Juggling thoughts and feelings: How do female patients with borderline symptomology and substance use disorder experience change in mentalization-based treatment?

Psychotherapy Research : Journal of the Society for Psychotherapy Research
Katharina T E MorkenSigmund Karterud

Abstract

The aim of this study was to explore the experience of central psychological change processes for female patients with borderline symptomology and substance use disorder in mentalization-based treatment. Semi-structured qualitative interviews on experiences from mentalization-based treatment with 13 participants were conducted. The interview material was analysed within a hermeneutical-phenomenological epistemology, with emphasis on researcher reflexivity. The following themes regarding central psychological change processes were found: "by feeling the feeling," "by thinking things through," "by walking in your shoes to see myself" and "by stepping outside of own bad feelings in seeing you." Two of these themes dealt with intra-psychic modes of how to relate to own mind-states. First, they had a shift from avoiding emotions into tolerating emotions. Second, they discovered the ability to think mental states through. Two themes dealt with mental stances for dealing with interpersonal situations, where one mode included a self-reflective stance in difficult encounters, and the other mode entailed an empathic reflective stance by exploring others' intentionality. The findings are in line with theoretical assumptions that increasin...Continue Reading

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Citations

Oct 3, 2019·Current Opinion in Psychiatry·Nathan D L Smith, Linda B Cottler
Jun 28, 2019·Frontiers in Psychology·Katharina Teresa Enehaug MorkenSigmund Wiggen Karterud
Aug 15, 2020·Frontiers in Psychiatry·Elfrida H KvarsteinTheresa Wilberg
Sep 12, 2020·Current Opinion in Psychology·Åse-Line Baltzersen
Feb 12, 2021·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Maaria KoivistoSari Lindeman

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