Regulatory function of mentalization in rupture-resolution sequence of the therapeutic alliance during psychotherapy processes with adolescents

Introduction: Mentalization, operationalized as reflective functioning (Fonagy, Target, Steele & Steele, 1998), can be conceptualized as a complex psychological function, developmentally critical during adolescence due to brain changes that affect social cognition areas, that “supports” the ther...

Descripción completa

Detalles Bibliográficos
Autor: Morán, Javier
Tipo de recurso: tesis doctoral
Estado:Versión publicada
Fecha de publicación:2019
País:Chile
OAI Identifier:oai:repositorio.anid.cl:10533/236552
Acceso en línea:https://hdl.handle.net/10533/236552
Access Level:acceso abierto
Palabra clave:Ciencias Sociales
Psicología
Psicología (Incluyendo la relación hombre-máquina)
id CL_22dbdfe58c3cae5f7bde868c9c327b01
oai_identifier_str oai:repositorio.anid.cl:10533/236552
network_acronym_str CL
network_name_str Chile
repository_id_str
dc.title.es_CL.fl_str_mv Regulatory function of mentalization in rupture-resolution sequence of the therapeutic alliance during psychotherapy processes with adolescents
title Regulatory function of mentalization in rupture-resolution sequence of the therapeutic alliance during psychotherapy processes with adolescents
spellingShingle Regulatory function of mentalization in rupture-resolution sequence of the therapeutic alliance during psychotherapy processes with adolescents
Morán, Javier
Ciencias Sociales
Psicología
Psicología (Incluyendo la relación hombre-máquina)
title_short Regulatory function of mentalization in rupture-resolution sequence of the therapeutic alliance during psychotherapy processes with adolescents
title_full Regulatory function of mentalization in rupture-resolution sequence of the therapeutic alliance during psychotherapy processes with adolescents
title_fullStr Regulatory function of mentalization in rupture-resolution sequence of the therapeutic alliance during psychotherapy processes with adolescents
title_full_unstemmed Regulatory function of mentalization in rupture-resolution sequence of the therapeutic alliance during psychotherapy processes with adolescents
title_sort Regulatory function of mentalization in rupture-resolution sequence of the therapeutic alliance during psychotherapy processes with adolescents
dc.creator.none.fl_str_mv Morán, Javier
author Morán, Javier
author_facet Morán, Javier
author_role author
dc.contributor.advisor.none.fl_str_mv Martínez, Claudio
dc.contributor.institution.es_CL.fl_str_mv UNIVERSIDAD DE CHILE
dc.subject.oecd1n.es_CL.fl_str_mv Ciencias Sociales
topic Ciencias Sociales
Psicología
Psicología (Incluyendo la relación hombre-máquina)
dc.subject.oecd2n.es_CL.fl_str_mv Psicología
dc.subject.oecd3n.es_CL.fl_str_mv Psicología (Incluyendo la relación hombre-máquina)
description Introduction: Mentalization, operationalized as reflective functioning (Fonagy, Target, Steele & Steele, 1998), can be conceptualized as a complex psychological function, developmentally critical during adolescence due to brain changes that affect social cognition areas, that “supports” the therapist-patient exchanges, rather than a global capacity that "improves" through psychotherapy. Based on the consideration that among adolescents, mentalization would accomplish a relevant role in understanding the regulatory processes experienced by therapists and patients during moments of impasse (rupture) and its resolution (Morken, Karterud & Arefjord, 2014; Lingiardi & Colli, 2015) this study aims to describe how mentalization of therapist and adolescent patient is expressed and configured within episodes of rupture and resolution and determine the relationship between these configurations and the result of the resolution (repair v/s not repair). Method: Five individual psychotherapy process with adolescents from 14 to 19 years old were analyzed. Five pairs of judges trained in the 3RS system (Eubanks-Carter, Muran, & Safran, 2014) jointly rated the sessions of transcribed and videotaped therapies, identifying rupture-resolution (R-R) sequences of the therapeutic alliance. Once R-R was identified, the same pairs of judges established the extent to which the rupture was repaired through the "therapeutic relationship compromise" of Sexton, Littauer, Sexton and Tømmerås (2005). Once the rupture-resolution sequences were identified therapist and patients mentalization was coded through the Observational System of Mentalization in Psychotherapy for adolescents (OSMP-A, Morán, Martínez & Arce, unpublished). Therapist and patients mentalization ratings were described and compared through multilevel linear regression analysis. Configurations of mentalization were stablish trough Multilevel Latent Class Analysis. Post-hoc analysis determined the probability for each configuration of therapist and patient mentalization to be repaired. Results: in most of the assessed dimensions both patients and therapists achieved lower ratings of mentalization during episodes of rupture in comparison with episodes of resolution and, with the exception of contingent communication, therapists tended to show higher means of mentalization than patients. Statistically significant differences in mentalization between actors and interactive scenarios of rupture-resolution, as well as interaction effects on some specific dimensions, showed that it is possible to explain the variance of mentalization from each of these predictors (actor and interactive scenario) and, to evaluate the presence of possible specific configurations of mentalization between actors in episodes of rupture and episodes of resolution. As it was observed, 3 interactive scenarios in rupture and 4 interactive scenarios in resolution showed the best fit to describe the possible configurations of therapist-patient mentalization. In turn, each combination of rupture-resolution configurations showed different probabilities of being repaired. Conclusion: These results show that mentalization assumes a regulatory function of therapeutic interaction during R-R sequences that can be described in clinical terms. It is proposed that therapist actions have a central role in explaining ruptures of patients' mentalization during ruptures, but also for mentalization recovery during resolutions. A contingent response and focusing patients on the present moment would favor both an increase in patients' mentalization and a higher probability of repairing ruptures.
