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Clinical Evaluation and Intervention of Emerging Psychosis: A Mentalization-Informed Perspective

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Psychosis and Personality Disorders

Abstract

The practice of clinical evaluation and intervention for schizophrenia spectrum and other psychotic disorders (SSPDs) is progressively integrating a developmental perspective, targeting premorbid, clinical high-risk, and early phases along the continuum of symptom severity. Notwithstanding important progress in early intervention, clinical challenges remain in SSPDs, most notably the chronic functional disabilities which impede recovery. In this chapter, we review the evidence suggesting that mentalizing, or the developmentally acquired capacity to think about mental states, may represent a resilience-strengthening intervention target along the different stages of unfolding SSPDs. This leads us to consider evaluation and intervention informed by mentalization-based therapy (MBT), as applied along the clinical continuum of symptom expression. A clinical vignette illustrates the challenges encountered in the different periods of unfolding psychotic psychopathology, and some of the therapeutic benefits yielded by mentalization-informed clinical practice.

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References

  1. Bleuler E. Dementia praecox or the group of schizophrenias (Zinkin J, Trans.). New York: International Universities Press; 1911/1950.

    Google Scholar 

  2. Bosnjak Kuharic D, Kekin I, Hew J, Rojnic Kuzman M, Puljak L. Interventions for prodromal stage of psychosis. Cochrane Database Syst Rev. 2019;2019(11):CD012236.

    PubMed Central  Google Scholar 

  3. Birchwood M, Lester H, McCarthy L, Jones P, Fowler D, Amos T, et al. The UK national evaluation of the development and impact of Early Intervention Services (the National EDEN studies): study rationale, design and baseline characteristics. Early Interv Psychiatry. 2014;8(1):59–67.

    Article  PubMed  Google Scholar 

  4. Fonagy P, Gergely G, Jurist EL, Target M. Affect regulation, mentalization, and the development of the self. New York: Other Press; 2002.

    Google Scholar 

  5. Debbané M, Salaminios G, Luyten P, Badoud D, Armando M, Solida Tozzi A, et al. Attachment, neurobiology, and mentalizing along the psychosis continuum. Front Hum Neurosci. 2016;10:406.

    Article  PubMed  PubMed Central  Google Scholar 

  6. De Giorgi R, De Crescenzo F, D’Alo GL, Rizzo Pesci N, Di Franco V, Sandini C, et al. Prevalence of non-affective psychoses in individuals with autism spectrum disorders: a systematic review. J Clin Med. 2019;8(9):1304.

    Article  PubMed Central  Google Scholar 

  7. Cavelti M, Thompson K, Chanen AM, Kaess M. Psychotic symptoms in borderline personality disorder: developmental aspects. Curr Opin Psychol. 2021;37:26–31.

    Article  PubMed  Google Scholar 

  8. Weijers JG, Ten Kate C, Debbané M, Bateman AW, de Jong S, Selten JP, et al. Mentalization and psychosis: a rationale for the use of mentalization theory to understand and treat non-affective psychotic disorder. J Contemp Psychother. 2020;50:223–32.

    Article  Google Scholar 

  9. Debbané M, Bateman A. Psychosis. In: Bateman A, Fonagy P, editors. Handbook of mentalizing in mental health practice. 2nd ed. Washington, DC: American Psychiatric Association; 2019. p. 443–58.

    Google Scholar 

  10. Peters E, Ward T, Jackson M, Morgan C, Charalambides M, McGuire P, et al. Clinical, socio-demographic and psychological characteristics in individuals with persistent psychotic experiences with and without a “need for care”. World Psychiatry. 2016;15(1):41–52.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Salaminios G, Debbané M. Sustaining the development of the self: mentalizing and recovery in the face of emerging psychosis. In: Hasson-Ohayion I, Lysaker PH, editors. The recovery of the self in psychosis. London: Routledge; 2021.

    Google Scholar 

  12. Rapoport JL, Addington AM, Frangou S, Psych MR. The neurodevelopmental model of schizophrenia: update 2005. Mol Psychiatry. 2005;10:434–49.

    Article  CAS  PubMed  Google Scholar 

  13. Lichtenstein P, Yip BH, Bjork C, Pawitan Y, Cannon TD, Sullivan PF, et al. Common genetic determinants of schizophrenia and bipolar disorder in Swedish families: a population-based study. Lancet. 2009;373(9659):234–9.

