Approaches to assessment in time-limited Mentalization-Based Therapy for Children (MBT-C)

Müller, Nicole; Midgley, Nick

doi:10.3389/fpsyg.2015.01063

Cited by 13 publications

(5 citation statements)

References 21 publications

(24 reference statements)

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“…Mentalization based therapy (MBT; Bateman & Fonagy, 2004) aims explicitly to promote the building of ET (Muller & Midgley, 2015). Recently, MBT has been adapted for work with families (MBT-F; Asen & Midgley, in press), and preliminary work has been done with adoptive children and families (Muller, Gerits, & Siecker, 2012;Midgley, Alayza, Lawrence & Bellew, 2017).…”

Section: Introductionmentioning

confidence: 99%

The Building of Epistemic Trust: An Adoptive Family’s Experience of Mentalization-Based Therapy

Jaffrani¹,

MSc²,

Midgley³

2020

Journal of Infant, Child, and Adolescent Psychotherapy

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Recently, theorists have posited the development of epistemic trust -the trust in others as reliable sources of information -as an essential aspect of the therapeutic relationship and a mechanism of therapeutic change. Epistemic trust is likely to be disrupted in adoptive children and families and Mentalization Based Treatment (MBT) aims to explicitly promote its development. Therefore, this study aims to investigate how epistemic mistrust is addressed and how epistemic trust is established within the MBT framework. This single-case, exploratory study reports data from in-depth interviews with one adoptive family, which were analyzed qualitatively using Interpretative Phenomenological Analysis. Two superordinate themes are reported: pre-therapy factors contributing to epistemic mistrust and factors contributing to the development of epistemic trust. The findings highlight two critical elements in establishing epistemic trust: the use of certain clinical skills that help build a secure base within therapy and the possibility of trust being transferred from and to other professionals/systems beyond therapy. Hence, this study informs a deeper understanding of how epistemic trust may be built in therapeutic work with adopted children and identifies possible clinical approaches that may be used by clinicians working with this client group.

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Section: Introductionmentioning

confidence: 99%

The Building of Epistemic Trust: An Adoptive Family’s Experience of Mentalization-Based Therapy

Jaffrani¹,

MSc²,

Midgley³

2020

Journal of Infant, Child, and Adolescent Psychotherapy

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“…Mentalization has subsequently been validated in studies of human development, neuroscience, and psychology as a form of metacognition or “thinking about thinking” of oneself and others (Bateman & Fonagy, 2013; Malda-Castillo, Browne, & Perez-Algorta, 2019; Ridenour, Knauss, & Hamm, 2019). The concept is now explicitly embedded in contemporary treatment models such as mentalization-based therapy for children (Muller & Midgley, 2015).…”

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confidence: 99%

The role of mentalization in child psychotherapy, interpersonal trauma, and recovery: A scoping review.

Forbes¹,

Lee²,

Lakeman³

2021

Psychotherapy

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Children who are exposed to trauma often develop difficulties with reflective functioning, affect, and emotion regulation. These problems are thought to arise from and are reflective of disruptions in the process of mentalization, or the human capacity to interpret and reflect upon the thoughts, feelings, wishes, and intentions of oneself and others. This scoping review sought to describe the empirical support for focusing on mentalization processes in psychotherapy for children who have been exposed to trauma. Two independent researchers searched electronic databases, Psychology and Behavioral Sciences Collection, MEDLINE, PsycARTICLES, PsycINFO, and Cochrane. Search terms child, trauma, mentalization and mentalization-based therapy were applied. A total of 425 studies were screened against the inclusion criteria, to include 18 studies comprising quasi-experimental, cross-sectional, naturalistic, case-control, and case studies. In all, 3 themes were identified across the articles: (a) trauma and mentalization, (b) measurement of mentalization, and (c) charting recovery. The literature suggests the role of mentalization treatment in the remission of symptoms for internalizing and externalizing disorders and shaping mentalization deficits over time. Mentalization focused treatments may also improve reflective functioning, emotional regulation capacity and the quality of attachment. The implementation of a child mentalization-based model as a preventative intervention may contribute to increased positive outcomes for vulnerable children. This scoping review presents an overview of the evidence for program developers, mental health services, family support services and those in independent practice that wish to adopt a mentalization approach in child psychotherapy. Future systematic reviews are needed to support this evidence. Clinical Impact StatementQuestion: What is the applied clinical practice question this article is hoping to address? This article explores the role of mentalization in child psychotherapy, interpersonal trauma, and recovery and considers the evidence for the association of mentalization with improved symptoms in children exposed to trauma. Findings: How would clinicians meaningfully use the primary findings of this article in their applied practice? This scoping review reveals that mentalization-based therapy could be an effective treatment for child mental health difficulties. Although the authors do not ignore that mentalization theory and some of its core processes are linked to the analytic schools such as the psychoanalytic and psychodynamic approaches, mentalization in practice goes well beyond explaining early development relative to attachment trauma, to the "how" of repairing damaged mentalization and to the measures used in charting milestones of recovery. By establishing that this treatment works in the context of childhood interpersonal trauma, there may be a need for clinicians to examine therapeutic characteristics that would more likely capture the mentalizing stance to promote ...

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“…Our findings underscore the value of play as a vehicle for communication and emotional processing. A curious, playful, not-knowing stance creates a therapeutic space where children can explore and have their mind recognized and affirmed, as well as get distance from their overwhelming emotional experiences in order to observe them from different perspectives and contain them (Halfon & Bulut, 2019; Muller & Midgley, 2015). As suggested by Terr (1990), traumatized children may be more driven to engage in pretend, and use the opportunity to express and process affects through play.…”

Section: Discussionmentioning

confidence: 99%

Play completion predicts fewer child psychological difficulties: A longitudinal study of mentalizing processes.

Normandin¹,

Bate²,

Bégin³

et al. 2023

International Journal of Play Therapy

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Play therapy is widely used with children, including children who experienced sexual abuse. This longitudinal study examined whether more pretend play completion (PPC) at Time 1 predicted fewer child difficulties when this was assessed 3 years later at Time 2. Participants were 91 children (aged 3–8 at Time 1), including 51 children who experienced sexual abuse (child sexual abuse [CSA]). Play was coded with the Children’s Play Therapy Instrument, and child psychological difficulties were assessed with the Child Behavior Checklist. More PPC at Time 1 predicted fewer child psychological difficulties 3 years later at Time 2. This was the case in children who had experienced CSA as well as the comparison group, showing that PPC is predicts better psychological adjustment in both abused and nonabused children. The study provides the first longitudinal evidence of the important role of pretend play narrative completion in predicting less internalizing and externalizing difficulties. The findings have important clinical implications for play therapists. It suggests that interventions that encourage children to elaborate and complete their play narratives could facilitate agency and psychological adjustment, as well as recovery after trauma. This is in line with the idea that through play children discover that they can “play with reality” and gain control over how they tell their stories.

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Approaches to assessment in time-limited Mentalization-Based Therapy for Children (MBT-C)

Cited by 13 publications

References 21 publications

The Building of Epistemic Trust: An Adoptive Family’s Experience of Mentalization-Based Therapy

The Building of Epistemic Trust: An Adoptive Family’s Experience of Mentalization-Based Therapy

The role of mentalization in child psychotherapy, interpersonal trauma, and recovery: A scoping review.

Play completion predicts fewer child psychological difficulties: A longitudinal study of mentalizing processes.

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