《心智化发展与精神病理》

王兰兰*,李踔然.心智化发展与精神病理[J].心理学通讯,2026,9(1):71-78.

Wang Lanlan*, Li Chuoran. Mentalization Development and Psychopathology [J]. Psychological Communications, 2026, 9(1): 71-78.

 

该论文《心智化发展与精神病理》发表于《心理学通讯》2026年第9卷第1期。文章系统梳理了心智化的发展轨迹及其与精神病理的关系。心智化指识别和理解自己与他人心理状态的能力，其发展依赖安全依恋与照料者的标记性镜映。文章阐述了从物理行动体到表征行动体的五阶段发展路径，并区分心理等价、假装、目的论三种前心智化模式。不同心智化失败形式对应不同病理：心理等价模式关联偏执、BPD情绪爆发与PTSD闪回；假装模式关联自恋、强迫与心身疾病；目的论模式关联BPD、自恋及反社会人格障碍。文章最后展望了基于心智化的临床干预方向。

 

The paper "Mentalization Development and Psychopathology" was published in Psychological Communications, Volume 9, Issue 1, 2026. The article systematically reviews the developmental trajectory of mentalization and its relationship with psychopathology. Mentalization refers to the ability to recognize and understand the mental states of oneself and others, and its development depends on secure attachment and the marked mirroring of caregivers. The article elaborates on a five-stage developmental pathway from physical agent to representational agent, and distinguishes three pre-mentalizing modes: psychic equivalence, pretend mode, and teleological mode. Different forms of mentalization failure correspond to different pathologies: the psychic equivalence mode is associated with paranoia, BPD emotional outbursts, and PTSD flashbacks; the pretend mode is associated with narcissism, obsession, and psychosomatic disorders; the teleological mode is associated with BPD, narcissism, and antisocial personality disorder. The article concludes by outlining directions for mentalization-based clinical intervention.