Narrative Identity within Mentalization-Based Group Therapy for Adolescents: A Feasibility Study
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Narrative Identity within Mentalization-Based Group Therapy for Adolescents : A Feasibility Study. / Lind, Majse; Kiel, Lennart; Hansen, Sune Bo; Jørgensen, Mie Sedoc; Simonsen, Erik.
In: Children, Vol. 10, No. 5, 854, 2023.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Narrative Identity within Mentalization-Based Group Therapy for Adolescents
T2 - A Feasibility Study
AU - Lind, Majse
AU - Kiel, Lennart
AU - Hansen, Sune Bo
AU - Jørgensen, Mie Sedoc
AU - Simonsen, Erik
N1 - Publisher Copyright: © 2023 by the authors.
PY - 2023
Y1 - 2023
N2 - Borderline personality disorder (BPD) is characterized by severe disturbances related to understanding oneself and other people and can be reliably detected and treated in adolescence. In this feasibility study, we aimed to focus on the features of, and changes in, narrative identity throughout the course of Mentalization-Based Treatment in Groups (MBT-G) for adolescents with BPD. Six female patients (M = 15.2, SD = 0.75) joined between 16 and 31 (M = 23.83) MBT g sessions. The narrated events within each session across sessions were coded for themes of agency and communion and the narrated reactions were coded for personality functioning. The patients and their parents also completed several self-report measures before and after therapy. Themes of diminished agency and communion were identified, with communion as the dominating theme. When comparing the patients’ first five sessions with their last five sessions, there was an increase in themes related to agency and decreased in communion. The narrated reactions were dominated by themes related to thwarted self-functioning and primarily identity, although intimacy was also present. Patients improved in terms of self-reported functioning and internalizing and externalizing behavior before and after end of treatment. The importance of narration in BPD (group) therapy is discussed alongside clinical implications.
AB - Borderline personality disorder (BPD) is characterized by severe disturbances related to understanding oneself and other people and can be reliably detected and treated in adolescence. In this feasibility study, we aimed to focus on the features of, and changes in, narrative identity throughout the course of Mentalization-Based Treatment in Groups (MBT-G) for adolescents with BPD. Six female patients (M = 15.2, SD = 0.75) joined between 16 and 31 (M = 23.83) MBT g sessions. The narrated events within each session across sessions were coded for themes of agency and communion and the narrated reactions were coded for personality functioning. The patients and their parents also completed several self-report measures before and after therapy. Themes of diminished agency and communion were identified, with communion as the dominating theme. When comparing the patients’ first five sessions with their last five sessions, there was an increase in themes related to agency and decreased in communion. The narrated reactions were dominated by themes related to thwarted self-functioning and primarily identity, although intimacy was also present. Patients improved in terms of self-reported functioning and internalizing and externalizing behavior before and after end of treatment. The importance of narration in BPD (group) therapy is discussed alongside clinical implications.
KW - adolescence
KW - agency
KW - communion
KW - LPFS
KW - mentalization-based group therapy
KW - MGAB
KW - narrative themes
KW - storying
U2 - 10.3390/children10050854
DO - 10.3390/children10050854
M3 - Journal article
C2 - 37238402
AN - SCOPUS:85160361235
VL - 10
JO - Children
JF - Children
SN - 2227-9067
IS - 5
M1 - 854
ER -
ID: 362895450