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1 results

  • Chapter 8 - Avoidant Personality Disorder

  • from Part III - Application and Adaptations for Mental Health Presentations
  • Anthony Bateman, Anna Freud National Centre for Children and Families, London, Peter Fonagy, University College London, Chloe Campbell, University College London, Patrick Luyten, University College London, Martin Debbané, University College London
  • Book:
    Cambridge Guide to Mentalization-Based Treatment (MBT)
    Published online:
    18 May 2023
    Print publication:
    01 June 2023, pp 203-229

  • Summary

    MBT for avoidant personality disorder (AvPD) targets hypermentalizing and hypomentalizing modes along with the problems associated with mentalizing problems found in the polarities of self/other mentalizing which become apparent when the patient engages with their social world. Reducing overuse of the self is central to treatment. The experience of shame is activated during social interaction, and therefore avoidance of social situations maintains a sense of personal comfort and safety. The chapter discusses ways to help the patient to overcome this. Clinician counter-responsiveness, which often relates to feelings of helplessness and hopelessness, can also interfere with engagement and treatment, as the patient may avoid interaction in therapy.