ArticleFrontiers in psychiatry2021
Epistemic Trust and the Emergence of Conduct Problems: Aggression in the Service of Communication.
Article in Frontiers in psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Mentalization-based treatment for adolescents with conduct disorder (MBT-CD): a feasibility study.European child & adolescent psychiatry · 2023Trial
- Childhood Trauma and Aggression: The Role of Epistemic Trust.Journal of child & adolescent trauma · 2026Article
- Mapping the Adolescent Mind: Profiles of Reflective Functioning and Epistemic Trust in Adolescent Psychopathology.Journal of adolescence · 2026Article
- Discontinuities in and Perceptions of Mental Health Service Path of Violent Young Offenders: A Qualitative Descriptive Study.Community mental health journal · 2025Article
- Social Learning and Preferences in Adolescents With Conduct Problems and Varying Levels of Callous-Unemotional Traits.JAACAP open · 2024Article
- Patient characteristics of completion and dropout of mentalization-based treatment for adolescents with conduct disorder.Frontiers in psychology · 2024Article
- The interplay of mentalization and epistemic trust: a protective mechanism against emotional dysregulation in adolescent internalizing symptoms.Research in psychotherapy (Milano) · 2023Article
- Enhancing mentalization by specific interventions within mentalization-based treatment of adolescents with conduct disorder.Frontiers in psychology · 2023Article
- An exploratory study on how attachment classifications manifest in group psychotherapy.Research in psychotherapy (Milano) · 2022Article
- The in-session discourse of unresolved/disorganized psychotherapy patients: An exploratory study of an attachment classification.Frontiers in psychology · 2022Article
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Authors and funding
5 authors.
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Abstract
Fonagy and colleagues have recently proposed that deficits in the capacity for epistemic trust (i. e., the expectation that interpersonal communication is relevant to the addressee) are fundamental to psychopathology. In this paper, we consider the implications of this hypothesis for understanding the role of aggression in conduct disorder and conduct problems more generally. Our main proposal is to view conduct problems not only as reflecting dysregulation, but as an adaptation that allows communication with others who are (or are perceived to be) unreliable. Our formulation hinges on two propositions. The first one is to view aggression as a modality of communication adapted to scenarios in which the communicator expects the audience to have low epistemic trust in the communicator. The second idea is to conceptualize the failed "unlearning of aggression" as reflecting a lack of interest in maintaining one's reputation as a communicator, which in turn stems from a lack of epistemic trust in other communicators. In this paper, we discuss these ideas and examine how they may account for the developmental pathways that lead young people to develop conduct problems.
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