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：

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边缘性人格障碍心理治疗中的会话反思功能：反思功能的情绪调节作用。

目标 理解精神状态的能力（反射功能；RF）被认为是自我成长、社会学习和情绪调节的必要条件。受损的 RF 被认为在边缘型人格障碍 (BPD) 中起核心作用。我们检查了要求患者在治疗期间考虑精神状态是否对 BPD 治疗中的情绪唤起具有下调作用。方法 早期、中期和晚期的录像会议，来自移情集中心理治疗（TFP；n = 30）、辩证行为疗法（DBT；n = 29）和支持性心理动力学疗法（SPT；n）的随机对照试验= 29) 被分割为治疗师和患者的谈话。治疗师谈话被评为要求患者考虑精神状态（对 RF 的出价）与否。病人的谈话被评定为射频和声学编码的唤醒。结果 与 DBT 和 SPT 相比，TFP 中的出价是两倍。在整个治疗过程中，治疗师对 RF 的出价预测了更好的 RF，而这反过来又预测了较低的情绪唤起。结论 要求患者考虑精神状态对患者在 BPD 心理治疗中的觉醒具有下调作用。（PsycInfo 数据库记录 (c) 2021 APA，保留所有权利）。