Revisiting Attachment Theory and Psychoanalysis: Clinical Implications of Empirical Findings and Measurement of Mentalization

& (2016). Revisiting Attachment Theory and Psychoanalysis: Clinical Implications of Empirical Findings and Measurement of Mentalization. Korean Journal of Psychology: General, 35(1), 167-190, https://doi.org/10.22257/kjp.2016.03.35.1.167

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Abstract

From the perspectives of psychoanalysis, the development of the attachment theory has been paradoxical in itself. Bowlby’s theory of attachment has been initially derived from the Kleinian psychoanalytic tradition focused on ‘internal world’ and ‘mother as a representation.’ However, it has been detached from its origin and found its place within empirical tradition of social science with developmental psychology concentrating on ‘external world’ and ‘real mother,’ and further developed into more empirical tradition in the field of psychology. Interestingly enough though, Fanagy representing modern attachment theory stresses the fact that the series of empirical studies on attachment have been reversed its academic trajectory, through rounds of revisions, back to ‘internal world.’ Fonagy’s attempt to reestablish ties between the two academic trends shows its effort clearly in his concept mentalization stemming from the idea of evolution. This study looks into ‘mutual regulation’ that is a revised hypothesis of mentalization and attachment theory in relation to the psychoanalytic tradition, and reviews current neurobiological finding on attachment and mentalization. Lastly, this study covers various operational measurement schemes of mentalization and discusses clinical implications of mentalization in the contexts of evidence-based treatment and of South Korean.

keywords: Mentalization, Reflective Function, Attachment Theory, Psychoanalysis, Mentalization-based Treatment, 정신화, 애착이론, 정신 분석, 성찰 기능, 성찰 기능 척도, 정신화 기반 치료

Reference

심영숙 (2010). 성찰기능과 정신병리의 관계: 외상과 악몽을 중심으로. 카톨릭대학교 대학원 박사학위 논문.

오소영, 문수진, 이원혜, 홍민하, 민정원, 김봉석, 황준원, 우이혁, 반건호 (2012). 단축형청소년 정신화 프로그램의 학생정신건강증진효과 평가, 대한소아청소년 정신의학회, 23(3), 117-126.

오미애, 박찬민, 이연정, 홍민하, 한주희, 오수현, 박준헌, 반건호 (2014). 정신화 이론에 근거한 청소년기 자해행동의 분석:‘캐주얼베이컨시’의 Sukhvinder 중심으로,Psychoanalysis, 25(1), 24-32.

Allen, J. G., Fonagy, P., & Bateman, A. W. (2008). Mentalizing in clinical practice. Arlington: American Psychiatric Publishing.

Arnsten, A. F. T. (1998). The biology of being frazzled. Science, 280, 1711-1712.

Baron-Cohen, S., Wheelwright, S., & Hill, J. (2001). The ‘Reading the Mind in the Eyes’ test revised version: A study with normal adults, and adults with Asperges syndrome or high-functioning Autism. Journal of Child Psychology and Psychiatry, 42, 241-252.

Bateman, A., & Fonagy, P. (2006). Mentalizationbased treatment for Borderline personality disorder: A practical guide. Oxford: Oxford University Press.

Beebe, B., Jaffe, J., Markese, S., Buck, K., Chen, H., Cohen, P., et al. (2010). The origins of 12-month attachment: A microanalysis of 4-month mother-infant interaction. Attachment & Human Development, 12, 1-135.

Beeghly, M., & Tronick, E. (1994). Effects of prenatal exposure to cocaine in early infancy: Toxic effects on the process of mutual regulation. Infant Mental Health Journal, 15(2), 158-175.

10.

Blakemore, S. J., Winston, J., & Frith, U. (2004). Social cognitive neuroscience: Where are we heading? Trends in Cognitive Sciences, 8, 216-222.

11.

Blatt, S. J., Ford, R. Q., Berman, W., Cook, B., & Meyer, R. (1988). The assessment of change during the intensive treatment of Borderline and Schizophrenic young adults. Psychoanalytic Psychology, 5, 127-158.

12.

Buck, R. (2010). Emotion is an entity at both biological and ecological levels: The ghost in the machine is language, Emotion Review, 2(3), 286-287.

13.

Buhle, J. T., Silvers, J. A., Wager, T. D., Lopez, R., Onyemekwu, C., Kober, H., et al. (2014). Cognitive reappraisal of emotion: A metaanalysis of human neuroimaging studies. Cerebral Cortex, 24, 2981-2990.

14.

Cartes, C. S. (1998). Neuroendocrine perspectives on social attachment and love. Psycho Neuroendocrinology, 23(8), 779-818.

15.

