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Peter Fonagy

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https://www.readbyqxmd.com/read/28985628/a-mentalization-based-approach-to-common-factors-in-the-treatment-of-borderline-personality-disorder
#1
REVIEW
Anthony Bateman, Chloe Campbell, Patrick Luyten, Peter Fonagy
In this paper we conceptualize borderline personality disorder as a disorder of mentalizing, social cognition, and loss of resilience. Several treatment approaches are effective, and meta-analyses suggest that there are few substantive differences in effectiveness between them and between specialized and non-specialized approaches. We propose that these findings arise because of shared mechanisms of change, congruent with current thinking both about the existence of a general 'p' factor of psychopathology and a reconceptualization of personality disorders as involving a lack of resilience resulting from problems with epistemic trust and salutogenesis, the capacity to derive benefit from the social environment...
September 14, 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28968563/changes-in-interpersonal-problems-in-the-psychotherapeutic-treatment-of-depression-as-measured-by-the-inventory-of-interpersonal-problems-a-systematic-review-and-meta-analysis
#2
REVIEW
Tara McFarquhar, Patrick Luyten, Peter Fonagy
BACKGROUND: Interpersonal problems are commonly reported by depressed patients, but the effect of psychotherapeutic treatment on them remains unclear. This paper reviews the effectiveness of psychotherapeutic interventions for depression on interpersonal problems as measured by the Inventory of Interpersonal Problems (IIP). METHODS: An electronic database search identified articles reporting IIP outcome scores for individual adult psychotherapy for depression. A systematic review and, where possible, meta-analysis was conducted...
September 25, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28935341/conduct-problems-in-youth-and-the-rdoc-approach-a-developmental-evolutionary-based-view
#3
REVIEW
Peter Fonagy, Patrick Luyten
Problems related to aggression in young people are traditionally subsumed under the header of conduct problems, which include conduct disorder and oppositional defiant disorder. Such problems in children and adolescents are an important societal and mental health problem. In this paper we present an evolutionarily informed developmental psychopathology view of conduct problems inspired by the NIMH Research Domain Criteria (RDoC) initiative. We assume that while there are many pathways to conduct problems, chronic or temporary impairments in the domain of social cognition or mentalizing are a common denominator...
September 8, 2017: Clinical Psychology Review
https://www.readbyqxmd.com/read/28836679/commentary-a-refresh-for-evidence-based-psychological-therapies-reflections-on-marchette-and-weisz-2017
#4
Peter Fonagy, Elizabeth Allison
Is the introduction of evidence-based psychotherapy into mainstream child and adolescent mental health services (CAMHS) a breakthrough for a scientific approach to child mental health? Or are we still in the dark ages despite our best efforts to link evidence with practice (EBP)?
September 2017: Journal of Child Psychology and Psychiatry, and Allied Disciplines
https://www.readbyqxmd.com/read/28803782/emotion-regulation-in-adolescents-an-erp-study
#5
Alex Desatnik, Tarik Bel-Bahar, Tobias Nolte, Michael Crowley, Peter Fonagy, Pasco Fearon
AIMS: The use of emotion regulation strategies can reduce the intensity of negative emotional experiences. Event related potentials (ERPs), specifically the late positive potential (LPP), are known to be sensitive to this modulation in adults. This is the first study to explore the neural correlates of expressive suppression in adolescents. We sought to replicate previous findings from emotion regulation studies with adult populations, show that the LPP can be modulated by expressive suppression in healthy adolescents, and examine the influence of age on LPP changes...
August 10, 2017: Biological Psychology
https://www.readbyqxmd.com/read/28803093/parental-reflective-functioning-as-a-moderator-of-child-internalizing-difficulties-in-the-context-of-child-sexual-abuse
#6
Karin Ensink, Michaël Bégin, Lina Normandin, Peter Fonagy
The objective was to examine pathways from child sexual abuse (CSA) and maternal mentalizing to child internalizing and externalizing difficulties and to test a model of MRF as a moderator of the relationships between CSA and child difficulties. The sample was comprised of 154 mothers and children aged 2-12 where 64 children had experienced CSA. To assess parental mentalizing the Parental Development Interview was rated with the Parental Reflective Functioning Scale. Child internalizing and externalizing difficulties were assessed with the Child Behavior Checklist (CBCL)...
