Smits, Maaike L;
De Vos, Jasmijn;
Rüfenacht, Eva;
Nijssens, Liesbet;
Shaverin, Lisa;
Nolte, Tobias;
Luyten, Patrick;
... Bateman, Anthony; + view all
(2024)
Breaking the cycle with Mentalization-Based Treatment Trauma-Focused: theory and practice of a trauma-focused group intervention.
Frontiers in Psychology
10.3389/fpsyg.2024.1426092.
(In press).
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Abstract
Trauma-Focused Mentalization-based Treatment (MBT-TF) is an adaptation of MBT specifically developed for patients suffering from attachment or complex trauma, with the possibility of co-occurring borderline personality pathology. The creation of MBT-TF was driven by previous research and observations that interventions centered on mentalizing could be significantly improved by directly addressing the impact of trauma. MBT-TF aims to mitigate symptoms that arise post-trauma, such as hyperarousal, hypervigilance, intrusions, flashbacks, avoidance behaviours, dissociative experiences, negative perceptions of self and others, and ensuing relational difficulties. Implemented as a group intervention, MBT-TF typically spans 6-12 months. From a mentalization perspective, trauma, particularly attachment trauma, leads to a failure in processing the effects of trauma through and with others. Stress and attachment behavioural systems are disrupted, which undermines the capacity for epistemic trust, and impairs mentalizing abilities. This paper offers a concise summary of the reasoning for MBT-TF's creation, its theoretical underpinnings, and its clinical strategy for addressing the adverse impacts of trauma. It further details the treatment phases, their main goals, and interventions, supplemented by clinical case examples that underscore MBT-TF's distinctive attributes and frequent clinical hurdles.
| Type: | Article |
|---|---|
| Title: | Breaking the cycle with Mentalization-Based Treatment Trauma-Focused: theory and practice of a trauma-focused group intervention |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.3389/fpsyg.2024.1426092 |
| Publisher version: | https://doi.org/10.3389/fpsyg.2024.1426092 |
| Language: | English |
| Additional information: | Copyright: © 2024 Smits, de Vos, Rüfenacht, Nijssens, Shaverin, Nolte, Luyten, Fonagy and Bateman. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY), https://creativecommons.org/licenses/by/4.0/. The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
| Keywords: | Trauma, mentalization, posttraumatic stress disorder (PTSD), complex ptsd, Borderline Personality Disorder |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10196013 |
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