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Pedagogical stance in mentalization-based treatment.

Espen J Folmo1, Tuva Langjord2,3, Nini C S Myhrvold4

  • 1Department for National and Regional Functions, Division of Mental Health & Addiction, Norwegian National Advisory Unit on Personality Psychiatry, Section for Personality Psychiatry & Specialized Treatments, Oslo University Hospital, Oslo, Norway.

Journal of Clinical Psychology
|March 9, 2022
PubMed
Summary
This summary is machine-generated.

This study reveals a hidden pedagogical approach in mentalization-based treatment (MBT) for borderline personality disorder (BPD). Identifying key strategies can enhance therapist interventions and patient outcomes.

Keywords:
borderline personality disorderclinical practice guidelinescultural competenceeducation and trainingevidence-based psychotherapy

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Area of Science:

  • Psychiatry
  • Psychology
  • Mental Health Treatment

Background:

  • Evidence-based treatments for borderline personality disorder (BPD) often incorporate pedagogical interventions.
  • While mentalization-based treatment (MBT) has a defined pedagogical format in its introductory course, its overall pedagogical stance remains undefined.

Purpose of the Study:

  • To investigate the pedagogical interventions and stance within mentalization-based treatment (MBT).
  • To identify and analyze the psychopedagogical agenda and strategies employed in MBT.

Main Methods:

  • Quantitative assessment of treatment integrity in 346 individual MBT sessions.
  • Qualitative interpretative phenomenological analysis (IPA) of nine group and 24 individual MBT sessions.

Main Results:

  • Therapist checking own understanding (MBT Item 16) was the most frequent intervention (31%).
  • IPA revealed a pervasive, implicit psychopedagogical agenda, with content valued by patients.
  • Four tentative pedagogical strategies were identified: independent reasoning, epistemic trust, mental flexibility, and application of verified insights.

Conclusions:

  • Clarifying the pedagogical stance in MBT could enhance therapist interventions.
  • Explicitly defining pedagogical strategies may improve the effectiveness of MBT for BPD.