Social functioning can be severely impaired in non-affective psychotic disorder (NAPD). Current models of psychosis pathogenesis do not tend to focus on social dysfunction and pharmacological treatment fails to ameliorate it. In this article, we propose that mentalization theory provides a valuable contribution to the understanding and treatment of NAPD. Impaired mentalizing may contribute to both positive and negatives symptoms as well as social dysfunction observed in NAPD. Furthermore, impaired mentalizing may help explain the relation between childhood abuse, insecure attachment and psychosis. Mentalization based treatment may contribute to the functional recovery of NAPD patients as it targets the social cognitive processes underlying social interaction. The article includes a description of the principles of MBT in general, specific characteristics of using MBT with patients with NAPD and a clinical vignette to illustrate these principles.

中文翻译：

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心智化和精神病：使用心智化理论理解和治疗非情感性精神病的基本原理

非情感性精神障碍 (NAPD) 的社交功能会严重受损。当前的精神病发病机制模型并不倾向于关注社会功能障碍，药物治疗也无法改善它。在本文中，我们提出心智化理论为理解和治疗 NAPD 提供了宝贵的贡献。心理化受损可能会导致 NAPD 中观察到的阳性和阴性症状以及社会功能障碍。此外，心理化受损可能有助于解释童年虐待、不安全依恋和精神病之间的关系。基于心理化的治疗可能有助于 NAPD 患者的功能恢复，因为它针对社会互动的社会认知过程。这篇文章包括对 MBT 原则的一般描述，