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Chapter 10 - Psychosis

from Part III - Application and Adaptations for Mental Health Presentations

Published online by Cambridge University Press:  18 May 2023

Anthony Bateman
Affiliation:
Anna Freud National Centre for Children and Families, London
Peter Fonagy
Affiliation:
University College London
Chloe Campbell
Affiliation:
University College London
Patrick Luyten
Affiliation:
University College London
Martin Debbané
Affiliation:
University College London
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Summary

Mentalization-based treatment (MBT) for psychosis focuses on the decoupling of bodily and mental experience as well as the stresses of mentalizing during social interaction. In a framework of mentalizing, psychotic phenomena can be represented as severe disturbances to the experience of oneself as a coherent unit. Clinical treatment that aims to increase integration and stability of self-experience is illustrated in this chapter using clinical examples. The first task is to identify treatment objectives and define any obstacles to treatment, working with co-constructed representations of the clinical problem. The second task is to integrate the viewpoints of the patient, the clinical team, and the social care network, and to agree an overall working formulation. This is followed by therapeutic intervention to stabilize self-mentalizing using interventions from the core MBT model.

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Publisher: Cambridge University Press
Print publication year: 2023

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  • Psychosis
  • Anthony Bateman, Anna Freud National Centre for Children and Families, London, Peter Fonagy, University College London, Chloe Campbell, University College London, Patrick Luyten, University College London, Martin Debbané, University College London
  • Book: Cambridge Guide to Mentalization-Based Treatment (MBT)
  • Online publication: 18 May 2023
  • Chapter DOI: https://doi.org/10.1017/9781108896054.011
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To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Psychosis
  • Anthony Bateman, Anna Freud National Centre for Children and Families, London, Peter Fonagy, University College London, Chloe Campbell, University College London, Patrick Luyten, University College London, Martin Debbané, University College London
  • Book: Cambridge Guide to Mentalization-Based Treatment (MBT)
  • Online publication: 18 May 2023
  • Chapter DOI: https://doi.org/10.1017/9781108896054.011
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Psychosis
  • Anthony Bateman, Anna Freud National Centre for Children and Families, London, Peter Fonagy, University College London, Chloe Campbell, University College London, Patrick Luyten, University College London, Martin Debbané, University College London
  • Book: Cambridge Guide to Mentalization-Based Treatment (MBT)
  • Online publication: 18 May 2023
  • Chapter DOI: https://doi.org/10.1017/9781108896054.011
Available formats
×