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Development of a Virtual Reality Assessment of Everyday Living Skills
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Validation of computerized reflective function: A replication study.

Gabrielle S Ilagan1, Evan A Iliakis1, Lois W Choi-Kain1,2

  • 1Gunderson Personality Disorders Institute, McLean Hospital, Belmont, MA, USA.

Psychotherapy Research : Journal of the Society for Psychotherapy Research
|November 17, 2020
PubMed
Summary
This summary is machine-generated.

Computerized Reflective Function (CRF) effectively estimates mentalization by analyzing Adult Attachment Interview (AAI) transcripts, correlating well with the original Reflective Function (RF) Scale. This tool offers an efficient alternative for assessing mentalizing capabilities.

Keywords:
attachmentpersonality disordersprocess researchpsychoanalytic/psychodynamic therapytechnology in psychotherapy research & trainingtest development

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Area of Science:

  • Psychology
  • Psychiatry
  • Computational Linguistics

Background:

  • The Reflective Function (RF) Scale is the established measure for assessing mentalization using Adult Attachment Interview (AAI) transcripts.
  • Preliminary validation of Computerized RF (CRF), a text analysis tool for RF, requires replication.
  • Understanding mentalizing is crucial in conditions like borderline personality disorder (BPD).

Purpose of the Study:

  • To replicate the validation of Computerized RF (CRF) as a measure of mentalizing.
  • To assess the correlation between CRF and the original RF Scale.
  • To explore the utility of CRF in differentiating between individuals with and without BPD.

Main Methods:

  • 49 women (20 with BPD, 29 without) completed diagnostic interviews and the AAI.
  • AAI transcripts were scored using both the traditional RF Scale by certified coders and by CRF software.
  • Correlations between CRF scores and RF Scale scores were analyzed across the total sample and within subgroups.

Main Results:

  • CRF demonstrated significant correlations with the RF Scale across the total sample (r=.47), BPD group (r=.61), and non-BPD group (r=.41).
  • Modifications to CRF application, such as using a proportion of high/low CRF words or trimming AAI text, yielded significant but not stronger correlations.
  • Neither RF nor CRF significantly differentiated between BPD and non-BPD groups at average levels of mentalization.

Conclusions:

  • CRF serves as an efficient and valid computerized alternative for estimating mentalization from AAI transcripts.
  • The findings suggest that mentalizing deficits may not be consistently present or detectable in all BPD samples.
  • Further research is warranted, but CRF shows promise as a reliable assessment tool when textual data is available.