Adapting Short-Term Mentalization-Based Therapy to ICD-11 Personality Disorder in Adolescents

Simonsen, Sebastian; Hestbæk, Emilie; Juul, Sophie

doi:10.3390/children10010093

Cited by 2 publications

(1 citation statement)

References 38 publications

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“…MBT takes place twice per week, with sessions alternating between group therapy and individual treatment. An adaptation for adolescents was developed with a shorter duration (5 month structured treatment approach including individual therapy, combined psychotherapy with the individual therapist also being one of the group therapists, and closed-group therapy to enhance cohesion and a feeling of security) [31]. Roussouw [32] compared the effect of 12 months of MBT versus TAU in 80 adolescents aged 12-17 years old with borderline symptoms.…”

Section: Mentalization-based Therapy (Mbt)mentioning

confidence: 99%

Therapeutic and Preventive Interventions in Adolescents with Borderline Personality Disorder: Recent Findings, Current Challenges, and Future Directions

Bourvis,

Cohen,

Benarous

2023

JCM

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Background: Borderline personality disorder (BPD) has long suffered from overshadowing in adolescents and hopelessness from the psychiatrists themselves. Comprehensive guidelines for this age group are lacking. Aims: This narrative review aims to describe current recommendations for BPD and recent empirical evidence on effective treatments (both pharmacological and non-pharmacological) and preventive approaches. Innovative approaches, based on recent and original research on BPD adolescents, are also discussed. Results: Very low-certainty evidence has supported that medication has a positive effect on core BPD symptoms in adolescents. Medication prescribed for suicidal crises or associated disorders should be included in a global therapeutic plan, including efficacy reassessment, treatment duration, and a security plan. The overall benefit of structured psychotherapy for adolescents with BPD (cognitive behavioral therapy, mentalization-based therapy, dialectic behavioral therapy, and group therapy) is more important for self-harm behaviors than other BPD symptoms. Their specific efficacy, although difficult to distinguish from the overall non-specific effect of integrative care. Conclusions: structured care of young BPD individuals should be based on the following principles: (1) setting the frame of care, including recognition of the diagnosis, and sharing information with patients and families about symptoms, prognosis, and putative psychological mechanisms involved; and (2) promoting comprehensive approaches, including both specific and non specific therapy, ecological interventions, community care, and preventive interventions in at-risk groups.

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Section: Mentalization-based Therapy (Mbt)mentioning

confidence: 99%

Therapeutic and Preventive Interventions in Adolescents with Borderline Personality Disorder: Recent Findings, Current Challenges, and Future Directions

Bourvis,

Cohen,

Benarous

2023

JCM

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Culture and ICD-11 personality disorder: Implications for clinical practice across diverse ethnic groups

Hualparuca-Olivera,

Caycho-Rodríguez,

Torales

et al. 2024

Int J Soc Psychiatry

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Background: Personality disorder (PD) in ICD-11 is defined primarily by self and interpersonal dysfunction and optionally by other qualifiers. This definition is inseparable from relativism of cultural determinants. Aims: This review aimed to synthesize the relevant aspects of the influence of culture on clinical practice and health management for this condition, aligning them to the ICD-11 PD model. Method: In Scopus, we systematically searched for studies that included the text strings: cultur* | personality AND (disorder* OR patholog*) without any restrictions on publication date or language or other exclusion criteria, up to November 2022. Results: Evidence suggests that cultural variables in ethnic groups (Western and non-Western) such as the individualist/collectivist philosophy, historical/generational trauma, immigration, acculturation, religion, and gender influence the etiology, semiology, epidemiology, evaluation, diagnosis, treatment, and management of health services for ICD-11 PD. We discuss the limitations and propose future lines of research on this topic based on our knowledge and experience. In this review, we provide the scientific community and clinicians with relevant cultural information to guide their practice and propose strategies to manage PD from the ICD-11 model. Conclusions: More research is needed using mixed study methodologies on stigma, the experiences of patients, clinicians, and health agencies, to reduce the care gaps and achieve a culturally comprehensive, inclusive, and competent use of this new model.

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Adapting Short-Term Mentalization-Based Therapy to ICD-11 Personality Disorder in Adolescents

Cited by 2 publications

References 38 publications

Therapeutic and Preventive Interventions in Adolescents with Borderline Personality Disorder: Recent Findings, Current Challenges, and Future Directions

Therapeutic and Preventive Interventions in Adolescents with Borderline Personality Disorder: Recent Findings, Current Challenges, and Future Directions

Culture and ICD-11 personality disorder: Implications for clinical practice across diverse ethnic groups

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