心理学书籍 » Psychotherapy for Borderline Personality Disorder: Mentalization Based Treatment

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Psychotherapy for Borderline Personality Disorder: Mentalization Based Treatment

边缘型人格障碍的心理治疗:基于心理化的治疗Borderline Personality Disorder (BPD) is a severe personality dysfunction thought to affect some 2% of the population. The authors of this volume - Anthony Bateman and Peter Fonagy - have developed a psychoanalytically oriented treatment for BPD known as mentalization treatment. With randomised controlled trials having shown this method to be effective, this book presents the first account of this treatment for BPD.

Psychotherapy for Borderline Personality Disorder: Mentalization Based Treatment

作者: Anthony Bateman  Peter Fonagy 

出版: Oxford University Press2004-1

平装: 408页

ISBN: 9780198527664

丛书: Oxford Medical Publications

Description

Presents a detailed account of the theory underlying psychological processes of borderline personality disorder

Describes an original new approach to treating this common disorder

Includes the core techniques of treatment with numerous illustrative examples

Compares this approach with existing treatments for BPD

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.

Readership: Mental health professionals, psychologists, psychotherapists, psychoanalysts, and counsellors

Author

Anthony Bateman, Halliwick Psychotherapy Department, St Ann's Hospital, London UK, and Peter Fonagy, Psychoanalysis Unit, University College London, UK

Table Of Contents

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

标签

Bateman BPD Fonagy 心理化

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各类症状 »  边缘型人格障碍BPD

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Psychotherapy for Borderline Personality Disorder: Mentalization Based Treatment

作者:Bateman