- Child and Adolescent Psychosocial and Emotional Development
- Personality Disorders and Psychopathology
- Psychotherapy Techniques and Applications
- Attachment and Relationship Dynamics
- Psychology, Coaching, and Therapy
- Psychoanalysis and Social Critique
- Infant Health and Development
- Family Support in Illness
- Mental Health and Psychiatry
- Maternal Mental Health During Pregnancy and Postpartum
- Child Abuse and Trauma
- Functional Brain Connectivity Studies
- Psychiatric care and mental health services
- Mental Health Research Topics
- Counseling, Therapy, and Family Dynamics
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Family Caregiving in Mental Illness
- Neuroendocrine regulation and behavior
- Academic and Historical Perspectives in Psychology
- Schizophrenia research and treatment
- Obsessive-Compulsive Spectrum Disorders
- Psychosomatic Disorders and Their Treatments
- Sociology and Education Studies
- Treatment of Major Depression
- COVID-19 and Mental Health
University Hospital Heidelberg
2016-2025
Heidelberg University
2016-2025
German Center for Diabetes Research
2025
Hologic (Germany)
2023
National Health Service
2021
University College London
2021
Anna Freud Centre
2021
University of Klagenfurt
2013-2018
Ludwig-Maximilians-Universität München
2015
British Psychoanalytical Society
2015
Neuroimaging studies of depression have demonstrated treatment-specific changes involving the limbic system and regulatory regions in prefrontal cortex. While these examined effect short-term, interpersonal or cognitive-behavioural psychotherapy, long-term, psychodynamic intervention has never been assessed. Here, we investigated recurrently depressed (DSM-IV) unmedicated outpatients (N = 16) control participants matched for sex, age, education 17) before after 15 months psychotherapy....
The Reflective Functioning Scale (RFS) was developed to assess individual differences in the ability mentalize attachment relationships. RFS assesses mentalization from transcripts of Adult Attachment Interview (AAI). A global score is given by trained coders on an 11-point scale ranging antireflective exceptionally reflective. Coding procedures rely a distinction demand and permit questions during AAI. Demand directly probe for reflective functioning (RF), whereas do not. focuses detecting...
Summary Borderline personality disorder is associated with deficits in functioning and mentalisation. In a randomised controlled trial 104 people borderline received either transference-focused psychotherapy (TFP) or treatment by experienced community therapists. Among other outcome variables, mentalisation was assessed means of the Reflective Functioning Scale (RF Scale). Findings revealed only significant improvements reflective function TFP group within 1 year treatment. The between-group...
Relationships between personality organization, reflective functioning (RF), and the number of Axis I II disorders were examined. Ninety-two female patients with Diagnostic Statistical Manual Mental Disorders (4th ed.; DSM-IV-TR) borderline disorder (BPD) administered Structured Interview Personality Organization (STIPO), Adult Attachment for assessment RF, Clinical DSM Disorders. Significant correlations found level organization diagnoses. In contrast, no association was RF severity...
Mentalization has been proposed as a key concept in understanding therapeutic change patients with Borderline Personality Disorder (BPD). However, little is known about mentalization chronic depression. This study investigated the role of long-term psychoanalytic treatment measured Reflective Functioning Scale (RFS) was examined depression (n = 20) and compared to healthy controls 20). Results show that global RF scores did not differ significantly between controls. depressed tended have...
The present study investigates the role of attachment representation and mentalization as possibly protective factors in relationship between early maltreatment potential for violence adolescence.For current study, 161 adolescents, aged 14-21 years, were recruited from high schools youth psychiatry. Early was assessed by Childhood Experiences Care Abuse Questionnaire, using Adult Attachment Projective Picture System, coded with Reflective Functioning Scale Interviews. Potential...
The aim of the study was to examine whether mentalization serves as a protective factor against aggressive behavior in adolescence context early traumatization. We present data from non-clinical sample adolescents Germany (n=97) and calculate mediation model test link between traumatic experiences with mentalizing skills mediator. Mentalization assessed Reflective Functioning Scale on Adult-Attachment-Interview measured Reactive-Proactive-Aggression-Questionnaire. Traumatic experience...
Objectives In the search for neurobiological correlates of depression, a major finding is hyperactivity in limbic-paralimbic regions. However, results so far have been inconsistent, and stimuli used are often unspecific to depression. This study explored hemodynamic responses brain patients with depression while processing individualized clinically derived stimuli. Methods Eighteen unmedicated recurrent depressive disorder 17 never-depressed control subjects took part standardized clinical...
Zusammenfassung Theoretischer Hintergrund Das alternative Modell für Persönlichkeitsstörungen des DSM-5 führt erstmals ein evidenzbasiertes, dimensionales Konzept die Diagnostik von Störungen der Persönlichkeit ein. Kriterium A, operationalisiert mit Level of Personality Functioning Scale, differenziert das Ausmaß Beeinträchtigungen im Funktionsniveau Persönlichkeit. Mit dem Semi-Structured Interview for (STiP-5.1) liegt bereits valides, reliables und ökonomisches zur Erfassung A vor. Bisher...
Criterion A of the alternative model for classification personality disorders in Diagnostic and Statistical Manual Mental Disorders, Fifth Edition (DSM-5), introduced Level Personality Functioning Scale (LPFS), a dimensional assessment impairments self interpersonal functioning. The LPFS was developed based on review different measures functioning, such as Reflective Scale, measure mentalizing. This study investigated empirical overlap between mentalization. sample included adult inpatients...
This position paper follows the call for transtheoretical meta-models of general clinical change by concentrating on severe mental illness such as Personality Disorders (PDs). We have identified a core process related to flexibility through implicit learning and propose recommendations stance technique that are informed research Mentalization-Based-Treatment (MBT) components represented in Mediational Intervention Sensitizing Caregivers (MISC). While idea corrective emotional experience...
Background: Research on different aspects of mentalizing is essential for understanding the mechanisms underlying personality disorders (PD) and informing psychotherapy approaches, where functions as a key mechanism change. This study aimed to explore whether self- other-mentalizing, in interaction with attachment insecurity, differentially explain Criteria A (level functioning) B (maladaptive traits) Alternative Model Personality Disorders DSM-5. Method: Our sample consisted 109...
Zusammenfassung Die Mentalisierungsbasierte Therapie (MBT) ist eine evidenzbasierte integrative Therapie, die für Behandlung von Patient:innen mit Borderline-Persönlichkeitsstörungen entwickelt wurde. In den letzten Jahren wurden das Verfahren auf andere Patient:innengruppen ausgedehnt. Im vorliegenden Beitrag stellen wir neue Anwendung der MBT Jugendliche Störungen des Sozialerhaltens vor (MBT-SSV), weitere Elemente, wie z. B. Familientherapie und Motivational Interviewing, in integriert...
Zusammenfassung Hintergrund Interpersonelle Kompetenzen von Therapeut:innen zum Aufbau und Erhalt einer therapeutischen Allianz stellen verfahrensübergreifend bedeutsame Konzepte für effektive Psychotherapie dar (Norcross Lambert 2019). Dennoch mangelt es an evidenzbasierten Methoden, um entsprechende auszubilden. Als vielversprechende didaktische Mittel gelten Deliberate Practice (DP) Strukturiertes Feedback (SF), deren Akzeptanz im Kontext der deutschen Psychotherapieausbildung bislang...