Peter Fonagy

Käytännön työtä ohjaava mentalisaatioterapian hoito-opas (mentalization-based treatment, MBT) esittelee, miten epävakaa ja epäsosiaalinen persoonallisuushäiriö voidaan mentalisoinnin näkökulmasta ymmärtää ja miten mentalisoivaa mallia voidaan soveltaa näiden häiriöiden hoitoon. Kirjassa tarkastellaan mentalisaation viite kehystä, mentalisaatioterapian toteuttamista sekä ryhmien ja yhteisöjen mentalisointia. Kirja johdattaa mielenterveysalan ammattilaiset MBT-hoitomallin tavoitteisiin ja rakenteisiin sekä siihen, miten mentalisoiva malli esitellään potilaille niin, että se lisää heidän ymmärrystään persoonallisuushäiriöistä. Kirjassa kerrotaan myös, millainen yksilö- ja ryhmäterapian prosessi tukee vakaampaa mentalisointia. Tästä hoito-oppaasta saa ohjeita siihen, miten menetellä hoitoa vaikeuttavien mielenterveysongelmien, kuten masennuksen ja syömishäiriöiden hoidossa. Lisäksi se tarjoaa tukea sosiaalisissa yhteisöissä ilmeneviin mentalisoinnin ongelmiin. Mukana on myös perheille ja huoltajille suunnattu harjoittelu- ja tukiohjelma. Tämä MBT-hoito-opas on nyt käännetty suomeksi, sillä kiinnostus mentalisaatioterapiaa kohtaan on viime vuosina kasvanut. MBT-hoito-ohjelmaa toteutetaan julkisessa terveydenhuollossa, ja lisäksi monet yksityisen puolen psyko terapeutit ja muut mielenterveysalan ammattilaiset hyödyntävät mentalisaatioterapian viite kehystä ja terapiatekniikoita vastaan otoillaan. Mentalisaatioterapialla on vakuuttava tutkimusnäyttö, joka kasvaa jatkuvasti. MBT-hoitomalli sai A-luokan näytönasteen epävakaan persoonallisuushäiriön Käypä hoito-suosituksessa vuonna 2020.

Children and young people’s mental health is now recognized as one of society’s most pressing challenges. Rates of distress and disorder have risen sharply while services struggle to keep pace. Long waiting lists and public concern highlight the growing gap between what children need and what professional systems can deliver. Yet there remains an expectation that therapy alone should provide the answer. This book argues that the mental health needs of children cannot be met by specialist services in isolation. Instead, it calls for a new approach that brings together parents, teachers, peers, and communities alongside mental health professionals, each playing an equal part in supporting children’s wellbeing. Drawing on research, policy, and practice experience, the book identifies six principles of effective help: the active involvement of parents and carers; the importance of listening to children’s own wishes; creating environments of psychological safety; recognising that help can come from many sources; embedding support within everyday community life; and building a culture where caring for children’s mental health becomes everyone’s shared responsibility. Written by leading figures in child mental health, this book offers a powerful new framework for rethinking how society responds to young people’s distress. It speaks to professionals, educators, parents, and policymakers alike, showing how families, schools, and communities can work together to nurture resilience and belonging, reducing dependence on overstretched specialist services.

Children and young people’s mental health is now recognized as one of society’s most pressing challenges. Rates of distress and disorder have risen sharply while services struggle to keep pace. Long waiting lists and public concern highlight the growing gap between what children need and what professional systems can deliver. Yet there remains an expectation that therapy alone should provide the answer. This book argues that the mental health needs of children cannot be met by specialist services in isolation. Instead, it calls for a new approach that brings together parents, teachers, peers, and communities alongside mental health professionals, each playing an equal part in supporting children’s wellbeing. Drawing on research, policy, and practice experience, the book identifies six principles of effective help: the active involvement of parents and carers; the importance of listening to children’s own wishes; creating environments of psychological safety; recognising that help can come from many sources; embedding support within everyday community life; and building a culture where caring for children’s mental health becomes everyone’s shared responsibility. Written by leading figures in child mental health, this book offers a powerful new framework for rethinking how society responds to young people’s distress. It speaks to professionals, educators, parents, and policymakers alike, showing how families, schools, and communities can work together to nurture resilience and belonging, reducing dependence on overstretched specialist services.

