What Is Reflective Functioning? Mentalization, Attachment Theory & RF Scoring with Dr. Miriam Steele

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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