Mentalization-based therapy (MBT): an overview

Daubney, Michael; Bateman, Anthony

doi:10.1177/1039856214566830

Cited by 32 publications

(37 citation statements)

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“…Mentalization‐based therapy was developed to be used for 18 months (Daubney & Bateman, ); however, most studies deviated from this. Only one study offered treatment for 18 months without providing further therapy (Bateman & Fonagy, ).…”

Section: Resultsmentioning

confidence: 99%

“…The MBT manual specifies both weekly MBT individual and group sessions as a treatment plan (Daubney & Bateman, ). This format was largely adhered to: Only three studies did not specifically state how many individual or group sessions were scheduled (Bales et al ., , ; Brüne et al ., ).…”

Section: Resultsmentioning

confidence: 99%

“…It is aimed at increasing patients’ mentalization skills to improve their functioning in daily social interactions and to achieve a greater quality of life. MBT was originally developed to be used for around 18 months, with both weekly individual and group sessions and a provision of additional medical care, such as medication (Daubney & Bateman, ); however, it has since been adapted.…”

Section: Introductionmentioning

confidence: 99%

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Is mentalization‐based therapy effective in treating the symptoms of borderline personality disorder? A systematic review

Vogt

Norman

2018

Psychol Psychother

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Mentalization-based therapy (MBT) is increasingly being considered as a treatment for people with borderline personality disorder (BPD), and a systematic review was required to investigate its effectiveness. MBT was found to be equally as effective or superior to well-established comparison treatments of BPD, however, the majority of studies was of unsatisfying quality. Little is known about the mechanisms of MBT. Further, better quality trials are needed to investigate its efficacy in treating BPD.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Is mentalization‐based therapy effective in treating the symptoms of borderline personality disorder? A systematic review

Vogt

Norman

2018

Psychol Psychother

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“…Mentalization refers to the process by which "we" make sense of each other and ourselves, implicitly and explicitly, in terms of subjective states and mental processes. When the ability to mentalize is compromised, subjective internal experiences and the interpersonal world stop making sense (Daubney & Bateman, 2015). MBT has some basic principles for treatment that also seemed applicable in music therapy, and these were incorporated with AOMT into a treatment manual named Process Oriented Music Therapy (PROMT, Hannibal et al, 2012).…”

Section: The Promt Manualmentioning

confidence: 99%

A Pilot Study Investigating Research Design Feasibility Using Pre-post Measures to Test the Effect of Music Therapy in Psychiatry with People Diagnosed with Personality Disorders

Hannibal

Pedersen

Bonde

et al. 2019

Voices

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Introduction: The objectives of the pilot study were (a) to investigate the feasibility of the research design (referral procedure, data collection procedure, measurement tools, and treatment doses/frequency); (b) to develop and evaluate the PROMT treatment manual; and (c) to test the use of flexible and or multiple interventions as part of the treatment options. Findings from this investigation aim to prepare for a future outcome study of music therapy treatments for patients with personality disorders, that are inspired by analytically oriented music psychotherapy and mentalization-based treatment. Methods: Four participants assessed and diagnosed with personality disorder received 40 sessions of individual music therapy. Pre and post measures of outcome variables looking at attachment style, helping alliance, symptom severity, interpersonal problems, and quality of life were evaluated for inclusion in the design. Interviews with clinicians were used to further evaluate the manual. Results: All participants completed treatment. Outcome measurement provided usable information and also showed some positive changes in the four cases. The research design was found to be usable for a larger study. The treatment manual was evaluated as usable, but specification on how to use mentalization-based treatment in music-based interventions is required in a future manual. Discussion: In light of the current findings, we discuss several factors relevant to a possible future outcome study, including the research design, theoretical model, and specific elements of the treatment manual. We also discuss the potential of using flexible and/or multiple interventions as part of the treatment options. We conclude that integration of mentalization-based treatment into music therapy seems promising, but further development of the treatment manual is needed.

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“…Without this capacity, individuals have no coherent sense of self and no stable, predictable and meaningful interaction with others. 6 This can often result in extreme fluctuations in emotional states, impulsive behaviour and unhealthy attachment to others or a lack of appropriate attachment.…”

Section: Introductionmentioning

confidence: 99%

Adjunctive avatar therapy for mentalization-based treatment of borderline personality disorder: a mixed-methods feasibility study

Falconer

Cutting

Davies

et al. 2017

Evid Based Mental Health

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background Borderline personality disorder (BPD) is characterised by severe instability in emotions, identity, relationships and impulsive behaviour. One contributing factor to BPD is deficient mentalizing-our ability to understand the mental states of others and ourselves. Psychotherapies can be effective at reducing symptoms of BPD but effects are small. Innovative ways of enhancing existing therapies are therefore essential. Objective In a mixed-methods, feasibility and acceptability study, we adjuncted conventional mentalization-based treatment (MBT) for BPD with avatar software (avatar-MBT). We wanted to test whether the enhanced visual narrative afforded by the software would facilitate therapy. Methods We used proprietary avatar software in four group MBT sessions. We collected data on uptake (n=15), dropout (n=4) and self-report measures (n=11) of mentalization and mood and conducted qualitative interviews to assess attitudes and beliefs (n=9). Findings Thematic analysis revealed five themes on the usefulness of avatar-MBT, including facilitating perspective taking, expression, emotional distancing, the big picture and group participation. The sixth theme suggested avatar-MBT is best placed within a group setting. There was no deterioration in symptoms as monitored by self-report measures. conclusions Qualitative data suggest that avatar-MBT is acceptable to patients with BPD who described it as enhancing conventional MBT and expressed a wish to continue using it. However, controlled trials are required to assess efficacy. clinical implications Results suggest that avatar-MBT may be a viable option to enhance existing BPD treatment. Furthermore, we provide initial evidence that it is feasible to implement a digital adjunct within a group therapy setting. bAckgrOund Borderline personality disorder (BPD) is a mental disorder characterised by severe instability in emotions, identity, relationships and impulsive behaviour.1 The condition occurs globally, with a lifetime community prevalence of up to 6%.2 Functional impairment is an enduring feature of the disorder, and people with BPD are at significantly increased risk of suicide, which affects up to 10% of individuals.3 Psychotherapies are effective in producing symptomatic remission, although a recent systematic review concluded that effect sizes are relatively small and unstable at follow-up.

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Mentalization-based therapy (MBT): an overview

Abstract: Whilst mentalizing is viewed as an integrative framework for therapy, more knowledge is needed as to which of the therapies are of most benefit for individual patients.

Cited by 32 publications

References 10 publications

Is mentalization‐based therapy effective in treating the symptoms of borderline personality disorder? A systematic review

Is mentalization‐based therapy effective in treating the symptoms of borderline personality disorder? A systematic review

A Pilot Study Investigating Research Design Feasibility Using Pre-post Measures to Test the Effect of Music Therapy in Psychiatry with People Diagnosed with Personality Disorders

Adjunctive avatar therapy for mentalization-based treatment of borderline personality disorder: a mixed-methods feasibility study

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