Skip to main content
Top
Gepubliceerd in: Journal of Child and Family Studies 7/2020

17-02-2020 | Original Paper

Does Children’s Mentalizing Mediate the Role of Attachment and Psychological Maladjustment in Middle Childhood?

Auteurs: Bizzi Fabiola, Charpentier Mora Simone, Ensink Karin, Cavanna Donatella, Borelli Jessica

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 7/2020

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objectives

This study investigated mentalization, operationalized as Reflective Functioning (RF), focusing on its differential subcomponents (self- and other-focused RF). The interplay between RF, attachment, and psychological maladjustment (operationalized as internalizing and externalizing problems) was examined during middle childhood in the service of forging a better understanding of the mentalizing framework.

Methods

A community sample of Italian children aged 8–12 years (N = 96; Mage = 10.41 years, SD = 1.43 years) completed in an individual session the Child Attachment Interview, which later was coded for overall attachment coherence and RF by two separate teams of raters, and verbal comprehension subtests of the WISC-IV. Mothers completed the Child Behavior Checklist, comprising our measure of children’s internalizing and externalizing problems.

Results

Analyses showed that self-focused RF and other-focused RF together mediated the relation between attachment coherence and externalizing problems; further, only self-focused RF mediated the link between attachment coherence and internalizing problems.

