Abstract

The author presents a model of clinical intervention based on patients’ mentalization, or mind reading, that is, the function of the mind to understand the mind. The action of mind reading means a type of thought, mostly not conscious, implicit, often not even encoded in words, that expresses the meaning “I think that you think that I think.” Thoughts about the analyst’s states of mind crowd the minds of patients, taking shape in these questions: “What do you think I have in mind?” and so “How do you plan to act towards me?” If the analyst does not capture and does not disambiguate the doubts, the patient’s perplexity and insecurity can intensify and produce emotions of anxiety, fear, fright, but also anger towards a silent interlocutor. Conversely, the analyst who mentalizes the state of mind of the patient and verbalizes it heteroregulates the patient’s fears and anxiety level. Mentalization and affect regulation are also related to the analyst’s recognition of the patient’s metacognition process. At the conclusion of the theoretical section, a clinical sketch shows examples, and highlights in therapeutic work the abovementioned theoretical issues.

摘要

作者提出了一种基于患者心智化或读心术的临床干预模型，即心识心的作用。读心术是指一种思想，大多是无意识的、隐含的，通常甚至没有用文字编码，表达了“我认为你认为我认为”的意思。关于分析师心理状态的想法挤满了病人的头脑，形成了这些问题：“你认为我在想什么？” 所以“你打算如何对待我？” 如果分析师没有抓住也没有消除疑虑，患者的困惑和不安全感会加剧并产生焦虑、恐惧、恐惧的情绪，但也会对沉默的对话者产生愤怒。相反，心理化患者心理状态并将其语言化的分析师会异质调节患者的恐惧和焦虑水平。心理化和情感调节也与分析师对患者元认知过程的识别有关。在理论部分的结尾，临床草图展示了例子，并在治疗工作中强调了上述理论问题。