Relationship between Mentalizing and Working Conditions in Health Care

Steinmair, Dagmar; Richter, Felix; Löffler‐Stastka, Henriette

doi:10.3390/ijerph17072420

Cited by 12 publications

(6 citation statements)

References 72 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In Steinmair et al (2020) study, a higher level of mentalizing capacity amongst psychotherapy trainees was associated with working in private practice in comparison to a psychiatric inpatient clinic. According to the authors, these results suggest that clinicians with higher mentalizing capacities as related to self‐consciousness might prefer working in private practice.…”

Section: Resultsmentioning

confidence: 96%

“…Eight studies used the Reflective Functioning Scale (RFS) to measure mentalizing capacity (Bálint et al, 2014; Cologon et al, 2017; Fonagy et al, 1998; Klasen et al, 2019; Reading et al, 2019; Rizq & Target, 2010a, 2010b; Steinmair et al's, 2020; Trowell et al, 2008). Two studies used the Therapist's Mental Activity Scale (TMAS) (Ensink et al, 2013; Maheux et al, 2016; Normandin et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Mentalizing capacities of mental health nurses: A systematic PRISMA review

Free

Swildens

Knapen

et al. 2023

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

Accessible SummaryWhat is known on the subject? Mentalizing is the capacity to understand both one‘s own and other people‘s behaviour in terms of mental states, such as, for example, desires, feelings and beliefs. The mentalizing capacities of healthcare professionals help to establish effective therapeutic relationships and, in turn, lead to better patient outcomes. What this paper adds to existing knowledge? The personal factors positively associated with the mentalizing capacities of healthcare professionals are being female, greater work experience and having a more secure attachment style. Psychosocial factors are having personal experience with psychotherapy, burnout, and in the case of female students, being able to identify with the female psychotherapist role model during training. There is limited evidence that training programmes can improve mentalizing capacities. Although the mentalization field is gaining importance and research is expanding, the implications for mental health nursing have not been previously reviewed. Mental health nurses are underrepresented in research on the mentalizing capacities of healthcare professionals. This is significant given that mental health nurses work closest to patients and thus are more often confronted with patients‘ behaviour compared to other health care professionals, and constitute a large part of the workforce in mental healthcare for patients with mental illness. What are the implications for practice? Given the importance of mentalizing capacity of both the patient and the nurse for a constructive working relationship, it is important that mental health nurses are trained in the basic principles of mentalization. Mental health nurses should be able to recognize situations where patients‘ lack of ability to mentalize creates difficulties in the interaction. They should also be able to recognize their own difficulties with mentalizing and be sensitive to the communicative implications this may have. AbstractIntroductionMentalizing capacities of clinicians help to build effective therapeutic relationships and lead to better patient outcomes. Few studies have focused on factors associated with clinicians‘ mentalizing capacities and the intervention strategies to improve them.AimPresent a systematic review of empirical studies on factors associated with healthcare professionals‘ mentalizing capacities and the effectiveness of intervention programmes designed to improve these capacities.MethodFollowing PRISMA‐guidelines, a systematic literature search was conducted in PubMed, PsycINFO, Cochrane Library and CINAHL.ResultsOut of a systematic search with 1537 hits, 22 studies were included. Personal factors positively associated with mentalizing capacities of healthcare professionals are being female, greater work experience and having a more secure attachment style. Psychosocial factors are having personal experience with psychotherapy, burnout, and in the case of female students, being able to identify with the female psychotherapist role model during training. Evidence that training programmes improve mentalizing capacities is limited.DiscussionMental health nurses are underrepresented in research on mentalizing capacities of healthcare professionals and training programs to improve these capacities are practically absent.Implications for PracticeFor mental health nurses, training in basic mentalizing theory and skills will improve their capacities in building effective working relationships with patients.

show abstract

Section: Resultsmentioning

confidence: 96%

Section: Resultsmentioning

confidence: 99%

Mentalizing capacities of mental health nurses: A systematic PRISMA review

Free

Swildens

Knapen

et al. 2023

Psychiatric Ment Health Nurs

View full text Add to dashboard Cite

show abstract

“…The impact from life to the disease has to be reconsidered as cultural/societal challenges influence change processes a lot[ 32 , 33 ].Thus, there is a need for person-related research, respecting ethical principles: “respect for personhood, acknowledgment of lived world, individualization, focus on researcher-participant relationships, and empowerment in decision-making”[ 34 ]. Admittedly, these concepts might be difficult to apply when looking at larger samples, which is a shortcoming.…”

