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본 연구는 자기보고식 심리화 척도를 개발하고 타당화 하고자 하였다. 이를 위해 수도권 소재 대학, 직장에 있거나 같은 지역에 거주하는 만 18세 이상 대학생, 성인 남녀를 대상으로 설문을 실시하여 심리화 척도를 개발하고, 관련 변인들을 통해 타당도를 검증하였다. 문헌 연구와 예비 연구를 바탕으로 만든 예비 문항들로 탐색적 요인분석을 실시한 결과 총 25개의 문항이 개발되었으며, 4개의 하위요인이 나타났다. 자기보고식 심리화 척도의 타당화를 위해 확인적 요인분석을 실시한 결과 요인 구조와 모형 적합도 모두 적합한 것으로 나타났으며, 각 요인은 자기 및 타인에 대한 성찰, 타인의 마음에 대한 절대적 확신, 정서 자각 실패, 경직된 사고 요인으로 명명됐다. 또한 수렴, 공존 타당도 분석을 위하여 애착, 정신 병리, 경계선 성격특성, 부정 정서 등 관련 변인들과의 상관관계 및 집단 간 차이 분석, 군집 분석, 회귀 분석 등을 실시하고 척도의 타당성을 입증하였다. 끝으로 본 연구의 의의와 한계, 후속 연구 방향을 기술하였다.
The purpose of this study was to develop and validate the Self-rating Scale of Mentalization(SRMQ). The surveys were administerd either online or on paper with 1079 individuals over the age of 18 living in the Seoul and Gyeonggi-do areas. A pool of 25 items was developed and factor analysis supported the extraction of four related factors: reflection of the self and other, deficit of affection awareness, absolute certainty about other’s mind, concrete thinking. The model fit was examined using confirmatory factor analysis. Analysis of correlation, group differences, regression and cluster analysis were performed for validation. The following additional instruments were used: Self-Rated Mentalization Questionnaire(SRMQ), Encounter in Close Relationship Scale-Revised(ECR-R), Personality Assessment Inventory Borderline Features Subscale(PAI-BOR), Symptom Check list(SCL-47), Positive Affect and Negative Affect Scale(PANAS), Mentalization Questionnaire(MZQ). The results provided adequate validation of the SRMQ. Implications, limitations and directions for the future research are discussed.
김광일, 김재환, 원호택 (1984). 간이정신진단검사(SCL-90)의 한국판 표준화 연구 Ⅲ. 정신건강연구, 2, 278-311.
김성현 (2004). 친밀관계 경험검사 개정과 타당화연구(확증적 요인분석과 문장 반응을 중심으로). 한국심리학회지: 상담 및 심리치료, 20(1), 105-119.
김연숙 (1991). 일도시 청소년이 지각한 사회적지지와 정신건강과의 관계. 연세대학교 대학원 석사학위논문.
박혜원, 손정락 (2012). 성인초기의 경계선 성격성향자의 기질, 지각된 어머니의 양육행동 및 애착. 한국심리학회지: 발달, 25 (3), 1-16.
안상미 (2013). 남녀대학생의 명시적 및 암묵적 수준에서의 부모 애착과 주관적 안녕감의 관계. 이화여자대학교 대학원 석사학위논문.
이수림, 이문희 (2014). 상담 및 심리치료 성과의 핵심적 요인 : 정신화의 이해와 적용. 가톨릭대학교 인간학 연구소 인간연구, 27, 95-139.
이순묵 (2000). 요인분석의 기초. 서울: 교육과학사.
이주혜, 조영아 (2014). 성인애착과 대인관계능력 관계에서 공감의 매개효과. 상담학 연구, 15(2), 579-594.
이현희, 김은정, 이민규 (2003). 한국판 정적 정서 및 부적 정서 척도(Positive Affect and Negative Affect Schedule; PANAS)의 타당화 연구. 한국심리학회지: 임상, 22(4), 935- 946.
이형득 (1998). 자기성장 집단상담의 단계별 발달과정. 한국집단상담학회지, 1, 35-61.
이혜숙 (1992). 청소년의 자아분화와 정신건강과의 관계. 연세대학교 대학원 석사학위논문.
이훈구 (1986). 내외통제성: 한국 초·중·고 학생의 내외통제 경향성, 충북대학교 학생생활연구, 5, 41-60.
최윤지, 박인전 (2018). 어머니의 공동체의식과 역경지수의 관계에서 대인관계능력의 매개효과. 육아지원연구, 13(4), 51-79.
