Podcast
Questions and Answers
What is mentalization?
What is mentalization?
What is a common struggle for individuals with borderline personality disorder?
What is a common struggle for individuals with borderline personality disorder?
What happens to individuals with borderline personality disorder in attachment relationships?
What happens to individuals with borderline personality disorder in attachment relationships?
What happens when an individual loses the ability to mentalize?
What happens when an individual loses the ability to mentalize?
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What is the prevalence of borderline personality disorder in the US population?
What is the prevalence of borderline personality disorder in the US population?
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Which gender is more frequently diagnosed with borderline personality disorder?
Which gender is more frequently diagnosed with borderline personality disorder?
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What other mental health conditions is borderline personality disorder often comorbid with?
What other mental health conditions is borderline personality disorder often comorbid with?
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What is the primary focus of Dialectical Behavioral Therapy (DBT)?
What is the primary focus of Dialectical Behavioral Therapy (DBT)?
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What is a potential consequence of losing the ability to mentalize?
What is a potential consequence of losing the ability to mentalize?
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What is a potential benefit of therapy for borderline personality disorder?
What is a potential benefit of therapy for borderline personality disorder?
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What is the primary goal of therapy for borderline personality disorder?
What is the primary goal of therapy for borderline personality disorder?
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What is the role of medication in the treatment of borderline personality disorder?
What is the role of medication in the treatment of borderline personality disorder?
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What is validation?
What is validation?
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What is invalidation?
What is invalidation?
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What are some techniques for validating children from infancy to age seven?
What are some techniques for validating children from infancy to age seven?
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How can attention be used as a way to validate children?
How can attention be used as a way to validate children?
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What is essential to avoid when validating children?
What is essential to avoid when validating children?
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What are some techniques for validating teenagers and adults?
What are some techniques for validating teenagers and adults?
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What is crucial to avoid when validating teenagers and adults?
What is crucial to avoid when validating teenagers and adults?
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What is essential when validating someone based on their situation or history?
What is essential when validating someone based on their situation or history?
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What is a common mistake parents make when validating their children?
What is a common mistake parents make when validating their children?
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What should parents avoid when validating their children?
What should parents avoid when validating their children?
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What is a helpful resource for parents who lack validation skills towards their children?
What is a helpful resource for parents who lack validation skills towards their children?
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What is the fundamental principle of validation techniques?
What is the fundamental principle of validation techniques?
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What is validation?
What is validation?
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What is invalidation?
What is invalidation?
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What is an example of invalidation towards children?
What is an example of invalidation towards children?
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What are some validation techniques for children up to age seven?
What are some validation techniques for children up to age seven?
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What is a fundamental way to validate children?
What is a fundamental way to validate children?
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Can all feelings be validated for children?
Can all feelings be validated for children?
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What should parents avoid saying when validating their children?
What should parents avoid saying when validating their children?
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What are some validation techniques for teenagers and adults?
What are some validation techniques for teenagers and adults?
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What should be avoided when validating teenagers and adults?
What should be avoided when validating teenagers and adults?
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What is the most validating thing one can do?
What is the most validating thing one can do?
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What should parents avoid doing when their child is feeling emotions?
What should parents avoid doing when their child is feeling emotions?
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What is a helpful resource for parents who lack validation skills towards their children?
What is a helpful resource for parents who lack validation skills towards their children?
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Study Notes
Understanding Mentalization and Borderline Personality Disorder
- Mentalization is often misunderstood and taken for granted as an ordinary quality.
- Individuals with borderline personality disorder struggle to mentalize and lack awareness of their own thoughts and feelings, leading to isolation and misunderstanding.
- In attachment relationships, they lose the ability to judge how others might feel and perceive signals as devastating when others would not notice them.
- Mentalization is mediated by a language for thoughts and feelings, allowing for second-order representation, but when lost, primary subjective states are felt immediately without moderation.
- Losing mentalizing leads to desperate actions to protect oneself, but also a loss of the capacity to know why those actions were taken.
- Therapy can help build resilience and understanding of oneself and others by expressing a genuine interest in someone's subjective state and contributing to the development of mentalization capacity.
- Borderline personality disorder affects approximately 1.6% of the US population.
- The disorder is diagnosed more frequently in women than men.
- It is often comorbid with other mental health conditions, such as depression and anxiety.
- Treatment for borderline personality disorder often involves therapy, medication, and support groups.
- Dialectical Behavioral Therapy (DBT) is a commonly used therapy for borderline personality disorder.
- DBT focuses on teaching skills to help manage emotions, cope with stress, and improve relationships.
Validation Techniques for Different Age Ranges
- Validation is about relaying how a person's thoughts, opinions, feelings, or urges make sense based on the facts of a given situation and their history.
- Invalidation is common among parents towards their children, such as telling them that what they feel isn't true or scolding them for feeling a certain way.
- Validation can be applied to children ranging from infants to age seven by labeling their emotions, writing their desires down for future reference, drawing their emotions, and validating with fantasy.
- Attention is a fundamental way to validate children, and all feelings can be validated, but some actions and behaviors must be limited.
- When validating children, it's essential to avoid using the word "but" and replace it with "and" or provide credit for their knowledge.
- Validating teenagers and adults involves acting interested and reflecting back what is heard, as well as taking a solid guess at what the other person may be feeling or thinking.
- It's crucial not to assume what the other person is feeling or thinking and to gracefully accept when one is wrong.
- Validating with what makes sense based on the situation or a person's history is essential, and showing equality is the most validating thing one can do.
- Invalidation can occur when parents jump to problem-solving or advice-giving instead of giving space for the child to feel their emotions.
- Parents should also avoid asking a series of questions that can feel like an interrogation and overwhelm the child.
- The book "How to Talk So Kids Will Listen and Listen So Kids Will Talk" is a helpful resource for parents who lack validation skills towards their children.
- Validation techniques can differ depending on the age range, but the fundamental principle remains the same: validating a person's emotions and making them feel heard.
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