Beyond Theory of Mind: mentalization as a relational and developmental framework for autism - Takeaways - MDSpire

Beyond Theory of Mind: mentalization as a relational and developmental framework for autism

  • By

  • Assia Riccioni

  • Cristina Di Vincenzo

  • Alessia Sabina De Frenza

  • Carola Leone

  • Ilaria Bertoncini

  • Lucrezia Arturi

  • Luigi Mazzone

  • Stefano Vicari

  • Maria Pontillo

  • July 15, 2026

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  • 1

    Mentalization is a multidimensional process that encompasses understanding one's own and others' mental states, beyond the traditional Theory of Mind framework.

  • 2

    The proposed relational-developmental framework emphasizes the importance of child-caregiver interactions in shaping mentalization and emotional outcomes.

  • 3

    Preliminary evidence suggests that autistic individuals may experience greater difficulties with other-related mentalizing compared to self-related mentalizing.

  • 4

    Caregiver mentalization, particularly parental reflective functioning, plays a crucial role in interpreting and responding to children's behaviors over time.

  • 5

    Clarifying the definition of mentalization in autism is essential for developing targeted interventions and understanding the heterogeneity of social functioning.

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