Psychotherapy for borderline personality disorder : mentalization-based treatment

1. EPIDEMIOLOGICAL AND ETIOLOGICAL RESEARCH ON BORDERLINE PERSONALITY DISORDER ; Definition of the problem ; Epidemiology ; Clinical picture ; The natural history of BPD ; Studies of mechanisms and aetiological factors ; 2. THERAPY RESEARCH AND OUTCOME ; Psychological treatments ; Drug treatments ; Problems of outcome research ; 3. MENTALIZATION-BASED UNDERSTANDING OF BORDERLINE PERSONALITY DISORDER ; The developmental roots of BPD ; The relevance of the attachment theory perspective ; Optimal self-development in a secure attachment context ; The impact of an insecure base ; The impact of attachment trauma ; 4. CURRENT MODELS OF TREATMENT FOR BPD ; Transference focused therapy ; Dialectical behaviour therapy ; Cognitive behaviour therapy ; Cognitive analytic therapy ; Psychodynamic-interpersonal ; Therapeutic communities ; Other North American approaches ; Other European approaches ; Mentalization: the common theme in psychotherapeutic approaches to BPD ; 5. TREATMENT ORGANIZATION ; Service models ; The treatment programmes ; Staff ; Assessment ; Engagement in treatment ; Supporting the team ; Care programme approach ; Adherence ; 6. TRANSFERABLE FEATURES OF THE MBT MODEL ; Structure ; Consistency, constancy and coherence ; Relationship focus ; Flexibility ; Intensity ; Individual approach to care ; Use of medication ; Integration of modalities of therapy ; 7. STRATEGIES OF TREATMENT ; Enhancing mentalization ; Bridging the gaps ; Transference ; Retaining mental closeness ; Working with current mental states ; Bearing in mind the deficits ; Real relationships ; 8. TECHNIQUES OF TREATMENT ; Identification and appropriate expression of affect ; Establishment of stable representational systems ; Formation of coherent sense of Self ; Development of a capacity to form secure relationships ; 9. IMPLEMENTATION PATHWAY ; Step 1 - Consider the context in which you work ... ; Step 2 - Apply organizational principles ; Step 3 - Modify the aims and techniques of your current practice ; Step 4 - Implement procedures for dealing with challenging behaviours ; Step 5 - Constantly evaluate your practice ; Appendices ; References