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Psykos och mentalisering: Reflekterande funktion efter en första psykos

Lindblad, Marcus LU and Eriksson, Sofia LU (2011) PSPT02 20111
Department of Psychology
Abstract (Swedish)
Mentalisering handlar i stora drag om hur vi förhåller oss till och förstår oss själva, andra och omvärlden. Psykos beskrivs påverka dessa områden, men sökningar efter studier som undersökt psykos och mentaliseringsförmåga gav få träffar. Syftet med studien var att undersöka mentaliseringsförmåga hos psykospatienter. För att undersöka förmågan utan påverkan av akuta symtom valdes patienter i remission efter en första psykos. En intervju, Adult Attachment Interview (AAI), utfördes med 5 patienter för att bedöma mentaliseringsförmåga operationaliserad som reflekterande funktion (RF). Ett skattningsformulär för behandlare konstruerades för att undersöka i vilken utsträckning patientgruppen använder sig av reflekterande funktion i den... (More)
Mentalisering handlar i stora drag om hur vi förhåller oss till och förstår oss själva, andra och omvärlden. Psykos beskrivs påverka dessa områden, men sökningar efter studier som undersökt psykos och mentaliseringsförmåga gav få träffar. Syftet med studien var att undersöka mentaliseringsförmåga hos psykospatienter. För att undersöka förmågan utan påverkan av akuta symtom valdes patienter i remission efter en första psykos. En intervju, Adult Attachment Interview (AAI), utfördes med 5 patienter för att bedöma mentaliseringsförmåga operationaliserad som reflekterande funktion (RF). Ett skattningsformulär för behandlare konstruerades för att undersöka i vilken utsträckning patientgruppen använder sig av reflekterande funktion i den behandlande kontakten. Resultatet av RF-skattningen ur AAI visade på en spännvidd mellan låg och ordinär reflekterande funktion, med ett medianvärde motsvarande låg funktion. Resultatet av de 12 behandlarnas skattning visade att patienterna använde sig av reflekterande funktion ibland i den behandlande kontakten. Urvalsgrupperna i studien är för små för att ge generaliserbara resultat. Mentalisering är en förmåga som kan utvecklas, exempelvis genom ett mentaliserande förhållningssätt i behandling. (Less)
Abstract
Mentalization is mainly concerned with how we relate to and understand ourselves, others and the outside world. Psychosis is described as affecting these areas of concern but literature searches in the field regarding mentalization and psychosis yielded few results. The purpose of this study was to explore mentalization with patients who had experienced psychosis. In order to explore mentalization without the effect of acute symptoms, patients in remission after their first psychosis were studied. Interviews, Adult Attachment Interview (AAI), were conducted with 5 patients to assess mentalization operationalized as reflective function (RF). A survey aiming to rate to what extent RF was used by the patients in the clinical contact was... (More)
Mentalization is mainly concerned with how we relate to and understand ourselves, others and the outside world. Psychosis is described as affecting these areas of concern but literature searches in the field regarding mentalization and psychosis yielded few results. The purpose of this study was to explore mentalization with patients who had experienced psychosis. In order to explore mentalization without the effect of acute symptoms, patients in remission after their first psychosis were studied. Interviews, Adult Attachment Interview (AAI), were conducted with 5 patients to assess mentalization operationalized as reflective function (RF). A survey aiming to rate to what extent RF was used by the patients in the clinical contact was constructed and administered to clinicians working with the patient group. The results of the RF-rating on the AAI showed a range from low to ordinary reflective functioning, the median was low RF. The result from the 12 clinicians´ ratings showed that the patients used RF sometimes in the clinical contact. Both samples are too small for generalization of the results. Mentalization is an ability that can be improved and elaborated, for example within the context of a mentalizing stance in treatment. (Less)
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author
Lindblad, Marcus LU and Eriksson, Sofia LU
supervisor
organization
course
PSPT02 20111
year
type
H3 - Professional qualifications (4 Years - )
subject
keywords
mentalisering, psykos, FEP, remission, behandlare, RF, reflekterande funktion, schizofreni, mentalizing, psychosis, clinicians, reflective functioning, schizophrenia.
language
Swedish
id
1976513
date added to LUP
2011-06-23 09:56:17
date last changed
2011-06-23 09:56:17
@misc{1976513,
  abstract     = {Mentalization is mainly concerned with how we relate to and understand ourselves, others and the outside world. Psychosis is described as affecting these areas of concern but literature searches in the field regarding mentalization and psychosis yielded few results. The purpose of this study was to explore mentalization with patients who had experienced psychosis. In order to explore mentalization without the effect of acute symptoms, patients in remission after their first psychosis were studied. Interviews, Adult Attachment Interview (AAI), were conducted with 5 patients to assess mentalization operationalized as reflective function (RF). A survey aiming to rate to what extent RF was used by the patients in the clinical contact was constructed and administered to clinicians working with the patient group. The results of the RF-rating on the AAI showed a range from low to ordinary reflective functioning, the median was low RF. The result from the 12 clinicians´ ratings showed that the patients used RF sometimes in the clinical contact. Both samples are too small for generalization of the results. Mentalization is an ability that can be improved and elaborated, for example within the context of a mentalizing stance in treatment.},
  author       = {Lindblad, Marcus and Eriksson, Sofia},
  keyword      = {mentalisering,psykos,FEP,remission,behandlare,RF,reflekterande funktion,schizofreni,mentalizing,psychosis,clinicians,reflective functioning,schizophrenia.},
  language     = {swe},
  note         = {Student Paper},
  title        = {Psykos och mentalisering: Reflekterande funktion efter en första psykos},
  year         = {2011},
}