Mentalization, emotional arousal and readiness to gather information in the context of an ongoing relational rupture

Previous studies showed that people differ in attributing mental states to themselves and in understanding the mental states of others, but have not explored the differences when people attribute mental states to others at different social distances. The present study adds a 'close other' condition to the Self/Other differentiation paradigm to explore the potential differences in attributing mental states to others with different social distances. It emerged that the time required to reflect on one's self mental state is shortest in mental state attribution, longer when comprehending the mental state of close others, and longest for strangers. This result indicates that Chinese participants distinguish between close others and strangers when performing perspective-taking. When the perspective-shifting of belief-attribution is performed, a beforehand processing of information about close others or strangers does not interfere with the processing of information from oneself subsequently. However, when the information processed in the previous stage cannot be used for subsequent processing, it interferes with the processing of information from close others or strangers in the later stage. The lower the degree of automated processing of pre-processed information, the greater the interference effect produced. This finding indicated that processing the self mental state is automatically activated, but comprehending the mental state of others is not. The comprehension of others' mental states occurs only when required by the task and it entails more cognitive resources to process and maintain.

Reflective functioning (RF) is a measure of mentalization—the capacity to think about one’s own and others’ thoughts and feelings and to understand the connections between mental states and behaviors. Previous research indicates a decline in marital quality across the transition to parenthood, and some studies have found that parents are less happy than non-parents. Thus, researchers have called for research into possible moderators of these patterns. RF may help couples navigate this transition by more easily taking each other’s (and the infant’s) perspective and understanding each other’s behaviors. Much of the research on RF has focused on mothering behavior; research has not yet examined associations between RF and other family interactions. We examined associations between RF and marital and coparenting quality for both wives and husbands. Reflective functioning was coded from Adult Attachment Interviews conducted during pregnancy. We assessed marital quality at 3.5 months, and coparenting quality at 13 months, after the birth of the target child. Wives’ higher RF was associated with higher levels of positive—and lower levels of negative—marital and coparenting interactions. Wives who were better able to reflect on their early experiences with their parents were involved in marital interactions that were more positive and supportive and less conflicted and undermining. Husbands’ RF did not predict marital or coparenting quality. These findings highlight the importance of reflective functioning in understanding family functioning.

Reward Prediction Error Signals are Meta-Representational.

Objective Parents’ rejection of their LGBTQ + young adults can have a negative impact on their young adult’s psychological welfare, and on the young adult-parent relationship. Parents’ ability to reflect on their child’s pain and unmet needs is thought to evoke empathy and compassion, and reduce rejection. Empirical and clinical evidence suggest that parents’ level of reflective functioning (RF) is impacted by their level of emotional arousal (EA). This study examined the association between parents’ EA and RF within the context of attachment-based family therapy for nonaccepting parents and their LGBTQ+ young adults. Methods 43 therapy sessions drawn from six different cases were coded for parental RF and EA, based on 30-second segments. This generated a total of 343 observations for analyses. Results Hierarchal linear modeling revealed that parents’ level of RF was a function of their concomitant EA, with moderate levels of arousal predicting the highest RF levels. Conclusion Moderate EA may facilitate optimal parental reflective functioning. With nonaccepting parents, who typically present for treatment with high levels of maladaptive fear and shame, therapists would do well to assess their level of arousal and, when indicated, employ downregulating interventions before inviting them to reflect on their young adult’s experience and needs.

Impaired reflective functioning (RF) is common among patients with borderline personality disorder (BPD). Transference-focused psychotherapy (TFP) has been demonstrated to improve RF compared to other common BPD treatments. If RF reflects a treatment mechanism for TFP, differences in pretreatment RF may also serve as a prescriptive factor for TFP's effects. A total of 194 patients with BPD were randomized across two clinical trials to receive TFP (n = 83), dialectical behavior therapy (DBT; n = 31), supportive psychodynamic therapy (SPT; n = 28), or an enhanced treatment as usual (eTAU; n = 52). A mixed-effects model was used to examine whether baseline RF interacted with treatment condition to predict slopes of change in the Brief Symptom Inventory, the shared symptom outcome between trials. Moderation of changes in RF was also examined. Treatment interacted with baseline RF to predict BSI slopes (p = .011). In TFP/SPT, RF did not predict outcomes, β = -0.00, p = .973, while higher RF was associated with relatively better outcomes in DBT/eTAU, β = -0.54, p < .001. Patients with poor RF (scores of 0/1) benefitted more from TFP/SPT, while patients with relatively ordinary RF (score of 4) had better outcomes in DBT/eTAU. Treatment effects on RF change were also moderated by baseline RF (p = .014), such that TFP improved RF most strongly among poor RF patients, SPT only among very poor RF patients, and DBT/eTAU not at all. Low RF may reflect a deficit that may be targeted by TFP and other manualized psychodynamic treatments for BPD, which may be especially helpful among patients presenting with low RF. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Editor's evaluation: Decoding subjective emotional arousal from EEG during an immersive virtual reality experience

