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Results: Three profiles emerged: (1) low self-mentalizing with hypermentalizing of others, (2) relatively preserved self-mentalizing with ineffective other-mentalizing, and (3) broadly effective mentalizing. Cluster 1 showed the highest severity of personality pathology and greater clinical burden reflected in higher rates of psychiatric hospitalization and treatment referral. Cluster 3 showed the lowest levels of pathology and clinical burden. No cluster differences were found in sociodemographic indicators. Conclusions: Distinct mentalizing profiles are differentially associated with personality pathology and clinical burden, highlighting the central role of impairments in self-mentalizing and hypermentalizing of others.<\/jats:p>","DOI":"10.1521\/pedi.2026.40.3.236","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T15:23:22Z","timestamp":1780413802000},"page":"236-260","source":"Crossref","is-referenced-by-count":2,"title":["Low Self-Mentalizing and Hypermentalizing Others as Core Features of Personality Pathology: A Person-Centered Analysis"],"prefix":"10.1521","volume":"40","author":[{"given":"Monika Olga","family":"Ja\u0144czak","sequence":"first","affiliation":[{"name":"From Adam Mickiewicz University, Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dominika","family":"G\u00f3rska","sequence":"additional","affiliation":[{"name":"From Adam Mickiewicz University, Pozna\u0144, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Nolte","sequence":"additional","affiliation":[{"name":"Anna Freud Centre, London, United Kindom"},{"name":"Research Department of Clinical, Educational and Health Psychology, University College London, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"377","reference":[{"key":"ref1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. 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