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Learning the subtle dance: the experience of therapists who deliver mentalisation-based therapy for borderline personality disorder

Gardner, KJ; Wright, KM; Elliott, A; Lamph, G; Graham, S; Parker, L; Fonagy, P; (2022) Learning the subtle dance: the experience of therapists who deliver mentalisation-based therapy for borderline personality disorder. Journal of Clinical Psychology , 78 (2) pp. 105-121. 10.1002/jclp.23208. Green open access

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Abstract

Objectives: This study aimed to understand therapists’ lived experiences of delivering mentalisation-based therapy (MBT), including their experiences of service user change. / Method: One-to-one semi-structured interviews or focus groups were conducted with 14 MBT therapists and analysed using interpretative phenomenological analysis (IPA). / Results: Four superordinate themes were identified: 1) experiencing the challenges and complexities of being with service users during MBT; 2) being on a journey of discovery and change; 3) being an MBT therapist: a new way of working and developing a new therapeutic identity; and 4) being a therapist in the group: seeing it all come together / Conclusion: Our findings highlight the complexity, challenges and individualised experience of working therapeutically with service users with a diagnosis of BPD. The study provides a perspective of service use change that is enriched by idiosyncrasies within the therapeutic encounter. We conclude with a consideration of implications for MBT research and clinical practice.

Type: Article
Title: Learning the subtle dance: the experience of therapists who deliver mentalisation-based therapy for borderline personality disorder
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/jclp.23208
Publisher version: https://doi.org/10.1002/jclp.23208
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.
Keywords: Borderline personality disorder, Mentalization based therapy, therapist, MBT, phenomenology
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/10129662
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