Engelsk titel: How to engage suicidal patients in mentalization-based treatment?
Läs online
Författare:
Schluter, Christian
Språk: Nor
Antal referenser: 23
Dokumenttyp:
Artikel
UI-nummer: 12093705
Sammanfattning
Mentalization Based Therapy (MBT), developed by Anthony Bateman and Peter Fonagy, has proven effective with respect to treating people with Borderline Personality Disorder (BPD), and has also shown that the improvement remains over time. Department of Personality Psychiatry has implemented a variant of the MBT program. Suicidal behavior of varying degree and nature constitutes a significant part of the problems individuals with BPD have. It is therefore important that all psychotherapy with this group of patients has a focus on such behaviors, and have a rationale for the understanding and management of suicidal states. Due to the seriousness of this aspect of the disorder, it is important to engage these individuals in the treatment to prevent drop out, or that the treatment itself creates aggravation. The article will summarily describe mentalization and failure to mentalize, which is considered the pathological core issue for this patient group. Secondly, three clinical areas considered vital in MBT for successful treatment of suicidal patients with BPD are presented; 1) the understanding and management of suicide risk, 2) the treatment program, and 3) MBT attitude, focus and technique. The purpose of this article is to show how to work clinically with suicidal behavior within an MBT framework, and facilitate an increased understanding, tolerance and constructive management of these problems.