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Mentalization-based treatment or Mentalization-based therapy (MBT) is an integrative form of psychotherapy, bringing together aspects of psychodynamic, cognitive-behavioral, systemic and ecological approaches. MBT was developed and manualised by Peter Fonagy and Anthony Bateman, designed for individuals with borderline personality disorder (BPD). Some of these individuals suffer from disorganized attachment and failed to develop a robust mentalization capacity. Fonagy and Bateman define mentalization as the process by which we implicitly and explicitly interpret the actions of oneself and others as meaningful on the basis of intentional mental states. An alternative and simpler definition is "Seeing others from the inside and ourselves from the outside." The object of treatment is that patients with BPD increase their mentalization capacity, which should improve affect regulation, thereby reducing suicidality and self-harm, as well as strengthening interpersonal relationships. A version of MBT has also been developed for individuals with antisocial personality disorder (MBT-ASPD), delivered primarily in a group setting. Because individuals with ASPD are more likely to engage and learn from peers they perceive as similar, the focus of MBT-ASPD is on facilitating constructive group interactions that support mentalizing and behavioral change.
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