Mentalization Based Treatment

Question 1

People?

Answer 1

Fonagy + Bateman

Question 2

Peter Fonagy

Answer 2

-Integrates psychoanalysis with attachment theory
-Developed treatment for BPO
-Evidence based Rx for severe PD

Question 3

Mentalization (Bateman & Fonagy)

Answer 3

-The mental process by which an individual implicitly and explicitly interprets the actions of herself and others as meaningful on the basis of intentional mental states such as personal desires, needs, feelings beliefs, and reasons
-What we do or do not do depends on what happens in our minds

Question 4

Mentalization cont.

Answer 4

-Seeing ourselves from the outside, others from the inside
-Understanding misunderstandings
-Having a mind in mind
-Creates a connection through shared understanding

Question 5

Results from Bateman & Fonagy Study (2013)

Answer 5

“MBT may be specifically helpful in improving patient ability to manage social situations”

Mentalization helps to provide some mental distance, rather than over personalization

Question 6

Peter Fonagy (4 Stages)

Answer 6

1. Psychic equivalence (1-18 mo)
   -Least developed
   -Inner world matches external world
   -Inside & outside not differentiated (symbiosis)
2. Pretend mode (18-36 mo)
3. Teleological stance (18-36 mo)
4. Mentalization (After 36 mo)
   -Reflective function
   -Ability to reflect on self & other’s mind states
   -Happens in context of secure attachments (Someone does it with us and shows us how)

Question 7

MBT Treatment

Answer 7

1. Offer contingent and marked mirroring
2. Develop mentalization skills of self/other
3. Monitor & restore mentalization
4. Develop relationship skills
5. Create secure attachment

Question 8

Contingent and Marked Mirroring

Answer 8

Contingent mirroring: Accurate (collaborative)
Marked mirroring: Through own mind (more than just exact same words)