Reflective function and identity in adolescents with clinical and nonclinical symptoms

INTRODUCTION: Reflective function is developed in the context of secure attachment and corresponds to the ability to understand one's mental states and those of others. Thus, identity develops, which relates to the experience of self as unique, continuous and coherent. OBJECTIVE: To identify reflective function and identity features in adolescents with clinical and nonclinical symptoms of mental health problems. METHOD: Participants were 188 Brazilian high school students aged 14-17 years: 30.3% with clinical symptoms and 69.9% with nonclinical symptoms. RESULTS: Adolescents with clinical symptoms showed lower levels of reflective function and greater disintegration of identity. CONCLUSION: Adolescence is a vulnerable time for mental health problems associated with reflective function and identity. Early identification of symptoms is a matter that needs attention to prevent future consequences.