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This timely and ambitious book helps clarify the meaning and clinical applications of the mentalization construct. The authors propose that mentalizing is the central corrective process of all psychotherapies.
This new edition of Handbook of Mentalizing in Mental Health Practice reflects a vibrant field undergoing development along a number of dimensions important for mental health. As evidenced by the number of experts contributing chapters that focus on specialized approaches to mentalization-based treatment (MBT), the range of mental disorders for which this therapy has proved helpful has substantially increased, and now includes psychosis. Second, the range of contexts within which the approach has been shown to be of value has grown. MBT has been found to be useful in outpatient and community settings, and, more broadly, with children, adolescents, couples, and families, and the social contexts where they are found, such as in schools and even prisons. Finally, the framework has been shown to be generalizable to an understanding of the social context of mental health. The model advanced in this book goes beyond an understanding of the development of mentalizing and aims to provide an understanding of its role in a range of social processes.Key concepts, themes, and approaches clearly articulated throughout the book include the following: Mentalizing is a transdiagnostic concept applicable to a range of mental health conditions, including trauma, personality disorders, eating disorders, depression, substance use disorder, and psychosis. The chapters devoted to these disorders emphasize MBT skills acquisition and techniques for introducing mentalizing into psychotherapy. Mentalizing plays an important role in understanding how teams, systems, and services interact to facilitate or undermine interventions and service delivery. Chapters on mentalizing in teams and wider systems are included to help clinicians reduce negative impacts on clinical care and support reliable and responsive pathways to treatment. In an effort to encourage clinicians to integrate mentalizing into their clinical practice, empirical research on the developmental origins of mentalizing and how a focus on mentalizing can improve outcomes for patients is incorporated throughout the volume. Improved mentalizing increases resilience to adversity, perhaps protecting individuals from relapse, and improves therapeutic outcomes. The relevant research, as well as proven techniques for promoting resilience and trust, are discussed at length in the book. Finally, as an established component of the literature on neurobiology and higher-order cognition, mentalizing benefits from a number of different strands of research, ranging from neurobiology through child development to adult psychopathology. The book fully explores these relationships and their ramifications. Authoritative, comprehensive, and cutting-edge, the Handbook of Mentalizing in Mental Health Practice is the single most important resource for clinicians and trainees learning about -- and incorporating -- MBT into their therapeutic repertoire.
Loss of mentalizing leads to interpersonal and social problems, emotional variability, impulsivity, self-destructive behaviours, and violence. This practical guide on MBT treatment of personality disorders outlines the mentalizing model of borderline and antisocial personality disorders and how it translates into an effective clinical treatment.
"This innovative book examines clinical practice with families through a mentalizing lens. The expert authors focus on ways to help parents, children, and adolescents to overcome blocks in how they relate to one another by gaining a deeper understanding of--and openness to--each other's experiences and points of view. The volume interweaves the empirically supported MBT model with systemic concepts and interventions. It includes guidance for engaging clients; addressing emotional and behavioral difficulties that frequently lead families to seek treatment; and implementing playful activities, exercises, and games that equip family members to change problematic relationship patterns"--
Table of Contents: Contemporary neuroscientific research / Martin Debban and Tobias Nolte Assessment of mentalizing / Patrick Luyten, Saskia Malcorps, Peter Fonagy and Karin Ensink Mentalizing, resilience, and epistemic trust / Peter Fonagy, Elizabeth Allison and Chloe Campbell Mentalizing and trauma / Patrick Luyten and Peter Fonagy Individual therapy techniques / Anthony Bateman, Brandon Unruh and Peter Fonagy Group therapy for adults and adolescents / Anthony Bateman, Mickey Kongerslev and Sune Bo Hansen Working with families / Eia Asen and Nick Midgley Couples therapy / Efrain Bleiberg and Ellen Safier Therapeutic models / Peter Fonagy, Chloe Campbell and Elizabeth Allison Creative arts therapies / Dominik Havsteen-Franklin Partial hospitalization settings / Dawn Bales Ambit : engaging the client and communities of minds / Dickon Bevington and Peter Fuggle Social systems : beyond the microcosm of the individual and family / Eia Asen, Chloe Campbell, and Peter Fonagy Children / Nick Midgley, Nicole Muller, Norka Malberg, Karin Lindqvist and Karin Ensink Parenting and foster care / Sheila Redfern Borderline personality pathology in adolescence / Carla Sharp and Trudie Rossouw Conduct disorder / Svenja Taubner, Thorsten-Christian Gablonski and Peter Fonagy Borderline personality disorder / Anthony Bateman, Peter Fonagy and Chloe Campbell Antisocial personality disorder in community and prison settings / Anthony Bateman, Anna Motz, Jessica yakeley Avoidant and narcissistic personality disorder / Sebastian Simonsen and Sebastian Euler Eeating disorders / Paul Robinson and Finn Skarderud Depression / Patrick Luyten, Alessandra Lemma and Mary Target Comorbid substance use disosrder and personality disorderr / Nina Arefjord, Katharina Morken and Kari Lossius Psychosis / Martin Debban and Anthony Bateman.
