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心智化发展与精神病理

  • 王兰兰 ,
  • 李踔然
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  • 1上海交通大学医学院附属第一人民医院,上海 200080;
    2上海交通大学医学院附属精神卫生中心,上海 200030
王兰兰,医学博士,副主任医师,注册心理治疗师,国际精神分析协会(IPA)认证精神分析师。上海市第一人民医院心理科常务副主任;中国心理卫生协会精神分析专委委员;上海市医学会行为医学专科分会青年委员;上海市医院协会第四届精神卫生中心管理专业委员会青年委员;上海市医学会精神医学第十一届委员会青年委员;上海市抗癌协会肿瘤心理学专业委员会委员。
*王兰兰 llan_wang@163.com

网络出版日期: 2026-10-23

基金资助

上海市松江区科学技术委员会松江区科技攻关项目(编号:22SJKGG18)

Mentalization Development and Psychopathology

  • WANG Lanlan ,
  • LI Chuoran
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  • 1Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200080, China;
    2Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, China
*WANG Lanlan, llan_wang@163.com

Online published: 2026-10-23

摘要

心智化是指个体识别和理解自己与他人心理状态(如信念、欲望、感受、意图)的能力,是人类社会认知的核心功能。20世纪90年代以来,大量研究表明,心智化能力的发展异常或功能受损与多种精神病理现象密切相关。文章旨在梳理心智化的发展轨迹,探讨不同形式的心智化失败产生的不同精神病理现象(如边缘型人格障碍、自恋型人格障碍、创伤后应激障碍及精神病性障碍),并展望基于心智化的临床干预方向。

本文引用格式

王兰兰 , 李踔然 . 心智化发展与精神病理[J]. 心理学通讯, 2026 , 9(1) : 71 -78 . DOI: 10.12100/j.issn.2096-5494.226011

Abstract

Mentalization refers to an individual's ability to recognize and understand their own and others' mental states (such as beliefs, desires, feelings, and intentions), and serves as a core function of human social cognition. Since the 1990s, extensive research has demonstrated that abnormal development or impaired functioning of mentalization is closely associated with various psychopathological symptoms. This review aims to outline the developmental trajectory of mentalization, explore how different forms of mentalization failure give rise to distinct psychopathological conditions (e.g., borderline personality disorder, narcissistic personality disorder, post-traumatic stress disorder, and psychotic disorders), and discuss future directions for mentalization-based clinical interventions..

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