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Chapter 11 - Trauma

from Part III - Application and Adaptations for Mental Health Presentations

Published online by Cambridge University Press:  18 May 2023

Anthony Bateman ,
Peter Fonagy ,
Chloe Campbell ,
Patrick Luyten  and
Martin Debbané
Anthony Bateman
Affiliation:
Anna Freud National Centre for Children and Families, London
Peter Fonagy
Affiliation:
University College London
Chloe Campbell
Affiliation:
University College London
Patrick Luyten
Affiliation:
University College London
Martin Debbané
Affiliation:
University College London
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Summary

From a mentalizing perspective, in attachment trauma an individual’s experience of adversity is compounded by the sense that they have to be able to bear that experience alone. An overwhelming experience cannot be calibrated and managed within an attachment relationship. Normally another mind provides the social referencing that enables an individual to frame and reframe a frightening and potentially overwhelming experience. In the absence of this, the person cannot process the experience, and further development of mentalizing is disrupted. This chapter describes MBT-Trauma Focused (MBT-TF) work, and it illustrates the three phases of treatment by presenting clinical examples. Intervention focuses on mentalizing, avoidance, mental and behavioral systems, managing anxiety and dissociation, and trauma memory processing. An MBT intervention for complex PTSD that uses psychoeducation, group intervention, exposure, and looking to the future is outlined, and is illustrated with clinical examples.

Keywords

attachmentavoidancecomplex traumadissociationepistemic distrustMBT-TFMBT-Trauma Focusedpost-traumatic stress disorderpsychic equivalencePTSDtrauma
Type
Chapter
Information
Cambridge Guide to Mentalization-Based Treatment (MBT) , pp. 277 - 297
Publisher: Cambridge University Press
Print publication year: 2023

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References

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  • Trauma
  • Anthony Bateman, Anna Freud National Centre for Children and Families, London, Peter Fonagy, University College London, Chloe Campbell, University College London, Patrick Luyten, University College London, Martin Debbané, University College London
  • Book: Cambridge Guide to Mentalization-Based Treatment (MBT)
  • Online publication: 18 May 2023
  • Chapter DOI: https://doi.org/10.1017/9781108896054.012
Available formats
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Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Trauma
  • Anthony Bateman, Anna Freud National Centre for Children and Families, London, Peter Fonagy, University College London, Chloe Campbell, University College London, Patrick Luyten, University College London, Martin Debbané, University College London
  • Book: Cambridge Guide to Mentalization-Based Treatment (MBT)
  • Online publication: 18 May 2023
  • Chapter DOI: https://doi.org/10.1017/9781108896054.012
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Trauma
  • Anthony Bateman, Anna Freud National Centre for Children and Families, London, Peter Fonagy, University College London, Chloe Campbell, University College London, Patrick Luyten, University College London, Martin Debbané, University College London
  • Book: Cambridge Guide to Mentalization-Based Treatment (MBT)
  • Online publication: 18 May 2023
  • Chapter DOI: https://doi.org/10.1017/9781108896054.012
Available formats
×