Indicators of Low Reflective Functioning in Psychiatry

Indicators of low reflective functioning in psychiatry include rejection, hostility, disorganization, bizarre remarks, lack of integration in life experiences, disavowal or denying feelings, distorting self-serving behavior with inflated self-praise and dismissal of others, naive simplistic explanations for complex behaviors, and hyperactive interest in relationships leading to a rushed and disorganized narrative. Clinically, it is essential to slow down narratives for those with hyperactive reflective functioning, provide structure for those disavowing emotions, and encourage self-reflection and story-telling comfort for better therapeutic outcomes.