Borderline personality disorder: treatment approaches and perspectives

Nelson, Katharine J.; Zagoloff, Alexandra; Quinn, Sandra Crouse; Swanson, Heather; Garber, Claire; Schulz, S. Charles

doi:10.2217/cpr.14.24

Cited by 4 publications

(2 citation statements)

References 54 publications

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“…Mentalization-based therapy (MBT) for adults presenting with borderline personality disorder has a strong evidence base, as indicated in recent reviews of psychological interventions for BPD (e.g. Budge et al, 2013;Nelson et al, 2014;Stoffers et al, 2012). An early RCT of MBT in a partial hospital setting found that an 18-month programme resulted in lasting and significant changes in mood states and interpersonal functioning (Bateman & Fonagy, 1999.…”

Section: The Evidence Base Of Mentalizing Work With Familiesmentioning

confidence: 99%

Mentalization in Systemic Therapy and Its Empirical Evidence

Asen

Fonagy

2020

Systemic Research in Individual, Couple, and Family Therapy and Counseling

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refers to the attitude and skills involved in understanding mental states, both one's own as well as those of others, and their connections with feelings and behaviour. The terms 'mentalization' and 'mentalizing' are often used interchangeably; the latter is derived from a verb and therefore perhaps more accurately captures that this is a continuous activity rather than a fixed state of mind or the specific characteristic of a n individual. Mentalizing mostly occurs without effort or specific consciousness; it is a process of perceiving and interpreting human behaviour in terms of intentional mental states such as feelings, needs, reasons, or purposes. Mentalizing enables us to create a picture of the thoughts, feelings, and intentions of those around us and to help us make sense of their actions in the same terms that we organize our own subjective experiences. It is important for representing, communicating, and regulating feelings and belief states linked to one's wishes and desires.Mentalizing is a fundamentally bidirectional or transactional social process which develops in the context of interactions with others, and in the first instance in the context of early attachment relationships. Its quality in relation to understanding others is influenced by how well those around us mentalize. The experience of how other people mentalize is internalized, enabling us to enhance our own capacity for empathizing and better engaging in interactive social processes (Fonagy, Gergely, Jurist, & Target, 2002). In situations of stress, difficulties in mentalizing almost inevitably arise. If mentalizing cannot be restored, a rapidly emerging vicious cycle can emerge, with intense emotions erupting, leading to a temporary loss of the capacity to think about the thoughts and feelings of others and the self in a balanced way (Bateman & Fonagy, 2016). For example, when stressed, a parent's mind might become temporarily closed to seeing his child from a perspective other than his own. So when she is calling out for her father to play with her, whilst he is working on his computer, he might see this as her just 'being difficult', and call out to her to "be quiet and wait" and to entertain herself. If the child feels that she is not being

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Section: The Evidence Base Of Mentalizing Work With Familiesmentioning

confidence: 99%

Mentalization in Systemic Therapy and Its Empirical Evidence

Asen

Fonagy

2020

Systemic Research in Individual, Couple, and Family Therapy and Counseling

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“…Research suggests that there is an evidence base for MBT (Bateman & Fonagy, 2009;Nelson et al, 2014;Stoffers et al, 2012). A RCT study yielded results that MBT bore greater efficacy in decreasing self-harm and depression in adolescents, compared to TAU.…”

Section: Treating Borderline Personality Disordermentioning

confidence: 99%

Epistemic trust and its utility in the psychotherapeutic context: a scoping review.

Amar

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Epistemic Trust (ET) refers to one’s willingness to acquire new social knowledge from another human as trustworthy, generalizable, and relevant to one’s self. As an emergent term commonly related to mentalization and the work of Fonagy and colleagues, ET has largely been foregrounded as a developmental concept with less focus on its application to treatment and psychotherapeutic concepts. A scoping review was conducted to identify and synthesize emerging evidence from the literature pertaining to the constituent elements of ET, its conceptual understanding, use, validation, and contemporary application within the psychotherapeutic context. Arksey and O'Malley’s (2005) scoping review framework informed the protocol and Rayyan AI software was used to assist with data management and analysis. The initial search yielded 591 sources. After steps of screening and additional searches, a total of 73 sources were included for analysis. Results clarify the conceptual uses of ET relating to the creation of valid measurement tools, as well as theories of psychotherapy and psychopathology. The application of ET in the psychotherapeutic context is reported and discussed in terms of the therapeutic alliance, and as a possible psycho-marker for treatment outcomes. Structural, environmental, theoretical, and therapist-related challenges to the implementation of ET in the psychotherapeutic context are explored in conjunction with gaps in the literature that may serve as springboard for future studies, given that research regarding the use of ET in applied settings is still in its infancy.

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Mentalizing as a Common Factor in Psychotherapy

Bateman¹,

Fonagy²

2017

The Art and Science of Brief Psychotherapies

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Borderline personality disorder: treatment approaches and perspectives

Cited by 4 publications

References 54 publications

Mentalization in Systemic Therapy and Its Empirical Evidence

Mentalization in Systemic Therapy and Its Empirical Evidence

Epistemic trust and its utility in the psychotherapeutic context: a scoping review.

Mentalizing as a Common Factor in Psychotherapy

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