Supporting University Students During the Pandemic: A Study on The Efficacy of a Mentalizing Online Group Counselling

Background: University counselling services assume a fundamental support function for students who are facing moments of crisis during their academic career. Such services often aim to reduce drop-out rates and achieve improvement in terms of psychological well-being. COVID-19 contagion containment measures have also had an impact on the psychological health of university students and their ability to cope with important developmental tasks. It has become necessary, therefore, to offer online counselling services which has become, however, the means of choice to support students during the university course in the pandemic era, as a complementary intervention to the traditional face-to-face approach. Methods: In a clinical and health psychology perspective, this study aims to analyze the efficacy of 13 online counselling groups involving 66 underachieving students, lagging with their studies. The intervention has adopted the methodology of the Narrative Mediation Path, which aims at promoting mentalization, academic engagement and psychological well-being in order to have an impact on students’ academic performance and prevent university dropouts. At the beginning and end of counselling the following measures were administered: a) Reflective Functioning Questionnaire, b) Psychological General Well-Being Index Short Form, c) Academic Performance Inventory, d) University Student Engagement Inventory, e) Group Climate Questionnaire. Results: The results showed that online counselling groups enabled an overall improvement in all the variables considered. Conclusion: Overall, the present study showed the efficacy of the online group counselling service in supporting students during the pandemic period and in coping with the difficulties encountered during the academic career

Pseudomentalization as a Challenge for Therapists of Group Psychotherapy With Drug Addicted Patients

One of the main challenges in group therapy with drug-addicted patients is collective pseudomentalization, i.e., a group discourse consisting of words and clichés that are decoupled from any inner emotional life and are poorly related to external reality. In this study, we aimed to explore the phenomenology of pseudomentalization and how it was addressed by the therapist in an outpatient group for drug-addicted patients. The group was composed of seven members, and the transcripts of eight audio-recorded sessions (one per month) were rated and studied. The interventions of the therapist were measured with the mentalization-based group therapy (MBT-G) adherence and quality scale by independent raters. Two sessions, one with the highest and one with the lowest adherence, were selected, and the clinical sequences of pseudomentalization were analyzed in a comparative way. The findings revealed that pseudomentalization does occur as a collective phenomenon, akin to “basic assumptions” of Wilfred Bion, which we reconceptualized in this study. Any pseudomentalization seemed to be reinforced by the therapist when she was presenting frequent and long interventions, when abstaining from the management of group boundaries, when providing questions focused more on content than on the mental states of the group members, and when not focusing on emotions. However, the ultimate source of collective pseudomentalization seemed to be the fear of the group members of being overwhelmed by painful emotions, mental confusion, and a loss of identity. The findings also indicated that the principles of MBT-G may be a good antidote to pseudomentalization