OBJECTIVE The capacity for understanding mental states (reflective functioning; RF) is considered essential for self-growth, social learning, and emotion regulation. Impaired RF is thought to play a central role in borderline personality disorder (BPD). We examined whether asking patients to consider mental states in-session has a down-regulatory effect on emotional arousal in treatments for BPD. METHOD Early-, middle- and late-phase videotaped sessions from a randomized-controlled trial of transference-focused psychotherapy (TFP; n = 30), dialectical behavior therapy (DBT; n = 29), and supportive psychodynamic therapy (SPT; n = 29) were segmented to therapist and patient talk-turns. Therapist talk-turns were rated as asking patients to consider mental state (bids for RF) or not. Patient talk-turns were rated for RF and acoustically encoded for arousal. RESULTS Bids were twice as common in TFP compared to DBT and SPT. Across treatments, therapist bids for RF predicted better RF, which, in turn, predicted lower emotional arousal. CONCLUSIONS Asking patients to consider mental states has a down-regulatory effect on patients' arousal in psychotherapies for BPD. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

中文翻译：

---

边缘性人格障碍心理治疗中的反思功能：反思功能的情绪调节作用。


目标 理解心理状态的能力（反思功能；RF）被认为对于自我成长、社交学习和情绪调节至关重要。 RF 受损被认为在边缘型人格障碍 (BPD) 中发挥着核心作用。我们研究了在 BPD 治疗中要求患者考虑治疗期间的精神状态是否对情绪唤醒有下调作用。方法 来自以移情为中心的心理治疗（TFP；n = 30）、辩证行为疗法（DBT；n = 29）和支持性心理动力疗法（SPT；n = 29）的随机对照试验的早期、中期和晚期录像。 = 29）被分为治疗师和患者的谈话轮流。治疗师的谈话被评定为询问患者是否考虑精神状态（对 RF 的报价）。对患者的谈话进行射频评级和唤醒声学编码。结果 TFP 中的投标频率是 DBT 和 SPT 的两倍。在整个治疗过程中，治疗师对 RF 的出价预示着更好的 RF，而这反过来又预示着较低的情绪唤起。结论 在 BPD 心理治疗中，要求患者考虑精神状态对患者的觉醒有下调作用。 （PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。