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1 results

  • Chapter 4 - The Clinical Process of Mentalization-Based Treatment

  • from Part II - The Mentalization-Based Treatment Model in Practice
  • 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 52-135

  • 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.