Mentalization-Based Treatment for Personality Disorders: A Practical Guide
Anthony Bateman and Peter Fonagy
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. Mentalizing, the ability to understand oneself and others by inferring mental states that lie behind overt behavior, develops within the context of attachment relationships. It is crucial to self-regulation and constructive, intimate relationships, both of which are impaired in personality disorders because of proneness to losing mentalizing at times of anxiety and attachment stress. Loss of mentalizing leads to interpersonal and social problems, emotional variability, impulsivity, self-destructive behaviors, and violence. The book, divided into four parts—the mentalizing framework, mentalizing practice, mentalizing 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. The clinician is advised how to manage comorbidity in treatment. Mentalizing problems in families and social 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 disorders.
borderline personality disorder,
antisocial personality disorder,
Highly Commended in Psychiatry in the 2017 BMA Medical Book Awards.
- Oxford University Press
- Print Publication Date:
- Jan 2016
- Print ISBN-13:
- Published online:
- Jun 2016