Mentalization-based treatment for patients with borderline personality disorder: an overview

Eizirik, Mariana; Fonagy, Peter

doi:10.1590/s1516-44462009000100016

Cited by 15 publications

(8 citation statements)

References 18 publications

(32 reference statements)

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“…However, a controversy exists regarding the direction of these differences. Whereas several authors assume that BPD patients have impaired mentalizing ability (e.g., [9], [10]), the ‘paradox’ hypothesis [11] maintains in contrast, that individuals with BPD exhibit enhanced mental state discrimination in the context of their impaired interpersonal relationships.…”

Section: Introductionmentioning

confidence: 99%

Hypersensitivity in Borderline Personality Disorder during Mindreading

et al. 2012

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BackgroundOne of the core symptoms of borderline personality disorder (BPD) is the instability in interpersonal relationships. This might be related to existent differences in mindreading between BPD patients and healthy individuals. MethodsWe examined the behavioural and neurophysiological (fMRI) responses of BPD patients and healthy controls (HC) during performance of the ‘Reading the Mind in the Eyes’ test (RMET).ResultsMental state discrimination was significantly better and faster for affective eye gazes in BPD patients than in HC. At the neurophysiological level, this was manifested in a stronger activation of the amygdala and greater activity of the medial frontal gyrus, the left temporal pole and the middle temporal gyrus during affective eye gazes. In contrast, HC subjects showed a greater activation in the insula and the superior temporal gyri.ConclusionThese findings indicate that BPD patients are highly vigilant to social stimuli, maybe because they resonate intuitively with mental states of others.

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Section: Introductionmentioning

confidence: 99%

Hypersensitivity in Borderline Personality Disorder during Mindreading

et al. 2012

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“…An area that has received signifi cant attention in terms of research, due to the increase in the current clinical demand, is the one related to the investigation of the psychotherapeutic process directed toward severe patients, mainly with symptoms associated with the diagnosis of Borderline Personality Disorder (Eizirik & Fonagy, 2009;Fonagy & Bateman, 2007;Jordão & Ramires, 2010). These patients, due to attitudes of impulsivity and aggressiveness, may present diffi culties in adherence to the treatments (Tanesi, Yazigi, Fiore, & Pitta, 2007).…”

Section: Intervenciones Del Terapeuta Psicoanalítico En El Proceso Psmentioning

confidence: 99%

Interventions of the Psychoanalytic Therapist in the Psychotherapeutic Process of a Patient with Borderline Personality Disorder

Simoni¹,

Benetti²,

Bittencourt³

2018

Temas Psicol.

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This study aimed to identify the types of interventions of a psychoanalytic therapist in the psychotherapy of a patient with Borderline Personality Disorder, during a period of treatment prior to psychiatric hospitalization. The Systematic Case Study procedure was adopted with a quantitative design. For the data analysis, twelve sessions of psychotherapy were transcribed and analyzed and the interventions of the therapist were classifi ed based on the Modifi ed Multidimensional Classifi cation of Psychotherapeutic Interventions (CMIP-M), which identifi es types of interventions in clinical material. Pairs of independent judges trained in the methodology of the instrument evaluated and classifi ed each of the interventions of the therapist at the descriptive level. The results were presented by means of descriptive statistics of frequency and percentage and indicated predominance of empathic (27.3%), closed exploratory (24.1%) and psychoanalytical examination (15.1%) interventions throughout the investigation process. The results showed similarities with previous studies, indicating the emphasis on closed exploratory interventions in the treatment of personality disorders. However, there were differences in relation to the previous investigations carried out with patients diagnosed with Borderline Personality Disorder, in which expressive interventions predominated.

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“…A prática clínica baseada em evidências científi cas, por meio da análise dos processos e dos resultados psicoterápicos, aprimora o trabalho clínico com pacientes e permite uma melhor compreensão sobre as psicoterapias (Brum et al, 2012;Peuker, Habigzang, Koller, & Araujo, 2009). Uma área que tem merecido signifi cativa atenção em termos de pesquisa, devido ao aumento da demanda clínica atual, é a referente à investigação do processo psicoterápico dirigido a pacientes graves, principalmente com sintomas associados ao diagnóstico de Transtorno de Personalidade Borderline (Eizirik & Fonagy, 2009;Fonagy & Bateman, 2007;Jordão & Ramires, 2010). Esses pacientes, em função de atitudes de Intervenções do Terapeuta Psicanalítico no Processo Psicoterapêutico de uma Paciente com Transtorno de Personalidade Borderline.…”

Section: Intervenciones Del Terapeuta Psicoanalítico En El Proceso Psunclassified

Intervenções do terapeuta psicanalítico no processo psicoterapêutico de uma paciente com transtorno de personalidade borderline

Simoni¹,

Benetti²,

Bittencourt³

2018

Temas Psicol.

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Este estudo teve por objetivo identifi car os tipos de intervenções de um terapeuta psicanalítico na psicoterapia de uma paciente com Transtorno de Personalidade Borderline, em um recorte do tratamento anterior à sua internação psiquiátrica. O procedimento adotado foi o Estudo de Caso Sistemático com delin eamento quantitativo. Para análise dos dados, foram transcritas e analisadas doze sessões de psicoterapia, sendo as intervenções do terapeuta classifi cadas com base na Classifi cação Multidimensional de Intervenções Psicoterapêuticas Modifi cada (CMIP-M), que identifi ca tipos de intervenções em um material clínico. Duplas de juízes independentes e treinados na metodologia do instrumento avaliaram e classifi caram cada uma das intervenções do terapeuta ao nível descritivo. Os resultados foram apresentados por meio de estatísticas descritivas de frequência e percentual e apontaram predominância das intervenções empáticas (27,3%), exploratórias fechadas (24,1%) e examinativas psicanalíticas (15,1%) ao longo do processo investigado. Por um lado, os resultados mostraram semelhanças com estudos anteriores, indicando destaque às intervenções exploratórias fechadas no tratamento de transtornos de personalidade. Por outro lado, evidenciou-se diferenças em relação às investigações anteriores realizadas com pacientes diagnosticados com Transtorno de Personalidade Borderline, nas quais predominaram intervenções expressivas.

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Mentalization-based treatment for patients with borderline personality disorder: an overview

Cited by 15 publications

References 18 publications

Hypersensitivity in Borderline Personality Disorder during Mindreading

Hypersensitivity in Borderline Personality Disorder during Mindreading

Interventions of the Psychoanalytic Therapist in the Psychotherapeutic Process of a Patient with Borderline Personality Disorder

Intervenções do terapeuta psicanalítico no processo psicoterapêutico de uma paciente com transtorno de personalidade borderline

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