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Attachment and reflective function: Their role in self-organization
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The paper traces the relationship between attachment processes and the development of the capacity to envision mental states in self and others. We suggest that the ability to mentalize, to represent behavior in terms of mental states, or to have “a theory of mind” is a key determinant of self-organization which is acquired in the context of the child's early social relationships. Evidence for an association between the quality of attachment relationship and reflective function in the parent and the child is reviewed and interpreted in the context of current models of theory of mind development. A model of the development of self-organization is proposed which has at its core the caregiver's ability to communicate understanding of the child's intentional stance. The implications of the model for pathological self-development are explored, with specific reference to the consequences of maltreatment.
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“As mentalization is likely to be a function loosely coupled with the attachment system (Fonagy & Target, 1997), it is doubtful that individual differences in mentalization are best thought of as essentially traitlike.”
From A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder (2009) · cites this paper as Fonagy & Target, 1997
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“Mentalizing capacities emerge within the development of the attachment system, even though they remain two distinct constructs [13,14].”
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“adversities during pregnancy and early childhood such as inadequate care, neglect, and trauma, have been shown to negatively impact on academic trajectories, psychosocial skills, physical resilience and the possibility of healthy aging [29, 31]”
From Prevention and early intervention in youth mental health: is it time for a multidisciplinary and trans-diagnostic model for care? (2020) · cites this paper as [31]
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Metadata
- Authors
- FONAGY, P., & TARGET, M.
- Affiliations
- University College London (GB)
- ORCID
- FONAGY, PETER
- Venue
- Development and Psychopathology
- Publisher
- Cambridge University Press (CUP)
- Published
- 1997-12
- Volume
- 9
- Issue
- 4
- Pages
- 679-700
- ISSN
- 0954-5794 (ISSN-L)
- 1469-2198
- OpenAlex
- W2121454967
- Cited by
- 1,708
- References
- 41
- Citations by year
- 2026: 76 · 2025: 61 · 2024: 69 · 2023: 70 · 2022: 105 · 2021: 90 · 2020: 77 · 2019: 85 · 2018: 93 · 2017: 98 · 2016: 115 · 2015: 86 · 2014: 101 · 2013: 71 · 2012: 60
- FWCI
- 16.34
- Type
- journal article
- Language
- en
- Open access
- green
- discovery.ucl.ac.uk
- Locations
- Development and Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Child and Animal Learning Development
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Keywords
- attachment, reflective functioning, self-organization, mentalization, theory of mind, parent-child relationship, child development, child abuse
- MeSH terms
- Adult, Aggression, Attention, Child, Child Development, Female, Frustration, Humans, Internal-External Control, Male, Models, Psychological, Motivation, Object Attachment, Parent-Child Relations, Temperament
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