Tuesday, May 14, 2013

Mentalization Behavior Therapy

A new treatment focus which can add to DBT treatment, is Mentalization-based Behavior Therapy or MBT.  Mentalizing is the ability to perspective take, or to make inferences about another person's mental state.  It is a set of skills that are involved in developing empathy and is involved in attachment.  People without mentalizing skills are said to be mind-blind, or unable to imagine what another person is thinking or feeling.

"[MBT] incorporates elements of cognitive and psychodynamic therapy.  It differs from Dialectical Behavior Therapy in that DBT focuses on how the person with BPD can learn to control her emotions and learn to control her own behavior, while MBT focuses on understanding the misunderstandings that occur within relationships by changing how a person perceives interpersonal situations and experiences."  Valerie Porr, MA

"Mentalization-based treatment (MBT) is an innovative form of psychodynamic psychotherapy, developed and manualised by Peter Fonagy and Anthony Bateman. MBT has been designed for individuals with borderline personality disorder (BPD), who suffer from disorganised attachment and allegedly failed to develop a mentalization capacity within the context of an attachment relationship. Fonagy and Bateman claim mentalization is the process by which we implicitly and explicitly interpret the actions of oneself and others as meaningful on the basis of intentional mental states. The object of treatment is that BPD patients increase mentalization capacity which should improve affect regulation and interpersonal relationships.
The major goals of MBT are: (1) better behavioral control, (2) increased affect regulation, (3) more intimate and gratifying relationships and (4) the ability to pursue life goals. This is believed to be accomplished through increasing the patient’s capacity for mentalization in order to stabilize the client’s sense of self and to enhance stability in emotions and relationships.[2]http://en.wikipedia.org/wiki/Mentalization-based_treatment
Mentalization is a psychological concept that describes the ability to understand the mental state of oneself and others which underlies overt behaviour.[1] Mentalization can be seen as a form of imaginative mental activity, which allows us to perceive and interpret human behaviour in terms of intentional mental states (e.g. needs, desires, feelings, beliefs, goals, purposes, and reasons).[2] [3]http://en.wikipedia.org/wiki/Mentalization

More recently, a range of Mentalization-Based treatments, using the "mentalizing stance" defined in MBT but directed at children (MBT-C), families (MBT-F) and adolescents (MBT-A, and for chaotic multi-problem youth, AMBIT (Adolescent Mentalization-Based Integrative Treatment)) has been under development by groups mainly gravitating around the Anna Freud Centre.[1]

Understanding Mentalizing

The Neural Basis of Mentalizing

Introduction to Mentalizing
Structure of Mentalization Based Treatment


Handbook of Mentalization-Based Treatment (Book Review)

Affect Regulation, Mentalization, and the Development of Self by Peter Fonagy, Gyorgy Gergely, Elliot Jurist and Mary Target 

Overcoming Borderline Personality Disorder: A Family Guide for Healing and Change, by Valerie Porr

Minding the ChildMentalization-Based Interventions with Children, Young People and their Families Edited by Nick Midgley, Ioanna Vrouva

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