Borderline Personality Disorder:
From Research to Treatment: Advancing the Agenda
Saturday, October 6, 2007
Fort Worth Botanic Garden
Moderator for the Day:
Peter Kowalski, MD
Diplomate, American Board of Psychiatry and Neurology
General, Child and Adolescent Psychiatry
Fort Worth, Texas
Welcome
Perry D. Hoffman, PhD
President, National Education Alliance for Borderline Personality Disorder
Rye, New York
John Oldham, MD, MS Senior Vice President & Chief of Staff, The Menninger Clinic Executive Vice Chair for Clinical Affairs and Development Professor, Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas Focus
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Glen Gabbard, MD Brown Foundation Professor of Psychoanalysis Director, Baylor Psychiatry Clinic, Houston, Texas Objectives:
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Anthony W. Bateman, MA, MD, FRCPsych Consultant Psychiatrist in Psychotherapy Visiting Professor, University College, London, England Visiting Professor Consultant, Menninger Clinic, Baylor College of Medicine, Houston, Texas Mentalization is the process by which we implicitly and explicitly interpret the actions of ourselves and others as meaningful on the basis of intentional mental states (e.g., desires, needs, feelings, beliefs, & reasons). We mentalize interactively and emotionally when with others. Each person has the other person’s mind in mind (as well as their own) leading to self-awareness and other awareness. We have to be able to continue to do this in the midst of emotional states but borderline personality disorder is characterised by a loss of capacity to mentalize when emotionally charged attachment relationships are stimulated. The aim of MBT is to increase this capacity in order to ensure better regulation of affective states and to increase interpersonal and social function. Therapy has been shown to be more effective than treatment as usual in the context of a partial hospital programme both at the end of treatment and at 8 year follow-up. Some results from this long term follow-up will be presented. With the support of a grant from the Borderline Personality Disorder Research Foundation (BPDRF), a randomised controlled trial of MBT in an out-patient setting has also been completed. Some preliminary results will be presented. Finally some clinical examples of mentalizing interventions will be given as well as a rationale of why some commonly used therapeutic interventions might be harmful in BPD.Objectives of presentation Following the presentation participants should be able:
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Anthony Bateman, MD Glen Gabbard, MD John Oldham, MS, MD |
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