Parkinson Sarah, Cole Bethany, Trevelyan Clare
Avon and Wiltshire Mental Health Partnership National Health Service (NHS) Trust, Bath, United Kingdom.
Front Psychiatry. 2024 Jul 1;15:1243990. doi: 10.3389/fpsyt.2024.1243990. eCollection 2024.
In this paper, we explore the rationale for a combined art therapy and mentalization-based treatment (MBT) group course for those experiencing a first episode of psychosis (FEP). We discuss the theoretical background for how art and MBT theory can help us better understand and work with groups of individuals experiencing FEP, particularly focusing on avoidance and insecure attachment styles. We outline the delivery of a ten-week psychoeducational Art MBT course within an Early Intervention in Psychosis (EIP) Service and discuss our experiential insights into this new modality as co-therapists. We conclude by proposing that art therapy and mentalizing practice together offer an accessible, useful and practical group structure for EIP services, which could improve individuals' mentalizing capacity and overall social functioning.
在本文中,我们探讨了为首次发作精神病(FEP)患者开设艺术疗法与基于心理化的治疗(MBT)相结合的团体课程的基本原理。我们讨论了艺术和MBT理论如何帮助我们更好地理解首次发作精神病患者群体并与之合作的理论背景,尤其关注回避型和不安全依恋模式。我们概述了在精神病早期干预(EIP)服务中开展为期十周的艺术MBT心理教育课程,并作为联合治疗师讨论我们对这种新方式的实践见解。我们最后提出,艺术疗法和心理化实践共同为EIP服务提供了一种易于理解、有用且实用的团体结构,这可以提高个体的心理化能力和整体社会功能。