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Updated: Jun 9, 2026
09:55
Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder
Published on: March 8, 2018
[Comorbid antisocial and borderline personality disorders: mentalization-based treatment]
Anthony Bateman1, Peter Fonagy
1Halliwick Unit, St. Ann's Hospital, London, UK. Anthony@abate.org.uk
Praxis Der Kinderpsychologie Und Kinderpsychiatrie
|August 28, 2010
Summary
Mentalization, the ability to understand mental states, is disrupted in antisocial personality disorder (ASPD). Treatment focuses on maintaining mentalizing capacity when challenged to prevent violence.
Area of Science:
- Psychology
- Neuroscience
- Psychiatry
Context:
- Mentalization is crucial for interpreting actions based on mental states.
- Comorbid antisocial personality disorder (ASPD) and borderline personality disorder (BPD) disrupt mentalization, leading to misinterpretation of motives.
Purpose:
- To outline the relationship between mentalizing, antisocial characteristics, and violence.
- To present a mentalization-based treatment adapted for ASPD.
Summary:
- Antisocial traits can stabilize mentalizing but reduce flexibility, leading to vulnerability and potential violence when challenged.
- Violence may stem from a momentary inhibition of mentalization capacity.
- Treatment involves group and individual therapy to help ASPD patients maintain mentalizing when their integrity is threatened.
Impact:
- Understanding the link between mentalization deficits and violence in ASPD.
- Provides a framework for adapted mentalization-based treatment for ASPD.
- Highlights the ineffectiveness of victim-focused conflict induction for behavior change in ASPD due to a lack of mental pain.
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