The teleological mode portrays a way of thinking that draws interpretations regarding internal states solely based on concrete observable behaviors.

Teleological Mode in Clinical Contexts

Pretend mode refers to the phenomenon of dissociating internal mental states from external reality. 

Pretend Mode in Clinical Contexts

Psychic equivalence refers to the phenomenon of equating one's thoughts with reality. 

Psychic Equivalence in Clinical Contexts

1. Teleological Mode
2. Pretend Mode
3. Psychic Equivalence

New York University

Mentalization-based therapy theorizes that the BPD symptoms arise from rapid and frequent shifts from mentalistic to altered modes of mentalizing in functioning and perceiving the world, especially in interpersonal contexts. 

Theoretical Framework in Understanding BPD Based on MBT 

Fonagy, P., & Bateman, A. W. (2006). Mechanisms of change in mentalization‐based treatment of BPD. Journal of clinical psychology, 62(4), 411-430.

Mechanisms of Change in MBT of BPD (Fonagy & Bateman, 2006)

Subtypes of Prementalistic Modes in BPD 

Hypermentalizing/hypermentalization refers to the social-cognitive process of excessively inferring the mental states of others when there is insufficient concrete real-world evidence to support these inferences.

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