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Article in German | MEDLINE | ID: mdl-25478753

ABSTRACT

In this report first results are presented from a pilot study on the Mentalizing Vocational Training that aims to increase the effectiveness of vocational rehabilitation programs with adolescents diagnosed with learning disabilities. The prevention program was based on the hypothesis that adolescents' difficulties in motivation and relationships are related to deficits in mentalizing. Thus, we created a prevention program that supports an enduring mentalizing social system following Twemlow's and Fonagy's suggestions for peaceful schools. The program consists of four modules: a psychoeducative training for all professionals within the rehabilitation program, an ongoing supervision for two selected teams, two mentalizing training groups for selected adolescents and a weekly intervision group for the research team analyzing the organizational perspective. During the pilot study, mentalization interest and attachment styles were assessed from all adolescents and professionals. Additionally, adolescents' mentalization capacities were assessed using an objective videobased test as well as general intelligence. Results showed that participants had significantly more attachment anxiety and avoidance as well as less interest to think about themselves and others in a complex way. Furthermore, participants achieved very low scores in the mentalization test (comparable to the autistic spectrum) which were independent from general cognitive deficits. On the organizational level, professionals appeared to be conflicted about the changes in management towards more economic efficiency and overwhelmed by participants with traumatic backgrounds. This led to a regression of the whole organization on the teleological mode.


Subject(s)
Learning Disabilities/psychology , Learning Disabilities/rehabilitation , Rehabilitation, Vocational/psychology , Theory of Mind , Adolescent , Adult , Curriculum , Faculty , Female , Germany , Humans , Inservice Training , Intelligence , Interpersonal Relations , Male , Middle Aged , Motivation , Object Attachment , Pilot Projects , Psychoanalytic Theory , Psychotherapy, Group , Reactive Attachment Disorder/diagnosis , Reactive Attachment Disorder/psychology , Reactive Attachment Disorder/rehabilitation , Young Adult
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