Conclusions

These findings contribute to theory and provide potential directions for intervention. Specifically, the findings may imply that targeting children’s self-focused RF as an area of intervention may be more profitable in select psychological problems whereas in other cases it may be more useful to consider mentalizing in its totality. Possible mechanisms underlying these findings are discussed.
Literatuur
go back to reference Achenbach, T., & Rescorla, L. (2001). Manual for the ASEBA school-age forms & profiles. Burlington: University of Vermont Research Center for Children Youth & Families. Achenbach, T., & Rescorla, L. (2001). Manual for the ASEBA school-age forms & profiles. Burlington: University of Vermont Research Center for Children Youth & Families.
go back to reference Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: a psychological study of the strange situation. Oxford: Erlbaum. Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: a psychological study of the strange situation. Oxford: Erlbaum.
go back to reference Bateman, A. W. & Fonagy, P. (Eds) (2012). Handbook of mentalizing in mental health practice. Washington, DC: American Psychiatric Pub. Bateman, A. W. & Fonagy, P. (Eds) (2012). Handbook of mentalizing in mental health practice. Washington, DC: American Psychiatric Pub.
go back to reference Bizzi, F. (2019). The quality of attachment in children with somatic symptom disorders and related disorders. Psicologia Clinica dello Sviluppo, 28(1), 139–152. Bizzi, F. (2019). The quality of attachment in children with somatic symptom disorders and related disorders. Psicologia Clinica dello Sviluppo, 28(1), 139–152.
go back to reference Bizzi, F., Shmueli-Goetz, Y., Castellano, R., & Cavanna, D. (2018). A multi assessment approach for the attachment in middle childhood and early adolescence in two clinical groups. Testing, Psychometrics, Methodology in Applied Psychology, 25(3), 409–427. https://doi.org/10.4473/TPM25.3.6.CrossRef Bizzi, F., Shmueli-Goetz, Y., Castellano, R., & Cavanna, D. (2018). A multi assessment approach for the attachment in middle childhood and early adolescence in two clinical groups. Testing, Psychometrics, Methodology in Applied Psychology, 25(3), 409–427. https://​doi.​org/​10.​4473/​TPM25.​3.​6.CrossRef
go back to reference Borelli, J. L., Somers, J., West, J. L., Coffey, J. K., De Los Reyes, A., & Shmueli-Goetz, Y. (2016). Associations between attachment narratives and self-report measures of attachment in middle childhood: extending evidence for the validity of the child attachment interview. Journal of Child and Family Studies, 25, 1235–1246. https://doi.org/10.1007/s10826-015-0310-8.CrossRef Borelli, J. L., Somers, J., West, J. L., Coffey, J. K., De Los Reyes, A., & Shmueli-Goetz, Y. (2016). Associations between attachment narratives and self-report measures of attachment in middle childhood: extending evidence for the validity of the child attachment interview. Journal of Child and Family Studies, 25, 1235–1246. https://​doi.​org/​10.​1007/​s10826-015-0310-8.CrossRef
go back to reference Brislin, R. (1970). Back-translation for cross-cultural research. Journal of Cross Cultural Psychology, 1, 185–216.CrossRef Brislin, R. (1970). Back-translation for cross-cultural research. Journal of Cross Cultural Psychology, 1, 185–216.CrossRef
go back to reference Carr, A. (2017). Social and emotional development in middle-childhood. In D. Skuse, H. Bruce & L. Dowdney (Eds), Child psychology and psychiatry: frameworks for clinical training and practice. 3rd ed. (pp. 83–90). London: Blackwell. Carr, A. (2017). Social and emotional development in middle-childhood. In D. Skuse, H. Bruce & L. Dowdney (Eds), Child psychology and psychiatry: frameworks for clinical training and practice. 3rd ed. (pp. 83–90). London: Blackwell.
go back to reference Ensink, K., Borelli, J. L., Roy, J., Normandin, L., Slade, A., & Fonagy, P. (2018). Costs of not getting to know you: lower levels of parental reflective functioning confer risk for maternal insensitivity and insecure infant attachment. Infancy, 24(2), 210–227. https://doi.org/10.1111/infa.12263.CrossRef Ensink, K., Borelli, J. L., Roy, J., Normandin, L., Slade, A., & Fonagy, P. (2018). Costs of not getting to know you: lower levels of parental reflective functioning confer risk for maternal insensitivity and insecure infant attachment. Infancy, 24(2), 210–227. https://​doi.​org/​10.​1111/​infa.​12263.CrossRef
go back to reference Ensink, K., Normandin, L., Target, M., Fonagy, P., Sabourin, S., & Berthelot, N. (2015). Mentalization in children and mothers in the context of trauma: an initial study of the validity of the child reflective functioning scale. British Journal of Developmental Psychology, 33(2), 203–217. https://doi.org/10.1111/bjdp.12074.CrossRefPubMed Ensink, K., Normandin, L., Target, M., Fonagy, P., Sabourin, S., & Berthelot, N. (2015). Mentalization in children and mothers in the context of trauma: an initial study of the validity of the child reflective functioning scale. British Journal of Developmental Psychology, 33(2), 203–217. https://​doi.​org/​10.​1111/​bjdp.​12074.CrossRefPubMed
go back to reference Ensink, K., Target, M., & Oandasan, C. (2013). Child reflective functioning scale scoring manual: for application to the child attachment interview. Unpublished manuscript. London, UK: Anna Freud Centre - University College London. Ensink, K., Target, M., & Oandasan, C. (2013). Child reflective functioning scale scoring manual: for application to the child attachment interview. Unpublished manuscript. London, UK: Anna Freud Centre - University College London.
go back to reference Fonagy, P., Gergely, G., Jurist, E. L., & Target, M. (2002). Affect regulation, mentalization, and the development of the self. New York, NY: Other Press. Fonagy, P., Gergely, G., Jurist, E. L., & Target, M. (2002). Affect regulation, mentalization, and the development of the self. New York, NY: Other Press.
