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발달 단계상 많은 취약성이 노출되어 있는 청소년 집단에서 정신화의 중요성이 점차로 증가되고 있다. 본 연구에서는 최초의 자기 보고식정신화 척도인 Hausberg 등(2012)이 개발한 자기보고식 정신화 척도를 한국 청소년 대상으로 타당화하고자 하였다. 전체 312명의 자료가수집되었고 수집된 자료를 무선으로 두 집단으로 나누어 첫번째 집단 162명은 EFA에, 두번째 집단 150명은 CFA, 신뢰도와 준거타당도 검증에 사용되었다. 분석 결과, 원 척도와 유사하게 4개 요인 모델이 추출되었으나 요인구조는 일부 다르게 나타났다. CFA 결과 수용가능한수준의 적합도를 나타냈다. 전체 문항의 내적 일치도 및 하위 요인의 내적 일치도는 Hausberg 등(2012)에 비해 다소 높거나 유사한 수준이었다. 준거 타당도 검증에서 공감척도와 RMET는 유의미한 관련성을 나타내지 않았으며 집행기능 하위 요인 중 정서통제 어려움과 모든하위 요인들이 유의미한 관련성을 나타냈다. 결론적으로 원 척도와 본 연구에서 제시한 요인 구조의 차이는 정신화의 근본적 개념적 모호성과 정서 처리에 대한 문화적 차이로 잠정적으로 귀인될 수 있다. 본 연구는 표본의 대표성이 부족하고 준거 타당도 검증에 포함된 변인들이 충분하지 않았다는 제한점을 가지고 있다. 그러나 한국에서 처음으로 시도된 정신화 척도 타당화 연구로서 한국 청소년의 정신화 평가와 심리치료적 개입의 시발점을 제공한 점에서 의의가 있다고 하겠다.
It is very important to evaluate mentalization in the adolescents who have various vulnerabilities. This study validated Hausberg et al.’s Mentalization Questionnaire (2012) in Korean adolescents. A total of 312 high school students were randomly assigned to one of two groups for the exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The first group (N=162) was used for the EFA and the second group (N=150) was used for the CFA and validation procedures. Four factors were extracted through the EFA, and the 4-factors model showed acceptable model fit indexes. The final 4 factor model was partially different from the original model. Internal consistency coefficients of the 4 subfactors showed better or similar levels as compared to those reported by Hausberg et al. (2012). The criterion validities were verified using the Empathy Questionnaire, Reading the Mind in the Eyes Test (RMET), and Executive Function Questionnaire. Emotional control difficulty was significantly related with all mentalization factors, while empathy and RMET did not show any significant relationships with mentalization factors. In conclusion, the difference between this study model and the original model might be partially attributed to the conceptual vagueness of mentalization and the cultural differences in emotional processing. The limitations of the present study included the lack of a representative sample and insufficiency of variables in the criterion validation. Therefore, these results should be verified through further research. However, this study has value in that it is the first validation study on mentalization in the Korean population. It acts as a starting point in the assessment of Korean adolescents and the design of appropriate psychological interventions.
Baron‐Cohen, S., Wheelwright, S., Hill, J., Raste, Y., & Plumb, I. (1997). The “Reading the Mind in the Eyes” test revised version:A study with normal adults, and adults with Asperger syndrome or high‐functioning autism. Journal of Child Psychology and Psychiatry, 42, 241-251.
Baron-Cohen, S., Wheelwright, S., Spong, A., Scahill, V., & Lawson, J. (2001). Are intuitive physics and intuitive psychology independent? A test with children with Asperger Syndrome. Journal of Developmental and Learning Disorders, 5, 47-78.
Bateman, A., & Fonagy, P. (2003). The development of an attachment based treatment program for borderline personality disorder. Bulletin of the Menniger Clinic, 76, 187-211.
Beaulieu-Pelletier, G., Bouchard, M. A., & Philippe, F. L. (2013). Mental States Task (MST): Development, validation, and correlates of a self-report measure of mentalization. Journal of Clinical Psychology, 69, 671-695.
Cha, H. M., & Kim, E. Y. (2016). Revisiting attachment theory and psychoanalysis: Clinical implication of empirical findings and measurement of mentalization. Korean Psychological Association:General, 35, 167-190.
Choi, H. A. (2014). The effects of traumatic experience and mentalization ability on the conduct disorder in the adolescents. (Unpublished master’s thesis). Seoul Women's University, Seoul, Korea.
Choi, J. H. (2016). Narcissistic tendency and mentalization. (Unpublished master's thesis). Seoul Women's University, Seoul, Korea.
Derryberry, D., & Rothbart, M. (1997). Reactive and effortful processes in the organization of temperament. Development and Psychopathology, 9, 633-652.
Fonagy, P. (2003). Psychoanalysis today. World Psychiatry, 2, 73-80.
Fonagy, P., & Bateman, A. (2004). Psychotherapy for Borderline personality disorder: Mentalization based treatment. Oxford: Oxford University Press.
Fonagy, P., & Bateman, A. (2006). Mechanisms of change in mentalization-based treatment of BPD. Journal of Clinical Psychology, 62, 411-430.
