Peter Fonagy

Peter Fonagy, OBE, FBA, FAcSS, FMedSci (born August 14 1952) is a Hungarian-born British psychoanalyst and clinical psychologist. He studied clinical psychology at University College London. He is Professor of Contemporary Psychoanalysis and Developmental Science and Head of the Division of Psychology and Language Sciences at University College London, Chief Executive of the Anna Freud Centre, a training and supervising analyst in the British Psycho-Analytical Society in child and adult analysis, a Fellow of the British Academy, the Faculty of Medical Sciences, the Academy of Social Sciences and a registrant of the BPC. His clinical interests centre on issues of borderline psychopathology, violence and early attachment relationships. His work attempts to integrate empirical research with psychoanalytic theory. He has published over 500 papers, 270 chapters and has authored 19 and edited 17 books.[1]

Peter Fonagy
Born (1952-08-14) August 14, 1952
Budapest, Hungary
Scientific career
FieldsPsychoanalysis, psychiatry
InstitutionsProfessor of Contemporary Psychoanalysis and Developmental Science and Head of the Division of Psychology and Language Sciences at University College London, Chief Executive at the Anna Freud Centre in London, Consultant to the Child and Family Program at the Menninger Department of Psychiatry, Baylor College of Medicine.

Fonagy was appointed Officer of the Order of the British Empire (OBE) in the 2013 Birthday Honours for services to psychoanalysis and clinical psychology and received the Wiley Prize of the British Academy for Lifetime Achievements [2]

Contemporary psychoanalysis

Fonagy received the Otto Weininger Memorial Award[3] for his contributions to the development of contemporary psychoanalysis. To this end he has helped to improve the dialogue between analysts and cognitive therapists. Fonagy has played and still plays a major role in the evaluation of psychotherapy research.[4] The evaluation of his research is (mostly) based on the effectiveness of treatment. Evaluation of treatment has led to review, recommendations and implications of psychotherapy. Fonagy has offered detailed evidence for the efficacy of psychological interventions of mental disorders and for special populations, including medical and psychosocial therapies for children and young people and psychological therapies for borderline personality disorder.

Mentalization

In their award-winning[5] book Affect Regulation, Mentalization and the Development of the Self, Fonagy and his colleagues put forth a detailed theory for the way in which the abilities to mentalise and to regulate affect can determine an individual's successful development. They define mentalisation as the ability to make and use mental representations of their own and other people's emotional states. The authors discuss the ways in which bad and insufficient parenting, leading to certain attachment styles,[6] can leave children unable to modulate and interpret their own feelings, as well as the feelings of others.[7] These inabilities to mentalise and regulate affect have implications for severe personality disorders, as well as general psychological problems of self-confidence, and sense of self.[8]

Mentalization-based treatment

Fonagy is particularly interested in borderline personality disorder (BPD), which was for a long time assumed to be treatment-resistant.[9] He and Anthony Bateman proposed a new way to treat BPD in their book Psychotherapy for borderline personality disorder: mentalisation based treatment.[10] Mentalization based treatment (MBT), rooted in attachment theory, is based on the idea that people with borderline personality disorder mainly lack a reliable capacity to mentalise, which is caused by an absence of contingent and marked mirroring during development. The primary goals of treatment are to improve mentalisation skills, making connections between the inner experience of relationships and the actual representation, learning how to work with current emotions and how to establish real relationships. In this way they could form a more coherent sense of self and develop new (secure) attachment styles.[11][12]

See also

References
  1. "Peter Fonagy". UCL Psychoanalysis Unit.
  2. "No. 60534". The London Gazette (Supplement). 15 June 2013. p. 10.
  3. "Otto Weininger Memorial Award". Canadian Psychological Association.
  4. Fonagy 1996.
  5. "Goethe Award for Psychoanalytic and Psychodynamic Scholarship". Canadian Psychological Association.
  6. Mills, Jon (2005). Treating Attachment Pathology. Aronson/Rowman & Littlefield. p. 231. ISBN 978-0-7657-0132-9.
  7. Fonagy et al. 2002.
  8. Fonagy & Target 2006a.
  9. Bateman & Fonagy 2003b.
  10. Fonagy & Bateman 2004b.
  11. Bateman & Fonagy 2004a.
  12. Fonagy & Bateman 2006b.

Works
  • Fonagy, P. (1996). "Attachment, the development of the self, and its pathology in personality disorders". Psychomedia: 26–32.CS1 maint: ref=harv (link)
  • Fonagy, P. (2001). Attachment Theory and Psychoanalysis. Other Press.CS1 maint: ref=harv (link)
  • Fonagy, P.; Gergely, G.; Jurist, E.; Target, M. (2002). Affect Regulation, Mentalization, and the Development of the Self. Other Press.CS1 maint: ref=harv (link)
  • Fonagy, P.; Target, M. (2003a). Psychoanalytic Theories: Perspectives from Developmental Psychopathology. Whurr Publications.CS1 maint: ref=harv (link)
  • Bateman, A; Fonagy, P. (2003b). "The development of an attachment based treatment program for borderline personality disorder". Bulletin of the Menninger Clinic (76): 187–211.CS1 maint: ref=harv (link)
  • Bateman, A; Fonagy, P. (2004a). "Mentalization based treatment of borderline personality disorder". Journal of Personality Disorders (18): 36–51.CS1 maint: ref=harv (link)
  • Fonagy, P.; Bateman, A. (2004b). Psychotherapy for Borderline Personality Disorder: Mentalization Based Treatment. Oxford University Press.CS1 maint: ref=harv (link)
  • Fonagy, P.; Roth, A. (2004c). What Works For Whom? A Critical Review of Psychotherapy Research (2nd ed.). Guilford.CS1 maint: ref=harv (link)
  • Fonagy, P.; Roth, A.; Higgitt, A. (2005). "Psychodynamic psychotherapies: Evidence–based practice and clinical wisdom". Bulletin of the Menninger Clinic (69, 1): 1–58.CS1 maint: ref=harv (link)
  • Fonagy, P.; Target, M (2006a). "The mentalisation-based approach to self pathology". Journal of Personality Disorders (20): 544–576.CS1 maint: ref=harv (link)
  • Fonagy, P.; Bateman, A (2006b). "Mechanism of change in mentalisation based treatment of borderline personality disorder". Journal of Clinical Psychology (62): 411–430.CS1 maint: ref=harv (link)
  • Fonagy, P.; Bateman, A (2009). "Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorder". American Journal of Psychiatry (166): 1355–1364.CS1 maint: ref=harv (link)
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