Mentaliseringsbaserad behandling av patienter med borderline personlighetsstörning
Infallsvinklar från patientgrupp och behandlare
The aim of this paper was to illuminate the effect of mentalizationbased psychotherapy. The patients in the survey group were interviewed before and after treatment with regard to specific symptoms of borderline personality disorder and symptoms of other personality disorders with the semi structured interviews ZAN-BPD and SCID-II. Open interview questions that were worked up in a qualitative manner were as well put to the patients that had received the treatment program. A focus group interview with the staff working with the concept within the frame of the MBT-team of Psychiatry southwest in Stockholm was also carried out. The result shows on a group level between the pre and post measuring a reduction of specific borderline symptoms like impulsivity and cognitive symptoms. Symptoms referring to relations were stable and affective symptoms increased. All of the nine interviewed patients experienced that they to different extent felt more stable after treatment. That was an impression shared of the MBT team personnel. In the discussion part of the paper the discrepancy of the result that were gained from the two semi structured interviews and the questions put to patients and staff are discussed. Of interest to further research would be to study closer if there are common factors in background and comorbidity for the patients that seamed to have most benefit from treatment.