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2 results

  • Chapter 1 - A History of Mentalizing and Mentalization-Based Treatment

  • from Part I - Overview of the Model
  • Anthony Bateman, Anna Freud National Centre for Children and Families, London, Peter Fonagy, University College London, Chloe Campbell, University College London, Patrick Luyten, University College London, Martin Debbané, University College London
  • Book:
    Cambridge Guide to Mentalization-Based Treatment (MBT)
    Published online:
    18 May 2023
    Print publication:
    01 June 2023, pp 1-3

  • Summary

    Mentalizing or “mind-wondering” is central to social interaction, culture, and morality. In our everyday life we are all philosophers of the mind, wondering what is going on in other people’s heads, and tracking our own thoughts and feelings. Several terms have been used to cover this territory of thinking about thoughts—they include, among others, Theory of Mind, intentionality, and mentalizing. This chapter provides a brief historical account of the emergence and development of the term “mentalizing” from research on Theory of Mind, and its application in clinical practice as mentalization-based treatment (MBT), initially in the context of patients with borderline personality disorder (BPD). The chapter also discusses how, in MBT, the focus is on mentalizing as a way of making sense of mental health problems.

  • Running a mentalization-based treatment (MBT) programme within a public community adult mental health service setting: a feasibility study

  • D. Beattie, S. Murphy, S. Jamieson, A. Lee
  • Journal:
    Irish Journal of Psychological Medicine / Volume 39 / Issue 1 / March 2022
    Published online by Cambridge University Press:
    02 May 2019, pp. 28-38
    Print publication:
    March 2022
  • Objectives:

    This article aimed to address the feasibility of mentalization-based treatment (MBT) for patients with personality disorder in a non-specialist setting. The development and implementation of an MBT Programme is described.

    Methods:

    A multidisciplinary Consult Group met to plan the implementation of the programme. Participants attended a psychoeducation group (MBT Introductory Group), then weekly individual and group therapy. Fourteen participants started the full programme with eight completing at least 9 months, complete data are available for five participants who completed 27 months (first cohort) and 21 months (second cohort). Data include quantitative measures and qualitative questionnaires/interviews. All had a diagnosis of personality dysfunction with co-morbid disorder including anxiety/depressive disorder, post-traumatic stress disorder and eating disorder.

    Results:

    Data on five participants revealed reductions in global level of distress, improvements in psychological well-being, less interpersonal difficulties and better work and social functioning. Qualitative data from feedback questionnaires (n = 18) and in-depth interview (n = 2) are discussed under the themes of mentalizing, treatment feedback/outcomes and group factors. Therapist reflections on the process identify the challenges involved in implementing a specialist psychotherapy programme within a general service and learning points from this are discussed.

    Conclusions:

    MBT is an acceptable treatment for patients with personality dysfunction. Prior to the implementation of a programme, factors at the therapist, team and organizational level, as well as the wider context, need to be examined. This is to ensure that conditions are in place for proper adherence to the model to achieve the positive outcomes demonstrated in the RCT studies.