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Mechanisms of change in mentalization-based treatment of BPD

Fonagy, P; Bateman, AW; (2006) Mechanisms of change in mentalization-based treatment of BPD. Journal of Clinical Psychology , 62 (4) 411 - 430. 10.1002/jclp.20241. Green open access

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Abstract

There are very few less contentious issues than the role of attachment in psychotherapy. Concepts such as the therapeutic alliance speak directly to the importance of activating the attachment system, normally in relation to the therapist in individual therapy and in relation to other family members in family-based intervention, if therapeutic progress is to be made. In group therapy the attachment process may be activated by group membership. The past decade of neuroscientific research has helped us to understand some key processes that attachment entails at brain level. The article outlines this progress and links it to recent findings on the relationship between the neural systems underpinning attachment and other processes such as making of social judgments, theory of mind, and access to long-term memory. These findings allow intriguing speculations, which are currently undergoing empirical tests on the neural basis of individual differences in attachment as well as the nature of psychological disturbances associated with profound disturbances of the attachment system. In this article, we explore the crucial paradoxical brain state created by psychotherapy with powerful clinical implications for the maximization of therapeutic benefit from the talking cure. (c) 2006 Wiley Periodicals, Inc.

Type: Article
Title: Mechanisms of change in mentalization-based treatment of BPD
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/jclp.20241
Publisher version: http://dx.doi.org/10.1002/jclp.20241
Language: English
Additional information: This is the pre-peer reviewed version of the following article: Fonagy, P; Bateman, AW; (2006) Mechanisms of change in mentalization-based treatment of BPD. Journal of Clinical Psychology , 62 (4) 411 - 430, which has been published in final form at: http://dx.doi.org/10.1002/jclp.20241
Keywords: mentalization-based therapy, borderline personality disorder, attachment, borderline personality-disorder, oriented partial hospitalization, voles microtus-ochrogaster, monogamous prairie vole, medial preoptic area, nucleus-accumbens, maternal-behavior, prefrontal cortex, decision-making, social-behavior
UCL classification: UCL > Provost and Vice Provost Offices
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: http://discovery.ucl.ac.uk/id/eprint/133787
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