Fonagy, P., Luyten, P., Moulton-Perkins, A., Lee, Y. W., Warren, F., Howard, S., . . . Lowyck, B. (2016). Development and validation of a self-report measure of mentalizing: The reflective functioning questionnaire. PLoS ONE,11, doi:10.1371/journal.pone. 0158678
Fonagy, P., Steele, H., & Steele, M. (1991). Maternal representations of attachment during pregnancy predict the organization of infant-mother attachment at one year of age. Child Development, 62, 891-905.
Fonagy, P., & Target, M. (2002). Early intervention and the development of self–regulation. Psychoanalytic Inquiry, 22, 307-335.
Fonagy, P., & Target, M. (2003). Psychoanalytic Theories: Perspectives from Developmental Psychopathology. London: Whurr.
Fuggle, P., Bevington, D., Cracknell, L., Hanley, J., Hare, S., Lincoln, J., … Zlotowitz, S.(2015). The Adolescent Mentalization-based Integrative Treatment (AMBIT) approach to outcome evaluation and manualization: Adopting a learning organization approach. Clinical Child Psychology and Psychiatry, 20, 419-435.
George, C., Kaplan, N., & Main, M. (1985). Adult attachment interview. Unpublished manuscript, University of California, Berkeley.
George, D., & Mallery, P. (2010). SPSS for Windows Step by Step: A Simple Guide and Reference 17.0 Update (10th ed). Boston, MA:Pearson.
Hausberg, M. C., Schulz, H., Piegler, T., Happach, C. G., Klöpper, M., Brütt, A. L. … Andreas S. (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, 699-709.
Hwang, J. S., & Song, H. (2015). Peers harassment, mentalization and mind reading ability. Psychotherapy: Multidisciplinary Approach, 15, 107-128.
Kemps, S. J., & Kooiman, C. G. (2015). Measuring mentalization:An attempt using the Reflective Functioning Rating Scale. Tijdschr Psychiatr, 57, 645-655.
Luyten, P., & Fonagy, P. (2017). The reflective functioning questionnaire. Retrieved from http://www.ucl.ac.uk/psychoanalysis/research/rfq/#4
Moon, S. J., Oh, S. Y., Lee, W. H., Hong, M. H., Min, J. W., Kim, B. S., … Ban, G. H. (2012). The efficacy of the mentalization improvement program for adolescent for enhancement of mental health in school children. Child and Adolescent Psychiatry, 23, 109-116.
Perkins, A. (2010, March). A new self-report measure of mentalization:The Reflective Function Questionnaire. Presented at the UK Conference of the Society for Psychotherapy Research, Ravenscar, UK.
Rossouw, T. I., & 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, 1304-1313.
Schnell, K., Bluschke, S., Konradt, B., & Walter, H. (2011). Functional relations of empathy and mentalizing: An fMRI study on the neural basis of cognitive empathy. Neuroimage, 15,1743-1754.
Smaling, H. J. A., Huijbregts, S. C. J., van der Heijden, K. B., van Goozen, S. H. M., & Swaab, H. (2016). Maternal reflective functioning as a multidimensional construct: Differential associations with children’s temperament and externalizing behavior. Infant Behavior and Development, 44, 263-274.
Snook, S. C., & Gorsuch, R. L. (1989). Component analysis versus common factor analysis: A Monte Carlo Study. Psychological Bulletin, 106, 148-154.
Solomon, J., & George, C. (1996), Defining the caregiving system:Toward a theory of caregiving. Infant Mental Health Journal, 17, 183-197.
Song, H. (2014). Validity of child-adolescent self-reported executive function difficulty screening questionnaire. Korean Journal of Clinical Psychology, 33, 121-137.
Song, H., & An, J. (2017). The relationship between executive function and IQ in Korean children and the comparison with Chinese children. Applied Neuropsychology : Child, 6, 158-165.
Stortelder, F., & Ploegmakers-Burg, M. (2010). Adolescence and the reorganization of infant development: A neuro-psychoanalytic model. Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry, 38, 503-531.
Taubner, S., & Curth, C. (2013). Mentalization mediates the relation between early traumatic experiences and aggressive behaviors in adolescence. Psihologija, 46, 177-192.
Tsai, W., & Lau, A. S. (2013). Cultural differences in emotion regulation during self-reflection on negative personal experiences. Cognition and Emotion, 27, 416-429.
Ulman, J. B. (2001). Structual equation modeling. In B.G. Tabachnic & L. S. Fidell (Eds.). Using Multivariate Statistics (4th ed, pp 653-771). Needham Heights, MA: Allyn & Bacon.
Wakabayashi, A., Baron-Cohen, S., Wheelwright, S., Goldenfeld, N., Delaney, J., Fine, D., Smith, R., & Weil, L. (2006). Development of short forms of the Empathy Quotient (EQ-Short) and the Systemizing Quotient (SQ-Short). Personality and Individual Differences, 41, 929-940.
Yoe, J. Y. (2012). Validation of the Korean version of the short -form empathy scale. Journal of the Korean Academic Society of Industrial Science,13, 5356-5363.