Mentalization-based treatment

About: Mentalization-based treatment is a research topic. Over the lifetime, 356 publications have been published within this topic receiving 25762 citations. The topic is also known as: mentalization-based treatment MBT.

Cognitive-Behavioral Treatment of Borderline Personality Disorder

Abstract: Part I: Theory and Concepts Borderline Personality Disorder: Concepts, Controversies, and Definitions Dialectical and Biosocial Underpinnings of Treatment Behavioral Patterns: Dialectical Dilemmas in the Treatment of Borderline Patients Part II: Treatment Overview and Goals Overview of Treatment: Targets, Strategies, and Assumptions in a Nutshell Behavioral Targets in Treatment: Behaviors to Increase and Decrease Structuring Treatment around Target Behaviors: Who Treats What and When Part III: Basic Treatment Strategies Dialectical Treatment Strategies Core Strategies: Validation Core Strategies: Problem Solving Change Procedures: Contingency Procedures of Managing Contingencies and Observing Limits Change Procedures: Skills Training, Exposure, Cognitive Modification Stylistic Strategies: Balancing Communication Case Management Strategies: Interacting with the Community Part IV: Strategies for Specific Tasks Structural Strategies Special Treatment Strategies Appendix: Suggesting Reading References Index

Affect Regulation, Mentalization and the Development of the Self

Abstract: In a brilliant examination of the frontiers of human emotion and cognition, four prominent psychoanalysts combine the perspectives of developmental psychology, attachment theory and psychoanalytic technique. The result of this marriage of disciplines is a bold, energetic and ultimately encouraging vision for the psychoanalytic treatment.

Effectiveness of partial hospitalization in the treatment of borderline personality disorder: a randomized controlled trial.

Abstract: OBJECTIVE: This study compared the effectiveness of psychoanalytically oriented partial hospitalization with standard psychiatric care for patients with borderline personality disorder. METHOD: Thirty-eight patients with borderline personality disorder, diagnosed according to standardized criteria, were allocated either to a partially hospitalized group or to a standard psychiatric care (control) group in a randomized controlled design. Treatment, which included individual and group psychoanalytic psychotherapy, was for a maximum of 18 months. Outcome measures included the frequency of suicide attempts and acts of self-harm, the number and duration of inpatient admissions, the use of psychotropic medication, and self-report measures of depression, anxiety, general symptom distress, interpersonal function, and social adjustment. Data analysis used repeated measures analysis of covariance and nonparametric tests of trend. RESULTS: Patients who were partially hospitalized showed a statistically significant d...

Psychotherapy for Borderline Personality Disorder: Mentalization Based Treatment

Abstract: 1. EPIDEMIOLOGICAL AND ETIOLOGICAL RESEARCH ON BORDERLINE PERSONALITY DISORDER Definition of the problem Epidemiology Clinical picture The natural history of BPD Studies of mechanisms and aetiological factors 2. THERAPY RESEARCH AND OUTCOME Psychological treatments Drug treatments Problems of outcome research 3. MENTALIZATION-BASED UNDERSTANDING OF BORDERLINE PERSONALITY DISORDER The developmental roots of BPD The relevance of the attachment theory perspective Optimal self-development in a secure attachment context The impact of an insecure base The impact of attachment trauma 4. CURRENT MODELS OF TREATMENT FOR BPD Transference focused therapy Dialectical behaviour therapy Cognitive behaviour therapy Cognitive analytic therapy Psychodynamic-interpersonal Therapeutic communities Other North American approaches Other European approaches Mentalization: the common theme in psychotherapeutic approaches to BPD 5. TREATMENT ORGANIZATION Service models The treatment programmes Staff Assessment Engagement in treatment Supporting the team Care programme approach Adherence 6. TRANSFERABLE FEATURES OF THE MBT MODEL Structure Consistency, constancy and coherence Relationship focus Flexibility Intensity Individual approach to care Use of medication Integration of modalities of therapy 7. STRATEGIES OF TREATMENT Enhancing mentalization Bridging the gaps Transference Retaining mental closeness Working with current mental states Bearing in mind the deficits Real relationships 8. TECHNIQUES OF TREATMENT Identification and appropriate expression of affect Establishment of stable representational systems Formation of coherent sense of Self Development of a capacity to form secure relationships 9. IMPLEMENTATION PATHWAY Step 1 - Consider the context in which you work ... Step 2 - Apply organizational principles Step 3 - Modify the aims and techniques of your current practice Step 4 - Implement procedures for dealing with challenging behaviours Step 5 - Constantly evaluate your practice Appendices References

Outpatient psychotherapy for borderline personality disorder: Randomized trial of schema-focused therapy vs transference-focused psychotherapy

Abstract: Context Borderline personality disorder is a severe and chronic psychiatric condition, prevalent throughout health care settings. Only limited effects of current treatments have been documented. Objective To compare the effectiveness of schema-focused therapy (SFT) and psychodynamically based transference-focused psychotherapy (TFP) in patients with borderline personality disorder. Design A multicenter, randomized, 2-group design. Setting Four general community mental health centers. Participants Eighty-eight patients with a Borderline Personality Disorder Severity Index, fourth version, score greater than a predetermined cutoff score. Intervention Three years of either SFT or TFP with sessions twice a week. Main Outcome Measures Borderline Personality Disorder Severity Index, fourth version, score; quality of life; general psychopathologic dysfunction; and measures of SFT/TFP personality concepts. Patient assessments were made before randomization and then every 3 months for 3 years. Results Data on 44 SFT patients and 42 TFP patients were available. The sociodemographic and clinical characteristics of the groups were similar at baseline. Survival analyses revealed a higher dropout risk for TFP patients than for SFT patients (P = .01). Using an intention-to-treat approach, statistically and clinically significant improvements were found for both treatments on all measures after 1-, 2-, and 3-year treatment periods. After 3 years of treatment, survival analyses demonstrated that significantly more SFT patients recovered (relative risk = 2.18;P = .04) or showed reliable clinical improvement (relative risk = 2.33;P = .009) on the Borderline Personality Disorder Severity Index, fourth version. Robust analysis of covariance (ANCOVA) showed that they also improved more in general psychopathologic dysfunction and measures of SFT/TFP personality concepts (P Conclusions Three years of SFT or TFP proved to be effective in reducing borderline personality disorder–specific and general psychopathologic dysfunction and measures of SFT/TFP concepts and in improving quality of life; SFT is more effective than TFP for all measures.