
What Is Reflective Functioning? Mentalization, Attachment Theory & RF Scoring with Dr. Miriam Steele
From Psychiatry & Psychotherapy Podcast by David Puder, M.D.
March 6, 2026 · 1h 26m
About this episode
Dr. Puder and Dr. Miriam Steele discuss reflective functioning, its origins, and its implications in mental health treatment.
In this episode, Dr. Puder hosts a conversation with Dr. Miriam Steele, a leading expert in reflective functioning (RF), mentalization, and attachment theory. They explore the origins of RF from the pioneering work of Peter Fonagy and John Bowlby in the London Parent-Child Project, its role in predicting secure attachments and sensitive parenting, and distinctions from empathy. Conversation topics include cutting-edge research on mentalization-based treatment (MBT) and transference-focused psychotherapy (TFP) for borderline personality disorder (BPD) and eating disorders, therapist RF's impact on patient outcomes, body image representations, and smartphone effects on parent-child bonds. By listening to this episode, you can earn 1.5 Psychiatry CME Credits. Link to blog Link to YouTube video Main Attachment
People in this episode
Guest: Dr Miriam Steele
Topics covered
- reflective functioning
- mentalization
- attachment theory
- borderline personality disorder
- eating disorders
- mentalization-based treatment
- transference-focused psychotherapy
Keywords
- CME credits
- secure attachments
- sensitive parenting
- therapist RF
- body image
- smartphone effects
Mentioned in this episode
Books & works: Main Attachment
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