1111/papt.12195
Melnik, T., Fernandes de Souza, W., & Regine de Carvalho, M. (2014). A importância da prática da psicologia baseada em evidências: aspectos conceituais, níveis de evidência, mitos e resistências. Revista Costarricense de Psicología, 33(2), 79-92.
Mesa, A. M. & Gómez, A. C. (2010). La mentalización como estrategia para promover la salud mental en bebés prematuros. Revista Latinoamericana de Ciencias Sociales, Niñez y Juventud, 8(2), 835-848.
Meschino, D. de C., Philipp, D., Israel, A., & Vigod, S. (2016). Maternal-infant mental health: postpartum group intervention. Archives of women's mental health, 19(2), 243-251. http://doi.org/10.1007/s00737-015-0551-y
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of internal medicine, 151(4), 264-269. http://doi.org/10.7326/0003-4819-151-4-200908180-00135
Ordway, M. R., McMahon, T. J., Kuhn, L. de L. H., & Suchman, N. E. (2018). Implementation of an evidenced‐based parenting program in a community mental health setting. Infant Mental Health Journal, 39(1), 92-105. http://doi.org/10.1002/imhj.21691
Ordway, M. R., Sadler, L. S., Dixon, J., Close, N., Mayes, L., & Slade, A. (2014). Lasting effects of an interdisciplinary home visiting program on child behavior: Preliminary follow-up results of a randomized trial. Journal of Pediatric Nursing, 29(1), 3-13. http://doi.org/10.1016/j.pedn.2013.04.006
Ordway, M. R., Webb, D., Sadler, L. S., & Slade, A. (2015). Parental reflective functioning: an approach to enhancing parent-child relationships in pediatric primary care. Journal of Pediatric Health Care, 29(4), 324-334. http://doi.org/10.1016/j.pedhc.2014.12.002
Pajulo, H., Pajulo, M., Jussila, H., & Ekholm, E. (2016). Substance‐abusing pregnant women: prenatal intervention using ultrasound consultation and mentalization to enhance the mother–child relationship and reduce substance use. Infant mental Health Journal, 37(4), 317-334. http://doi.org/10.1002/imhj.21574
Ramires, V. R. R. & Godinho, L. R. (2011). Psicoterapia baseada na mentalização de crianças que sofreram maus-tratos. Psicologia em Estudo, 16(1), 61-70. https://doi.org/10.1590/S1413-73722011000100008
Ramires, V. R. R. & Schneider, M. S. (2010). Revisitando alguns conceitos da teoria do apego: comportamento versus representação? Psicologia: Teoria E Pesquisa, 26, 25-33. https://doi.org/10.1590/S0102-37722010000100004
Ramsauer, B., Lotzin, A., Mühlhan, C., Romer, G., Nolte, T., Fonagy, P., & Powell, B. (2014). A randomized controlled trial comparing Circle of Security Intervention and treatment as usual as interventions to increase attachment security in infants of mentally ill mothers: Study Protocol. BMC Psychiatry, 14(1), 24. http://doi.org/10.1186/1471-244X-14-24
Rice, L. M., Wall, C. A., Fogel, A., & Shic, F. (2015). Computer-assisted face processing instruction improves emotion recognition, mentalizing, and social skills in students with ASD. Journal of Autism and Developmental Disorders, 45(7), 2176-2186. http://doi.org/10.1007/s10803-015-2380-2
Rosenblau, G., Kliemann, D., Heekeren, H. R., & Dziobek, I. (2015). Approximating implicit and explicit mentalizing with two naturalistic video-based tasks in typical development and autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(4), 953-965. http://doi.org/10.1007/s10803-014-2249-9
Sadler, L. S., Slade, A., Close, N., Webb, D. L., Simpson, T., Fennie, K., & Mayes, L. C. (2013). Minding the baby: Enhancing reflectiveness to improve early health and relationship outcomes in an interdisciplinary home‐visiting program. Infant Mental Health Journal, 34(5), 391-405. http://doi.org/10.1002/imhj.21406
Slade, A. (2005). Parental reflective functioning: an introduction. Attachment and Human Development, 7(3), 269-281. http://doi.org/10.1080/14616730500245906
Slade, A. (2007). Reflective parenting programs: theory and development. Psychoanalytic Inquiry, 26(4), 640-657. http://doi.org/10.1080/07351690701310698
Stacks, A. M., Barron, C. C., & Wong, K. (2019). Infant mental health home visiting in the context of an infant—toddler court team: Changes in parental responsiveness and reflective functioning. Infant Mental Health Journal, 40(4), 523-540. https://doi.org/10.1002/21785
Suchman, N. E., De Coste, C. L., McMahon, T. J., Dalton, R., Mayes, L. C., & Borelli, J. (2017). Mothering from the Inside Out: Results of a second randomized clinical trial testing a mentalization-based intervention for mothers in addiction treatment. Development and Psychopathology, 29(2), 617-636. http://doi.org/10.1017/S0954579417000220
Suchman, N. E., Ordway, M. R., de las Heras, L., & McMahon, T. J. (2016). Mothering from the Inside Out: results of a pilot study testing a mentalization-based therapy for mothers enrolled in mental health services. Attachment & Human Development, 18(6), 596-617. http://doi.org/10.1080/14616734.2016.1226371
Swenson, C. R. & Choi-Kain, M. D. (2015). Mentalization and Dialectical Behavior Therapy. American Journal of Psychotherapy, 69(2). 199-217. https://doi.org/10.1176/appi.psychotherapy.2015.69.2.199
Tomlin, A. M., Sturm, L., & Koch, S. M. (2009). Observe, listen, wonder, and respond: A preliminary exploration of reflective function skills in early care providers. Infant Mental Health Journal, 30(6), 634-647. http://doi.org10.1002/imhj.20233
Twemlow, S. W., Fonagy, P., Sacco, F. C., Vernberg, E., & Malcom, J. M. (2011). Reducing violence and prejudice in a Jamaican all age school using attachment and mentalization theory. Psychoanalytic Psychology, 28(4), 497. http://doi.org/10.1037/a0023610
Vik, K. & Hafting, M. (2009). The outside view as facilitator of self‐reflection and vitality: A phenomenological approach. Journal of Reproductive and Infant Psychology, 27(3), 287-298. http://doi.org/10.1080/02646830802409645
Volkert, J., Hauschild, S., & Taubner, S. (2019). Mentalization-Based treatment for personality disorders: efficacy, effectiveness, and new developments. Current Psychiatry Reports, 21(4), 21-25.http://doi.org/10.1007/s11920-019-1012-5
Ware, A., Wilson, C., Tapp, J., & Moore, E. (2016). Mentalisation-based therapy (MBT) in a high-secure hospital setting: expert by experience feedback on participation. The Journal of Forensic Psychiatry & Psychology, 27(5), 722-744. http://doi.org/10.1080/14789949.2016.1174725
Zevalkink, J. (2008). Assessment of mentalizing problems in children. In A.J.E. Verheugt-Pleiter, J., Zevalkink & M.G.C. Schmeets (Eds.), Mentalizing in children therapy (pp. 22-40). Karnac.
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