Mentalization Based Treatment for Personality Disorders: A Practical Guide

Paperback | March 7, 2016

byAnthony Bateman, Peter Fonagy

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Mentalizing - the ability to understand oneself and others by inferring mental states that lie behind overt behaviour - develops within the context of attachment relationships. It is crucial to self-regulation and constructive, intimate relationships, both of which are impaired in personalitydisorders because of sensitivity to losing mentalizing at times of anxiety and attachment stress. Loss of mentalizing leads to interpersonal and social problems, emotional variability, impulsivity, self-destructive behaviours, and violence.This practical guide on mentalization-based treatment (MBT) of personality disorders outlines the mentalizing model of borderline and antisocial personality disorders and how it translates into clinical treatment. The book, divided into four parts - the mentalizing framework, basic mentalizingpractice, mentalizing and groups, and mentalizing systems - covers the aims and structure of treatment, outlines how patients are introduced to the mentalizing model so that their personality disorder makes sense to them, explains why certain interventions are recommended and others are discouraged,and systematically describes the process of treatment in both group and individual therapy to support more stable mentalizing. People with personality disorders commonly have comorbid mental health problems, such as depression and eating disorders, which complicate clinical treatment. Therefore, the book advises the clinician on how to manage comorbidity in treatment. In addition, mentalizing problems in families andsocial systems, for example, schools and mental health services are also covered. A families and carers training and support guide is provided as families and others are often neglected during the treatment of people with personality disorder.The book is a valuable guide for all mental health workers on how to effectively treat personality disorders.

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Mentalizing - the ability to understand oneself and others by inferring mental states that lie behind overt behaviour - develops within the context of attachment relationships. It is crucial to self-regulation and constructive, intimate relationships, both of which are impaired in personalitydisorders because of sensitivity to losing ...

Anthony Bateman is Expert member of National Institute for Clinical Excellence (NICE) development group for treatment guidelines for Borderline Personality Disorder in UK. He is currently Chair of the National Guideline Development Group for Eating Disorders. NHS clinical services are recognised by NHS England as a national demonstrat...
Format:PaperbackDimensions:480 pages, 9.21 × 6.02 × 0.68 inPublished:March 7, 2016Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:019968037X

ISBN - 13:9780199680375

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Table of Contents

1. The mentalizing framework1. What is mentalizing?2. Using the mentalizing model to understand personality disorder3. Comorbidity4. Assessment of mentalizing Fonagy2. Mentalizing practice5. Structure of mentalization-based treatment6. Clinician stance7. Principles for the mentalizing clinician8. The mentalizing focus: support, empathy and validation9. The mentalizing focus: clarification, affect elaboration, affect focus and challenge10. Relational focus of mentalizing: transference tracers and mentalizing the relationship3. Mentalizing groups11. MBT-Introductory group (MBT-I)12. Mentalizing group therapy13. Antisocial personality disorder: mentalizing, MBT-G and common clinical problems4. Mentalizing systems14. Mentalizing and families: the Families and Carers Training and Support programme (FACTS)15. Mentalizing the system