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Chapter 4 - The Clinical Process of Mentalization-Based Treatment

A Step-by-Step Guide

from Part II - The Mentalization-Based Treatment Model in Practice

Published online by Cambridge University Press:  18 May 2023

Anthony Bateman
Affiliation:
Anna Freud National Centre for Children and Families, London
Peter Fonagy
Affiliation:
University College London
Chloe Campbell
Affiliation:
University College London
Patrick Luyten
Affiliation:
University College London
Martin Debbané
Affiliation:
University College London
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Summary

The case of a patient who is receiving mentalization-based treatment (MBT) is described. All of the stages and interventions of MBT, including interventions for suicidality and violence, are illustrated across the patient’s treatment trajectory. The formulation agreed with the patient is the focus for treatment. Clinical examples are presented to illustrate how to implement the phases of MBT using the formulation. The chapter discusses working with the not-knowing stance, the mentalizing process, non-mentalizing modes, affective narratives, and relational mentalizing. Supervision for the clinician is an essential part of MBT, and this is elaborated particularly in relation to its role in supporting the clinician to manage problematic counter-relational responses to the patient.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2023

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References

Smits, ML, Luyten, P, Feenstra, DJ et al. Trauma and outcomes of mentalization-based therapy for individuals with borderline personality disorder. Am J Psychother 2022; 75: 1220.Google Scholar
Bateman, A, Fonagy, P. Impact of clinical severity on outcomes of mentalisation-based treatment for borderline personality disorder. Br J Psychiatry 2013; 203: 221–7.Google Scholar
Smits, ML, Feenstra, DJ, Eeren, HV et al. Day hospital versus intensive out-patient mentalisation-based treatment for borderline personality disorder: multicentre randomised clinical trial. Br J Psychiatry 2020; 216: 7984.Google Scholar
Bateman, A, Constantinou, MP, Fonagy, P, Holzer, S. Eight-year prospective follow-up of mentalization-based treatment versus structured clinical management for people with borderline personality disorder. Personal Disord 2021; 12: 291–9.Google Scholar
Miller, CE, Townsend, ML, Grenyer, BFS. Understanding chronic feelings of emptiness in borderline personality disorder: a qualitative study. Borderline Personal Disord Emot Dysregul 2021; 8: 24.Google Scholar
Winnicott, DW. Ego distortion in terms of true and false self. In: The Maturational Process and the Facilitating Environment. New York, NY: International Universities Press, 1965; 140–52.Google Scholar
Smith, M, South, S. Romantic attachment style and borderline personality pathology: a meta-analysis. Clin Psychol Rev 2020; 75: 101781.Google Scholar
Grove, P, Smith, E. A framework for MBT formulations: the narrative formulation and MBT passport. J Contemp Psychother 2022: 52: 199206.CrossRefGoogle Scholar
Bateman, A, Fonagy, P. Mentalization-Based Treatment for Personality Disorders: A Practical Guide. Oxford, UK: Oxford University Press, 2016.Google Scholar
Bateman, A, Unruh, B, Fonagy, P. Individual therapy techniques. In: Bateman, A, Fonagy, P, eds. Handbook of Mentalizing in Mental Health Practice, 2nd ed. Washington, DC: American Psychiatric Association Publishing, 2019; 103–15.Google Scholar
Bateman, A, Fonagy, P. The use of transference in dynamic psychotherapy. Am J Psychiatry 2007; 164: 680.CrossRefGoogle ScholarPubMed
Allen, JG, Fonagy, P, Bateman, AW. Mentalizing in Clinical Practice. Washington, DC: American Psychiatric Publishing, 2008.Google Scholar
Bales, DL, Verheul, R, Hutsebaut, J. Barriers and facilitators to the implementation of mentalization-based treatment (MBT) for borderline personality disorder. Personal Ment Health 2017; 11: 118–31.Google Scholar
Colli, A, Tanzilli, A, Dimaggio, G, Lingiardi, V. Patient personality and therapist response: an empirical investigation. Am J Psychiatry 2014; 171: 102–8.Google Scholar
Bourke, ME, Grenyer, BF. Psychotherapists’ response to borderline personality disorder: a core conflictual relationship theme analysis. Psychother Res 2010; 20: 680–91.Google Scholar
Bales, D, Bateman, A. Partial hospitalization settings. In: Bateman, A, Fonagy, P, eds. Handbook of Mentalizing in Mental Health Practice. Arlington, VA: American Psychiatric Publishing, 2012; 197226.Google Scholar
Kjolbe, M, Bateman, A. Outpatient settings. In: Bateman, A, Fonagy, P, eds. Handbook of Mentalizing in Mental Health Practice. Arlington, VA: American Psychiatric Publishing, 2012; 227–45.Google Scholar

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