Psych Vivas · Psychotherapy
Mentalisation-based treatment — structured clinical viva
Fellowship viva on MBT definition, modes, structure, evidence, DBT differential, and stepped care when dual-format MBT is unavailable.
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Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
You are the psychiatry registrar. A 25-year-old with recurrent self-harm after relationship ruptures is referred for 'MBT'. Define mentalising and pre-mentalising modes, outline the attachment-arousal model, describe dual-format MBT structure and not-knowing stance, summarise landmark Bateman/Fonagy evidence including MBT vs SCM, contrast MBT with DBT, and describe what you would do if only structured case management is available.
Interpretation
Reveal interpretationShowHide
References7ShowHide
- [1]Bateman A, Fonagy P Effectiveness of partial hospitalization in the treatment of borderline personality disorder: a randomized controlled trial Am J Psychiatry, 1999.PMID 10518167
- [2]Bateman A, Fonagy P Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorder Am J Psychiatry, 2009.PMID 19833787
- [3]Fonagy P, Bateman AW Mechanisms of change in mentalization-based treatment of BPD J Clin Psychol, 2006.PMID 16470710
- [4]Fonagy P, Luyten P A developmental, mentalization-based approach to the understanding and treatment of borderline personality disorder Dev Psychopathol, 2009.PMID 19825272
- [5]Rossouw TI, Fonagy P Mentalization-based treatment for self-harm in adolescents: a randomized controlled trial J Am Acad Child Adolesc Psychiatry, 2012.PMID 23200287
- [6]Barnicot K, Crawford M Dialectical behaviour therapy v. mentalisation-based therapy for borderline personality disorder Psychol Med, 2019.PMID 30303061
- [7]Cristea IA, Gentili C, Cotet CD, et al. Efficacy of Psychotherapies for Borderline Personality Disorder: A Systematic Review and Meta-analysis JAMA Psychiatry, 2017.PMID 28249086