Mentalization-based psychodynamic psychotherapy for psychosis.
This article discusses and illustrates the use of mentalization-based psychodynamic psychotherapy for disturbances of awareness of the self and others in patients with psychotic-spectrum disorders. The literature on impairments of mental processes involved in self-awareness and awareness of others occurring in psychotic illnesses and the relationship between childhood trauma and the emergence of psychotic symptoms is reviewed. A case illustrates how mentalization-based treatment can facilitate treatment engagement and be used to manage enactments in the psychotherapy with a patient with a psychotic disorder. Mentalization-based psychotherapy may offer a useful adjunct to antipsychotic medication and psychosocial evidence-based treatments in the care of individuals in the early phase of psychotic disorders.
Brent
Benjamin
B
Massachusetts Mental Health Center-Division of Public Psychiatry, Beth Israel Deaconess Medical Center-Department of Psychiatry, 401 Park Drive, Landmark Building-2 East, Boston, MA 02215, USA. bbrent@bidmc.harvard.edu
D000739:Anecdotes as Topic; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D009769:Object Attachment; D011613:Psychotherapy / Q000379:methods*; D011618:Psychotic Disorders / Q000188:drug therapy / Q000628:therapy*; D012649:Self Concept; D016896:Treatment Outcome; D055815:Young Adult