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Vinculação, Mentalização e Perturbações da Personalidade Review article
Attachment, Mentalization and Personality Disorders Review article

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Marta Abrantes - Corresponding Author

Marta Abrantes [marta.abrantes2@ulssjose.min-saude.pt]
Serviço de Pedopsiquiatria, Unidade Local de Saúde de São José, Hospital Dona Estefânia, Lisboa, Portugal
Rua Jacinta Marto 8A, 1169-045, Lisboa

Joana Vieira
Eduarda Costa
Mariana Portas
Sofia Vaz Pinto

Abstract

Since the mid-20th century, research has increasingly highlighted the fundamental role of attachment behaviour in human development and the structuring of personality. Peter Fonagy introduced the concept of mentalization, a capacity that emerges within a context of secure attachment to caregivers. In contrast, under conditions of insecure attachment, the ability to mentalize tends to be compromised, leading to distorted self-representations and dysfunctional emotional regulation strategies.
In this context, a non-systematic literature review was conducted on the relationship between attachment, mentalization and personality disorders, integrating the classical theoretical contributions of Bowlby and Ainsworth with contemporary empirical evidence.
In conclusion, this review shows that understanding and treating personality disorders requires an integrative approach that considers attachment styles and mentalization capacity as central mechanisms of vulnerability and therapeutic change. The role of therapeutic interventions is reinforced, and more robust research in this field is needed.

Keywords: Mentalization; Object Attachment; Personality Disorders

Article Details

1.
Abrantes M, Vieira J, Costa E, Portas M, Vaz Pinto S. Attachment, Mentalization and Personality Disorders: Review article. Gaz Med [Internet]. 2026 Apr. 17 [cited 2026 Apr. 19];1(1). Available from: https://gazetamedica.pt/index.php/gazeta/article/view/1061
Section
REVIEW ARTICLES

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