go back to reference Fonagy, P., Steele, M., Steele, H., & Moran, G. S. (1991). The capacity for understanding mental states: the reflective self in parent and child and its significance for security of attachment. Infant Mental Health Journal, 12, 201–218. https://doi.org/10.1002/1097-0355.CrossRef Fonagy, P., Steele, M., Steele, H., & Moran, G. S. (1991). The capacity for understanding mental states: the reflective self in parent and child and its significance for security of attachment. Infant Mental Health Journal, 12, 201–218. https://​doi.​org/​10.​1002/​1097-0355.CrossRef
go back to reference Fonagy, P., Target, M., Steele, H., & Steele, M. (1998). Reflective functioning manual, version 5.0, for application to adult attachment interviews. London: University College London. Fonagy, P., Target, M., Steele, H., & Steele, M. (1998). Reflective functioning manual, version 5.0, for application to adult attachment interviews. London: University College London.
go back to reference George, C., Kaplan, N., & Main, M. (1985). Adult attachment interview. Unpublished manuscript. Berkeley: University of California Department of Psychology. George, C., Kaplan, N., & Main, M. (1985). Adult attachment interview. Unpublished manuscript. Berkeley: University of California Department of Psychology.
go back to reference Jewell, T., Collyer, H., Gardner, T., Tchanturia, K., Simic, M., Fonagy, P., & Eisler, I. (2016). Attachment and mentalization and their association with child and adolescent eating pathology: a systematic review. International Journal of Eating Disorders, 49(4), 354–373. https://doi.org/10.1002/eat.22473.CrossRefPubMed Jewell, T., Collyer, H., Gardner, T., Tchanturia, K., Simic, M., Fonagy, P., & Eisler, I. (2016). Attachment and mentalization and their association with child and adolescent eating pathology: a systematic review. International Journal of Eating Disorders, 49(4), 354–373. https://​doi.​org/​10.​1002/​eat.​22473.CrossRefPubMed
go back to reference Kerns, K. A. (2008). Attachment in middle childhood. In J. Cassidy & P. R. Shaver (Eds), Handbook of attachment: theory, research and clinical applications (pp. 366–382). New York, NY: Guilford Press. Kerns, K. A. (2008). Attachment in middle childhood. In J. Cassidy & P. R. Shaver (Eds), Handbook of attachment: theory, research and clinical applications (pp. 366–382). New York, NY: Guilford Press.
go back to reference Landis, J. R., & Koch, G. G. (1977). The measurement of Observer Agreement for Categorial Data. International Biometric Society, 33, 159–174.CrossRef Landis, J. R., & Koch, G. G. (1977). The measurement of Observer Agreement for Categorial Data. International Biometric Society, 33, 159–174.CrossRef
go back to reference Luborsky, L., & Crits-Christoph, P. (1990). Understanding transference: the CCRT method. New York, NY: Basic Books. Luborsky, L., & Crits-Christoph, P. (1990). Understanding transference: the CCRT method. New York, NY: Basic Books.
go back to reference Luyten, P., Fonagy, P., Lowyck, B., & Vermote, R. (2012). The assessment of mentalization. In A. W. Bateman & P. Fonagy (Eds), Handbook of mentalizing in mental health practice (pp. 43–65). Washington: American Psychiatric Publishing. Luyten, P., Fonagy, P., Lowyck, B., & Vermote, R. (2012). The assessment of mentalization. In A. W. Bateman & P. Fonagy (Eds), Handbook of mentalizing in mental health practice (pp. 43–65). Washington: American Psychiatric Publishing.
go back to reference Morosan, L., Ghisletta, P., Badoud, D., Toffel, E., Eliez, S., & Debbané, M. (2019). Longitudinal relationships between reflective functioning, empathy, and externalizing behaviors during adolescence and young adulthood. Child Psychiatry & Human Development, 1–12. https://doi.org/10.1007/s10578-019-00910-8. Morosan, L., Ghisletta, P., Badoud, D., Toffel, E., Eliez, S., & Debbané, M. (2019). Longitudinal relationships between reflective functioning, empathy, and externalizing behaviors during adolescence and young adulthood. Child Psychiatry & Human Development, 1–12. https://​doi.​org/​10.​1007/​s10578-019-00910-8.
go back to reference Orsini, A., Pezzuti, L., & Picone, L. (2012). WISC-IV Italian edition. Florence, Italy: Giunti OS. Orsini, A., Pezzuti, L., & Picone, L. (2012). WISC-IV Italian edition. Florence, Italy: Giunti OS.
go back to reference Shai, D., & Fonagy, P. (2014). Beyond words: parental embodied mentalizing and the parent-infant dance. In M. Mikulincer, P. R. Shaver (Eds), The Herzliya series on personality and social psychology. Mechanisms of social connection: from brain to group (pp. 185–203). Washington, DC: American Psychological Association. https://doi.org/10.1037/14250-000. Shai, D., & Fonagy, P. (2014). Beyond words: parental embodied mentalizing and the parent-infant dance. In M. Mikulincer, P. R. Shaver (Eds), The Herzliya series on personality and social psychology. Mechanisms of social connection: from brain to group (pp. 185–203). Washington, DC: American Psychological Association. https://​doi.​org/​10.​1037/​14250-000.
go back to reference Suchman, N. E., Borelli, J. L., & DeCoste, C. L. (2018). Can addiction counselors be trained to deliver mothering from the inside out, a mentalization-based parenting therapy, with fidelity? Results from a community-based randomized efficacy trial. Attachment & Human Development, 1–20. https://doi.org/10.1080/14616734.2018.1559210. Suchman, N. E., Borelli, J. L., & DeCoste, C. L. (2018). Can addiction counselors be trained to deliver mothering from the inside out, a mentalization-based parenting therapy, with fidelity? Results from a community-based randomized efficacy trial. Attachment & Human Development, 1–20. https://​doi.​org/​10.​1080/​14616734.​2018.​1559210.
go back to reference Wechsler, D. (2003). WISC-IV technical and interpretive manual. San Antonio, TX: The Psychological Association. Wechsler, D. (2003). WISC-IV technical and interpretive manual. San Antonio, TX: The Psychological Association.
Metagegevens
Titel
Does Children’s Mentalizing Mediate the Role of Attachment and Psychological Maladjustment in Middle Childhood?
Auteurs
Bizzi Fabiola
Charpentier Mora Simone
Ensink Karin
Cavanna Donatella
Borelli Jessica
Publicatiedatum
17-02-2020
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 7/2020
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-020-01701-9

Andere artikelen Uitgave 7/2020

Journal of Child and Family Studies 7/2020 Naar de uitgave