Dynamic Interpersonal Therapy (DIT) is a brief psychodynamic psychotherapy developed for the treatment of mood disorders. It is now offered in the UK in NHS for the treatment of depression and has been applied worldwide in public health care settings as well as private settings. This book is a user-friendly, practical guide for the implementation of a brief psychodynamic intervention in routine clinical practice as well as in research protocols. It has been substantially updated since the first edition in 2011 with the addition of 5 new chapters to reflect new applications of the model in complex care, for patients with functional and somatic disorders and for internet delivered DIT and it outlines the changes in the training of DIT practitioners . It sets out clearly the theoretical framework, as well as the rationale and strategies for applying DIT with patients presenting with mood disorders (depression and anxiety). Throughout, it is illustrated with detailed examples that help the reader to implement the approach in their practice. The book will be required reading to support training initiatives in DIT, as well as providing a resource for mental health professionals specialising in psychodynamic psychotherapy and wishing to work within a limited time frame.

Despite the growing cultural and empirical interest in narcissism and narcissistic personality disorder, therapists often feel confused and overwhelmed about how to help patients struggling with these problems. “Mentalization” refers to the ability to read, access, and reflect on mental states in oneself and other people. Research shows that people with narcissism can suffer from extreme difficulties mentalizing themselves and others, leading to instability in their mood, interpersonal relationships, and sense of self. Mentalization-based Treatment for Pathological Narcissism: A Handbook provides much needed guidance about how to effectively help patients suffering from narcissistic vulnerabilities. Mentalization-based treatment, or MBT, is an evidence-based therapy for patients with personality disorders, helping patients to reflect on mental states in themselves and others, resulting in significant improvements in everyday functioning. This book reviews the deficits in mentalizing associated with pathological narcissism, describes how to give the diagnosis of narcissism to patients, outlines how to structure therapy sessions, and offers step-by-step techniques about “what to do and say” when sitting with these patients. Utilizing vibrant case examples and verbatim scripts from actual psychotherapies, the authors explain how to address the most common clinical challenges associated with narcissism: disconnection from emotions; impairments in empathy; rigid thinking; monologues and intellectualization; unstable self-esteem; and tendencies to blame other people for disruptions in their relationships.

Therapeutic Work for Children with Complex Trauma offers a contemporary three-track psychodynamic treatment model to mental health professionals working with traumatised children and their caregivers. The book provides a contemporary and comprehensive approach to working with traumatised children by integrating knowledge and skills from traditional psychodynamic child psychotherapy and more contemporary trauma-informed and mentalization-based frameworks. It advocates three tracks of work, involving direct work with the child, work with the child’s primary caregivers and work with the network. The book is divided into two parts: Part I of the book covers the theoretical background and Part II discusses the core components and phases of the trauma-informed and mentalization-based treatment approach. The authors bring out the specific dynamics of the psychotherapeutic work through four composite cases woven through the book.Written in accessible language this treatment guide is primarily aimed at psychodynamically trained psychotherapists, mental health professionals and professional caregivers working with traumatised children.

Therapeutic Work for Children with Complex Trauma offers a contemporary three-track psychodynamic treatment model to mental health professionals working with traumatised children and their caregivers. The book provides a contemporary and comprehensive approach to working with traumatised children by integrating knowledge and skills from traditional psychodynamic child psychotherapy and more contemporary trauma-informed and mentalization-based frameworks. It advocates three tracks of work, involving direct work with the child, work with the child’s primary caregivers and work with the network. The book is divided into two parts: Part I of the book covers the theoretical background and Part II discusses the core components and phases of the trauma-informed and mentalization-based treatment approach. The authors bring out the specific dynamics of the psychotherapeutic work through four composite cases woven through the book.Written in accessible language this treatment guide is primarily aimed at psychodynamically trained psychotherapists, mental health professionals and professional caregivers working with traumatised children.

A complete and practical guide offering a concise overview of mentalization-based treatment (MBT) and its application in different situations and with different groups of patients to help improve the treatment of mental health disorders. Featuring an introduction to mentalizing and the evidence base to support it, followed by the principles of MBT and the basic clinical model in individual and group psychotherapy. Other chapters offer extensive clinical illustrations of the treatment of patients with depression, psychosis, trauma, eating disorders, and borderline, antisocial, narcissistic, and avoidant personality disorders. The final section outlines the application of mentalizing and MBT in different populations – children, adolescents, families, couples – and their use in different contexts – teams, schools, and care settings. Part of the Cambridge Guides to the Psychological Therapies series, offering all the latest scientifically rigorous and practical information on a range of key, evidence-based psychological interventions for clinicians.

As an Education Mental Health Practitioner (EMHP) or Children's Wellbeing Practitioner (CWP), you have to think on your feet, manage a caseload, deal with emotional distress and try and not get indigestion as you cram down a sandwich on your way to your next session.This down-to-earth survival guide helps trainees and newly qualified practitioners cope with the stressful demands of these new and challenging roles. Full of case examples and practical tools and strategies, this book will give you the confidence to assess, set goals, and deliver effective interventions for anxiety and depression. It also provides invaluable support on tricky topics such as disclosures of risk and safeguarding issues, working effectively with parents, dealing with resistance and conflict, caring for yourself, and signposting when a situation is outside the remit of your role.

