Mentalizing Makes Parenting Work: A Review about Parental Reflective Functioning and Clinical Interventions to Improve It.
Mentalizing Makes Parenting Work: A Review about Parental Reflective Functioning and Clinical Interventions to Improve It.
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心理化使育儿工作：关于父母反思功能和临床干预措施的评论。
DOI：
10.3389/fpsyg.2017.00014
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发表时间：
2017
影响因子：
3.8
通讯作者：
Camoirano A
中科院分区：
文献类型：
--
作者：
Camoirano A
在过去的十年里，几项研究调查了父母反思功能(RF)对儿童发展的作用，RF被定义为父母理解孩子心理状态的能力。本文旨在(1)对已有的实证研究进行综述，(2)指出不作为回报的问题，(3)确定未来的研究方向。具体地说，目前的审查集中在：(A)父母射频对照料质量和儿童依恋安全的影响，(B)父母射频对儿童情绪调节和儿童射频的影响，(C)有忽视和虐待病史的妇女的母亲射频，(D)以精神化为基础的临床干预措施的效果，以及(E)最近编制的父母反思问卷。使用Medline、Web of Science和Scopus数据库在标题、摘要和主要文本中搜索以下术语“母系RF”、“父系RF”、“双亲RF”、“双亲心性化”、“母系精神化”和“父系精神化”。接下来，还在门德利进行了搜索。纳入标准包括原创文章，如果涉及RF量表，并且在2016年7月之前发表在英文同行评议期刊上。根据排除标准，论文、定性或理论论文以及书籍中的章节不被考虑。这篇综述包括47项研究，这些研究支持这样一个概念，即父母的RF较高与足够的照顾和孩子的依恋安全感有关，而母亲的RF较低，其子女患有焦虑症、情绪调节障碍和外化行为。此外，父母的认知能力越高，儿童的心理能力越强。然而，在最近的随机对照试验中出现了意想不到的发现，这些试验在母亲的高危样本中测试了基于精神化的干预措施的有效性，这引发了人们对言语测量是否适合捕捉父母充分响应孩子情绪需求的能力的根源的精神化过程的质疑。
In the last decade several studies have investigated the role of parental reflective functioning (RF), defined as the parental ability to understand his/her child’s mental states, on the child’s development. Herein, a narrative review on parental RF is presented aimed at (1) presenting an overview of the existing empirical studies, (2) pinpointing unrequited questions, and (3) identifying future research directions. Specifically, the current review focused on (a) the impact of parental RF on the quality of caregiving and the child’s attachment security, (b) the effect of parental RF on the child’s emotion regulation and the child’s RF, (c) maternal RF in women with a history of neglect and abuse, (d) the efficacy of mentalization-based clinical interventions, and (e) the recently developed Parental Reflective Questionnaire. The following terms “maternal RF,” “paternal RF,” “parental RF,” “parental mentalization,” “maternal mentalization,” and “paternal mentalization” were searched in titles, abstracts, and main texts using Medline, Web of Science, and Scopus databases. Next, a search in Mendeley was also conducted. Inclusion criteria comprised original articles if they refer to the RF Scale and were published in an English language, peer-reviewed journal before July, 2016. According to exclusion criteria, dissertations, qualitative or theoretical papers, and chapters in books were not taken into account. The review includes 47 studies that, taken together, supported the notion that higher parental RF was associated with adequate caregiving and the child’s attachment security, whereas low maternal RF was found in mothers whose children suffered from anxiety disorders, impairment in emotion regulation, and externalizing behaviors. In addition, higher parental RF was associated with better mentalizing abilities in children. However, unexpected findings have emerged from the most recent randomized controlled trials that tested the efficacy of mentalization-based interventions in high risk samples of mothers, raising questions about the suitability of the verbal measures in capturing the mentalizing processes at the root of the parental capacity to be adequately responsive to the child’s emotional needs.