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Chapter 4 - The Clinical Process of Mentalization-Based Treatment

A Step-by-Step Guide

from Part II - The Mentalization-Based Treatment Model in Practice

Published online by Cambridge University Press:  18 May 2023

Anthony Bateman ,
Peter Fonagy ,
Chloe Campbell ,
Patrick Luyten  and
Martin Debbané
Anthony Bateman
Affiliation:
Anna Freud National Centre for Children and Families, London
Peter Fonagy
Affiliation:
University College London
Chloe Campbell
Affiliation:
University College London
Patrick Luyten
Affiliation:
University College London
Martin Debbané
Affiliation:
University College London
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Summary

The case of a patient who is receiving mentalization-based treatment (MBT) is described. All of the stages and interventions of MBT, including interventions for suicidality and violence, are illustrated across the patient’s treatment trajectory. The formulation agreed with the patient is the focus for treatment. Clinical examples are presented to illustrate how to implement the phases of MBT using the formulation. The chapter discusses working with the not-knowing stance, the mentalizing process, non-mentalizing modes, affective narratives, and relational mentalizing. Supervision for the clinician is an essential part of MBT, and this is elaborated particularly in relation to its role in supporting the clinician to manage problematic counter-relational responses to the patient.

Keywords

affective narrativeassessmentborderline personality disorderformulationmentalizing processnot-knowing stancepsychoeducationnon-mentalizing modesrelational mentalizingsuicidality
Type
Chapter
Information
Cambridge Guide to Mentalization-Based Treatment (MBT) , pp. 52 - 135
Publisher: Cambridge University Press
Print publication year: 2023

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References

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