This new edition of Handbook of Mentalizing in Mental Health Practice reflects a vibrant field undergoing development along a number of dimensions important for mental health. As evidenced by the number of experts contributing chapters that focus on specialized approaches to mentalization-based treatment (MBT), the range of mental disorders for which this therapy has proved helpful has substantially increased, and now includes psychosis. Second, the range of contexts within which the approach has been shown to be of value has grown. MBT has been found to be useful in outpatient and community settings, and, more broadly, with children, adolescents, couples, and families, and the social contexts where they are found, such as in schools and even prisons. Finally, the framework has been shown to be generalizable to an understanding of the social context of mental health. The model advanced in this book goes beyond an understanding of the development of mentalizing and aims to provide an understanding of its role in a range of social processes.
Key concepts, themes, and approaches clearly articulated throughout the book include the following:
• Mentalizing is a transdiagnostic concept applicable to a range of mental health conditions, including trauma, personality disorders, eating disorders, depression, substance use disorder, and psychosis. The chapters devoted to these disorders emphasize MBT skills acquisition and techniques for introducing mentalizing into psychotherapy.
• Mentalizing plays an important role in understanding how teams, systems, and services interact to facilitate or undermine interventions and service delivery. Chapters on mentalizing in teams and wider systems are included to help clinicians reduce negative impacts on clinical care and support reliable and responsive pathways to treatment.
• In an effort to encourage clinicians to integrate mentalizing into their clinical practice, empirical research on the developmental origins of mentalizing and how a focus on mentalizing can improve outcomes for patients is incorporated throughout the volume.
• Improved mentalizing increases resilience to adversity, perhaps protecting individuals from relapse, and improves therapeutic outcomes. The relevant research, as well as proven techniques for promoting resilience and trust, are discussed at length in the book.
• Finally, as an established component of the literature on neurobiology and higher-order cognition, mentalizing benefits from a number of different strands of research, ranging from neurobiology through child development to adult psychopathology. The book fully explores these relationships and their ramifications.
Authoritative, comprehensive, and cutting-edge, the Handbook of Mentalizing in Mental Health Practice is the single most important resource for clinicians and trainees learning about—and incorporating—MBT into their therapeutic repertoire.
Part I: Principles
Chapter 1. Introduction
Chapter 2. Contemporary Neuroscientific Research
Chapter 3. Assessment of Mentalizing
Chapter 4. Mentalizing, Resilience, and Epistemic Trust
Chapter 5. Mentalizing and Trauma
Part II: Clinical Practice
Chapter 6. Individual Therapy Techniques
Chapter 7. Group Therapy for Adults and Adolescents
Chapter 8. Working With Families
Chapter 9. Couples Therapy
Chapter 10. Therapeutic Models
Chapter 11. Creative Arts Therapies
Chapter 12. Partial Hospitalization Settings
Chapter 13. AMBIT: Engaging the Client and Communities of Minds
Chapter 14. Social Systems: Beyond the Microcosm of the Individual and Family
Part III: Specific Applications
Chapter 15. Children
Chapter 16. Parenting and Foster Care
Chapter 17. Borderline Personality Pathology in Adolescence
Chapter 18. Conduct Disorder
Chapter 19. Borderline Personality Disorder
Chapter 20. Antisocial Personality Disorder in Community and Prison Settings
Chapter 21. Avoidant and Narcissistic Personality Disorders
Chapter 22. Eating Disorders
Chapter 23. Depression
Chapter 24. Comorbid Substance Use Disorder and Personality Disorder
Chapter 25. Psychosis
About the Editors:
Anthony Bateman, M.A., FRCPsych, is Consultant to the Anna Freud National Centre for Children and Families, London; Visiting Professor at University College London; and Honorary Affiliate Professor in Psychotherapy at the University of Copenhagen.
Peter Fonagy, Ph.D., FBA, FMedSci, FAcSS, is Professor of Contemporary Psychoanalysis and Developmental Science at University College London.