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Concepts such as psychological-mindedness, insight, empathy, alliance, and affect consciousness, to name but a few, have been around throughout the “psychotherapeutic century” (Allen et al. 2003, 2008), and all have been implicated as general factors related to change in psychotherapy. In this chapter, we suggest that there is a higher-order concept—namely, mentalizing—that crystallizes the psychological, biological, and relational processes of these phenomena. We argue that mentalizing is a guiding construct and common factor uniting a range of therapeutic approaches.
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