This book brings together the latest knowledge from attachment research and neuroscience to provide a new approach to treating trauma for therapists from different professional disciplines and diverse theoretical backgrounds. The field of trauma suffers from fragmentation as brands of therapy proliferate in relation to a multiplicity of psychiatric disorders. This fragmentation calls for a fresh clinical approach to treating trauma. Pinpointing at once the problem and potential solution, the author places the experience of being psychologically alone in unbearable emotional states at the heart of trauma in attachment relationships. This trauma results from a failure of mentalizing, that is, empathic attunement to emotional distress. Psychotherapy offers an opportunity for healing by restoring mentalizing, that is, fostering psychological attunement in the context of secure attachment relationships-in the psychotherapy relationship and in other attachment relationships. The book gives a unique overview of common attachment patterns in childhood and adulthood, setting the stage for understanding attachment trauma, which is most conspicuous in maltreatment but also more subtly evident in early and repeated failures of attunement in attachment relationships.
By creating a therapeutic outlet for processing and self-expression, art therapy is an especially effective way to help emerging adults to develop their mentalizing faculty. With an 8-week syllabus, this professional guide provides detailed directives on putting mentalizing-based arts interventions into clinical practice with those aged 18-30, in a group or individual setting. With a specific focus on the differences in treating this age group, and case examples to demonstrate how art therapy interventions enhance mentalizing, this guide is an ideal resource for all professional art therapists looking to utilize their distinct capabilities and specialized training in a psychiatric hospital setting.
In this seminal work on the clinical, archetypal and spiritual dimension of trauma, the author offers a compelling vision of the transformative potential of suffering and the dialectic of Dying and Becoming. Wirtz outlines a healing path from fragmentation to integration and illuminates the resilience of the human spirit in the face of severe trauma. Trauma and Beyond will be essential reading and a valuable resource for counsellors, therapists and Jungian analysts who are challenged in their practice with individual and collective traumata.
This book illustrates the current findings of interpersonal neurobiology that inform knowledge building and clinical practice. Contributions cover an impressive range of material including how neurobiology interfaces with clinical work with children, individuals with substance abuse issues, couples and clients with trauma histories. Leading mental health clinician-scholars describe path-breaking explorations at the neurobiological frontiers of 21st century clinical theory and practice. Representing the fields of social work, psychology and psychiatry, these authors creatively apply research findings from the ongoing revolution in social and behaviour neuroscience to a diverse array of clinical issues. Contributions include elaborations of theory (the evolving social brain; new directions in attachment, affect regulation and trauma studies); practice (neurobiologically informed work with children, adults, couples and in the conduct of supervision); and emerging neuroscientific perspectives on broader mental health issues and concerns (substance abuse; psychotropic medications; secondary traumatic stress in clinicians; the neurodynamics of racial prejudice; the dangers of forfeiting humanism to our current romance with the biological). Together, these chapters equip readers with state-of-the-art knowledge of the manner in which new understandings of the brain inform and shape today’s professional efforts to heal the troubled mind. This book was originally published as a special issue of Smith College Studies in Social Work.
This is an open access title available under the terms of a [CC BY-NC-ND 4.0 International] licence. It is free to read at Oxford Clinical Psychology Online and offered as a free PDF download from OUP and selected open access locations. The theory of mentalizing and epistemic trust introduced by Peter Fonagy and colleagues at the Anna Freud Centre has been an important perspective on mental health and illness. Mentalizing and Epistemic Trust is the first comprehensive account and evaluation of this perspective. The book explores twenty primary concepts that organize the contributions of Fonagy and colleagues: adaptation, aggression, the alien self, culture, disorganized attachment, epistemic trust, hypermentalizing, reflective function, the P factor, pretend mode, the primary unconscious, psychic equivalence, mental illness, mentalizing, mentalization-based therapy, non-mentalizing, the self, sexuality, the social environment, and teleological mode. The biographical and social context of the development of these ideas is examined. The book also specifies the current strengths and limitations of the theory of mentalizing and epistemic trust, with attention to the implications for both clinicians and researchers. This book will be of interest to historians of the human sciences, developmental psychologists, and clinicians interested in taking a broader perspective on psychological theory and concepts.
