CiNii 図書 - Psychotherapy for borderline personality disorder : mentalization-based treatment

Borderline Personality disorder is a severe personality dysfunction characterized by behavioural features such as impulsivity, identity disturbance, suicidal behaviour, emptiness, and intense and unstable relationships. Approximately 2% of the population are thought to meet the criteria for BPD. The authors of this volume - Anthony Bateman and Peter Fonagy - have developed a psychoanalytically oriented treatment to BPD known as mentalization treatment. With randomised controlled trials having shown this method to be effective, this book presents the first account of mentalization treatment for BPD. The first section gives an overview of BPD, including discussion of nosology, epidemiology, natural history, and psychosocial aetiology. It additionally summarises the present state of our research knowledge about effective psychotherapeutic treatments and use of medication. The second section outlines the authors' theoretical approach and contrasts it with other well known methods, including DBT, CAT, and CBT. In the extensive final section, the authors outline their clinical approach starting with how treatment is organised. A detailed account of the transferable features of the model is provided along with the main strategies and techniques of treatment. Numerous clinical examples are given to illustrate the core techniques and detailed information provided about how to apply aspects of the mentalization based treatment approach in everyday practice. Aimed at mental health professionals, along with counsellors, psychotherapists, and psychoanalysts, the book will be a valuable tool, providing an effective means of treating those suffering from Borderline Personality Disorder.

1. EPIDEMIOLOGICAL AND ETIOLOGICAL RESEARCH ON BORDERLINE PERSONALITY DISORDER
Definition of the problem
Epidemiology
Clinical picture
The natural history of BPD
Studies of mechanisms and aetiological factors
2. THERAPY RESEARCH AND OUTCOME
Psychological treatments
Drug treatments
Problems of outcome research
3. MENTALIZATION-BASED UNDERSTANDING OF BORDERLINE PERSONALITY DISORDER
The developmental roots of BPD
The relevance of the attachment theory perspective
Optimal self-development in a secure attachment context
The impact of an insecure base
The impact of attachment trauma
4. CURRENT MODELS OF TREATMENT FOR BPD
Transference focused therapy
Dialectical behaviour therapy
Cognitive behaviour therapy
Cognitive analytic therapy
Psychodynamic-interpersonal
Therapeutic communities
Other North American approaches
Other European approaches
Mentalization: the common theme in psychotherapeutic approaches to BPD
5. TREATMENT ORGANIZATION
Service models
The treatment programmes
Staff
Assessment
Engagement in treatment
Supporting the team
Care programme approach
Adherence
6. TRANSFERABLE FEATURES OF THE MBT MODEL
Structure
Consistency, constancy and coherence
Relationship focus
Flexibility
Intensity
Individual approach to care
Use of medication
Integration of modalities of therapy
7. STRATEGIES OF TREATMENT
Enhancing mentalization
Bridging the gaps
Transference
Retaining mental closeness
Working with current mental states
Bearing in mind the deficits
Real relationships
8. TECHNIQUES OF TREATMENT
Identification and appropriate expression of affect
Establishment of stable representational systems
Formation of coherent sense of Self
Development of a capacity to form secure relationships
9. IMPLEMENTATION PATHWAY
Step 1 - Consider the context in which you work ...
Step 2 - Apply organizational principles
Step 3 - Modify the aims and techniques of your current practice
Step 4 - Implement procedures for dealing with challenging behaviours
Step 5 - Constantly evaluate your practice
Appendices
References

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Psychotherapy for borderline personality disorder : mentalization-based treatment

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