Mentalization-based approach for schizophrenia spectrum disorders : a psychotherapeutic proposal for evolved schizophrenic trajectories and serious mental disorders
Sanz, Pedro (Hospital Universitario 12 de Octubre (Madrid))
Tur, Nuria (Hospital Universitario Clínico San Carlos (Madrid))
Lana, Fernando (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)

Date:	2024
Abstract:	There is a growing interest in psychotherapeutic approaches to pre-psychotic high-risk states or first-episode psychosis, where mentalization-based treatment has shown its utility. This article presents a mentalization-based approach for the treatment of those individuals diagnosed with an evolved schizophrenia spectrum disorder, whose characteristics make them especially inaccessible to reflective psychotherapeutic treatment. A synthesis of the conceptual frameworks that justify the needs for technical modification of the mentalization-based treatment foundational techniques is carried out, followed by the proposal of adaptations, with a focus in self-agency and patient-therapist dyad. Therapeutic interventions are outlined, including illustrative examples. The mentalizing approach presented here holds promise for future research and treatment opportunities for patients with evolved schizophrenia and other serious mental disorders.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Mentalization-based treatment ; Schizophrenia ; Schizophrenia spectrum disorder ; Serious mental disorder ; Psychotherapy process ; Self-agency ; Dyadic
Published in:	Frontiers in psychiatry, Vol. 15 (may 2024) , ISSN 1664-0640

DOI: 10.3389/fpsyt.2024.1240393
PMID: 38779549

10 p, 516.3 KB

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