Was hat dir an der Therapie gefallen? – Eine qualitative Studie zur Evaluation der Mentalisierungsbasierten Therapie für Jugendliche mit Störungen des Sozialverhaltens

Hauschild, Sophie; Kasper, Lea; Taubner, Svenja

doi:10.13109/prkk.2021.70.5.386

Cited by 5 publications

(5 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Overall, 16 interview-based treatment evaluations were available for qualitative analysis ( N = 10 in Heidelberg, N = 6 in Mainz). A detailed content analysis of treatment evaluations of the Heidelberg subsample published as a sub-analysis [ 22 ] revealed several positive aspects: adolescents liked, that they had someone who listened to and understood them. Therapy was deemed helpful for problem-solving and reflection.…”

Section: Resultsmentioning

confidence: 99%

“…As negative aspects, adolescents most often reported that their therapists asked “too many questions”, which was “annoying”. Moreover, critique concerning the less structured phases of treatment was uttered especially by younger patients [ 22 ].…”

Section: Resultsmentioning

confidence: 99%

“…For adolescents 15 years or older, individual sessions might play a greater role with a focus on etiology of their aggression and negative (legal) consequences of their behavior. This is supported by implications drawn from results of the structured content analysis of the Heidelberg subsample: younger individuals seemed to prefer and benefit more from the more structured phase of the intervention, while older individuals may have benefitted more from the mentalizing processes unfolding over the course of their therapy [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…The biobehavioral switch model [ 21 ] is used to describe the relationship between mentalizing and emotional arousal. Applying it to CD, Hauschild et al [ 22 ] stressed the relevance of high emotional arousal by suggesting that the occurrence of CD symptomatology in a specific moment results from individuals frequently reaching their switch point in interpersonal interactions. According to the biobehavioral switch model [ 21 ], in a state of high emotional arousal, a change in mentalizing occurs via a transition from mainly cortically mediated, reflective processing of information to subcortically steered, automatic processing leading to fight and flight reactions.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Mentalization-based treatment for adolescents with conduct disorder (MBT-CD): a feasibility study

Hauschild

Kasper

Volkert

et al. 2022

Eur Child Adolesc Psychiatry

Self Cite

View full text Add to dashboard Cite

Conduct disorder (CD) is a common psychiatric disorder in youth characterized by persisting norm-violating or aggressive behavior. Considering high individual and societal burden, feasible and effective psychotherapeutic treatment is desirable. Yet, treatments and research in this patient group are scarce. This study investigates the feasibility of mentalization-based treatment for adolescents with CD (MBT-CD) in terms of acceptability of MBT-CD and scientific assessments by participants as well as necessary organizational resources to conduct a consecutive randomized controlled trial (RCT). Recruitment, adherence and treatment session numbers were descriptively analyzed. Treatment evaluation interviews were qualitatively analyzed. A subset of sessions of therapists without prior MBT experience was rated for MBT adherence. Quantitative data were used to plan a consecutive RCT. Pre to post treatment changes in diagnosis and self-reported aggression, mentalizing and personality functioning were preliminarily analyzed. N = 45 adolescents with CD were recruited. 43% dropped out. Acceptance of scientific assessments was somewhat lower than therapy adherence (questionnaires filled out by ~ 80% of adolescents in treatment), and low at follow-up (25% of treatment completers). Mean session number was 30.3. Most treatment completers were satisfied with MBT-CD. Referrals mainly came from child and youth services and psychiatry. Nine of 16 sessions rated for MBT adherence were adherent. A priori sample size estimation for a prospective RCT with a drop-out rate of 43% yielded a sample of N = 158 to detect an effect f = .15 with 80% power in a repeated measures ANOVA. Pre–post analyses revealed diagnostic improvement in 68%. Of self-reported data, empathy pathology improved. Findings provide a sound basis for a consecutive feasibility and pilot RCT. Trial registration Clinicaltrials.gov, registration number NCT02988453, November 30, 2016, https://clinicaltrials.gov/ct2/show/NCT02988453

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Mentalization-based treatment for adolescents with conduct disorder (MBT-CD): a feasibility study

Hauschild

Kasper

Volkert

et al. 2022

Eur Child Adolesc Psychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

“…From the perspective of adolescent patients with CD first indications regarding the acceptance of individual interventions could be found ( Hauschild et al, 2021 ). With the help of the qualitative analysis of therapy evaluation interviews it became apparent that the patients appreciated “having someone to talk to.” They also found it helpful to gain new perspectives and to reflect on their own behavior.…”

Section: Introductionmentioning

confidence: 99%

Enhancing mentalization by specific interventions within mentalization-based treatment of adolescents with conduct disorder

Kasper,

Hauschild,

Schrauf

et al. 2024

Front. Psychol.

Self Cite

View full text Add to dashboard Cite

ObjectiveMentalization is discussed as a mechanism of change in psychotherapy due to its positive effects on psychological functioning. In order to specifically apply mentalization-based interventions, a better understanding of the relationship between interventions and in-session mentalization is needed. The study aimed to explore the association between interventions and effective mentalizing.MethodFifteen therapy sessions of three therapies with male adolescents with conduct disorder were transcribed and rated with the Reflective Functioning (RF) Scale and a newly developed Mentalization-based Treatment (MBT) intervention coding manual. The coded interventions were categorized into intervention levels according to the MBT manual. Fisher’s exact tests were performed to test differences in frequencies of interventions in high-RF sequences (RF score ≥ 4) compared with remaining therapy sequences (RF score ≤ 3).ResultsSpecific MBT interventions such as demand questions, affectelaboration, empathic validation, change of subject, challenge, patienttherapist relation and mentalizing for the patient were related to effective mentalizing. Moreover, intervention levels such as supportive & empathic, basic- mentalizing & affect mode and relational mentalizing were positively associated with effective mentalizing.ConclusionMBT interventions seem to promote effective mentalizing at various intervention levels. Interventions that enhance effective mentalizing seem to be patient specific. In line with MBT theory, their effect on effective mentalizing might depend on various variables, such as the patients’ arousal and pre-mentalizing mode.

show abstract

Therapie psychisch kranker Straftäter und Straftäterinnen

2025

FAQ Forensische Psychiatrie Und Psychologie

View full text Add to dashboard Cite

Was hat dir an der Therapie gefallen? – Eine qualitative Studie zur Evaluation der Mentalisierungsbasierten Therapie für Jugendliche mit Störungen des Sozialverhaltens

Cited by 5 publications

References 19 publications

Mentalization-based treatment for adolescents with conduct disorder (MBT-CD): a feasibility study

Mentalization-based treatment for adolescents with conduct disorder (MBT-CD): a feasibility study

Enhancing mentalization by specific interventions within mentalization-based treatment of adolescents with conduct disorder

Therapie psychisch kranker Straftäter und Straftäterinnen

Contact Info

Product

Resources

About