Psychotherapy for borderline personality disorder : mentalization-based treatment

著者

書誌事項

Psychotherapy for borderline personality disorder : mentalization-based treatment

Anthony W. Bateman and Peter Fonagy

（Oxford medical publications）

Oxford University Press, c2004

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注記

Includes bibliographical references (p. [323]-371) and index

内容説明・目次

内容説明

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.

目次

  • 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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