publishDate 2019
dc.date.accessioned.none.fl_str_mv 2019-09-10T12:27:36Z
2022-08-18T14:12:57Z
dc.date.available.none.fl_str_mv 2019-09-10T12:27:36Z
2022-08-18T14:12:57Z
dc.date.issued.es_CL.fl_str_mv 2019
dc.type.none.fl_str_mv Tesis Doctorado
dc.type.driver.es_CL.fl_str_mv info:eu-repo/semantics/doctoralThesis
dc.type.openaire.none.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.tesis.none.fl_str_mv Tesis
format doctoralThesis
status_str publishedVersion
dc.identifier.folio.es_CL.fl_str_mv 21140172
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/10533/236552
identifier_str_mv 21140172
url https://hdl.handle.net/10533/236552
dc.relation.none.fl_str_mv instname: Conicyt
reponame: Repositorio Digital RI2.0
dc.relation.projectid.es_CL.fl_str_mv info:eu-repo/grantAgreement//21140172
dc.relation.set.none.fl_str_mv info:eu-repo/semantics/dataset/hdl.handle.net/10533/93488
dc.rights.es_CL.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.*.fl_str_mv Attribution-NonCommercial-NoDerivs 3.0 Chile
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/3.0/cl/
eu_rights_str_mv openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivs 3.0 Chile
http://creativecommons.org/licenses/by-nc-nd/3.0/cl/
bitstream.url.fl_str_mv https://repositorio.anid.cl/bitstreams/9868332f-e68b-44de-9989-984ea37e67a0/download
https://repositorio.anid.cl/bitstreams/604c9807-2103-42e2-a952-d085550c7dd7/download
https://repositorio.anid.cl/bitstreams/575108ec-5e55-4e5e-89b1-09bc94a7618f/download
https://repositorio.anid.cl/bitstreams/a3eafe0f-69c5-4571-9d46-face5d42e074/download
https://repositorio.anid.cl/bitstreams/786f9309-7772-4792-9e80-6c3d71aadcb2/download
bitstream.checksum.fl_str_mv ef3bfb9a1c26c5c7939bf790c0703808
f97bcfdf58f3e17b5cec231112dab5b1
593a6e7305c66c56041a9f9e15a649c1
23f9c3c5e55076db1e30652c730b08b7
7824973b63c6ee745de82445f812b65f
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositorio ANID
repository.mail.fl_str_mv aletelier@anid.cl
_version_ 1843518727499284480
spelling UNIVERSIDAD DE CHILEMorán, Javier2019https://hdl.handle.net/10533/236552http://purl.org/coar/access_right/c_abf2Psicología (Incluyendo la relación hombre-máquina)PsicologíaCiencias SocialesRegulatory function of mentalization in rupture-resolution sequence of the therapeutic alliance during psychotherapy processes with adolescentsMartínez, ClaudioUNIVERSIDAD DE CHILEChileMorán, Javier2019-09-10T12:27:36Z2022-08-18T14:12:57Z2019-09-10T12:27:36Z2022-08-18T14:12:57Z2019Introduction: Mentalization, operationalized as reflective functioning (Fonagy, Target, Steele & Steele, 1998), can be conceptualized as a complex psychological function, developmentally critical during adolescence due to brain changes that affect social cognition areas, that “supports” the therapist-patient exchanges, rather than a global capacity that "improves" through psychotherapy. Based on the consideration that among adolescents, mentalization would accomplish a relevant role in understanding the regulatory processes experienced by therapists and patients during moments of impasse (rupture) and its resolution (Morken, Karterud & Arefjord, 2014; Lingiardi & Colli, 2015) this study aims to describe how mentalization of therapist and adolescent patient is expressed and configured within episodes of rupture and resolution and determine the relationship between these configurations and the result of the resolution (repair v/s not repair). Method: Five individual psychotherapy process with adolescents from 14 to 19 years old were analyzed. Five pairs of judges trained in the 3RS system (Eubanks-Carter, Muran, & Safran, 2014) jointly rated the sessions of transcribed and videotaped therapies, identifying rupture-resolution (R-R) sequences of the therapeutic alliance. Once R-R was identified, the same pairs of judges established the extent to which the rupture was repaired through the "therapeutic relationship compromise" of Sexton, Littauer, Sexton and Tømmerås (2005). Once the rupture-resolution sequences were identified therapist and patients mentalization was coded