Reflections on epistemic trust and its role in psychotherapy

Author/s George Silberschatz
Publishing Year 2020 Issue 2020/1 Language Italian
Pages 5 P. 54-58 File size 76 KB
DOI 10.3280/PU2020-001005
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Fonagy and his colleagues have recently proposed that deficits in epistemic trust are a centerpiece of severe personality disorder and that therapists’ efforts to build epistemic trust are central to the psychotherapeutic process. Their model builds on solid developmental research but lacks clarity and precision in delineating the process of building trust. This is a unidirectional process whereby the therapist provides "ostensive cues that enable the patient to temporarily suspend hypervigi-lance or epistemic mistrust. A bidirectional model that takes into account the patient’s ostensive cues or tests of the therapist would provide greater precision, clinical rigor, and empirical validity to the model.

Keywords: Psychotherapy process; Personality disorder; Epistemic trust; Control-Mastery Theory; Patients’ tests of the therapist

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  • Risposta agli interventi di Morris N. Eagle, Mauro Fornaro e George Silberschatz Elisabeth Allison, Peter Fonagy, in PSICOTERAPIA E SCIENZE UMANE 1/2020 pp.59
    DOI: 10.3280/PU2020-001006

George Silberschatz, Riflessioni sulla fiducia epistemica e sul suo ruolo in psicoterapia in "PSICOTERAPIA E SCIENZE UMANE" 1/2020, pp 54-58, DOI: 10.3280/PU2020-001005