Measuring Reflective Function With a Multidimensional Rating Scale: Comparison With Scoring Reflective Function On the Aai

Meehan, Kevin B.; Levy, Kenneth N.; Reynoso, Joseph S.; Hill, Lindsay; Clarkin, John F.

doi:10.1177/00030651090570011008

Cited by 20 publications

(18 citation statements)

References 3 publications

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“…Other investigators have attempted to track mentalizing as it occurs during therapy. Meehan, Levy, Reynoso, Hill, & Clarkin (2009) found a moderate association between patients' RF rated on the AAI and a questionnaire about patients' mentalizing completed by clinicians who had treated the patients for an entire year (N = 32, r = .54, p < .01). More recently, Möller and her colleagues (Möller, Karlgren, Sandell, Falkenström, & Philips, 2016) have found a medium-sized correlation (N = 15; r = .64, p < .01) between patients' RF rated statement by statement during a single audio-recorded session and RF independently scored on an abbreviated version of the AAI.…”

Section: Assessing Rf In the Therapy Contextmentioning

confidence: 89%

Mentalizing in the presence of another: Measuring reflective functioning and attachment in the therapy process

Talia

Miller-Bottome

Katznelson

et al. 2018

Psychotherapy Research

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These results suggest that the PACS Exploring scale might be a practical method for assessing RF in psychotherapy research and a way for researchers and clinicians to track patients' RF on an ongoing basis. These results also provide information regarding the ways in which differences in RF manifest during psychotherapy sessions. Clinical or methodological significance of this article Researchers and clinicians can assess patients' mentalizing based on any single psychotherapy transcript, in many therapeutic modalities The Exploring scale of the Patient Attachment Coding System can yield a reliable measure of reflective functioning based on any single psychotherapy transcript, in many therapeutic modalities Client differences in mentalizing manifest in part independently of the therapist's contributions.

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Section: Assessing Rf In the Therapy Contextmentioning

confidence: 89%

Mentalizing in the presence of another: Measuring reflective functioning and attachment in the therapy process

Talia

Miller-Bottome

Katznelson

et al. 2018

Psychotherapy Research

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“…Reduced RF appears to be related to several psychiatric diagnoses and symptoms (Fischer-Kern et al, 2008;Leithner-Dziubas, Bluml, Naderer, Tmej, & Fischer-Kern, 2010;Meehan, Levy, Reynoso, Hill, & Clarkin, 2009;Rudden, Milrod, Aronson, & Target, 2008;Taubner, Kessler, Buchheim, Kachele, & Staun, 2011;Toth, Rogosch, Manly, & Ciccetti, 2006). It is likely that RF works as a mental 'buffer' to enable individuals to cope with situations that are perceived as emotionally difficult and conflicted, situations, which may otherwise lead to psychiatric symptoms (Diamond, StovallMcClough, Clarkin, & Levy, 2003;Fonagy et al, 2002;, Levy, Meehan, et al, 2006Rudden et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Reflective functioning in patients with obsessive–compulsive disorder (OCD) – preliminary findings of a comparison between reflective functioning (RF) in general and OCD-specific reflective functioning

Kullgard

Persson

Möller

et al. 2013

Psychoanalytic Psychotherapy

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Several scales for rating the reflective function (RF) in different psychiatric syndromes (symptom-specific reflective function [SRF]) have been developed. In this study, the validity of a rating instrument for measuring obsessive -compulsive disorder (OCD)-specific RF (OCD-SRF) was assessed. The study was conducted at two outpatient psychiatric facilities. A total of 18 women and 12 men were interviewed with adult attachment interview and the OCD-SRF interview. The patients also rated their symptoms on a self-rating scale (Yale-Brown Obsessive-Compulsive Scale [Y-BOCS]). The results indicated that there was a significant difference between the levels of RF in general and SRF. No correlations between Y-BOCS and RF or SRF were found. Illustrations of ratings are presented. The difference between RF and SRF, the relationship between SRF and symptom checklists, and a relational perspective on symptoms in OCD were discussed.

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“…A number of studies (Fonagy, Steele, Steele, Moran, & Higgit, 1991;Grienenberger, Kelly, & Slade, 2005;Leigh, 2011;Meehan, Levy, Reynoso, Hill, & Clarkin, 2009;Reynolds, 2003; …”

Section: Parental Reflective Functioningmentioning

confidence: 99%

Improving antenatal risk assessment in women exposed to high risks

Perry

Newman²,

Hunter

et al. 2013

Clin Child Psychol Psychiatry

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Antenatal substance use and related psychosocial risk factors are known to increase the likelihood of child protection involvement; less is known about the predictive nature of maternal reflective functioning (RF) in this population. This preliminary study assessed psychosocial and psychological risk factors for a group of substance dependent women exposed to high risks in pregnancy, and their impact on child protection involvement. Pregnant women on opiate substitution treatment (n = 11) and a comparison group (n = 15) were recruited during their third trimester to complete measures of RF (Pregnancy Interview), childhood trauma, mental health and psychosocial assessments. At postnatal follow-up, RF was reassessed (Parent Development Interview - Revised Short Version) and mother-infant dyads were videotaped to assess emotional availability (EA). Child protection services were contacted to determine if any concerns had been raised for infant safety. Significant between-group differences were observed for demographics, psychosocial factors, trauma and mental health symptoms. Unexpectedly, no significant differences were found for RF or EA between groups. Eight women in the 'exposed to high risks' group became involved with child protection services. Reflective functioning was not significantly associated with psychosocial risk factors, and therefore did not mediate the outcome of child protection involvement. Women 'exposed to high risks' were equally able to generate a model of their own and their infants' mental states and should not be seen within a deficit perspective. Further research is required to better understand the range of risk factors that predict child protection involvement in high risk groups.

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Measuring Reflective Function With a Multidimensional Rating Scale: Comparison With Scoring Reflective Function On the Aai

Abstract: Po s t e r S u m m a r i e s REFERENCES doWning, g. (2001). eMotion theory reConSidered.

Cited by 20 publications

References 3 publications

Mentalizing in the presence of another: Measuring reflective functioning and attachment in the therapy process

Mentalizing in the presence of another: Measuring reflective functioning and attachment in the therapy process

Reflective functioning in patients with obsessive–compulsive disorder (OCD) – preliminary findings of a comparison between reflective functioning (RF) in general and OCD-specific reflective functioning

Improving antenatal risk assessment in women exposed to high risks

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