Feenstra, DJ;
Luyten, P;
Bales, DL;
(2017)
Mentalization-based treatment for borderline personality disorder in adults and adolescents: For whom, when, and how?
Bulletin of the Menninger Clinic
, 81
(3)
pp. 264-280.
10.1521/bumc_2017_81_04.
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Abstract
Borderline personality disorder (BPD) is common in clinical practice. Psychotherapy is the treatment of choice, and Mentalization-based treatment (MBT) is one of the empirically supported treatments that are currently available. For adults, two variants of MBT (MBT day hospital (MBT-DH) and MBT intensive outpatient (MBT-IOP)) have been developed and empirically evaluated. In this paper, we will present a review of research of development, efficacy, and implementation of MBT. We first discuss evidence on the effectiveness of MBT-DH and MBT-IOP, the lack of comparative research, as well as the lack of research on predictors of treatment response. Next, we go on to discuss research suggesting that the dissemination and implementation of MBT for adolescents is hindered by the reluctance of clinicians to diagnose BPD in adolescence. As a result, there is a dearth of evidence-based treatments for adolescents, including MBT, although the recent increase in studies in this area suggests that this trend may be changing. Finally, we focus on the implementation of treatment programs for BPD patients. Although we now have different effective treatments for BPD, the implementation of these treatments in routine clinical practice has proven to be much more complex than initially thought. In addition, treatments such as MBT are multimodal, long-term treatments. Both societal pressures to increase the cost-effectiveness of our treatments, and new theoretical insights into the role of social learning and salutogenesis in the development of BPD, force us to reconsider some of our assumptions concerning the nature of treatment for individuals with BPD.
| Type: | Article |
|---|---|
| Title: | Mentalization-based treatment for borderline personality disorder in adults and adolescents: For whom, when, and how? |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1521/bumc_2017_81_04 |
| Publisher version: | http://dx.doi.org/10.1521/bumc_2017_81_04 |
| Language: | English |
| Additional information: | Feenstra, DJ; Luyten, P; Bales, DL; (2017) Mentalization-based treatment for borderline personality disorder in adults and adolescents: For whom, when, and how? Bulletin of the Menninger Clinic , 81 (3) pp. 264-280. © 2017. Copyright Guilford Press. Reprinted with permission of The Guilford Press |
| Keywords: | RANDOMIZED CONTROLLED-TRIAL, ORIENTED PARTIAL HOSPITALIZATION, DIALECTICAL BEHAVIOR-THERAPY, MENTAL-HEALTH-CARE, QUALITY-OF-LIFE, EARLY INTERVENTION, FOLLOW-UP, DIAGNOSIS, PREVALENCE, OUTCOMES |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10024539 |
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