Challenges in Mentalization–Based Group Therapy (MBT-G): A Video-based Explorative Case Study
Masteroppgave, 20 credits / 30 HE creditsStudent thesis
This paper presents a video-based explorative case study of therapeutic challenges in mentalization-based group therapy (MBT-G) for patients with borderline-type problems. Employing qualitative methodology, we explored a MBT group as part of routine psychiatric care at a Psychiatric District Centre (naturalistic study). Several phenomena emerged as important in understanding the therapists’ struggle to construe the group in a manner that foster mentalization. First and foremost, the main challenge seemed to be that the therapists did not succeed in establishing the authority needed to break through a strong pseudo-mentalizing group culture, alternating with more chaotic displays of psychic equivalence. This may be understood as a consequence of a misconstrued attempt by the therapists to take on a not-knowing stance, a central principle in MBT. Supposedly, the not-knowing stance towards the inner psyche of the patients interfused with a not-knowing stance towards the therapeutic process as a whole, undermining the authority of the therapists. The seemingly contradicting demands inherent in the MBT-G treatment manual, both being authoritative and taking a not-knowing stance, have not previously been highlighted in the literature. The results point towards the complicated process of transferring scientifically validated treatments to routine clinical practice.
Place, publisher, year, edition, pages
2013. , 48 p.
group therapy, mentalization, borderline, challenges, authority, not-knowing stance, video-based, case study
IdentifiersURN: urn:nbn:no:ntnu:diva-21965OAI: oai:DiVA.org:ntnu-21965DiVA: diva2:646234
Ryum, Truls, Førsteamanuensis