• The Widening Scope of Mentalising: A Discussion
  • The authors review new developments in mentalization related topics. Among them, they discuss the association between attachment and mentalizing, the trans-diagnostic character of mentalization, thoughts on the assessment of the mentalizing capacity in patients and mentalization-based therapeutic techniques. ...

  • Affect regulation theory. A clinical model. Chapter 6: Mentalization. The secondary affect-regulating system.
  • In Chapter 6 of Dr. Hill’s book Affect Regulation Theory: a Clinical Model he describes the processes of Mentalization which comprise the secondary (conscious) affect regulating system. The development of the system is discussed and each mentalizing mode (teleological, object equivalence, pretend, and full Mentalization) are described. Perhaps most importantly, the Mentalization of affect is discussed and the system secondary/ mentalizing affect regulating system is compared with the primary system....

  • MBT Treatment: “What works for Borderline Personality Disorder?”
  • In this video Professor Fonagy explains the concept of mentalization: what it is, its uses in the relationship with others and the self, how it develops in the human mind and the risks of losing this capacity. He creates a multidimensional model with 4 dichotomies that need to be balanced for an optimal mentalization function. Using this model to understand BPD, he shows the several difficulties these patients have to access mentalization. While other therapeutic techniques ask the patient to use mentalization capacities they don´t have, MBT tries to balance the functioning in the 4 dimensions to help patients achieve mentalization. ...

  • Mentalization Based Treatment For Borderline Personality Disorder
  • 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. It is a profoundly social construct in the sense that we are attentive to the mental states of those we are with, physically or psychologically. Given the generality of this definition, most mental disorders will inevitably involve some difficulties with mentalization, but it is the application of the concept to the treatment of borderline personality disorder (BPD), a common psychiatric condition with important implications for public health, that has received the most attention. 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. It has been tested in research trials and found to be an effective treatment for BPD when delivered by mental health professionals given limited additional training and with moderate levels of supervision. This supports the general utility of MBT in the treatment of BPD within generic mental health services....

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