Mentalization-based therapy adherence and competence stimulates in-session mentalization in psychotherapy for borderline personality disorder with co-morbid substance dependence.
Psychother Res
; 27(6): 749-765, 2017 11.
Article
em En
| MEDLINE
| ID: mdl-27093128
ABSTRACT
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 (ß = .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 (ß = .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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Avaliação de Processos e Resultados em Cuidados de Saúde
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Transtorno da Personalidade Borderline
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Competência Clínica
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Transtornos Relacionados ao Uso de Substâncias
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Processos Psicoterapêuticos
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Fidelidade a Diretrizes
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Teoria da Mente
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Psicoterapia Psicodinâmica
Tipo de estudo:
Clinical_trials
/
Prognostic_studies
Limite:
Adult
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article