최정훈, 이훈구, 한종철 (1988). 고교생과 대학생의 심리적 적응수준 향상을 위한 기초연구. 연세대학교 심리학과 공동논문.
홍상황, 김영환 (1998). 경계선 성격장애 척도의 타당화 연구. 한국심리학회지: 임상, 17(1), 259-271.
홍세희 (2006). 요인분석과 구조 방정식 모형의 이해와 적용. 광운대학교 학생상담실 동계 워크샵 교재.
Allen, J. G., & Fonagy, P. (2002). The development of mentalizing and its role in psychopathology and psychotherapy(Technical Report NO. 02-0048). Topeka, KS: Menninger Clinic, Research Department.
Allen, J. G., Fonagy, P., & Bateman, A. (2008). The role of mentalization in treating attachment trauma, in the impact of early life trauma on health and disease : The hidden epidemic. Cambridge, UK, Cambridge University Press.
Baron-Cohen, S. (1995). Learning, development, and conceptual change. Mindblindness: An essay on autism and theory of mind, Cambridge, MA: The MIT Press.
Bateman, A. W., & Fonagy, P. (2003). The development of an attachment-based treatment program for borderline personality disorder. Bulletin of the Menninger Clinic, 67, 187-211.
Bateman, A. W., & Fonagy, P. (2004). Mentalization-based treatment of BPD. Journal of Personality Disorders, 18, 36-51.
Bateman, A., & Fonagy, P. (2012a). 정신화 중심의 경계성 인격장애의 치료 [Mentalization- based treatment for borderline personality disorder: A practical guide]. (노경선 역). 서울: 눈. (원전은 2006에 출판)
Bateman, A. W., & Fonagy, P. (2012b) Handbook of mentalizing in mental health practice. Washington DC: American Psychiatric Association.
Bateman, A. W., & Fonagy, P. (2012c). Antisocial personality disorder. In A. Bateman & P. Fonagy (Eds.) Handbook of mentalizing in mental health practice (pp. 289-308). Washington DC: American Psychiatric Association.
Bateman, A. W., & Fonagy, P. (2012d). Borderline personality disorder. In A. Bateman & P. Fonagy (Eds.) Handbook of mentalizing in mental health practice (pp. 273-288). Washington DC: American Psychiatric Association.
Bateman, A. W., & Fonagy, P. (2016). Mentalization-based treatmen for personality disorders: A practical guide. Oxford, UK: Oxford University Press.
Bartsch, K., & Wellman, H. M. (1995). Children talk about the mind. Oxford, UK: Oxford University Press.
Brennan, K. A., Clark, C. L., & Shaver, P. R. (1998) Self-report measurement of adult romantic attachment: An intergrative overview. In J. A. Simpson & W. S. Rhodes (Eds.), Attachment Theory and Close Relationships (pp. 46-76). New York: Guilford Press.
Brown, T. A. (2003). Confirmatory factor analysis of the Penn State Worry Questionnaire: Multiple factors or method effects?. Behaviour Research and Therapy, 41(12), 1411-1426.
Bouchard, M., Target, M., Lecours, S., Fonagy, P., Tremblay, L. M., Schachter, A., & Stein, H. (2008). Mentalization in adult attachment narratives: Reflective functioning, mental states, and affect elaboration compared, Psychoanalytic psychology, 25(1), 47-66.
Byrne, B. M., Shavelson, R. J., & Muthén, B. (1989). Testing for the equivalence of factor covariance and mean structures: The issue of partial measurement invariance. Psychological Bulletin, 105(3), 456-466.
Cicchetti, D., Rogosch, F. A., Maughan, A., Toth, S. L., & Bruce, J. (2003). False belief understanding in maltreated children. Development and Psychopathology, 15(04), 1067-1091.
Clarkin, J. F., Hull, J. W., Cantor, J., & Sanderson, C. (1993). Borderline personality disorder and personality traits: A comparison of SCID-II BPD and NEO-PI. Psychological Assessment, 5(4), 472-476
Derogatis, L. R., Rickels, K., & Rock, A. F. (1976). The SCL-90 and the MMPI : A Stop in the validation of a new Self-Report Scale. Brit, J. Psychiat, 128, 280-289.
