File(s) under permanent embargo
An investigation of the mentalization-based model of borderline pathology in adolescents
journal contribution
posted on 2018-07-01, 00:00 authored by Jeremy Quek, Clair Bennett, Glenn MelvinGlenn Melvin, Naysun Saeedi, Michael S Gordon, Louise K NewmanOBJECTIVE: According to mentalization-based theory, transgenerational transmission of mentalization from caregiver to offspring is implicated in the pathogenesis of borderline personality disorder (BPD). Recent research has demonstrated an association between hypermentalizing (excessive, inaccurate mental state reasoning) and BPD, indicating the particular relevance of this form of mentalizing dysfunction to the transgenerational mentalization-based model. As yet, no study has empirically assessed a transgenerational mentalization-based model of BPD. The current study sought firstly to test the mentalization-based model, and additionally, to determine the form of mentalizing dysfunction in caregivers (e.g., hypo- or hypermentalizing) most relevant to a hypermentalizing model of BPD. METHOD: Participants were a mixed sample of adolescents with BPD and a sample of non-clinical adolescents, and their respective primary caregivers (n = 102; 51 dyads). Using an ecologically valid measure of mentalization, mediational analyses were conducted to examine the relationships between caregiver mentalizing, adolescent mentalizing, and adolescent borderline features. RESULTS: Findings demonstrated that adolescent mentalization mediated the effect of caregiver mentalization on adolescent borderline personality pathology. Furthermore, results indicated that hypomentalizing in caregivers was related to adolescent borderline personality pathology via an effect on adolescent hypermentalizing. CONCLUSIONS: Results provide empirical support for the mentalization-based model of BPD, and suggest the indirect influence of caregiver mentalization on adolescent borderline psychopathology. Results further indicate the relevance of caregiver hypomentalizing to a hypermentalizing model of BPD.
History
Journal
Comprehensive psychiatryVolume
84Pagination
87 - 94Publisher
ElsevierLocation
Amsterdam, The NetherlandsPublisher DOI
eISSN
1532-8384Language
engPublication classification
C1 Refereed article in a scholarly journalCopyright notice
2018, Elsevier Inc.Usage metrics
Categories
No categories selectedKeywords
AdolescenceBorderline personality disorderHypermentalizingMentalizationReflective functioningTransgenerational transmissionScience & TechnologyLife Sciences & BiomedicinePsychiatryPERSONALITY-DISORDERSOCIAL COGNITIONDIFFICULTIES QUESTIONNAIRECHILDHOOD EXPERIENCESDEVELOPMENTAL MODELATTACHMENTFEATURESMINDSCHIZOPHRENIAIMPAIRMENT
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC