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(p. 377) Antisocial personality disorder: mentalizing, MBT-G, and common clinical problems 

(p. 377) Antisocial personality disorder: mentalizing, MBT-G, and common clinical problems
Chapter:
(p. 377) Antisocial personality disorder: mentalizing, MBT-G, and common clinical problems
Author(s):

Anthony Bateman

and Peter Fonagy

DOI:
10.1093/med:psych/9780199680375.003.0013
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date: 26 April 2019

This chapter aims to set out how mentalization-based treatment-group practice as described in Chapter 12 should be modified when working with patients with antisocial personality disorder (ASPD). The aims of ASPD group work are to stimulate robust mentalizing across all dimensions in the context of hierarchical interpersonal interactions and intimate relationships, and to reduce aggression as the primary path of expressing problematic internal states. The chapter considers ways of dealing with problems commonly found to undermine treatment in cases of ASPD and sets out the format of MBT-ASPD, which consists of weekly group therapy and monthly individual sessions. How to organize each group session and principles for running the group are explained. The chapter also covers common clinical situations that may confront the clinician in group therapy, and suggests ways in which these scenarios can be managed.

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