Epistemic trust: a comprehensive review of empirical insights and implications for developmental psychopathology

Originally rooted in philosophy and sociology, the concept of epistemic trust has recently transitioned to developmental psychopathology, illuminating social-cognitive processes in psychopathology. This narrative review synthesizes empirical evidence on epistemic trust to inform future research. A l...

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Published inResearch in psychotherapy (Milano). Vol. 26; no. 3
Main Authors Li, Elizabeth, Campbell, Chloe, Midgley, Nick, Luyten, Patrick
Format Journal Article
LanguageEnglish
Published Italy PAGEPress Publications, Pavia, Italy 20.12.2023
PAGEPress Publications
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ISSN2499-7552
2239-8031
2239-8031
DOI10.4081/ripppo.2023.704

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Summary:Originally rooted in philosophy and sociology, the concept of epistemic trust has recently transitioned to developmental psychopathology, illuminating social-cognitive processes in psychopathology. This narrative review synthesizes empirical evidence on epistemic trust to inform future research. A literature search highlighted 3 areas: i) the development of selective trust in children; ii) epistemic trust in non-clinical adults; iii) its link to mental health. Young children demonstrate selective learning from reliable sources using epistemic cues. Empirical studies beyond childhood were greatly facilitated in the last 2 years with the introduction of the Epistemic Trust, Mistrust and Credulity Questionnaire, a self-report scale measuring epistemic stance. Cross-sectional studies pinpointed dysfunctional epistemic strategies as factors in mental health vulnerability, and some qualitative work offered initial evidence linking restored epistemic trust to effective psychotherapy. For future research, we propose focusing on 3 primary areas. First, empirical investigations in adolescent samples are needed, as adolescence seems to be a pivotal phase in the development of epistemic trust. Second, more experimental research is required to assess dysfunctional and functional epistemic stances and how they relate to vulnerability to mental health disorders. Finally, intervention studies should explore the dynamics of epistemic stances within and between therapy sessions and their impact on therapeutic outcomes.
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Ethics approval and consent to participate: no ethical committee approval was required.
Guest Editors: Chloe Campbell, Peter Fonagy, Marianna Liotti, Alberto Milesi
Contributions: all the authors made a substantial intellectual contribution, read and approved the final version of the manuscript, and agreed to be accountable for all aspects of the work.
Availability of data and materials: data and materials are available from the corresponding author upon request.
Citation: Li, E., Campbell, C., Midgley, N., & Luyten, P., (2023).
LEARNING TO UNDERSTAND: LATEST CONTRIBUTIONS ABOUT EPISTEMIC TRUST AND MENTALIZATION-RELATED CONCEPTS
Conflict of interest: the authors declare that they have no competing interests, and all authors confirm accuracy.
Publisher’s note: all claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Epistemic trust: a comprehensive review of empirical insights and implications for developmental psychopathology. Research in Psychotherapy: Psychopathology, Process and Outcome, 26(3), 704. doi
ISSN:2499-7552
2239-8031
2239-8031
DOI:10.4081/ripppo.2023.704