July 26, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28748608/four-years-comparative-follow-up-evaluation-of-community-based-step-down-and-residential-specialist-psychodynamic-programmes-for-personality-disorders
#7
Marco Chiesa, Antonella Cirasola, Peter Fonagy
Although the fulcrum of service provision for personality disorder (PD) has shifted from hospital-based to psychodynamically- and cognitively-oriented outpatient programmes, very few studies have attempted to compare specialist moderate intensity outpatient programmes with specialist high-intensity residential models, or to explore whether a period of inpatient treatment may be necessary to improve outcome and prognosis. In this article, we prospectively compare changes over a 4-year period in 3 groups of patients with personality disorders (N = 162) treated in a specialist community-based (CBP, N = 30), a step-down (RT-CBP, N = 87), and a specialist residential programme (RT, N = 45) in psychiatric distress, deliberate self-injury, and suicide attempt using multilevel modelling and multivariate logistic regression analyses...
July 26, 2017: Clinical Psychology & Psychotherapy
https://www.readbyqxmd.com/read/28745146/disorganized-attachment-in-infancy-a-review-of-the-phenomenon-and-its-implications-for-clinicians-and-policy-makers
#8
Pehr Granqvist, L Alan Sroufe, Mary Dozier, Erik Hesse, Miriam Steele, Marinus van Ijzendoorn, Judith Solomon, Carlo Schuengel, Pasco Fearon, Marian Bakermans-Kranenburg, Howard Steele, Jude Cassidy, Elizabeth Carlson, Sheri Madigan, Deborah Jacobvitz, Sarah Foster, Kazuko Behrens, Anne Rifkin-Graboi, Naomi Gribneau, Gottfried Spangler, Mary J Ward, Mary True, Susan Spieker, Sophie Reijman, Samantha Reisz, Anne Tharner, Frances Nkara, Ruth Goldwyn, June Sroufe, David Pederson, Deanne Pederson, Robert Weigand, Daniel Siegel, Nino Dazzi, Kristin Bernard, Peter Fonagy, Everett Waters, Sheree Toth, Dante Cicchetti, Charles H Zeanah, Karlen Lyons-Ruth, Mary Main, Robbie Duschinsky
Disorganized/Disoriented (D) attachment has seen widespread interest from policy makers, practitioners, and clinicians in recent years. However, some of this interest seems to have been based on some false assumptions that (1) attachment measures can be used as definitive assessments of the individual in forensic/child protection settings and that disorganized attachment (2) reliably indicates child maltreatment, (3) is a strong predictor of pathology, and (4) represents a fixed or static "trait" of the child, impervious to development or help...
December 2017: Attachment & Human Development
https://www.readbyqxmd.com/read/28738737/20-20-hindsight-a-25-year-programme-at-the-anna-freud-centre-of-efficacy-and-effectiveness-research-on-child-psychoanalytic-psychotherapy
#9
Mary Target
OBJECTIVE: This paper describes the evolution of methods of enquiry-through 25 years of work, with Professor Peter Fonagy and many other colleagues-of research and theorizing about child and adolescent therapy outcomes. METHOD: The work has focused on measuring psychoanalytic outcomes, but with an increasing interest in discovering therapeutic elements across treatment modalities. RESULTS: Headline findings are described, with lessons from the ups and downs of developing (a) retrospective, follow-up, and prospective outcome studies, and (b) measures of child and family functioning...
July 24, 2017: Psychotherapy Research: Journal of the Society for Psychotherapy Research
https://www.readbyqxmd.com/read/28712371/visual-systemizing-preference-in-children-with-autism-a-randomized-controlled-trial-of-intranasal-oxytocin
#10
Lane Strathearn, Sohye Kim, D Anthony Bastian, Jennifer Jung, Udita Iyengar, Sheila Martinez, Robin P Goin-Kochel, Peter Fonagy
Several studies have suggested that the neuropeptide oxytocin may enhance aspects of social communication in autism. Little is known, however, about its effects on nonsocial manifestations, such as restricted interests and repetitive behaviors. In the empathizing-systemizing theory of autism, social deficits are described along the continuum of empathizing ability, whereas nonsocial aspects are characterized in terms of an increased preference for patterned or rule-based systems, called systemizing. We therefore developed an automated eye-tracking task to test whether children and adolescents with autism spectrum disorder (ASD) compared to matched controls display a visual preference for more highly organized and structured (systemized) real-life images...
