Mentalization-based-treatment techniques across psychodynamic, cognitive and MBT therapies.

IF 3 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2026-04-08 DOI:10.1080/10503307.2026.2654792

Antonello Colli, Salvatore Gullo, Giulia Gagliardini, Guia Pandolfi, Anthony Bateman, Peter Fonagy

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引用次数: 0

Abstract

Objective: This study examined whether therapists from orientations that do not explicitly target mentalizing-namely psychodynamic therapy (PDT) and cognitive behavioural therapy (CBT)-use interventions consistent with Mentalization-Based Treatment (MBT), and how their use compares with MBT-oriented therapy.

Methods: Seventy-five verbatim transcripts were randomly selected from audio-recorded psychotherapy sessions involving patients with personality disorders or subclinical personality difficulties. Therapist orientation was determined by self-identification (MBT = 25, CBT = 25, PDT = 25). Sessions were independently rated using the MBT Adherence and Competence Scale (MBT-ACS) and the Reflective Functioning (RF) Scale.

Results: MBT-consistent techniques were observed in PDT and CBT sessions, though at lower levels than in MBT. MBT therapists showed higher MBT-ACS scores, particularly in maintaining a not-knowing stance and identifying non-mentalizing modes. Across orientations, higher MBT-ACS scores were associated with lower mean session-level RF, but also with greater within-session RF increases.

Conclusion: Mentalizing-oriented techniques appear across therapeutic orientations and may represent trans-theoretical process elements. Their association with both lower average RF and greater within-session change suggests they may be more frequently used in clinically challenging moments, supporting the restoration or enhancement of mentalizing.

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基于心理动力学、认知和MBT治疗的心理治疗技术。

目的：本研究考察了心理动力治疗（PDT）和认知行为治疗（CBT）的治疗师是否使用与基于心理的治疗（MBT）一致的干预措施，以及它们的使用与基于心理的治疗的比较。方法：从人格障碍或亚临床人格障碍患者的心理治疗录音中随机抽取75份逐字记录。治疗师取向由自我认同决定（MBT = 25, CBT = 25, PDT = 25）。使用MBT依从性和能力量表（MBT- acs）和反思功能量表（RF）对会话进行独立评分。结果：在PDT和CBT会话中观察到MBT一致的技术，尽管水平低于MBT。MBT治疗师表现出更高的MBT- acs得分，特别是在保持不知道的立场和识别非心智化模式方面。在各个方向上，MBT-ACS得分越高，平均会话水平RF越低，但会话内RF增加也越大。结论：心理化导向技术出现在不同的治疗取向中，可能代表了跨理论的过程要素。它们与较低的平均射频和较大的会话内变化的关联表明，它们可能更频繁地用于临床具有挑战性的时刻，支持心智的恢复或增强。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.