    Article  CAS  PubMed  Google Scholar 

  14. Debbané M, Barrantes-Vidal N. Schizotypy from a developmental perspective. Schizophr Bull. 2015;41(Suppl 2):S386–95.

    Article  PubMed  Google Scholar 

  15. Debbané M. Schizotypy: a developmental perspective. In: Mason O, Claridge G, editors. Schizotypy: new dimensions. London: Routledge; 2015.

    Chapter  Google Scholar 

  16. Brasso C, Giordano B, Badino C, Bellino S, Bozzatello P, Montemagni C, et al. Primary psychosis: risk and protective factors and early detection of the onset. Diagnostics (Basel). 2021;11(11):2146.

    Article  Google Scholar 

  17. Hafner H, Maurer K, Loffler W, an der Heiden W, Munk-Jorgensen P, Hambrecht M, et al. The ABC Schizophrenia Study: a preliminary overview of the results. Soc Psychiatry Psychiatr Epidemiol. 1998;33(8):380–6.

    Article  CAS  PubMed  Google Scholar 

  18. Michel C, Toffel E, Schmidt SJ, Eliez S, Armando M, Solida-Tozzi A, et al. Détection et traitement précoce des sujets à haut risque clinique de psychose: définitions et recommandations. L’Encéphale. 2017;43(3):292–7.

    Article  CAS  PubMed  Google Scholar 

  19. Schultze-Lutter F, Michel C, Schmidt SJ, Schimmelmann BG, Maric NP, Salokangas RK, et al. EPA guidance on the early detection of clinical high risk states of psychoses. Eur Psychiatry. 2015;30(3):405–16.

    Article  CAS  PubMed  Google Scholar 

  20. Schultze-Lutter F. Subjective symptoms of schizophrenia in research and the clinic: the basic symptom concept. Schizophr Bull. 2009;35(1):5–8.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Schultze-Lutter F, Debbane M, Theodoridou A, Wood SJ, Raballo A, Michel C, et al. Revisiting the basic symptom concept: toward translating risk symptoms for psychosis into neurobiological targets. Front Psychiatry. 2016;7:9.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Catalan A, Salazar de Pablo G, Vaquerizo Serrano J, Mosillo P, Baldwin H, Fernandez-Rivas A, et al. Annual research review: prevention of psychosis in adolescents—systematic review and meta-analysis of advances in detection, prognosis and intervention. J Child Psychol Psychiatry. 2021;62(5):657–73.

    Article  PubMed  Google Scholar 

  23. Breitborde NJ, Srihari VH, Woods SW. Review of the operational definition for first-episode psychosis. Early Interv Psychiatry. 2009;3(4):259–65.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Penttila M, Jaaskelainen E, Hirvonen N, Isohanni M, Miettunen J. Duration of untreated psychosis as predictor of long-term outcome in schizophrenia: systematic review and meta-analysis. Br J Psychiatry. 2014;205(2):88–94.

    Article  PubMed  Google Scholar 

  25. Davies C, Cipriani A, Ioannidis JPA, Radua J, Stahl D, Provenzani U, et al. Lack of evidence to favor specific preventive interventions in psychosis: a network meta-analysis. World Psychiatry. 2018;17(2):196–209.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Alvarez-Jimenez M, Gleeson JF, Henry LP, Harrigan SM, Harris MG, Killackey E, et al. Road to full recovery: longitudinal relationship between symptomatic remission and psychosocial recovery in first-episode psychosis over 7.5 years. Psychol Med. 2012;42(3):595–606.

    Article  CAS  PubMed  Google Scholar 

  27. AlAqeel B, Margolese HC. Remission in schizophrenia: critical and systematic review. Harv Rev Psychiatry. 2012;20(6):281–97.

    Article  PubMed  Google Scholar 

  28. Fonseca Pedrero E, Debbane M. Schizotypal traits and psychotic-like experiences during adolescence: an update. Psicothema. 2017;29(1):5–17.

    PubMed  Google Scholar 

  29. Salaminios G, Morosan L, Toffel E, Tanzer M, Eliez S, Badoud D, et al. Associations between schizotypal personality features, mentalizing difficulties and thought problems in a sample of community adolescents. Early Interv Psychiatry. 2020;15(3):705–15.

    Article  PubMed  Google Scholar 

  30. Poulton R, Caspi A, Moffitt TE, Cannon M, Murray R, Harrington H. Children’s self-reported psychotic symptoms and adult schizophreniform disorder: a 15-year longitudinal study. Arch Gen Psychiatry. 2000;57(11):1053–8.

