Changes in attachment organization and reflective function (RF) were assessed as putative mechanisms of change in 1 of 3 year-long psychotherapy treatments for patients with borderline personality disorder (BPD). Ninety patients reliably diagnosed with BPD were randomized to transference-focused psychotherapy (TFP), dialectical behavior…

Work in developmental psychiatry and psychology has increasingly focused on how internal representations of early experiences with primary figures of childhood affect relationship formation in later childhood and adulthood. Investigations of the reflective self function, which involves mental states in which individuals become the subject of their…