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Mentalization-based therapy adherence and competence stimulates in-session mentalization in psychotherapy for borderline personality disorder with co-morbid substance dependence.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centrum för klinisk forskning i Sörmland (CKFD).
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2016 (English)In: Psychotherapy Research, ISSN 1050-3307, E-ISSN 1468-4381Article in journal (Refereed) Epub ahead of print
Abstract [en]

OBJECTIVE: To test whether adherence to mentalization-based treatment (MBT) principles predict better patient in-session mentalizing.

METHODS: Two sessions for each of 15 patients with borderline personality disorder and comorbid substance abuse disorder were rated for MBT adherence and competence. Individual patient statements were rated for Reflective Functioning (RF), therapist statements were rated as demanding RF or not. Data were analysed using multilevel modelling.

RESULTS: MBT adherence and competence predicted higher session RF (β = .58-.75), even while controlling for pre-treatment RF. In addition, therapist interventions directed toward exploring mental states predicted higher RF of subsequent patient responses (β = .11-.12).

CONCLUSIONS: MBT adherence and competence were significantly related to patient in-session mentalizing, supporting the validity of MBT principles. Results point to the importance of supervision for therapists to become adherent to MBT principles. The small number of patients and sessions limits generalizability of results.

Place, publisher, year, edition, pages
2016.
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URN: urn:nbn:se:uu:diva-311912DOI: 10.1080/10503307.2016.1158433PubMedID: 27093128OAI: oai:DiVA.org:uu-311912DiVA: diva2:1061780
Available from: 2017-01-03 Created: 2017-01-03 Last updated: 2017-01-03

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