Caldwell, H. K., Lee, H. J., Macbeth, A. H., & Young, W. S. (2008). Vasopressin: Behavioral roles of an “original” neuropeptide. Progress in Neurobiology, 84(1), 1-24.

16.

Choi-Kain, L., & Gunderson, J. (2008). Mentalization: Ontogeny, assessment, and application in the treatment of Borderline personality disorder, American Journal of Psychiatry, 165(9), 1127-1135.

17.

Crick, N. R., Murray-Close, D., & Woods, K. (2005). Borderline personality features in childhood: A short-term longitudinal study. Developmental Psychopathology, 17, 1051-1070.

18.

Dziobek, I., Fleck, S., Kalbe, E., Rogers, K., Hassenstab, J., Brand, M., et al. (2006). Introducing MASC: :A movie for the assessment of social cognition, Journal of Autism and Developmental Disorders, 36(5), 623- 636.

19.

Ensink, K., Target, M., & Oandasan, C. (2013). Child reflective functioning scale scoring manual: For application to the child attachment interview. Unpublished manuscript, Anna Freud Centre/ University College London, London, UK,

20.

Fonagy, P. (1991). Thinking about thinking: Some clinical and theoretical considerations in the treatment of a Borderline patient, The International Journal of Psychoanalysis, 72(4), 639-656.

21.

Fonagy, P. (2001). Attachment theory and psychoanalysis. New York: Other Press.

22.

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(4), 355-369.

23.

Fonagy, P., & Bateman, A. (2004). Psychotherapy for Borderline personality disorder: Mentalization based treatment. Oxford: Oxford University Press.

24.

Fonagy P., & Bateman, A. (2006). Mechanisms of change in mentalization-based treatment of BPD. Journal of Clinical Psychology, 62 (4), 411-30.

25.

Fonagy P., & Campbell C. (2015). Bad blood revisited: Attachment and psychoanalysis, British Journal of Psychotherapy, 31(2), 229-250

26.

Fonagy, P., Gergely, G., Jurist, E., & Target, M. (2002). Affect regulation, mentalization, and the development of the Self. New York: Other Press.

27.

Fonagy, P., Luyten, P., & Strathearn, L. (2011). Borderline personality disorder, mentalization, and the neurobiology of attachment. Infant Mental Health Journal, 32(1), 47-69.

28.

Fonagy, Steele, Steele, & Target (1998). Parental development interview, addendum to reflective functioning scoring manual. Unpublished manuscript, City College of New York, New York, NY.

29.

Fonagy, P., & Target, M. (1996). Playing with reality: I. Theory of mind and the normal development of psychic reality. International Journal of Psycho-Analysis, 77, 217-234

30.

Fonagy, P. & Target, M. (1997). Attachment and reflective function: Their Role in self organization. Development and Psychopathology, 9(4), 679-700.

31.

Fosse, X., Monestes, J. L., & Bakhache, B. (2008). Disorganized attachment and genetics in the development of Borderline personality disorder. European Psychiatry, 23, S94-S94.

32.

Frankfurt, H. (2005). On bullshit. Princeton: Princeton University.

33.

Frith, U., & Frith, C. D. (2003). Development and neurophysiology of mentalising. Biological Sciences, 365(1522), 1345-1350.

34.

Gallagher, H. L., Happe, F., Brunswick, N., Fletcher, P. C., Frith, U., & Frith, C. D. (2000). Reading the mind in cartoons and stories: An fMRI study of “Theory of Mind” in verbal and nonverbal tasks. Neuropsychologia 38, 11-21.

35.

Gallagher, H. L., & Frith, C. D. (2003). Functional imaging of “Theory of Mind.” Trends in Cognitive. Science, 7, 77-83.

36.

George, C., Kaplan, N., & Main, M. (1985). The adult attachment interview. Unpublished protocol (3rd eds.), University of California, Berkeley, CA.

37.

Gergely, G., & Watson, J. S. (1996). The social biofeedback theory of parental affect-mirroring: The development of emotional self-awareness and self-control in infancy. International Journal of Pyscho-analysis, 77, 1181-1212.

38.

Giedd, Jay N. (2003). The anatomy of mentalization: A view from developmental Neuroimaging. Bulletin of the Menninger Clinic, 67, 132-142.

39.

Gordon, I., Zagoory-Sharon, O., Schneiderman, I., Leckman, J. F., Weller, A., & Feldman, R. (2008). Oxytocin and cortisol in romantically unattached young adults: Associations with bonding and psychological distress. Psychophysiology, 45(3), 349-352.

40.

Grewen, K. M., Girdler, S. S., Amico, J., & Light, K. C. (2005). Effects of partner support on resting oxytocin, cortisol, norepinephrine, and blood pressure before and after warm partner contact. Psychosomatic Medicine, 67(4), 531-538.

