But why should therapeutic alliance bring symptomatic relief? The treatment alliance literature defines the of part of the change process but fails to specify the Improvement seems location mechanism. to occur between the end of one session and the beginning of the next. Do patients somehow anticipate that they are going to improve and feel good about the relationship in anticipation? Is it to do with the attachment system, but if so, through what process? Mentalizing in the Mediation of the Effectiveness of Psychotherapy Mentalizing as a common factor in psychotherapy We have previously proposed that mentalizing could provide an integrative framework bringing together brain and mind within a singular discourse and that a range of therapeutic modalities could be conceptualized in terms of mentalizing (). Goodman () and Fonagy [2004] hypothesize wrote: “Bateman that enhancing mentalization is the common process factor inherent to all treatment models designed to treat BPD To be fair, we have suggested potential effectiveness of all treatments patients” (p. 179). “the depends not so much on their frame but on their ability to increase a capacity to (). patient’s mentalize” In an intriguing and unique study, Goldman and Gregory () demonstrated that the therapeutic process of identifying, acknowledging, and sequencing emotional experiences correlated highly with the reduction of BPD symptoms in outpatients. This is in line with Fonagy and () suggestion that Bateman’s the crux of the value of psychotherapy with BPD is the experience of another human being having the in mind, and that therapy works by reviving the capacity to interpret behavior as patient’s mind patient’s motivated by mental states, both in themselves and in others. In a study using the Psychotherapy Process Q-set (), Goodman () showed that the prototypes for Transference-Focused Psychotherapy (TFP) correlated with the psychodynamic psychotherapy prototype; the prototype for Dialectical Behavior Therapy (DBT) correlated with the CBT prototype, and an MBT (reflective functioning process) prototype loaded on both TFP and DBT prototypes. Notably, the TFP prototype contained mentalizing items focused on the mentalization of the therapist or other patient’s relationships, whilst the mentalizing elements of the DBT prototype focused on the patients’
But why should therapeutic alliance bring symptomatic relief? The treatment alliance literature defines the location of part of the change process but fails to specify the mechanism. Improvement seems to occur between the end of one session and the beginning of the next. Do patients somehow anticipate that they are going to improve and feel good about the relationship in anticipation? Is it to do with the attachment system, but if so, through what process? Mentalizing in the Mediation of the Effectiveness of Psychotherapy Mentalizing as a common factor in psychotherapy We have previously proposed that mentalizing could provide an integrative framework bringing together brain and mind within a singular discourse and that a range of therapeutic modalities could be conceptualized in terms of mentalizing (). Goodman () wrote: “Bateman and Fonagy [2004] hypothesize that enhancing mentalization is the common process factor inherent to all treatment models designed to treat BPD patients” (p. 179). To be fair, we have suggested “the potential effectiveness of all treatments depends not so much on their frame but on their ability to increase a patient’s capacity to mentalize” (). In an intriguing and unique study, Goldman and Gregory () demonstrated that the therapeutic process of identifying, acknowledging, and sequencing emotional experiences correlated highly with the reduction of BPD symptoms in outpatients. This is in line with Fonagy and Bateman’s () suggestion that the crux of the value of psychotherapy with BPD is the experience of another human being having the patient’s mind in mind, and that therapy works by reviving the patient’s capacity to interpret behavior as motivated by mental states, both in themselves and in others. In a study using the Psychotherapy Process Q-set (), Goodman () showed that the prototypes for Transference-Focused Psychotherapy (TFP) correlated with the psychodynamic psychotherapy prototype; the prototype for Dialectical Behavior Therapy (DBT) correlated with the CBT prototype, and an MBT (reflective functioning process) prototype loaded on both TFP and DBT prototypes. Notably, the TFP prototype contained mentalizing items focused on the patient’s mentalization of the therapist or other relationships, whilst the mentalizing elements of the DBT prototype focused on the patients’
Epistemic_Trust_JPD%20Accepted%20250115.docx