"I Could be Wrong": Men's passage through uncertainty and change in mentalization-based treatment for personality disorder and substance use.

IF 3 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2026-03-07 DOI:10.1080/10503307.2026.2638260

Ulrik Hagen Hamre, Per Einar Binder, Elisabeth Lied Gikling, Bjarne Olsen, Morten Øvrebø, Katharina T E Morken

{"title":"\"I Could be Wrong\": Men's passage through uncertainty and change in mentalization-based treatment for personality disorder and substance use.","authors":"Ulrik Hagen Hamre, Per Einar Binder, Elisabeth Lied Gikling, Bjarne Olsen, Morten Øvrebø, Katharina T E Morken","doi":"10.1080/10503307.2026.2638260","DOIUrl":null,"url":null,"abstract":"Objective: This study explores how men with co-occurring personality disorder (PD) and substance use disorder (SUD) experience change following mentalization-based treatment (MBT), addressing a gap in research that has primarily focused on women.Method: Semi-structured interviews were conducted with 10 men who had participated in MBT-SUD. Transcripts were analysed using reflexive thematic analysis within a hermeneutic-phenomenological framework.Results: Five interconnected themes captured participants' change experiences: (1) I could be wrong-developing cognitive flexibility and self-reflection; (2) I know what it takes-acquiring emotion regulation skills and confidence; (3) It doesn't have to be anything more-reduced interpersonal hypersensitivity; (4) I understand what others need-enhanced interpersonal awareness; and (5) Something's happened, and I don't know what-varied and sometimes ambiguous transformation. Two distinct change pathways emerged: a stepwise developmental process and a more global transformation.Conclusion: Men in MBT-SUD reported improved capacity to reflect on and differentiate between their own and others' mental states. However, change pathways varied, and not all participants experienced therapeutic benefits.","PeriodicalId":48159,"journal":{"name":"Psychotherapy Research","volume":" ","pages":"1-15"},"PeriodicalIF":3.0000,"publicationDate":"2026-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychotherapy Research","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1080/10503307.2026.2638260","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objective: This study explores how men with co-occurring personality disorder (PD) and substance use disorder (SUD) experience change following mentalization-based treatment (MBT), addressing a gap in research that has primarily focused on women.

Method: Semi-structured interviews were conducted with 10 men who had participated in MBT-SUD. Transcripts were analysed using reflexive thematic analysis within a hermeneutic-phenomenological framework.

Results: Five interconnected themes captured participants' change experiences: (1) I could be wrong-developing cognitive flexibility and self-reflection; (2) I know what it takes-acquiring emotion regulation skills and confidence; (3) It doesn't have to be anything more-reduced interpersonal hypersensitivity; (4) I understand what others need-enhanced interpersonal awareness; and (5) Something's happened, and I don't know what-varied and sometimes ambiguous transformation. Two distinct change pathways emerged: a stepwise developmental process and a more global transformation.

Conclusion: Men in MBT-SUD reported improved capacity to reflect on and differentiate between their own and others' mental states. However, change pathways varied, and not all participants experienced therapeutic benefits.

查看原文本刊更多论文

“我可能是错的”：男性通过不确定性和改变心理治疗人格障碍和物质使用。

目的：本研究探讨了男性共患人格障碍（PD）和物质使用障碍（SUD）患者在心理化治疗（MBT）后的变化，弥补了主要针对女性的研究空白。方法：对10名参加MBT-SUD的男性进行半结构化访谈。在解释学-现象学框架内，使用反身性主题分析分析转录本。结果表明：五个相互关联的主题捕捉了参与者的变化体验：(1)我可能是错的-发展认知灵活性和自我反思；(2)我知道这需要什么——获得情绪调节技能和信心；(3)不需要更多的东西——减少人际关系的超敏反应；(4)我理解别人需要什么——增强人际关系意识；(5)发生了一些事情，我不知道是什么——变化多端，有时模棱两可的转变。出现了两种不同的变化途径：逐步发展的过程和更加全球性的转变。结论：MBT-SUD的男性报告反映和区分自己和他人精神状态的能力有所提高。然而，改变的途径各不相同，并不是所有的参与者都经历了治疗的好处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.