    Article  CAS  PubMed  Google Scholar 

  31. Reichenberg A, Caspi A, Harrington H, Houts R, Keefe RS, Murray RM, et al. Static and dynamic cognitive deficits in childhood preceding adult schizophrenia: a 30-year study. Am J Psychiatry. 2010;167(2):160–9.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Debbané M, Eliez S, Badoud D, Conus P, Fluckiger R, Schultze-Lutter F. Developing psychosis and its risk States through the lens of schizotypy. Schizophr Bull. 2015;41(Suppl 2):S396–407.

    Article  PubMed  Google Scholar 

  33. Polari A, Yuen HP, Amminger P, Berger G, Chen E, deHaan L, et al. Prediction of clinical outcomes beyond psychosis in the ultra-high risk for psychosis population. Early Interv Psychiatry. 2021;15(3):642–51.

    Article  PubMed  Google Scholar 

  34. Steenkamp LR, Tiemeier H, Blanken LME, Hillegers MHJ, Kushner SA, Bolhuis K. Predicting persistence of hallucinations from childhood to adolescence. Br J Psychiatry. 2021;219(6):670–7.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Dominguez MD, Wichers M, Lieb R, Wittchen HU, van Os J. Evidence that onset of clinical psychosis is an outcome of progressively more persistent subclinical psychotic experiences: an 8-year cohort study. Schizophr Bull. 2011;37(1):84–93.

    Article  CAS  PubMed  Google Scholar 

  36. Lenzenweger MF. Schizotypy and schizophrenia: the view from experimental psychology. New York: The Guilford Press; 2010.

    Google Scholar 

  37. Bartels-Velthuis AA, Blijd-Hoogewys EM, van Os J. Better theory-of-mind skills in children hearing voices mitigate the risk of secondary delusion formation. Acta Psychiatr Scand. 2011;124(3):193–7.

    Article  CAS  PubMed  Google Scholar 

  38. Clemmensen L, van Os J, Drukker M, Munkholm A, Rimvall MK, Vaever M, et al. Psychotic experiences and hyper-theory-of-mind in preadolescence—a birth cohort study. Psychol Med. 2016;46(1):87–101.

    Article  CAS  PubMed  Google Scholar 

  39. Clemmensen L, van Os J, Skovgaard AM, Vaever M, Blijd-Hoogewys EMA, Bartels-Velthuis AA, et al. Hyper-theory-of-mind in children with psychotic experiences. PLoS One. 2014;9(11):e113082.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Boldrini T, Pontillo M, Tanzilli A, Giovanardi G, Di Cicilia G, Salcuni S, et al. An attachment perspective on the risk for psychosis: clinical correlates and the predictive value of attachment patterns and mentalization. Schizophr Res. 2020;222:209–17.

    Article  PubMed  Google Scholar 

  41. Debbané M, Van der Linden M, Gex-Fabry M, Eliez S. Cognitive and emotional associations to positive schizotypy during adolescence. J Child Psychol Psychiatry. 2009;50(3):326–34.

    Article  PubMed  Google Scholar 

  42. Dahoun T, Eliez S, Chen F, Badoud D, Schneider M, Laroi F, et al. Action simulation in hallucination-prone adolescents. Front Hum Neurosci. 2013;7:329.

    Article  PubMed  PubMed Central  Google Scholar 

  43. Salaminios G, Morosan L, Toffel E, Tanzer M, Eliez S, Debbane M. Self-Monitoring for speech and its links to age, cognitive effort, schizotypal trait expression and impulsivity during adolescence. Cogn Neuropsychiatry. 2020;25(3):215–30.

    Article  PubMed  Google Scholar 

  44. Badoud D, Luyten P, Fonseca-Pedrero E, Eliez S, Fonagy P, Debbane M. The French version of the reflective functioning questionnaire: validity data for adolescents and adults and its association with non-suicidal self-injury. PLoS One. 2015;10(12):e0145892.

    Article  PubMed  PubMed Central  Google Scholar 

  45. Fonseca-Pedrero E, Badoud D, Antico L, Caputo GB, Eliez S, Schwartz S, et al. Strange-face-in-the-mirror illusion and schizotypy during adolescence. Schizophr Bull. 2015;41(Suppl 2):S475–82.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Derome M, Fonseca-Pedrero E, Badoud D, Morosan L, Van De Ville D, Lazeyras F, et al. Resting-state networks of adolescents experiencing depersonalization-like illusions: cross-sectional and longitudinal findings. Schizophr Bull. 2018;44:S501–S11.

