Progress in mentalizing ability among people with psychosis through dialogic literary gatherings

Abstract Background People with psychosis often experience a fragmented sense of self, making it difficult to integrate perceptions, memories, thoughts, and emotions related to themselves and others. Enhancing mentalization processes and fostering reflection are crucial for comprehensive recovery. A...

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Main Authors: Aitana Fernández-Villardón, Alfonso Sáez de Ibarra, Ana Domínguez-Panchón, Rocío García-Carrión
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Psychology
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Online Access:https://doi.org/10.1186/s40359-025-02381-0
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author Aitana Fernández-Villardón
Alfonso Sáez de Ibarra
Ana Domínguez-Panchón
Rocío García-Carrión
author_facet Aitana Fernández-Villardón
Alfonso Sáez de Ibarra
Ana Domínguez-Panchón
Rocío García-Carrión
author_sort Aitana Fernández-Villardón
collection DOAJ
description Abstract Background People with psychosis often experience a fragmented sense of self, making it difficult to integrate perceptions, memories, thoughts, and emotions related to themselves and others. Enhancing mentalization processes and fostering reflection are crucial for comprehensive recovery. As these processes are naturally developed through meaningful interactions and dialogue, incorporating a dialogic approach into the treatment of psychotic disorders may significantly support recovery. Methods This study examines the impact of Dialogic Literary Gatherings (DLGs) on the ability of mentalizing in individuals with psychosis. A quasi-experimental mixed-methods study was conducted with 23 participants (6 women and 17 men) diagnosed with psychosis. Over five months, participants engaged in 18 DLG sessions. Mentalizing ability was assessed using the Mentalization Scale (MentS), and qualitative data included interviews (n = 2) and focus groups (n = 3), to explore changes in mentalization. Results Participants reported an increase in mentalizing towards others and toward him or herself, and in motivation to mentalize. Dialogues during DLGs fostered empathy, awareness of individual differences, and deeper engagement with others’ emotions. Besides, sharing feelings in this dialogic environment enabled participants to reflect on past experiences and find purpose in life. Consistently, patients reported that these dialogues provided a platform for expressing emotions, re-evaluating life perspectives, and achieving greater self-awareness. Conclusions This study highlights Dialogic Literary Gatherings as a valuable tool for enhancing the ability to mentalize in clinical populations, offering a complementary approach to traditional psychotherapeutic interventions for individuals with psychosis.
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spelling doaj-art-2e822e4539e3425cbfbe427a43f1cf522025-01-26T12:58:12ZengBMCBMC Psychology2050-72832025-01-0113111310.1186/s40359-025-02381-0Progress in mentalizing ability among people with psychosis through dialogic literary gatheringsAitana Fernández-Villardón0Alfonso Sáez de Ibarra1Ana Domínguez-Panchón2Rocío García-Carrión3Faculty of Education and Sports, University of DeustoDepartment of Clinical Psychology, Aita Menni HospitalDepartment of Clinical Psychology, Aita Menni HospitalFaculty of Education and Sports, University of DeustoAbstract Background People with psychosis often experience a fragmented sense of self, making it difficult to integrate perceptions, memories, thoughts, and emotions related to themselves and others. Enhancing mentalization processes and fostering reflection are crucial for comprehensive recovery. As these processes are naturally developed through meaningful interactions and dialogue, incorporating a dialogic approach into the treatment of psychotic disorders may significantly support recovery. Methods This study examines the impact of Dialogic Literary Gatherings (DLGs) on the ability of mentalizing in individuals with psychosis. A quasi-experimental mixed-methods study was conducted with 23 participants (6 women and 17 men) diagnosed with psychosis. Over five months, participants engaged in 18 DLG sessions. Mentalizing ability was assessed using the Mentalization Scale (MentS), and qualitative data included interviews (n = 2) and focus groups (n = 3), to explore changes in mentalization. Results Participants reported an increase in mentalizing towards others and toward him or herself, and in motivation to mentalize. Dialogues during DLGs fostered empathy, awareness of individual differences, and deeper engagement with others’ emotions. Besides, sharing feelings in this dialogic environment enabled participants to reflect on past experiences and find purpose in life. Consistently, patients reported that these dialogues provided a platform for expressing emotions, re-evaluating life perspectives, and achieving greater self-awareness. Conclusions This study highlights Dialogic Literary Gatherings as a valuable tool for enhancing the ability to mentalize in clinical populations, offering a complementary approach to traditional psychotherapeutic interventions for individuals with psychosis.https://doi.org/10.1186/s40359-025-02381-0Dialogic Literary GatheringsPsychosisTreatmentMentalizationSchizophreniaDialogue
spellingShingle Aitana Fernández-Villardón
Alfonso Sáez de Ibarra
Ana Domínguez-Panchón
Rocío García-Carrión
Progress in mentalizing ability among people with psychosis through dialogic literary gatherings
BMC Psychology
Dialogic Literary Gatherings
Psychosis
Treatment
Mentalization
Schizophrenia
Dialogue
title Progress in mentalizing ability among people with psychosis through dialogic literary gatherings
title_full Progress in mentalizing ability among people with psychosis through dialogic literary gatherings
title_fullStr Progress in mentalizing ability among people with psychosis through dialogic literary gatherings
title_full_unstemmed Progress in mentalizing ability among people with psychosis through dialogic literary gatherings
title_short Progress in mentalizing ability among people with psychosis through dialogic literary gatherings
title_sort progress in mentalizing ability among people with psychosis through dialogic literary gatherings
topic Dialogic Literary Gatherings
Psychosis
Treatment
Mentalization
Schizophrenia
Dialogue
url https://doi.org/10.1186/s40359-025-02381-0
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