Narrative Identity within Mentalization-Based Group Therapy for Adolescents: A Feasibility Study

Borderline personality disorder (BPD) is characterized by severe disturbances related to understanding oneself and other people and can be reliably detected and treated in adolescence. In this feasibility study, we aimed to focus on the features of, and changes in, narrative identity throughout the...

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Main Authors: Majse Lind, Lennart Kiel, Sune Bo Hansen, Mie Sedoc Jørgensen, Erik Simonsen
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/5/854
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author Majse Lind
Lennart Kiel
Sune Bo Hansen
Mie Sedoc Jørgensen
Erik Simonsen
author_facet Majse Lind
Lennart Kiel
Sune Bo Hansen
Mie Sedoc Jørgensen
Erik Simonsen
author_sort Majse Lind
collection DOAJ
description Borderline personality disorder (BPD) is characterized by severe disturbances related to understanding oneself and other people and can be reliably detected and treated in adolescence. In this feasibility study, we aimed to focus on the features of, and changes in, narrative identity throughout the course of Mentalization-Based Treatment in Groups (MBT-G) for adolescents with BPD. Six female patients (<i>M</i> = 15.2, SD = 0.75) joined between 16 and 31 (<i>M</i> = 23.83) MBT g sessions. The narrated events within each session across sessions were coded for themes of agency and communion and the narrated reactions were coded for personality functioning. The patients and their parents also completed several self-report measures before and after therapy. Themes of diminished agency and communion were identified, with communion as the dominating theme. When comparing the patients’ first five sessions with their last five sessions, there was an increase in themes related to agency and decreased in communion. The narrated reactions were dominated by themes related to thwarted self-functioning and primarily identity, although intimacy was also present. Patients improved in terms of self-reported functioning and internalizing and externalizing behavior before and after end of treatment. The importance of narration in BPD (group) therapy is discussed alongside clinical implications.
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spelling doaj.art-59e1813e0d7d4d71b6a96b818ecad90b2023-11-18T00:55:55ZengMDPI AGChildren2227-90672023-05-0110585410.3390/children10050854Narrative Identity within Mentalization-Based Group Therapy for Adolescents: A Feasibility StudyMajse Lind0Lennart Kiel1Sune Bo Hansen2Mie Sedoc Jørgensen3Erik Simonsen4Department of Communication and Psychology, Aalborg University, Nordkraft, Teglgårds Plads 1, 9000 Aalborg, DenmarkDepartment of Psychology, Aarhus University, 8000 Aarhus, DenmarkDepartment of Psychology, University of Copenhagen, 1353 Copenhagen, DenmarkPsychiatric Research Unit, Mental Health Services of Region Zealand, Region Zealand, 4200 Slagelse, DenmarkPsychiatry East, Mental Health Services of Region Zealand, 4000 Roskilde, DenmarkBorderline personality disorder (BPD) is characterized by severe disturbances related to understanding oneself and other people and can be reliably detected and treated in adolescence. In this feasibility study, we aimed to focus on the features of, and changes in, narrative identity throughout the course of Mentalization-Based Treatment in Groups (MBT-G) for adolescents with BPD. Six female patients (<i>M</i> = 15.2, SD = 0.75) joined between 16 and 31 (<i>M</i> = 23.83) MBT g sessions. The narrated events within each session across sessions were coded for themes of agency and communion and the narrated reactions were coded for personality functioning. The patients and their parents also completed several self-report measures before and after therapy. Themes of diminished agency and communion were identified, with communion as the dominating theme. When comparing the patients’ first five sessions with their last five sessions, there was an increase in themes related to agency and decreased in communion. The narrated reactions were dominated by themes related to thwarted self-functioning and primarily identity, although intimacy was also present. Patients improved in terms of self-reported functioning and internalizing and externalizing behavior before and after end of treatment. The importance of narration in BPD (group) therapy is discussed alongside clinical implications.https://www.mdpi.com/2227-9067/10/5/854storyingnarrative themesmentalization-based group therapyMGABadolescenceLPFS
spellingShingle Majse Lind
Lennart Kiel
Sune Bo Hansen
Mie Sedoc Jørgensen
Erik Simonsen
Narrative Identity within Mentalization-Based Group Therapy for Adolescents: A Feasibility Study
Children
storying
narrative themes
mentalization-based group therapy
MGAB
adolescence
LPFS
title Narrative Identity within Mentalization-Based Group Therapy for Adolescents: A Feasibility Study
title_full Narrative Identity within Mentalization-Based Group Therapy for Adolescents: A Feasibility Study
title_fullStr Narrative Identity within Mentalization-Based Group Therapy for Adolescents: A Feasibility Study
title_full_unstemmed Narrative Identity within Mentalization-Based Group Therapy for Adolescents: A Feasibility Study
title_short Narrative Identity within Mentalization-Based Group Therapy for Adolescents: A Feasibility Study
title_sort narrative identity within mentalization based group therapy for adolescents a feasibility study
topic storying
narrative themes
mentalization-based group therapy
MGAB
adolescence
LPFS
url https://www.mdpi.com/2227-9067/10/5/854
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