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Fourfold dimensions

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Mentalization takes place along a series of four parameters or dimensions: Self/Other; Inner/Outer; Cognitive/Affective; Automatic/Controlled.[1]

Each dimension can be exercised in either a balanced or unbalanced way, while effective mentalization also requires a balanced perspective across all four dimensions.[2]

  1. Self/Other involves the ability to mentalize about one's own state of mind, as well as about that of another.[3] Lack of balance means an overemphasisis slow on either self or other.[4]
  2. Inner/Outer: Here problems can arise from an over-emphasis on external conditions, and a neglect of one's own feelings and experience.[5]
  3. Cognitive/Affective are in balance when both dimensions are engaged, as opposed to either an excessive certainty about one's own one-sided ideas, or an overwhelming of thought by floods of emotion.[6]
  4. Automatic/Controlled. Automatic (or implicit) mentalizing is a fast-processing unreflective process, calling for little conscious effort or input; whereas controlled mentalizaion (explicit) is slow, effortful, and demanding of full awareness.[7] In a balanced personality, shifts from automatic to controlled smoothly occur when misunderstandings arise in a conversation or social setting, to put things right.[8] Inability to shift from automatic mentalization can lead to a simplistic, one-sided view of the world, especially when emotions run high; while conversely inability to leave controlled mentalization leaves one trapped in a heavy, endlessly ruminative thought-mode.[9]

References

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  1. ^ A Bateman, Handbook of Mentalizing in Mental Health Practice (2016) p. 8
  2. ^ A Bateman, Handbook of Mentalizing in Mental Health Practice (2016) p. 8
  3. ^ A Bateman, Handbook of Mentalizing in Mental Health Practice (2016) p.10
  4. ^ J Hagelquis, The Mentalization Handbook (2016) p. 52
  5. ^ J Hagelquis, The Mentalization Handbook (2016) p. 52
  6. ^ A Bateman, Handbook of Mentalizing in Mental Health Practice (2016) p. 49
  7. ^ A Bateman, Handbook of Mentalizing in Mental Health Practice (2016) p. 8
  8. ^ J Hagelquis, The Mentalization Handbook (2016) p. 52-3
  9. ^ J Hagelquis, The Mentalization Handbook (2016) p. 53
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