Reflective functioning (RF), meaning the capacity to interpret mental states (intentions, emotions, thoughts, desires, and beliefs) underlying one’s own and others’ behaviors, may help understand the dysfunctional self-regulation associated with anxiety disorders. However, research on anxiety and RF in clinical samples is scarce. This study aimed to assess whether mothers’ and youths’ RF was associated with youths’ (a) anxiety disorders and symptoms and (b) internalizing symptoms. Another goal was to explore whether RF predicted anxiety and internalizing symptoms beyond the more commonly established effect of attachment. Canadian children and adolescents aged between 8 and 16years, and their mothers were recruited in an outpatient psychiatric clinic (clinical group with a diagnosed anxiety disorder, n=30, mean age=11.5±2.8years) and in the general population (non-clinical group, n=23, mean age=11.5±2.1years). The Child Attachment Interview was used to assess youths’ attachment along with three dimensions of RF (global, regarding self, regarding others). Mothers’ attachment and RF were assessed with the Adult Attachment Interview. Children’s and adolescents’ anxiety and internalizing symptoms were measured with the Behavior Assessment Scale for Children, second version. The clinical and non-clinical groups did not differ in mothers’ or youths’ RF. However, in the overall sample, youths’ RF regarding themselves and maternal attachment preoccupation were associated with internalizing symptoms. Sequential regression analyses revealed that higher RF regarding self predicted a higher level of self-reported internalizing symptoms, beyond the effect of maternal attachment (β=0.43, p<0.05). This study’s finding suggests that clinically anxious children and adolescents have adequate RF. We propose that the sustained hypervigilance and apprehension associated with anxiety make anxious youths sensitive to their own and others’ mental states. Our findings suggest that psychotherapeutic treatments for anxiety should make use of patients’ RF abilities to help them make sense of their symptoms and thus reduce them.

High degree of uncertain reflective functioning in mothers with substance use disorder

The role of physiological arousal for self-reported emotional empathy.

Oxytocin Improves “Mind-Reading” in Humans

Theory of Mind (ToM), the ability to infer the mental states of others, is integral to facilitating healthy social interactions. People can reason about the mental states of others even with limited or (sometimes) inconsistent information. However, little is known about how people make inferences about the mental states of others under uncertainty, and what features of information are important in aiding mental state reasoning. In the current study, we conducted three unique experiments that alter participant’s uncertainty when engaging in ToM tests. In Experiment 1, we simultaneously manipulated both the amount and consistency of information available in social stimuli presented to 59 participants. In Experiments 2 and 3, we aimed to decipher which feature of social stimuli is more conducive to mental state reasoning. Experiment 2 manipulated only the amount of information available to 47 participants, while Experiment 3 manipulated only the consistency of information available to 46 participants. Using both frequentist and Bayesian statistics, results confirmed that manipulating the amount and consistency of information alters ToM performance. Exploratory analysis comparing the effects of the amount and consistency of information suggests that the effects of the consistency of information seem to be stronger than those of the amount of information. Taken together, all three experiments suggest that while both the amount and consistency of information are important features of social stimuli—the consistency of information available is more salient when inferring mental states of others. These findings are discussed in relation to information theory and have important implications for creating enriched social stimuli, which may enhance mental state reasoning in individuals with social deficits.

Theory of Mind (ToM), the ability to infer the mental states of others, is integral to facilitating healthy social interactions. People can reason about the mental states of others even with limited or (sometimes) inconsistent information. However, little is known about how people make inferences about the mental states of others under uncertainty, and what features of information are important in aiding mental state reasoning. In the current study, we conducted three unique experiments that alter participant's uncertainty when engaging in ToM tests. In Experiment 1, we simultaneously manipulated both the amount and consistency of information available in social stimuli presented to 59 participants. In Experiments 2 and 3, we aimed to decipher which feature of social stimuli is more conducive to mental state reasoning. Experiment 2 manipulated only the amount of information available to 47 participants, while Experiment 3 manipulated only the consistency of information available to 46 participants. Using both frequentist and Bayesian statistics, results confirmed that manipulating the amount and consistency of information alters ToM performance. Exploratory analysis comparing the effects of the amount and consistency of information suggests that the effects of the consistency of information seem to be stronger than those of the amount of information. Taken together, all three experiments suggest that while both the amount and consistency of information are important features of social stimuli-the consistency of information available is more salient when inferring mental states of others. These findings are discussed in relation to information theory and have important implications for creating enriched social stimuli, which may enhance mental state reasoning in individuals with social deficits.

The study aimed to implement motor performance measurements to clarify the physiological characteristics of aging, as well as the relationship between aging and motor performance. This study, we used a multifunctional wireless holter recorder to continuously measure the 24-hour heart rate, physical activity, sleep, and autonomic nervous system activity of early childhood aged 3–6 years. Results showed that average heart rate, average awake heart rate, average heart rate during sleep, and number of turns during sleep decreased with age. Basal metabolism and total energy expenditure varied significantly by age and sex. Motor performance increased significantly with age, and correlations were found between physical characteristics, physical activity, and mean heart rate during sleep. However, autonomic nervous system activity did not differ significantly with age and sex. Our results show the need for specific programs for each age group.

Parental reflective functioning (RF) is often cited as an important domain in which mothers with addictions struggle in their roles as parents, though the links between addiction and RF remain unclear. Exposure to attachment trauma associated with parental mental illness and substance use is commonly associated with both addiction and lower RF. We thus examined how family history of parental mental illness and substance use may relate to the RF of mothers with addictions. One hundred ninety-four mothers in outpatient substance use treatment completed the Parent Development Interview and provided information about whether their mothers and fathers experienced mental illness or problems with substance use. Univariate ANOVAs revealed an interaction between family history of maternal mental illness and maternal substance use. Among mothers with a history of maternal substance use, those with a history of maternal mental illness had higher RF than those who had no history of maternal mental illness. Among mothers who did not report a family history of maternal mental illness, mothers who had a family history of maternal substance use exhibited significantly lower RF than mothers with no family history of maternal substance use. Exposure to paternal mental illness or substance use was not associated with mothers’ RF. These findings highlight the importance of disentangling the contributions of attachment trauma to mothers’ RF and utilizing interventions that support mothers’ capacity to reflect about how their early experiences of being cared for by a mother with a mental illness or addiction may impact their current caregiving behaviors.

Syncope most frequent etiopathogenic mechanism in children is Vasovagal, which is produced by decreased cerebral blood flow, and stimulation of the mechanoreceptors of the left ventricle in the context of...