Psychotherapy for Borderline Personality Disorder: Mentalization Based Therapy and Cognitive Analytic Therapy Compared
Abstract
Mentalization Based Therapy (MBT) and Cognitive Analytic Therapy (CAT) are among a small number of psychotherapy approaches offering specific methods for the treatment of Borderline Personality Disorder (BPD). They share a number of features, notably both seek to integrate ideas and methods from psychoanalysis and cognitive psychology, pay attention to early attachment experiences and see harsh and inconsistent care, in combination with biological vulnerability, as playing an important part in the genesis of BPD offer treatment based on a developmental understanding of BPD, taking account of recent developments in observational research seek to provide therapy appropriate for use in the public service. These similarities, however, conceal a number of differences in underlying assumptions and emphases and are linked with contrasting therapeutic techniques. In this paper we present a discussion of key features of our models of normal and pathological development and a consideration of the conceptual underpinnings and of how far they are compatible with what is reliably known in the general field of psychology and how far it offers a model accessible to patients and clinician. Where our views diverge significantly, the reader will have some of the evidence on which to make a personal choice.
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Enhanced flexibility of thinking and capacity to generate alternative perspectives can be connected to different concepts and types of psychotherapy, e.g. 'metacognition' and 'decentration' for cognitive-behavioural prevention of depression relapse, and development of 'reflective functioning' in psychoanalytically informed treatment of borderline personality disorder.
“Enhanced flexibility of thinking and capacity to generate alternative perspectives can be connected to different concepts and types of psychotherapy, e.g. 'metacognition' and 'decentration' for cognitive-behavioural prevention of depression relapse [28,29], and development of 'reflective functioning' in psychoanalytically informed treatment of borderline personality disorder [30].”
From Helpful and hindering factors for remission in dysthymia and panic disorder at 9-year follow-up: A mixed methods study (2008) · cites this paper as [30]
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- Authors
- Bateman, A. W., Ryle, A., Fonagy, P., & Kerr, I. B.
- Affiliations
- Barnet Enfield and Haringey Mental Health Trust (GB)
- Guy's Hospital (GB)
- Anna Freud Centre (GB)
- Sheffield Health and Social Care NHS Foundation Trust (GB)
- Corresponding author
- Bateman, Anthony W.
- Venue
- International Review of Psychiatry
- Publisher
- Informa UK Limited
- Published
- 2007-01
- Volume
- 19
- Issue
- 1
- Pages
- 51-62
- ISSN
- 0954-0261 (ISSN-L)
- 1369-1627
- OpenAlex
- W2076429616
- Cited by
- 59
- References
- 28
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 2 · 2022: 1 · 2021: 4 · 2020: 1 · 2019: 6 · 2018: 3 · 2017: 1 · 2016: 4 · 2015: 2 · 2014: 4 · 2013: 11 · 2012: 2
- FWCI
- 4.35
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Review of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- borderline personality disorder, mentalization-based treatment, cognitive analytic therapy, psychotherapy comparison, attachment experiences, biological vulnerability
- MeSH terms
- Adult, Borderline Personality Disorder, Child, Child Abuse, Combined Modality Therapy, Concept Formation, Ego, Emotions, Humans, Infant, Internal-External Control, Life Change Events, Mother-Child Relations, Object Attachment, Personality Development, Psychoanalytic Therapy, Psychotherapy, Cognitive Behavioral Therapy
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