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1 results

  • Chapter 7 - Antisocial Personality Disorder

  • from Part III - Application and Adaptations for Mental Health Presentations
  • 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 174-202

  • Summary

    Antisocial personality disorder (ASPD) and violence result from a loss of mentalizing. Mentalization-based treatment for antisocial personality disorder (MBT-ASPD) is delivered primarily as a group intervention. Individuals with ASPD are more likely to learn from those whom they consider to be similar to themselves, so the task of the MBT clinician is to generate constructive group interactions during which learning can take place. Common mentalizing profiles of people with ASPD are outlined and examples of the formulation that can be used are given. The chapter discusses how to engage patients in treatment using the formulation, and it provides examples of how to prevent dropout by creating an atmosphere of equality within the group. A range of clinical problems that are commonly encountered when running groups for people with ASPD are outlined, and suggestions on how to intervene in these scenarios are given.