Examining clinical practice with families through a mentalizing lens, this innovative book is filled with practical therapeutic strategies and in-depth case illustrations. The expert authors focus on ways to help parents, children, and adolescents to overcome blocks in how they relate to one another by gaining a deeper understanding of--and openness to--each other's experiences and points of view. The volume draws on the empirically supported mentalization-based treatment (MBT) model and interweaves it with systemic concepts and interventions. It includes guidance for setting up sessions and engaging clients; addressing emotional and behavioral difficulties that frequently lead families to seek treatment; and implementing playful activities, exercises, and games that equip family members to change problematic relationship patterns.

This book demonstrates that the relationship between attachment theory and psychoanalysis is more complex than adherents of either community generally recognize. It provides a brief overview of attachment theory and some key findings of attachment research.

On Narcissism: An Introduction is a densely packed essay dealing with ideas that are still being debated today - from the role of narcissism in normal and pathological development and the relationship of narcissism to homosexuality, libido, romantic love, and self-esteem to issues of therapeutic intervention. The contributors place the work in the context of Freud's evolving thinking, point out its innovations, review its problematic aspects, and examine how its theoretical concepts have been elaborated more recently by analysts of diverse theoretic persuasions. In addition, they use Freud's text to chart new developments in psychoanalysis and point toward still unresolved problems. An introduction by Joseph Sandler, Ethel Spector Person, and Peter Fonagy provides a succinct overview of the material. Contributors: Willy Baranger, David Bell, R. Horacio Etchegoyen, Peter Fonagy, Leon Grinberg, Bela Grunberger, Heinz Henseler, Otto F. Kernberg, Paul H. Ornstein, Ethel Spector Person, Joseph Sandler, Hanna Segal, Nikolaus Treurniet, Clifford Yorke

Mentalisierungsbasierte Padagogik legt den Fokus auf Emotionen, Verstehen und padagogische Beziehung bzw. Bindung und spricht damit alle an, die in padagogischen Feldern praktisch oder in der Forschung tatig sind. Das Handbuch greift den aktuellen Stand der Forschung wie auch fallbezogene Erfahrungen aus den padagogischen Feldern auf und diskutiert sie. Es klart die entwicklungspsychologische Grundlage der Mentalisierungstheorie (insbesondere fur Kindheit und Jugend), bevor es sich grundlegend mit der Bedeutung der Mentalisierungstheorie fur die Padagogik auseinandersetzt. Dies wird ausfuhrlich fur die padagogischen Felder Fruhpadagogik, Schule, Soziale Arbeit, Supervision und Beratung, Traumapadagogik, Inklusion und Erwachsenenbildung erarbeitet. Zudem wird gefragt, wo in der Padagogik Mentalisieren (indirekt) schon immer Thema war und welche Einflusse gerade auch die Padagogik auf die aktuelle Entwicklung der Mentalisierungstheorie haben kann. Hierfur steht eine ausgewahlte Gruppe nationaler und internationaler Autoren aus den Feldern Padagogik, Psychologie, Medizin und Psychotherapie/Beratung bereit. Sie liefern mit dem Handbuch einen grundlegenden Beitrag fur eine aktuelle Padagogik, die die Beziehung zwischen Kindern und Erwachsenen in den Fokus nimmt.

Socially excluded youth with mental health problems and co-occurring difficulties (e.g. conduct disorder, family breakdown, homelessness, substance use, exploitation, educational failure) attract the involvement of multiple agencies. Poorly coordinated interventions often multiply in the face of such problems, so that a young person or family is approached by multiple workers from different agencies working towards different goals and using different treatment models; these are often overwhelming and may actually be experienced as aversive by the young person or their family. Failure to provide effective help is costly throughout life This is the first book to describe Adaptive Mentalization-Based Integrative Treatment (AMBIT). This is an approach to working with people - particularly young people and young adults - whose lives are often chaotic and risky, and whose problems are not limited to one domain. In addition to mental health problems, they may have problems with care arrangements, education or employment, exploitation, substance misuse, offending behaviours, and gang affiliations; if these problems are all occurring simultaneously, any progress in one area is easily undermined by harms still occurring in another. AMBIT has been designed by and for community teams from Mental Health, Social Care, Youth work, or that may be purposefully multi-disciplinary/multi-agency. It emphasises the need to strengthen integration in the complex networks that tend to gather around such clients, minimising the likelihood of an experience of care that is aversive. AMBIT uses well evidenced 'Mentalization-based' approaches, that are at their core integrative - drawing on recent advances in neuroscience, psycho-analytic, social cognitive, and systemic "treatment models".