Citation

Reiter M, Bock A, Althoff ML, Taubner S, Sevecke K. Prax. Kinderpsychol. Kinderpsychiatr. 2017; 66(5): 362-377.

Vernacular Title

Mentalisierungsbasierte Therapie einer Jugendlichen mit Störung des Sozialverhaltens.

Affiliation

Universitätsklinik für Psychiatrie, Psychotherapie und Psychosomatik des Kindes- und Jugendalters Medizinische Universität Innsbruck Anichstr. 35 A-6020 Innsbruck Österreich Univ.-Klinik für Kinder- und Jugendpsychiatrie - Medizinische Universität Innsbruck.

Copyright

(Copyright © 2017, Verlag Fur Medizinische Psychologie)

DOI

10.13109/prkk.2017.66.5.362

PMID

28468565

Abstract

Mentalization Based Treatment of an Adolescent Girl with Conduct Disorder This paper will give a short overview on the theoretical concept of mentalization and its specific characteristics in adolescence. A previous study on Mentalization based treatment for adolescents (MBT-A) demonstrated the effectiveness of MBT-A for the treatment of adolescents with symptoms of deliberate self-harm (Rossouw u. Fonagy, 2012). Based on the results of this study Taubner, Gablonski, Sevecke, and Volkert (in preparation) developed a manual for mentalization based treatment for adolescents with conduct disorders (MBT-CD). This manual represents the foundation for a future study on the efficacy of the MBT-A for this specific disorder in young people. The present case report demonstrates the application of specific MBT interventions, as well as the therapeutic course over one year in a 16-year old girl who fulfilled all criteria of a conduct disorder. During the course of treatment, the de-escalating relationship-oriented therapeutic approach can be considered as a great strength of MBT-A, especially for patients with conduct disorders. The clinical picture, as well as the psychological assessment, showed a positive progress over the course of treatment. Despite frequent escalations, forced placements due to acute endangerment of self and others, and a precarious situation with the patient's place of residence towards the end of therapy, MBT-A treatment enabled the patient to continually use the evolved mentalizing capabilities as a resource.

Language: de

Keywords

Adoleszenz; Mentalisieren; Mentalisierungsbasierte Therapie für Adoleszente MBT-A; Mentalization based therapy for adolescents MBT-A; Störung des Sozialverhaltens; adolescence; conduct disorder; mentalization