Reiter Melanie, Bock Astrid, Althoff Marie-Luise, Taubner Svenja, Sevecke Kathrin
Universitätsklinik für Psychiatrie, Psychotherapie und Psychosomatik des Kindes- und Jugendalters Medizinische Universität Innsbruck Anichstr. 35 A-6020 Innsbruck Österreich Univ.-Klinik für Kinder- und Jugendpsychiatrie - Medizinische Universität Innsbruck.
Praxis für Psychotherapie, Supervision und Beratung, Bielefeld.
Prax Kinderpsychol Kinderpsychiatr. 2017 May;66(5):362-377. doi: 10.13109/prkk.2017.66.5.362.
Mentalization Based Treatment of an Adolescent Girl with Conduct Disorder This paper will give a short overview on the theoretical concept of mentalization and its specific characteristics in adolescence. A previous study on Mentalization based treatment for adolescents (MBT-A) demonstrated the effectiveness of MBT-A for the treatment of adolescents with symptoms of deliberate self-harm (Rossouw u. Fonagy, 2012). Based on the results of this study Taubner, Gablonski, Sevecke, and Volkert (in preparation) developed a manual for mentalization based treatment for adolescents with conduct disorders (MBT-CD). This manual represents the foundation for a future study on the efficacy of the MBT-A for this specific disorder in young people. The present case report demonstrates the application of specific MBT interventions, as well as the therapeutic course over one year in a 16-year old girl who fulfilled all criteria of a conduct disorder. During the course of treatment, the de-escalating relationship-oriented therapeutic approach can be considered as a great strength of MBT-A, especially for patients with conduct disorders. The clinical picture, as well as the psychological assessment, showed a positive progress over the course of treatment. Despite frequent escalations, forced placements due to acute endangerment of self and others, and a precarious situation with the patient's place of residence towards the end of therapy, MBT-A treatment enabled the patient to continually use the evolved mentalizing capabilities as a resource.
基于心理化的品行障碍青少年女孩治疗 本文将简要概述心理化的理论概念及其在青少年时期的具体特征。先前一项关于青少年心理化治疗（MBT-A）的研究表明，MBT-A对治疗有故意自我伤害症状的青少年有效（罗斯乌和费纳吉，2012年）。基于该研究结果，陶布纳、加布隆斯基、塞韦克和福尔克特（正在准备中）编写了一本针对品行障碍青少年的心理化治疗手册（MBT-CD）。该手册为未来研究MBT-A对年轻人这种特定障碍的疗效奠定了基础。本病例报告展示了特定MBT干预措施的应用，以及一名符合品行障碍所有标准的16岁女孩一年的治疗过程。在治疗过程中，以关系为导向的缓和治疗方法可被视为MBT-A的一大优势，尤其是对品行障碍患者。临床症状以及心理评估显示，治疗过程取得了积极进展。尽管治疗期间频繁出现情绪升级、因对自己和他人造成急性危险而被迫安置，以及治疗接近尾声时患者居住环境不稳定的情况，但MBT-A治疗使患者能够持续利用发展起来的心理化能力作为一种资源。