Fonagy, P., & Higgitt, A. (1989). Evaluating the performance of departments of psychotherapy. Psychoanalytic Psychotherapy, 4(2), 121-153
Fonagy, P. (1991). Thinking about think: Some clinical and theoretical considerations in the treatment of a borderline patient, International Journal of Psychoanalysis, 72, 639-656.
Fonagy, P., Steele, M., Moran, G., Steele, H., & Higgitt, A. (1993). Measuring the ghost in the nursery: An empirical study of the relation between parents’ mental representations of childhood experiences and their infants’ security of attachment. Journal of the American Psychoanalytic Association, 41(4), 957-989.
Fonagy, P., Steele, M., Steele, H., Higgitt, A., & Target, M. (1994). Theory and practice of resilience. Journal of Child psychology and Psychiatry, 35(2), 231-257.
Fonagy, P., Target, M., Steele, H., & Steele, M. (1998). Reflective-functioning manual, version 5.0, for application to adult attachment interviews. London: University College London.
Fonagy, P.,., & Target, M.. (2000). Playing with reality: III. The persistence of dual psychic reality in borderline patients. Internat. J. Psychoanal., 81, 853-874.
Fonagy, P., Gergely, G., Jurist, E. L., & Target, M. (2002). Affect regulation, mentalization, and the development of the self. New York: Other Press.
Fonagy, P., & Bateman, A. (2006) Mechanisms of change in mentalisation based therapy with BPD. Journal of Clinical Psychology, 62(4), 411-430.
Fonagy, P., Gergely, G., & Target, M. (2007). The parent–infant dyad and the construction of the subjective self. Journal of Child Psychology and Psychiatry, 48(3-4), 288-328.
Fonagy, P. (2008). The mentalization-focused approach to social development, In Busch, F. N. (Ed.). Mentalization: Theoretical considerations, research findings, and clinical implications (pp. 3-56). New York: Taylor & Francis.
Fonagy, P., & Luyten, P. (2009). A developmental, mentalization-basesd approach to the understanding and treatment of boderline personality disorder. Development and Psychopathology, 21, 1355-1381.
Fonagy, P., Luyten, P., Bateman, A. Gergely, G., Strathearn, M. B. B. S., Target, M., & Allison, E. (2010). Attachment and Personality Pathology. In Clarkin, J. F., Fonagy, P., Gabbard., G. O (Eds). Psychodynamic psychotherapy for personality disorders: A clinical handbook. (pp. 37-87). Arlington: American Psychiatric Publishing, Inc.
Fonagy, P. (2015). Mutual regulation, mentalization, and therapeutic action: A reflection on the contributions of Ed Tronick to developmental and psychotherapeutic thinking. Psychoanalytic Inquiry, 35, 355-369.
George, C., Kaplan, N., & Main, M. (1985). Adult attachment interview (AAI). Unpublished manuscript, university of California at Berkeley.
Gerbing, D. W., & Anderson, J. C. (1984). On the meaning of within-factor correlated measurement errors. Journal of Consumer Research, 572-580.
Hausberg, Maria Christina., Holger Schulz, Theo Piegler, Claas Gerhard Happach, Michael Klöpper, Anna Levke Brütt, Isa Sammet, & Sylke Andreas. (2012). Is a self-rated instrument appropriate to assess mentalization in patients with mental disorders? Development and first validation of the Mentalization Questionnaire (MZQ), Psychotherapy Research, 22(6), 699-709.
Hazan, C., & Shaver, P. (1987). Romantic love conceptualized as an attachment process. Journal of Personality and Social Psychology, 52(3), 511-24.
Hendrickson A. E., & White, P. O. (1964). Promax: A quick method for rotation to oblique simple structure, British Journal of Statistical Psychology, 17(1), 65–70.
Horowitz, I. M. (1996). The study of interpersonal problems: A leary Legacy. Journal of Personality Assesment, 66, 283-300.
Hudson, J. I., & Arnold, L. M., & Keck P. E. Jr. (2004). Family study of fibromyalgia and affective spectrum disorder. Biol Psychiatry, 56, 884-891.
Kullgreen, G. (1988). Factors associated with completed suicide in borderline personality disorder. Journal of Nervous and Mental Disease, 176, 40-44.
Lacey J. H. (1993). Self-damaging and addictive behaviour in bulimia nervosa. A catchment area study. Britain Journal of Psychiatry, 163, 190-194.
Luyten, P., Van Houdenhove, B., Lemma, A., Target, M., & Fonagy, P. (2012). A mentalization-based approach to the understanding and treatment of functional somatic disorders. Psychoanalytic Psychotherapy, 26(2), 121-140.
