Bateman Anthony W, Fonagy Peter
Hallickwick Day Unit, St. Ann's Hospital, London.
J Pers Disord. 2004 Feb;18(1):36-51. doi: 10.1521/pedi.18.1.36.32772.
Psychoanalytically oriented partial hospital treatment for BPD has been shown to be more effective than treatment as usual in a randomized controlled trial and over 18 months of follow-up. Focus of treatment, in the context of group and individual psychotherapy, was on increasing the patient's capacity for mentalization, the capacity to think about mental states of oneself and others as separate from, yet potentially causing actions. We summarize the research and outline the essential theoretical and practical components of mentalization-based treatment. Core aspects of treatment include enhancing mentalization, bearing in mind patient deficits, using transference, retaining mental closeness, and working with current mental states. Finally, it is proposed that mentalization is a common theme in psychotherapy of BPD and may explain why different treatments "work."
在一项随机对照试验及超过18个月的随访中，已证明针对边缘型人格障碍（BPD）的精神分析导向的部分住院治疗比常规治疗更有效。在团体和个体心理治疗的背景下，治疗重点是提高患者的心理化能力，即把自己和他人的心理状态视为与行为相分离但又可能引发行为的一种思考能力。我们总结了相关研究，并概述了基于心理化治疗的基本理论和实践要素。治疗的核心方面包括增强心理化、牢记患者的缺陷、运用移情、保持心理亲近以及处理当前的心理状态。最后，有人提出心理化是BPD心理治疗中的一个共同主题，并且可能解释不同治疗方法“奏效”的原因。
