Mentalizing Imagery Therapy: Theory and Case Series of Imagery and Mindfulness Techniques to Understand Self and Others
- 31 May 2018
- journal article
- research article
- Published by Springer Science and Business Media LLC in Mindfulness
- Vol. 11 (1), 153-165
- https://doi.org/10.1007/s12671-018-0969-1
Abstract
Facilitating mentalization, or the ability to understand mental states and their link to behavior, is increasingly viewed as a common mechanism of action across effective psychotherapies. Here, we present an overview of a new set of contemplative psychotherapeutic techniques, mentalizing imagery therapy (MIT), which uses guided imagery and mindfulness practices to facilitate mentalization. MIT aims to reduce negative psychological symptoms by stimulating an understanding of mental states and their links to behavior in self and others, including in challenging interpersonal situations. Case discussions of MIT in personality disordered and depressed patients are used to illustrate theoretical points and the specific practical benefits of MIT. We conclude that there are promising indications that the imagery and mindfulness practices of MIT, which are specifically targeted to facilitate insight in the context of attachment relationship challenges, may help to improve mentalization and reduce symptoms of depression and anxiety. Both in practice and with respect to its articulated goals, MIT promotes a distinct set of capacities from other mindfulness or compassion-based therapies. Further research is required to determine the clinical efficacy of MIT in controlled trials.Keywords
Funding Information
- National Institute on Aging (1R21AG051970-01)
- National Institute for Health Research (NF-SI-0514-10157)
- National Institute of Mental Health (5T32MH017140)
This publication has 60 references indexed in Scilit:
- A Pilot Study and Randomized Controlled Trial of the Mindful Self‐Compassion ProgramJournal of Clinical Psychology, 2012
- Enhancing Compassion: A Randomized Controlled Trial of a Compassion Cultivation Training ProgramJournal of Happiness Studies, 2012
- Interpersonal Stress Regulation and the Development of Anxiety Disorders: An Attachment-Based Developmental FrameworkFrontiers in Behavioral Neuroscience, 2011
- Mental Contrasting and Goal Commitment: The Mediating Role of EnergizationPersonality and Social Psychology Bulletin, 2009
- Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources.Journal of Personality and Social Psychology, 2008
- The Development of Borderline Personality Disorder—A Mentalizing ModelJournal of Personality Disorders, 2008
- Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing RelapsePsychotherapy Research, 2003
- The PHQ-9Journal of General Internal Medicine, 2001
- The relation of attachment status, psychiatric classification, and response to psychotherapy.Journal of Consulting and Clinical Psychology, 1996
- Does the chimpanzee have a theory of mind?Behavioral and Brain Sciences, 1978