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Mentalizing and substance use disorder

Arefjord, N; Morken, K; Lossius, K; (2019) Mentalizing and substance use disorder. In: Bateman, A and Fonagy, P, (eds.) Handbook of mentalizing in mental health practice. American Psychiatric Publishing: Washington DC, USA. (In press).

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Abstract

In this chapter we will describe how Mentalization-Based Treatment for Substance Use Disorder (MBT-SUD) can be implemented for substance use disorder (SUD), why this model and its theoretical foundation make sense, and how it broadens our understanding of SUD patients with severe personality disorders (PDs) (Morken, Karterud and Arefjord 2014; Morken et al. 2017a; Morken, Binder, Arefjord and Karterud 2017b). In modern SUD treatment it remains a challenge to offer effective outpatient treatment for patients with SUD and severe PDs. Outpatient programs need to be comprehensive and intensive, and treatment must be effective in terms of reducing the use of inpatient crisis admittance. Patients with comorbid PD/SUD often show problems with regular attendance in outpatient programs. This is due not only to the SUD and the patients’ varying motivation and lack of endurance, but also to their difficulties in coping with their feelings and interpersonal problems. SUD therapists are in need of useful tools to be able to offer effective outpatient treatment to these patients. There is a need for therapy programs with a good structure, theoretical consistency, and continuity.

Type: Book chapter
Title: Mentalizing and substance use disorder
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
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: https://discovery.ucl.ac.uk/id/eprint/10049124
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