Peter Fonagy (born 14 August 1952) is a Hungarian-born British
psychoanalyst
PsychoanalysisFrom Greek: and is a set of theories and techniques of research to discover unconscious processes and their influence on conscious thought, emotion and behaviour. Based on dream interpretation, psychoanalysis is also a talk th ...
and
clinical psychologist
Clinical psychology is an integration of human science, behavioral science, theory, and clinical knowledge for the purpose of understanding, preventing, and relieving psychologically-based distress or dysfunction and to promote subjective well ...
. He studied
clinical psychology
Clinical psychology is an integration of human science, behavioral science, theory, and clinical knowledge for the purpose of understanding, preventing, and relieving psychologically-based distress or dysfunction and to promote subjective well ...
at
University College London
University College London (Trade name, branded as UCL) is a Public university, public research university in London, England. It is a Member institutions of the University of London, member institution of the Federal university, federal Uni ...
. He is a Professor of Contemporary Psychoanalysis and Developmental Science Head of the Division of Psychology and Language Sciences at University College London and a training and supervising analyst in the British Psycho-Analytical Society in child and adult analysis. His clinical interests center on issues of
borderline psychopathology
Psychopathology is the study of mental illness. It includes the signs and symptoms of all mental disorders. The field includes Abnormal psychology, abnormal cognition, maladaptive behavior, and experiences which differ according to social norms ...
, violence, and early
attachment relationships. He was Chief Executive of the
Anna Freud Centre
The Anna Freud Centre (formerly the Anna Freud National Centre for Children and Families) is a Child and adolescent psychiatry, child mental health research, training and treatment charity based in London, United Kingdom. The Centre aims to tra ...
in London until September 2024. His work attempts to integrate empirical research with
psychoanalytic theory
Psychoanalytic theory is the theory of the innate structure of the human soul and the dynamics of personality development relating to the practice of psychoanalysis, a method of research and for treating of Mental disorder, mental disorders (psych ...
. He has published over 500 papers, and 270 chapters and has authored 19 and edited 17 books.
Career
Fonagy is a Fellow of the British Academy, the Faculty of Medical Sciences, the Academy of Social Sciences, and a registrant of the
BPC. He was appointed twice as a Senior Investigator by the
National Institute for Health and Care Research
The National Institute for Health and Care Research (NIHR) is the British government's major funder of clinical, public health, social care and translational research. With a budget of over £1.2 billion in 2020–21, its mission is to "impr ...
(NIHR).
Fonagy was appointed
Officer of the Order of the British Empire
The Most Excellent Order of the British Empire is a British order of chivalry, rewarding valuable service in a wide range of useful activities. It comprises five classes of awards across both civil and military divisions, the most senior two o ...
(OBE) in the 2013 Birthday Honours for services to psychoanalysis and clinical psychology and received the Wiley Prize of the British Academy for Lifetime Achievements.
Contemporary psychoanalysis
Fonagy received the
Otto Weininger Memorial Award for his contributions to the development of contemporary
psychoanalysis
PsychoanalysisFrom Greek language, Greek: and is a set of theories and techniques of research to discover unconscious mind, unconscious processes and their influence on conscious mind, conscious thought, emotion and behaviour. Based on The Inte ...
. To this end, he has helped to improve the dialogue between analysts and
cognitive
Cognition is the "mental action or process of acquiring knowledge and understanding through thought, experience, and the senses". It encompasses all aspects of intellectual functions and processes such as: perception, attention, thought, ...
therapists.
Fonagy has played and still plays a major role in the evaluation of psychotherapy research. The evaluation of his research is (mostly) based on the effectiveness of treatment. Evaluation of treatment has led to review, recommendations, and implications of
psychotherapy
Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of Psychology, psychological methods, particularly when based on regular Conversation, personal interaction, to help a person change behavior, increase hap ...
. Fonagy has offered detailed evidence for the efficacy of psychological interventions for mental disorders and for special populations, including medical and psychosocial therapies for children and young people and psychological therapies for
borderline personality disorder
Borderline personality disorder (BPD) is a personality disorder characterized by a pervasive, long-term pattern of significant interpersonal relationship instability, an acute fear of Abandonment (emotional), abandonment, and intense emotiona ...
.
Mentalization
In their award-winning book ''Affect Regulation, Mentalization and the Development of the Self'', Fonagy and his colleagues put forth a detailed theory for the way in which the abilities to ''mentalise'' and to regulate affect can determine an individual's successful development. They define
mentalisation as the ability to make and use mental representations of their own and other people's emotional states. The authors discuss the ways in which bad and insufficient parenting, leading to certain
attachment styles, can leave children unable to modulate and interpret their own feelings, as well as the feelings of others. These inabilities to mentalize and regulate affect have implications for severe
personality disorders
Personality disorders (PD) are a class of mental health conditions characterized by enduring maladaptive patterns of behavior, cognition, and inner experience, exhibited across many contexts and deviating from those accepted by the culture. T ...
, as well as general psychological problems of self-confidence, and sense of self.
Mentalization-based treatment
Fonagy is particularly interested in
borderline personality disorder
Borderline personality disorder (BPD) is a personality disorder characterized by a pervasive, long-term pattern of significant interpersonal relationship instability, an acute fear of Abandonment (emotional), abandonment, and intense emotiona ...
(BPD), which was for a long time assumed to be treatment-resistant. He and Anthony Bateman proposed a new way to treat BPD in their book ''Psychotherapy for borderline personality disorder: mentalization-based treatment''.
Mentalization-based treatment (MBT), rooted in
attachment theory
Attachment theory is a psychological and evolutionary framework, concerning the relationships between humans, particularly the importance of early bonds between infants and their primary caregivers. Developed by psychiatrist and psychoanalys ...
, is based on the idea that people with borderline personality disorder mainly lack a reliable capacity to mentalize, which is caused by an absence of contingent and marked
mirroring
Mirroring is the behavior in which one person subconsciously imitates the gesture, idiolect, speech pattern, or attitude of another. Mirroring often occurs in social situations, particularly in the company of close friends or family, often going ...
during development.
The primary goals of treatment are to improve mentalization skills, make connections between the inner experience of relationships and the actual representation, learn how to work with current emotions and how to establish real relationships. In this way, they could form a more coherent sense of self and develop new (secure) attachment styles.
Awards and honours
In the
2024 Birthday Honours
The 2024 King's Birthday Honours are appointments by some of the 15 Commonwealth realms of Charles III, King Charles III to Orders and decorations of the Commonwealth realms, various orders and honours to reward and highlight good works by citizens ...
, Peter Fonagy was appointed a Commander of the
Order of the British Empire
The Most Excellent Order of the British Empire is a British order of chivalry, rewarding valuable service in a wide range of useful activities. It comprises five classes of awards across both civil and military divisions, the most senior two o ...
(CBE) for services to mental health care for children and young people.
Works
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See also
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Psychic equivalence
References
{{DEFAULTSORT:Fonagy, Peter
1952 births
Living people
British psychologists
British socialists
Hungarian socialists
Hungarian psychologists
British psychoanalysts
Hungarian psychoanalysts
Alumni of University College London
Academics of University College London
Commanders of the Order of the British Empire
Physicians from Budapest
Hungarian emigrants to the United Kingdom
Fellows of the Academy of Medical Sciences (United Kingdom)
Borderline personality disorder experts
Fellows of the British Academy
Fellows of the Academy of Social Sciences
NIHR Senior Investigators
Naturalised citizens of the United Kingdom