Section: Discussionmentioning

confidence: 99%

Personalized treatment - which interaction ingredients should be focused to capture the unconscious

Steinmair¹,

Löffler‐Stastka²

2022

WJCC

Self Cite

View full text Add to dashboard Cite

A recent meta-analysis revealed that mental health and baseline psychological impairment affect the quality of life and outcomes in different chronic conditions. Implementing mental health care in physical care services is still insufficient. Thus, interdisciplinary communication across treatment providers is essential. The standardized language provided by the diagnostic statistical manual favors a clear conceptualization. However, this approach might not focus on the individual, as thinking in categories might impede recognizing the continuum from healthy to diseased. Psychoanalytic theory is concerned with an individual’s unconscious conflictual wishes and motivations, manifested through enactments like psychic symptoms or (maladaptive) behavior with long-term consequences if not considered. Such modifiable internal and external factors often are inadequately treated. However, together with the physical chronic condition constraints, these factors determine degrees of freedom for a self-determined existence. The effect of therapeutic interventions, and especially therapy adherence, relies on a solid therapeutic relationship. Outcome and process research still investigates the mechanism of change in psychotherapeutic treatments with psychanalysis’s focus on attachment problems. This article examines existing knowledge about the mechanism of change in psychoanalysis under the consideration of current trends emerging from psychotherapy research. A clinical example is discussed. Additionally, further directions for research are given. The theoretical frame in psychoanalytic therapies is the affect-cognitive interface. Subliminal affect-perception is enabled via awareness of subjective meanings in oneself and the other; shaping this awareness is the main intervention point. The interactional ingredients, the patient’s inherent bioenvironmental history meeting the clinician, are relevant variables. Several intrinsic, subliminal parameters relevant for changing behavior are observed. Therapeutic interventions aim at s upporting the internalization of the superego’s functions and at making this ability available in moments of self-reflection. By supporting mentalization abilities, a better understanding of oneself and higher self-regulation (including emotional regulation) can lead to better judgments (application of formal logic and abstract thinking). Thus, this facilitates enduring behavior change with presumably positive effects on mental and physical health.

show abstract

“…In addition, there are difficulties in understanding the mind of others (Dimaggio et al, 2007;Lampe and Malhi, 2018). Another major deficit of mentalization is their weak affective consciousness (Steinmair et al, 2020).…”

Section: Discussion Mothermentioning

confidence: 99%

Case Report: A Case Study Significance of the Reflective Parenting for the Child Development

Kostova

2021

Front. Psychol.

View full text Add to dashboard Cite

There are studies that connect the “child” in the past with the “parent” in the present through the prism of high levels of stress, guilt, anxiety. This raises the question of the experiences and internal work patterns formed in childhood and developed through parenthood at a later stage. The article (case study) presents the quality of parental capacity of a family raising a child with an autism spectrum. The abilities of parents (the emphasis is on the mother) to recognize and differentiate the mental states of their non-verbal child are discussed. An analysis of the parental representations for the child and the parent–child relationship is developed. The parameters of reflective parenting are measured. The methodology provides good opportunities for identifying deficits in two aspects: parenting and the functioning of the child itself. Without their establishment, therapy could not have a clear perspective. An integrative approach for psychological support of the child and his family is presented: psychological work with the child on the main areas of functioning, in parallel with the therapy conducted with the parents and the mother, as the main caregiver. The changes for the described period are indicated, which are related to the improvement of the parental capacity in the mother and the progress in the therapy in the child. A prognosis for ongoing therapy is given, as well as topics that have arisen in the process of diagnostic procedures.

show abstract

Relationship between Mentalizing and Working Conditions in Health Care

Cited by 12 publications

References 72 publications

Mentalizing capacities of mental health nurses: A systematic PRISMA review

Mentalizing capacities of mental health nurses: A systematic PRISMA review

Personalized treatment - which interaction ingredients should be focused to capture the unconscious

Case Report: A Case Study Significance of the Reflective Parenting for the Child Development

Contact Info

Product

Resources

About