Diagnosis: Borderline Personality Disorder
Treatment: Mentalization-Based Treatment for Borderline Personality Disorder
Mentalization-Based Treatment for Borderline Personality Disorder
Status: Modest Research Support
Mentalizing is the process by which we make sense of each other and ourselves, implicitly and explicitly, in terms of subjective states and mental processes. Patients with BPD show reduced capacities to mentalize, which leads to problems with emotional regulation and difficulties in managing impulsivity, especially in the context of interpersonal interactions. Mentalization based treatment (MBT) is a time-limited treatment which structures interventions that promote the further development of mentalizing.
Key References (in reverse chronological order)
Bateman, A., & Fonagy, P. (2009). Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorder. American journal of Psychiatry, 166, 1355-64.
Bateman, A., Psych, F. R. C., Fonagy, P., & D, P. (2008). 8-Year Follow-Up of Patients Treated for Borderline Personality Disorder?: Mentalization-Based Treatment Versus Treatment as Usual, 2008, 1-7.
Bateman, a, & Fonagy, P. (2001). Treatment of borderline personality disorder with psychoanalytically oriented partial hospitalization: an 18-month follow-up. American journal of Psychiatry, 158, 36-42.
Bateman, A. & Fonagy, P. (2006). Mentalization-based Treatment for Borderline Personality Disorder: A Practical Guide. Oxford University Press.
Allen, J.G. & Fonagy, P. (2006). The Handbook of Mentalization-Based Treatment. John Wiley & Sons, West Sussex, England.
Information on training and workshops can be found through the Anna Freud Centre.
Note: The resources provided below are intended to supplement not replace foundational training in mental health treatment and evidence-based practice