    Article  PubMed  PubMed Central  Google Scholar 

  47. Derome M, Fonseca-Pedrero E, Caputo GB, Debbane M. A developmental study of mirror-gazing-induced anomalous self-experiences and self-reported schizotypy from 7 to 28 years of age. Psychopathology. 2021;55(1):49–61.

    Article  PubMed  Google Scholar 

  48. van Donkersgoed RJM, Wunderink L, Nieboer R, Aleman A, Pijnenborg GHM. Social cognition in individuals at ultra-high risk for psychosis: a meta-analysis. PLoS One. 2015;10(10):e0141075.

    Article  PubMed  PubMed Central  Google Scholar 

  49. Allott KA, Schafer MR, Thompson A, Nelson B, Bendall S, Bartholomeusz CF, et al. Emotion recognition as a predictor of transition to a psychotic disorder in ultra-high risk participants. Schizophr Res. 2014;153(1–3):25–31.

    Article  PubMed  Google Scholar 

  50. Kim HS, Shin NY, Jang JH, Kim E, Shim G, Park HY, et al. Social cognition and neurocognition as predictors of conversion to psychosis in individuals at ultra-high risk. Schizophr Res. 2011;130(1–3):170–5.

    Article  PubMed  Google Scholar 

  51. Fonagy P, Target M, Steele H, Steele M. Reflective functioning scale manual. Unpublished manuscript, London. 1998.

    Google Scholar 

  52. George C, Kaplan N, Main M. The Berkeley adult attachment interview. Unpublished manuscript, Berkeley, CA. 1996.

    Google Scholar 

  53. McGlashan T. Structured interview for prodromal syndromes (SIPS). University Y, editor. New Haven. 2001.

    Google Scholar 

  54. Boldrini T, Tanzilli A, Pontillo M, Chirumbolo A, Vicari S, Lingiardi V. Comorbid personality disorders in individuals with an at-risk mental state for psychosis: a meta-analytic review. Front Psychiatry. 2019;10:429.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Ryan J, Graham A, Nelson B, Yung A. Borderline personality pathology in young people at ultra high risk of developing a psychotic disorder. Early Interv Psychiatry. 2017;11(3):208–14.

    Article  PubMed  Google Scholar 

  56. Fusar-Poli P, Nelson B, Valmaggia L, Yung AR, McGuire PK. Comorbid depressive and anxiety disorders in 509 individuals with an at-risk mental state: impact on psychopathology and transition to psychosis. Schizophr Bull. 2014;40(1):120–31.

    Article  PubMed  Google Scholar 

  57. Beck K, Andreou C, Studerus E, Heitz U, Ittig S, Leanza L, et al. Clinical and functional long-term outcome of patients at clinical high risk (CHR) for psychosis without transition to psychosis: a systematic review. Schizophr Res. 2019;210:39–47.

    Article  PubMed  Google Scholar 

  58. Weijers J, Ten Kate C, Viechtbauer W, Rampaart LJA, Eurelings EHM, Selten JP. Mentalization-based treatment for psychotic disorder: a rater-blinded, multi-center, randomized controlled trial. Psychol Med. 2020;51:1–10.

    Google Scholar 

  59. Lana F, Marcos S, Mollà L, Vilar A, Pérez V, Romero M, et al. Mentalization based group psychotherapy for psychosis: a pilot study to assess safety, acceptance and subjective efficacy. Int J Psychol Psychoanal. 2015;1(1):1–6.

    Article  Google Scholar 

  60. Debbané M, Benmiloud J, Salaminios G, Solida-Tozzi A, Armando M, Fonagy P, et al. Mentalization-based treatment in clinical high-risk for psychosis: a rationale and clinical illustration. J Contemp Psychother. 2016;46(4):217–25.

    Article  Google Scholar 

  61. Raballo A, Poletti M. Overlooking the transition elephant in the ultra-high-risk room: are we missing functional equivalents of transition to psychosis? Psychol Med. 2022;52(1):184–7.

    Article  Google Scholar 

  62. Reis S, Grenyer BFS. Fearful attachment, working alliance and treatment response for individuals with major depression. Clin Psychol Psychot. 2004;11(6):414–24.

    Article  Google Scholar 

  63. Bernecker SL, Levy KN, Ellison WD. A meta-analysis of the relation between patient adult attachment style and the working alliance. Psychother Res. 2014;24(1):12–24.

