Mentalizing in self vs. parent representations and working models of parents as risk and protective factors from distress and eating disorders.

This study examined whether low developmental level of mentalization and symbolization, manifested as low ability to represent and reflect on mental states of the self and parents as well as malevolent working models of parents, may be risk factors in the genesis of eating disorders (EDs). We examined 71 female adolescent inpatients with ED and 45 controls without ED using the Object Representation Inventory and self-report measures assessing emotional distress and ED symptoms. The results indicated that the patients with ED presented with a significantly lower level of mentalization and symbolization and with more malevolent working models of their parents in comparison with the controls without ED. A more benevolent parental representation, specifically with the father, combined with better mentalization abilities, was found to indirectly predict lower ED symptoms, via the reduction of distress levels. These findings suggest that adequate mentalization and benevolent working models of parents may serve as a protective factor reducing the level of ED symptoms.

Interpersonal and intrapersonal processes in the formation of maternal representations in middle childhood: review, new findings and future directions.

Sidney J. Blatt's unique contribution to the study of internal representations of parental figures is delineated, and empirical research dealing with interpersonal and intrapersonal aspects of maternal representations in middle childhood is reviewed. Children's representations of mother and father, as well as of an unknown parent, provide evidence of the interconnected effects of actual interpersonal experiences and intrapersonal factors. In addition, new findings related to cultural differences affecting children's maternal representations suggest a broader and more complex perspective for the definition of interpersonal experiences. Taken together, these studies suggest an understanding of an individual's internal world of representations as dialectical transactions between his or her circumstances and rules of organization of interpersonal knowledge, on one hand, and the actual interpersonal experiences and cultural beliefs, on the other. The importance of the study of continuity and change for the understanding of the effects of interpersonal and intrapersonal factors in children's construction of parental representations is underscored.

Mother and self-representations: investigating associations with symptomatic behavior and academic competence in middle childhood.

This article reports two studies examining the content and structural aspects of maternal and self-representations in middle childhood in two prospective studies of 9 to 11-year-old children, their stability over time and interrelations, and their contribution to symptomatology and academic functioning. In Study 1 (N=169), content and structural dimensions of participants' open-ended narratives of self and mother were assessed, and their factor structure was replicated across two consecutive measurement waves carried out a year apart. In Study 2 (N=137), using an independent sample, the authors investigated the associations of self- and maternal representations with teachers' subsequent reports of children's internalizing and externalizing symptomatology and academic competence. It was assumed that dimensions of self-representations played a mediating role in the prediction of children's symptomatology and competence by their maternal representations. Results corroborated the existence of interdependent but distinct representations of self and mother in middle childhood, as well as the stability over time of the structural and thematic aspects within each representation. The content of the self- and maternal representations was found to associate with observed symptomatic behavior, while their structure associated with children's academic competence. In addition, results indicated that self-representation content mediates the association of maternal representation content with subsequent symptomatic behavior. Findings are discussed in the light of the differentiation and interdependence of self- and maternal representations in middle childhood.

Perceived parental care and control among Israeli female adolescents presenting to emergency rooms after self-poisoning.

Levels of perceived parental care and control among 24 female Israeli adolescents presenting at emergency rooms after a self-poisoning act of low lethality were compared to those found among 23 non-self-harming, community controls. Adolescents' perceived levels of parental care and control were measured via both adolescents' self-report and independent objective ratings of adolescents' unconstrained descriptions of their parents. Adolescents also completed a standardized psychological symptom checklist. Data from both measurement perspectives indicated that adolescents evidencing self-poisoning behavior perceived their mothers as less caring and more controlling--a parenting style characterized as "affectionless control"--than did the comparison group. Independent ratings of adolescents' descriptions of their parents suggested that those exhibiting self-poisoning also perceived their fathers as less caring. These effects were not moderated by level of psychological symptoms. The findings are consistent with those from previous research showing an association between perceived parental care and control and various self-harming behaviors among adolescents, and highlight the need for research on the potential clinical utility of employing family-based, attachment-promoting psychosocial interventions with this population.