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Encephale. 2019 Apr;45(2):133-138. doi: 10.1016/j.encep.2018.04.003. Epub 2018 Jun 28.

[Mentalization based treatment (MBT) for borderline personality disorder among a population of French-speaking patients].

[Article in French]

Author information

1
Service des spécialités psychiatriques, département de santé mentale et de psychiatrie, hôpitaux universitaires de Genève, 20, bis rue de Lausanne, 1201 Genève, Suisse.
2
Service des spécialités psychiatriques, département de santé mentale et de psychiatrie, hôpitaux universitaires de Genève, 20, bis rue de Lausanne, 1201 Genève, Suisse; Unité de psychologie clinique développementale, faculté de psychologie et des sciences de l'éducation, université de Genève, Suisse.
3
Service des spécialités psychiatriques, département de santé mentale et de psychiatrie, hôpitaux universitaires de Genève, 20, bis rue de Lausanne, 1201 Genève, Suisse; Départment des neurosciences de base, université de Genève, Genève, Suisse.
4
Service des spécialités psychiatriques, département de santé mentale et de psychiatrie, hôpitaux universitaires de Genève, 20, bis rue de Lausanne, 1201 Genève, Suisse. Electronic address: nader.perroud@hcuge.ch.
5
Unité de psychologie clinique développementale, faculté de psychologie et des sciences de l'éducation, université de Genève, Suisse; Département de recherche en psychologie clinique, de l'éducation et de la santé, University College London, Londres, Royaume-Uni.

Abstract

INTRODUCTION:

Borderline Personality Disorder is a frequent disorder that is challenging for therapists to treat due to the prevalence of self-damaging and suicidal behaviours and interruptions of the therapeutic alliance, as well as a poor response to psychotropic treatments. In recent years, several empirically-validated psychotherapeutic treatments have been developed, including Mentalisation-Based Therapy, which is an integrative psychodynamic approach created in Britain. Although numerous studies have showed Mentalisation-Based Therapy to be an efficient treatment of Borderline Personality Disorder, its specific components have yet to be assessed. Furthermore, there have been no empirical studies conducted among groups of French-speaking patients. The purpose of this study is twofold: To provide an initial assessment of the efficacy of the mentalisation-based psycho-educational component, which is the first component of any mentalisation-based therapy, and to provide the first assessment of this approach among a population of French-speaking patients.

METHOD:

Over a three-month period, 14 Borderline Personality Disorder sufferers followed a psycho-educational Mentalisation-Based Therapy programme consisting of group sessions to introduce patients to mentalisation and weekly individual interviews. Patients filled in various question forms assessing, among others, the intensity of their depression, their degree of hopelessness, their emotional regulation strategies, and their reflective abilities.

RESULTS:

The psycho-educational component of Mentalisation-Based Therapy is significantly associated with improved cognitive emotional regulation, empathy and reflective abilities, and with a reduced sense of hopelessness. The programme retention rate was of 71.4%.

CONCLUSION:

Despite the small sample size and the short treatment period, these preliminary results demonstrate the efficiency of the psycho-educational phase of Mentalisation-Based Therapy, and in particular the positive effects of the treatment on depressive symptomatology and self-regulation processes among patients with a Borderline Personality Disorder diagnosis.

KEYWORDS:

Borderline personality disorder; Mentalisation; Psychotherapy; Psychothérapie; Trouble de la personnalité

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