    Article  PubMed  Google Scholar 

  64. Groh AM, Roisman GI, van Ijzendoorn MH, Bakermans-Kranenburg MJ, Fearon RP. The significance of insecure and disorganized attachment for children’s internalizing symptoms: a meta-analytic study. Child Dev. 2012;83(2):591–610.

    Article  PubMed  Google Scholar 

  65. Cerda M, Sagdeo A, Johnson J, Galea S. Genetic and environmental influences on psychiatric comorbidity: a systematic review. J Affect Disord. 2010;126(1–2):14–38.

    Article  CAS  PubMed  Google Scholar 

  66. Quijada Y, Tizon JL, Artigue J, Kwapil TR, Barrantes-Vidal N. Attachment style predicts 6-month improvement in psychoticism in persons with at-risk mental states for psychosis. Early Interv Psychiatry. 2012;6(4):442–9.

    Article  PubMed  Google Scholar 

  67. Quijada Y, Kwapil TR, Tizon J, Sheinbaum T, Barrantes-Vidal N. Impact of attachment style on the 1-year outcome of persons with an at-risk mental state for psychosis. Psychiatry Res. 2015;228(3):849–56.

    Article  PubMed  Google Scholar 

  68. Read J, van Os J, Morrison AP, Ross CA. Childhood trauma, psychosis and schizophrenia: a literature review with theoretical and clinical implications. Acta Psychiatr Scand. 2005;112(5):330–50.

    Article  CAS  PubMed  Google Scholar 

  69. Gumley AI, Taylor HE, Schwannauer M, MacBeth A. A systematic review of attachment and psychosis: measurement, construct validity and outcomes. Acta Psychiatr Scand. 2014;129(4):257–74.

    Article  CAS  PubMed  Google Scholar 

  70. Asen E, Fonagy P. Mentalizing family violence part 1: conceptual framework. Fam Process. 2017;56(1):6–21.

    Article  PubMed  Google Scholar 

  71. Ma CF, Chan SKW, Chung YL, Ng SM, Hui CLM, Suen YN, et al. The predictive power of expressed emotion and its components in relapse of schizophrenia: a meta-analysis and meta-regression. Psychol Med. 2021;51(3):365–75.

    Article  PubMed  Google Scholar 

  72. Mucci A, Galderisi S, Gibertoni D, Rossi A, Rocca P, Bertolino A, et al. Factors associated with real-life functioning in persons with schizophrenia in a 4-year follow-up study of the Italian network for research on psychoses. JAMA Psychiatry. 2021;78(5):550–9.

    Article  PubMed  Google Scholar 

  73. Badoud D, Speranza M, Debbané M. Vers un modèle du développement de la mentalisation à l’adolescence – Towards a developmental model of the mentalization dimensions during adolescence. Rev Qué Psychol. 2016:49–68. https://doi.org/10.3917/dbu.debba.2018.01.0239.

  74. Amminger GP, Schafer MR, Papageorgiou K, Klier CM, Cotton SM, Harrigan SM, et al. Long-chain omega-3 fatty acids for indicated prevention of psychotic disorders: a randomized, placebo-controlled trial. Arch Gen Psychiatry. 2010;67(2):146–54.

    Article  CAS  PubMed  Google Scholar 

  75. Cutuli D, Pagani M, Caporali P, Galbusera A, Laricchiuta D, Foti F, et al. Effects of omega-3 fatty acid supplementation on cognitive functions and neural substrates: a voxel-based morphometry study in aged mice. Front Aging Neurosci. 2016;8:38.

    Article  PubMed  PubMed Central  Google Scholar 

  76. Vijayakumar N, Bartholomeusz C, Whitford T, Hermens DF, Nelson B, Rice S, et al. White matter integrity in individuals at ultra-high risk for psychosis: a systematic review and discussion of the role of polyunsaturated fatty acids. BMC Psychiatry. 2016;16:287.

    Article  PubMed  PubMed Central  Google Scholar 

  77. Rossouw TI, Fonagy P. Mentalization-based treatment for self-harm in adolescents: a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2012;51(12):1304–13.e3.

    Article  PubMed  Google Scholar 

  78. Debbané M, Toffel E. Mentalizing through the early stages of the psychosis continuum. In: Pereira JG, de Almeida Gonçalves J, Bizzari V, editors. The neurobiology-psychotherapy-pharmacology intervention triangle. Wilmington: Vernon Press; 2019. p. 141–60.