41.

Gunderson, J. G. (1996). The borderline patient’'s intolerance of aloneness: Insecure attachments and therapist availability. American Journal of Psychiatry, 153(6), 752-758.

42.

Holmes, J. (2004). Disorganized attachment and Borderline personality disorder: A clinical perspective. Attachment & Human Development, 6(2), 181-190.

43.

Jolliffe, D., & Farrington, D. P. (2006). Development and validation of the basic empathy scale. Journal of Adolescence, 29(4), 589-611.

44.

Kim, E. Y. (2010). An activating mechanism of aggressive behaviour in disorganised attachment: A moment-to-moment case analysis of a three-year-old. Journal of Child Psychotherapy, 36(2), 152-167.

45.

Klein, M. (1946). Envy, gratitude, and other works. New York: The Free Press.

46.

Kohn, N., Eickhoff, S. B., Scheller, M., Laird, A. R., Fox, P. T., & Habel, U. (2014). Neural network of cognitive emotion regulation: An ALE meta-analysis and MACM analysis. Neuroimage, 87, 345-355.

47.

Main, M., & Goldwyn, R. (1998). Adult attachment rating and classification system . Unpublished manual, University of California, Berkeley, CA.

48.

Mitchell, S. A., & Black, M. J. (1995). Freud and beyond. New York: Basic Books.

49.

Mosquera, D., Gonzalez, A., & Leeds, A. M. (2014). Early experience, structural dissociation, and emotional dysregulation in Borderline personality disorder: The role of insecure and disorganized attachment. Borderline Personality Disorder and Emotion Dysregulation, 1, 1-8.

50.

Pedersen, A., Koelkebeck, K., Brandt, M., Wee, M., Kueppers, K. A., & Kugel, H. (2012). Theory of mind in patients with Schizophrenia: Is mentalizing delayed? Schizophrenia Research, 137, 224-229.

51.

Rogers, R. D., Everitt, B. J., & Baldacchino, A. (1999). Dissociable deficits in the decisionmaking cognition of chronic amphetamine abusers, opiate abusers, patients with focal damage to prefrontal cortex, and tryptophandepleted normal volunteers: Evidence for monoaminergic mechanisms. Neuropsychopharmacology, 20, 322-339.

52.

Rossouw, T. I., & Fonagy, P. (2012). Mentalization-based treatment for self-harm in adolescents: A randomized controlled trial. Journal of American Academy of Child & Adolescent Psychiatry, 51(12), 1304-1313.

53.

Rudden, M. G., Milrod, B., & Target, M. (2005). The brief reflective functioning interview. New York: Weill Cornell Medical College.

54.

Ryan, E. R., & Bell, M. D. (1984). Changes in object relations from psychosis to recovery. Journal of Abnormal Psychology, 93, 209-215.

55.

Sharp, C., Williams, L. L., Ha, C., Baumgardner, J., Michonski, J., & Seals, R. (2009). The development of a mentalization-based outcomes and research protocol for an adolescent inpatient unit. Bulletin of the Menninger Clinic, 73(4), 311-338.

56.

Shmueli-Goetz, Y., Target, M., Fonagy, P., & Datta, A. (2008). The child attachment interview: A psychometric study of reliability and discriminant validity. Developmental Psychology, 44, 939-356.

57.

Smith, J. D., Shields, W. E., & Washburn, D. A. (2003). The comparative psychology of uncertainty monitoring and metacognition. Behavior and Brain Sciences, 26, 317-373.

58.

Stern, D. N. (1985). The interpersonal world of the infant: A view from psychoanalysis and developmental psychology. New York: Basic Books.

59.

Strathearn, L., Mamun, A. A., Najman, J. M., & O’Callaghan, M. J. (2009). Does breastfeeding protect against substantiated child abuse and neglect? A 15-year cohort study. Pediatrics, 123(2), 483-493.

60.

Target, M., Oandasan, C., & Ensink, K. (2001). Child reflective functioning scale scoring manual: For application to the child attachment interview. Unpublished manuscript, Anna Freud Centre/ University College London, London, UK.

61.

Tronick, E., & Reck, C. (2009). Infants of depressed mothers. Harvard Review of Psychiatry, 17(2), 147-156.

62.

Twemlow, S. W., Fonagy, P., & Sacco, F. C. (2005). A developmental approach to mentalizing communities: II. The peaceful Schools project. Bulletin of the Menninger Clinic, 69(4), 282-304.

63.

Winnicott, D. W. (1971). Playing and reality. London: Routledge..

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Article Contents

Vol.35 No.1

Revisiting Attachment Theory and Psychoanalysis: Clinical Implications of Empirical Findings and Measurement of Mentalization

Abstract

Reference

Korean Journal of Psychology: General