mentalization based treatment

mentalization-based therapy (mbt) is a type of long-term psychotherapy. mentalization is a normal capacity that we all use in everyday life. however, some people find it more difficult to mentalise in certain situations than others. we focus on what is going on in their mind and in the minds of other people and link this to understand and alleviate problematic behaviours. it is also helpful for people who may be distrustful of other people and have difficulty in reading other people’s responses to them. individual mentalization-based therapy sessions last for 60 minutes. you are asked to complete questionnaires during the assessment that help you and your therapist to monitor the progress of your work together over time. therapy sessions can be individual, group or a combination of both.

during mentalization-based therapy (mbt) sessions you focus on difficulties in your current life situation to improve your understanding of yourself and others. when you focus on understanding your own and other people’s thoughts and feelings, mbt can help you to better understand and control your impulses, emotions and behaviours. clinical trials have shown that mentalization-based therapy is an effective treatment for borderline personality disorder, with symptom improvement sustained years after the end of treatment. you may feel anxious about talking in a group. we work with you to manage strong emotional reactions. there is a range of alternative treatments that your therapist talks to you about during assessment. we want you to feel able to discuss any questions or worries with your therapist. if you would like to discuss any concerns with someone independent of your therapy please contact our patient advice and liaison service.

results show a high acceptance of the treatment and an improvement in the patients’ mentalizing abilities, presenting mbt as a promising treatment option for asd. we adapted mbt for adults with asd in a therapeutic group setting (mbt-asd) in order to examine the feasibility as well as the effectiveness of the treatment in this patient group. five participants in mbt-g1 and seven participants in mbt-g2 received previous therapeutic treatment at the autism outpatient clinic at the department of psychiatry at the university hospital cologne, germany (cbt group therapy for asd) (gawronski et al., 2011, 2013). to evaluate the effectiveness of mbt-asd we explored mentalizing abilities as well as the extent of psychological distress at baseline and at the end of the treatment. it was developed to evaluate the specific mentalizing difficulties of patients with asd and involves watching a short film (15 min) and answering questions referring to the actors’ mental states. getting used to a specific group dynamic and finding an individual role in the group process is challenging for every therapy participant, however, this is considered a necessary component of a successful therapeutic process (yalom and leszcz, 2020). thus, our first concern was whether asd participants felt comfortable to engage with the therapists and each other in such a comparably unstructured therapeutic setting. after getting first evidence on the therapeutic outcome of mbt-asd, future research should specifically focus on the therapeutic mbt process in a more fine-grained manner to better understand why its interventions are helpful for asd individuals and how mbt affects asd patients’ experiences and behavior. overall, results show a high acceptance of the treatment and a significant improvement of patients’ mentalizing abilities, indicating that mbt-asd is a feasible and promising treatment option for asd. av was involved in the acquisition of the adherence data and revising of the manuscript. “theory of mind and autism: a review,” in international review of research in mental retardation, ed l. m. glidden (cambridge, ma: academic press).

a randomised controlled trial of mentalization-based treatment versus structured clinical management for patients with comorbid borderline personality disorder and antisocial personality disorder. investigation of mentalizing and visuospatial perspective taking for self and other in asperger syndrome. anxiety and depression in adults with autism spectrum disorder: a systematic review and meta-analysis. konstruktion und teststatistische prüfung einer kurzform der scl-90-r. [construction and test statistical evaluation of a short version of the scl-90-r.]. a matter of words: impact of verbal and nonverbal information on impression formation in high-functioning autism. comparison of eleven short versions of the symptom checklist 90-revised (scl-90-r) for use in the assessment of general psychopathology. the nourished randomised controlled trial comparing mentalisation-based treatment for eating disorders (mbt-ed) with specialist supportive clinical management (sscm-ed) for patients with eating disorders and symptoms of borderline personality disorder. presentation of depression in autism and asperger syndrome: a review. influence of emotional imagery on risk perception and decision making in autism spectrum disorder. the theory and practice of group psychotherapy. the use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice.

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