Reflective Functioning: The Key to Attachment with Dr. Howard Steele
May 17, 2024
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Dr. Howard Steele discusses reflective functioning, a scale measuring the ability to describe internal states. Topics include its impact on therapy outcomes, behavior understanding, mental state transparency, and its role in parenting and child attachment. The podcast also explores somatization, attachment relationships, and patient engagement in mental health.
Therapists with high reflective function achieve superior therapeutic outcomes, impacting therapy success significantly.
Reflective functioning plays a crucial role in understanding personal history and childhood experiences, influencing current psychological state.
High levels of reflective functioning in mothers predict secure attachments in children, highlighting the importance of reflective function in promoting healthy relationships.
Deep dives
Importance of Reflective Functioning in Therapeutic Outcomes
Therapists with high reflective function achieve superior outcomes, as indicated by a study that split therapists into three groups based on their reflective function levels. The group with the highest reflective function demonstrated the best therapeutic results, showing a significant impact on therapy success.
Evolution of Reflective Functioning
Reflective functioning originated from research in developmental and clinical psychology, particularly through the exploration of the Adult Attachment Interview. It evolved from metacognitive monitoring to examining the monitoring of others' speech, leading to the concept of reflective functioning. This concept has been incorporated into mentalization-based therapies created by Fonagy and Bateman.
Significance of Reflective Functioning in Understanding Personal History
Reflective functioning plays a crucial role in processing and understanding personal history, especially childhood experiences. It involves evaluating the motives and behaviors of significant individuals, such as parents, and acknowledging the impact of these experiences on one's current psychological state.
Impact of Reflective Functioning on Secure Attachment and Resilience
Reflective functioning serves as a predictor of secure attachment in infants, particularly in mothers who have experienced deprivation. High levels of reflective functioning in mothers lead to secure attachments in children, emphasizing the role of reflective function in promoting resilience and healthy attachment relationships.
Reflective Functioning in Parenting Styles
Reflective functioning plays a crucial role in parenting styles, allowing individuals to recognize and change patterns of behavior learned from their parents. By being aware of automatic behaviors resembling those of parents, individuals can consciously choose different parenting approaches, fostering reflective functioning. High reflective functioning involves creating unique personal narratives rather than using cliches. Edgar Levinson's writings emphasize that detailed personal stories and imagination are key in psychotherapeutic work to improve reflective functioning.
Reflective Functioning Challenges and Therapeutic Approaches
Challenges related to reflective functioning include low levels demonstrated by disorganized or disavowing behaviors. Patients exhibiting low reflective functioning may struggle with generalizations and simplistic responses to past experiences. Therapeutic methods aim to enhance reflective functioning through detailed personal storytelling and addressing somatization. By exploring body sensations and emotional experiences, individuals can improve their reflective capacity, leading to a more integrated sense of self and better coping with adversities.
In this episode, we discuss “reflective function,” which is a precursor to the concept of mentalization. Reflective function is best understood not as synonymous with mentalization, but as a scale from -1 to 9, based off certain adult attachment interview questions that measure the person’s ability to describe their own and others’ internal states, motivations, and articulate a nuanced and unique understanding of life from 0 to 12 years old. This scale was developed by attachment researchers at the University of London, including Dr. Howard Steele and Dr. Peter Fonagy.
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