    Google Scholar 

  79. Bevington D, Fuggle P, Fonagy P. Applying attachment theory to effective practice with hard-to-reach youth: the AMBIT approach. Attach Hum Dev. 2015;17(2):157–74.

    Article  PubMed  Google Scholar 

  80. Claxton M, Onwumere J, Fornells-Ambrojo M. Do family interventions improve outcomes in early psychosis? A systematic review and meta-analysis. Front Psychol. 2017;8:371.

    Article  PubMed  PubMed Central  Google Scholar 

  81. Okpokoro U, Sampson S. Brief family intervention for schizophrenia. Schizophr Bull. 2014;40(3):497–8.

    Article  PubMed  PubMed Central  Google Scholar 

  82. Weijers J. Mentalizing psychosis: trying to understand the un-understandable. Maastricht: Maastricht University; 2020.

    Google Scholar 

  83. Weijers J, Ten Kate C, Eurelings-Bontekoe E, Viechtbauer W, Rampaart R, Bateman A, et al. Mentalization-based treatment for psychotic disorder: protocol of a randomized controlled trial. BMC Psychiatry. 2016;16:191.

    Article  PubMed  PubMed Central  Google Scholar 

  84. Mei C, van der Gaag M, Nelson B, Smit F, Yuen HP, Berger M, et al. Preventive interventions for individuals at ultra high risk for psychosis: an updated and extended meta-analysis. Clin Psychol Rev. 2021;86:102005.

    Article  PubMed  Google Scholar 

  85. Friedman-Yakoobian MS, Parrish EM, Eack SM, Keshavan MS. Neurocognitive and social cognitive training for youth at clinical high risk (CHR) for psychosis: a randomized controlled feasibility trial. Schizophr Res. 2020;243:302–6.

    Article  PubMed  Google Scholar 

  86. Glenthoj LB, Mariegaard LS, Fagerlund B, Jepsen JRM, Kristensen TD, Wenneberg C, et al. Cognitive remediation plus standard treatment versus standard treatment alone for individuals at ultra-high risk of developing psychosis: results of the FOCUS randomised clinical trial. Schizophr Res. 2020;224:151–8.

    Article  PubMed  Google Scholar 

  87. Luyten P, Campbell C, Allison E, Fonagy P. The mentalizing approach to psychopathology: state of the art and future directions. Annu Rev Clin Psychol. 2020;16:297–325.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Faculty of Psychology and Educational Sciences, Developmental Clinical Psychology Research Unit, University of Geneva, Geneva, Switzerland

    Martin Debbané

  2. Research Department of Clinical, Educational and Health Psychology, University College London, London, UK

    Martin Debbané, George Salaminios & Peter Fonagy

  3. Developmental Imaging and Psychopathology, Department of Psychiatry, University of Geneva, Geneva, Switzerland

    Martin Debbané & Marco Armando

  4. British Association for Counselling and Psychotherapy, Lutterworth, UK

    George Salaminios

  5. Rivierduinen Institute for Mental Health Care, Leiden, The Netherlands

    Jonas Weijers

  6. Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience, Maastricht University, Maastricht, The Netherlands

    Jonas Weijers

  7. Departamento de Ciencias de la Educación, Universidad de La Rioja, La Rioja, Spain

    Eduardo Fonseca-Pedrero

  8. Mental Health Networking Biomedical Research Centre (CIBERSAM), Oviedo, Spain

    Eduardo Fonseca-Pedrero

  9. Service Universitaire de Psychiatrie de l’Enfant et de l’Adolescent, Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland

    Marco Armando

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  1. Martin Debbané
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  2. George Salaminios
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  3. Jonas Weijers
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  4. Peter Fonagy
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  6. Marco Armando
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Correspondence to Martin Debbané .

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Editors and Affiliations

  1. Department of Neuroscience, University of Turin, Turin, Italy

    Paola Rocca

  2. Department of Neuroscience, University of Turin, Turin, Italy

    Silvio Bellino

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Debbané, M., Salaminios, G., Weijers, J., Fonagy, P., Fonseca-Pedrero, E., Armando, M. (2022). Clinical Evaluation and Intervention of Emerging Psychosis: A Mentalization-Informed Perspective. In: Rocca, P., Bellino, S. (eds) Psychosis and Personality Disorders. Springer, Cham. https://doi.org/10.1007/978-3-031-09058-5_7

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