We thank Dr Vahedian-Azim for taking the time to respond [
1] to our commentary [
2]. We aimed to discuss mentalisation, a process already known to psychotherapists but less so to critical care clinicians [
3]. The main point of our commentary was to explore the possible role of mentalisation in the highly emotive environment of ICU, as a tool in conflict prevention and resolution. You are very right to point out that the actual impact of the process on outcomes is far from evidenced-based; however, being curious about one’s own reactions and endeavouring to understand the reactions of others is an attitude with strong face validity and hence conceptually attractive. Yet, robust scientific evaluation is needed to ensure that the anticipated benefits materialise and are not offset by unanticipated consequences. …
