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Mentalization-based therapy adherence and competence stimulates in-session mentalization in psychotherapy for borderline personality disorder with co-morbid substance dependence
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Behavioural Sciences and Learning. Linköping University, Faculty of Arts and Sciences.
Linköping University, Department of Behavioural Sciences and Learning, Psychology. Linköping University, Faculty of Arts and Sciences. Uppsala University, Sweden.
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2017 (English)In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381, Vol. 27, no 6, 749-765 p.Article in journal (Refereed) Published
Abstract [en]

Objective: To test whether adherence to mentalization-based treatment (MBT) principles predict better patient in-session mentalizing. Methods: Two sessions for each of 15 patients with borderline personality disorder and comorbid substance abuse disorder were rated for MBT adherence and competence. Individual patient statements were rated for Reflective Functioning (RF), therapist statements were rated as demanding RF or not. Data were analysed using multilevel modelling. Results: MBT adherence and competence predicted higher session RF (=.58-.75), even while controlling for pre-treatment RF. In addition, therapist interventions directed toward exploring mental states predicted higher RF of subsequent patient responses (=.11-.12). Conclusions: MBT adherence and competence were significantly related to patient in-session mentalizing, supporting the validity of MBT principles. Results point to the importance of supervision for therapists to become adherent to MBT principles. The small number of patients and sessions limits generalizability of results.

Place, publisher, year, edition, pages
ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD , 2017. Vol. 27, no 6, 749-765 p.
Keyword [en]
personality disorders; process research; psychoanalytic; psychodynamic therapy; substance abuse
National Category
Applied Psychology
Identifiers
URN: urn:nbn:se:liu:diva-143006DOI: 10.1080/10503307.2016.1158433ISI: 000413701000009PubMedID: 27093128OAI: oai:DiVA.org:liu-143006DiVA: diva2:1156516
Note

Funding Agencies|Swedish Research Council for Health, Working Life and Welfare [20070457]; Stockholm County Council [20080487]; Karolinska Institutet [20080487]

Available from: 2017-11-13 Created: 2017-11-13 Last updated: 2017-11-13

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Möller, ClaraKarlgren, LindaSandell, AntonFalkenström, FredrikPhilips, Björn
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