Two minds in the text: A commentary to Sebastian Simonsen, Nana Lund Nørgaard, Kirsten Aaskov Larsen and Kraka Ingeborg Bjørnholm: Mentalization-inspired case formulation: Minding the difficult patient

Let me first express my gratitude for being invited as a commentator to the article 'Mentalization-inspired case formulation: Minding the difficult patient.' As a commentator to a written text on a clinical case, one has both the advantage and the disadvantage of being distanced from the emotional stress that most often is a part of working therapeutically with patients like Ms. X. Hence, for those being involved in the complexity, comments and proposals from the outside might be experience as annoyingly superficial and simplistic, or as an expression of besserwissen. On the other hand such comments will be an expression of reflecting in freer emotional air, not being pushed into the corner by medical conditions and legal considerations, and only with a scent of countertransference possibly involved,. It is a central aspect of impaired metalizing in others that it also challenges our capacities to metalize. With respect for such diversities in our positions, and not at least the strains of working with antisociality. I will gladly present my comments, addressing both the theory and clinic of co-written case formulations. Adapted from the source document.