McGauley, G., Ferris, S., Marin-Avellan, L., Fonagy, P. (2013). The Index Offence Representation Scales; A predictive clinical tool in the management of dangerous, violent patients with personality disorder? Criminal Behaviour and Mental Health, 23, 274-289.
Meins, E., Fernyhough, C., Fradley, E., & Tuckey, M. (2001). Rethinking maternal sensitivity: Mothers’ comments on infants’ mental processes predict security of attachment at 12 months. Journal of Child Psychology and Psychiatry, 42(5), 637-648.
Miller, H. (2013). A mentalization-based prevention programme for eating disorders. Unpublished doctoral thesis, Alliant International University, San Diego.
Morken, K., Karterud, S,., & Arefjord, N. (2014). Transforming Disorganized Attachment Through Mentalization-Based Treatment. Journal of Contemporary Psychotherapy, 44(2), 117-126.
Morey, L. C. (1991). Personality Assessment Inventory: Professional manual. Odessa, FL: Routledge.
Oppenheimm, D., & Koren-Karie, N. (2002). Mother’s insightfulness regarding their children’s internal worlds: The capacity underlying secure child-mother relationships. Infant-Mental-Health-Journal, 23, 593-605.
Pears, K. C., & Fisher, P. A. (2005). Emotion understanding and theory of mind among maltreated children in foster care: Evidence of deficits. Development and Psychopathology, 17(01), 47-65.
Perner, J. (1991). Understanding the represational mind. Cambridge, MA: MIT Press.
Polite D. F., & Beck C. T. (2006). The content validity index: Are you sure you know what’s being reported? Critique and recommendations. Research in Nursing & Health, 29, 489-497.
Philips, B., Kabn, U., & Bateman, A. W. (2012). Drug Addiction. In Handbook of mentalizing in mental health practice (pp. 445-462), A. Bateman & P. Fonagy (eds.), Washington DC: American Psychiatric Association.
Rossouw, TI., & Fonagy, P. (2012). Mentalization- Based Treatment for Self-Harm in Adolescents: A Randomized Controlled Trial. Journal of the American Academy of Child & Adolescent Psychiatry, 51(12), 1304-1313.
Sanislow, C. A., Grilo, C. M., & McGlashan, T. H. (2000). Factor analysis of the DSM-III-R borderline personality disorder criteria in psychiatric inpatients. American Journal of Psychiatry, 157, 1629-1633.
Slade, A., Grienenberger, J., Bernbach, E., Levy, D., & Locker, A. (2005). Maternal reflective functioning, attachment and the transmission gap: A preliminary study. Attachment and Human Development, 7(3), 283-298.
Steele, H., & Steele, M. (2008). On the origins of reflective functioning. In Busch, F. N. (Ed.). Mentalization: Theoretical considerations, research findings, and clinical implications (pp. 3-56). New York: Taylor & Francis.
Taubner, S., White, L. O., Zimmermann, J., Fonagy, P., & Nolte, T. (2013). Attachment-Related Mentalization Moderates the Relationship Between Psychopathic Traits and Proactive Aggression in Adolescence. Journal of Abnormal Child Psychology, 41(6), 929-938.
Van Houdenhove, B., & Luyen, P. (2008). Customizing treatment of chronic fatigue syndroe and fibromyalgia: The role of perpetuating factors. Psychosomatics, 49, 470-477.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063.
Wallin, D. J. (2010). 애착과 심리치료 [Attachment in psychotherapy]. (김진숙, 이지연, 윤숙경 역). 서울: 학지사. (원전은 2007에 출판)
Weijers, J., Ten Kate, C., Eurelings-Bontekoe, E., Viechtbauer, W., Rampaart, R., & Bateman, A. (2016). Mentalization-based treatment for psychotic disorder: Protocol of a randomized controlled trial. BMC Psychiatry, 16(1), 191.
Yen, S., Shea, M. T., & Battle C. L. (2002). Traumatic exposure and posttraumatic stress disorder in borderline, schizotypal, avoidant, and obsessive-compulsive personality disorders: Findings from the collaborative longitudinal personality disorders study. Journal of Nervous and Mental Disease, 190, 510-518.
Zimmermann, J., Taubner, S., HÖrz, S., Fischer-Kern, M., & Doering, S. (2013). Internal structure of the reflective functioning scale. Psychological Assessment, 25(1), 127-135.