July 17, 2017: Development and Psychopathology
https://www.readbyqxmd.com/read/28708357/-mentalizing-in-liaison-psychiatry
#11
Paco Prada, Pierre Cole, Guido Bondolfi, Nader Perroud, Martin Debbané
In the past few years, there has been an increased and widespread interest for Mentalization-Based Therapies (MBTs). Although originally developed by Anthony Bateman and Peter Fonagy for the treatment of Borderline Personality Disorder (BPD), the scope of MBTs has now been broadened and is relevant in liaison psychiatry, not only to cope with personality disorders or phenomena such as emotional dysregulation and suicidal behaviours, but also because being ill and expericencieng a dependency-laden relationship with health workers tend to reduce mentalization capacities, thereby increasing the probability of misunderstandings, conflicts, treatment drop-outs or medical errors...
February 8, 2017: Revue Médicale Suisse
https://www.readbyqxmd.com/read/28678984/association-of-neural-and-emotional-impacts-of-reward-prediction-errors-with-major-depression
#12
Robb B Rutledge, Michael Moutoussis, Peter Smittenaar, Peter Zeidman, Tanja Taylor, Louise Hrynkiewicz, Jordan Lam, Nikolina Skandali, Jenifer Z Siegel, Olga T Ousdal, Gita Prabhu, Peter Dayan, Peter Fonagy, Raymond J Dolan
Importance: Major depressive disorder (MDD) is associated with deficits in representing reward prediction errors (RPEs), which are the difference between experienced and predicted reward. Reward prediction errors underlie learning of values in reinforcement learning models, are represented by phasic dopamine release, and are known to affect momentary mood. Objective: To combine functional neuroimaging, computational modeling, and smartphone-based large-scale data collection to test, in the absence of learning-related concerns, the hypothesis that depression attenuates the impact of RPEs...
August 1, 2017: JAMA Psychiatry
https://www.readbyqxmd.com/read/28675858/mentalization-in-adults-with-attention-deficit-hyperactivity-disorder-comparison-with-controls-and-patients-with-borderline-personality-disorder
#13
Nader Perroud, Deborah Badoud, Sébastien Weibel, Rosetta Nicastro, Roland Hasler, Anne-Lise Küng, Patrick Luyten, Peter Fonagy, Alexandre Dayer, Jean-Michel Aubry, Paco Prada, Martin Debbané
Emotion dysregulation and interpersonal hardships constitute core features of borderline personality disorder (BPD). Research has established the link between these core dysregulations and fluctuations in the capacity to appreciate the mental states that underlie behavior (mentalizing, operationalized as reflective functioning (RF)). As emotion dysregulation and interpersonal hardships also characterize adults with attention deficit hyperactivity disorder (ADHD), this study sought to examine the potential RF impairments affecting this population...
June 30, 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28480806/mechanisms-of-change-in-dialectical-behaviour-therapy-and-cognitive-behaviour-therapy-for-borderline-personality-disorder-a-critical-review-of-the-literature
#14
Susie Rudge, Janet Denise Feigenbaum, Peter Fonagy
BACKGROUND: Little is known about the "active ingredients" of psychological therapy for Borderline Personality Disorder (BPD) despite a growing evidence base documenting its clinical effectiveness. This information can be used by clinicians to inform service planning and care pathways. AIMS: The aim of this study was to review published empirical research investigating the potential mechanisms underlying therapeutic change in Dialectical Behaviour Therapy (DBT) and Cognitive Behaviour Therapy (CBT) for BPD...
May 8, 2017: Journal of Mental Health
https://www.readbyqxmd.com/read/28472162/the-parental-reflective-functioning-questionnaire-development-and-preliminary-validation
#15
Patrick Luyten, Linda C Mayes, Liesbet Nijssens, Peter Fonagy
This paper reports on three studies on the development and validation of the Parental Reflective Functioning Questionnaire (PRFQ), a brief, multidimensional self-report measure that assesses parental reflective functioning or mentalizing, that is, the capacity to treat the infant as a psychological agent. Study 1 investigated the factor structure, reliability, and relationships of the PRFQ with demographic features, symptomatic distress, attachment dimensions, and emotional availability in a socially diverse sample of 299 mothers of a child aged 0-3...