through the Observational System of Mentalization in Psychotherapy for adolescents (OSMP-A, Morán, Martínez & Arce, unpublished). Therapist and patients mentalization ratings were described and compared through multilevel linear regression analysis. Configurations of mentalization were stablish trough Multilevel Latent Class Analysis. Post-hoc analysis determined the probability for each configuration of therapist and patient mentalization to be repaired. Results: in most of the assessed dimensions both patients and therapists achieved lower ratings of mentalization during episodes of rupture in comparison with episodes of resolution and, with the exception of contingent communication, therapists tended to show higher means of mentalization than patients. Statistically significant differences in mentalization between actors and interactive scenarios of rupture-resolution, as well as interaction effects on some specific dimensions, showed that it is possible to explain the variance of mentalization from each of these predictors (actor and interactive scenario) and, to evaluate the presence of possible specific configurations of mentalization between actors in episodes of rupture and episodes of resolution. As it was observed, 3 interactive scenarios in rupture and 4 interactive scenarios in resolution showed the best fit to describe the possible configurations of therapist-patient mentalization. In turn, each combination of rupture-resolution configurations showed different probabilities of being repaired. Conclusion: These results show that mentalization assumes a regulatory function of therapeutic interaction during R-R sequences that can be described in clinical terms. It is proposed that therapist actions have a central role in explaining ruptures of patients' mentalization during ruptures, but also for mentalization recovery during resolutions. A contingent response and focusing patients on the present moment would favor both an increase in patients' mentalization and a higher probability of repairing ruptures.PFCHA-BecasPFCHA-Becas21140172https://hdl.handle.net/10533/236552instname: Conicytreponame: Repositorio Digital RI2.0info:eu-repo/grantAgreement//21140172info:eu-repo/semantics/dataset/hdl.handle.net/10533/93488info:eu-repo/semantics/openAccessAttribution-NonCommercial-NoDerivs 3.0 Chilehttp://creativecommons.org/licenses/by-nc-nd/3.0/cl/Ciencias SocialesPsicologíaPsicología (Incluyendo la relación hombre-máquina)Regulatory function of mentalization in rupture-resolution sequence of the therapeutic alliance during psychotherapy processes with adolescentsTesis Doctoradoinfo:eu-repo/semantics/doctoralThesisinfo:eu-repo/semantics/publishedVersionTesisTesishttps://hdl.handle.net/10533/236552PFCHA-Becas41fbdea9-2a43-4ad7-8214-2f662b1d3f7cvirtual::51520-141fbdea9-2a43-4ad7-8214-2f662b1d3f7cvirtual::51520-1ORIGINALPhD thesis Javier Moran Kneer_empaste.pdfapplication/pdf2666593https://repositorio.anid.cl/bitstreams/9868332f-e68b-44de-9989-984ea37e67a0/downloadef3bfb9a1c26c5c7939bf790c0703808MD51CC-LICENSElicense_rdfapplication/octet-stream1232https://repositorio.anid.cl/bitstreams/604c9807-2103-42e2-a952-d085550c7dd7/downloadf97bcfdf58f3e17b5cec231112dab5b1MD52LICENSElicense.txttext/plain1779https://repositorio.anid.cl/bitstreams/575108ec-5e55-4e5e-89b1-09bc94a7618f/download593a6e7305c66c56041a9f9e15a649c1MD53TEXTPhD thesis Javier Moran Kneer_empaste.pdf.txtExtracted texttext/plain324415https://repositorio.anid.cl/bitstreams/a3eafe0f-69c5-4571-9d46-face5d42e074/download23f9c3c5e55076db1e30652c730b08b7MD54THUMBNAILPhD thesis Javier Moran Kneer_empaste.pdf.jpgIM Thumbnailimage/jpeg1959https://repositorio.anid.cl/bitstreams/786f9309-7772-4792-9e80-6c3d71aadcb2/download7824973b63c6ee745de82445f812b65fMD5510533/236552oai:repositorio.anid.cl:10533/2365522023-07-24 10:08:52.119http://creativecommons.org/licenses/by-nc-nd/3.0/cl/info:eu-repo/semantics/openAccesshttps://repositorio.anid.clRepositorio ANIDaletelier@anid.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
score 15,812429

Similares en LA Referencia