2017: PloS One
https://www.readbyqxmd.com/read/28447814/undetected-scars-self-criticism-attachment-and-romantic-relationships-among-otherwise-well-functioning-childhood-sexual-abuse-survivors
#16
Dana Lassri, Patrick Luyten, Peter Fonagy, Golan Shahar
BACKGROUND: Studies have consistently demonstrated the negative impact of childhood sexual abuse (CSA) on intimate relationships. The majority of studies have focused on revictimization in at-risk or clinical samples, with very few addressing the impact of CSA on otherwise well-functioning adults and even fewer investigating the psychological mechanisms involved. To fill this gap, this study focuses on the effect of CSA on "normative" (nonviolent) romantic relationships in otherwise well-functioning young women, and the mediating role of personality dimension self-criticism and attachment in this regard...
April 27, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28413687/what-we-have-changed-our-minds-about-part-1-borderline-personality-disorder-as-a-limitation-of-resilience
#17
REVIEW
Peter Fonagy, Patrick Luyten, Elizabeth Allison, Chloe Campbell
This paper sets out a recent transition in our thinking in relation to psychopathology associated with personality disorder, in an approach that integrates our thinking about attachment, mentalizing (understanding ourselves and others in terms of intentional mental states) and epistemic trust (openness to the reception of social communication that is personally relevant and of generalizable significance) with recent findings on the structure of both adult and child psychopathology and resilience. In this paper - the first of two parts - we review evidence suggesting that a general psychopathology or p factor underlies vulnerability for psychopathology...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28405338/what-we-have-changed-our-minds-about-part-2-borderline-personality-disorder-epistemic-trust-and-the-developmental-significance-of-social-communication
#18
REVIEW
Peter Fonagy, Patrick Luyten, Elizabeth Allison, Chloe Campbell
In Part 1 of this paper, we discussed emerging evidence suggesting that a general psychopathology or 'p' factor underlying the various forms of psychopathology should be conceptualized in terms of the absence of resilience, that is, the absence of positive reappraisal mechanisms when faced with adversity. These impairments in the capacity for positive reappraisal seem to provide a comprehensive explanation for the association between the p factor and comorbidity, future caseness, and the 'hard-to-reach' character of many patients with severe personality pathology, most notably borderline personality disorder (BPD)...
2017: Borderline Personality Disorder and Emotion Dysregulation
https://www.readbyqxmd.com/read/28403164/characterising-the-latent-structure-and-organisation-of-self-reported-thoughts-feelings-and-behaviours-in-adolescents-and-young-adults
#19
Michelle C St Clair, Sharon Neufeld, Peter B Jones, Peter Fonagy, Edward T Bullmore, Raymond J Dolan, Michael Moutoussis, Umar Toseeb, Ian M Goodyer
Little is known about the underlying relationships between self-reported mental health items measuring both positive and negative emotional and behavioural symptoms at the population level in young people. Improved measurement of the full range of mental well-being and mental illness may aid in understanding the aetiological substrates underlying the development of both mental wellness as well as specific psychiatric diagnoses. A general population sample aged 14 to 24 years completed self-report questionnaires on anxiety, depression, psychotic-like symptoms, obsessionality and well-being...
2017: PloS One
https://www.readbyqxmd.com/read/28394249/cognitive-behavioural-therapy-and-short-term-psychoanalytic-psychotherapy-versus-brief-psychosocial-intervention-in-adolescents-with-unipolar-major-depression-impact-a-multicentre-pragmatic-observer-blind-randomised-controlled-trial
#20
Ian M Goodyer, Shirley Reynolds, Barbara Barrett, Sarah Byford, Bernadka Dubicka, Jonathan Hill, Fiona Holland, Raphael Kelvin, Nick Midgley, Chris Roberts, Rob Senior, Mary Target, Barry Widmer, Paul Wilkinson, Peter Fonagy
BACKGROUND: Although there are effective psychological treatments for unipolar major depression in adolescents, whether or not one or more of the available therapies maintain reduced depressive symptoms 1 year after the end of treatment is not known. This is a non-trivial issue because maintaining lowered depressive symptoms below a clinical threshold level reduces the risk for diagnostic relapse into the adult years. OBJECTIVE: To determine whether or not either of two specialist psychological treatments, cognitive-behavioural therapy (CBT) or short-term psychoanalytic psychotherapy (STPP), is more effective than a reference brief psychosocial intervention (BPI) in maintaining reduction of depression symptoms in the year after treatment...
March 2017: Health Technology Assessment: HTA
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