PMID- 33043816
OWN - NLM
STAT- MEDLINE
DCOM- 20210521
LR  - 20210521
IS  - 1468-4381 (Electronic)
IS  - 1050-3307 (Linking)
VI  - 31
IP  - 5
DP  - 2021 Jun
TI  - Development of therapeutic alliance in mentalization-based treatment-Goals, 
      Bonds, and Tasks in a specialized treatment for borderline personality disorder.
PG  - 604-618
LID - 10.1080/10503307.2020.1831097 [doi]
AB  - Objective: Mentalization-based treatment (MBT) is an evidence-based long-term 
      treatment for borderline personality disorder (BPD). Alliance is central for 
      effective psychotherapies. Few studies have addressed aspects of working alliance 
      in BPD evidence-based treatments. This study aimed to investigate alliance 
      development in MBT therapies with different clinical outcomes. Method: The sample 
      included 155 patients in an MBT programme. Clinical outcomes were based on Global 
      Assessment of Functioning (GAF). The sample was divided in two subgroups 
      according to GAF levels at the end of treatment (cut-off = 60). Working alliance 
      was assessed by patient report (Working Alliance Inventory, subscales, Goals, 
      Bonds and Tasks) and assessed repeatedly over 36 months. The method for 
      statistical analyses was linear mixed models. Results: Initial levels of Goals, 
      Bonds, and Tasks did not differ by subgroup, but change over time differed 
      significantly by subgroup. In the good outcome subgroup, ratings of Goals, Bonds, 
      and especially Tasks increased significantly over time. In the poor outcome 
      subgroup, paranoid PD was associated with poorer alliance development over time. 
      Conclusions: Good outcome therapies were characterized by a process where the 
      working alliance grew over time. Results encourage an explicit focus on tasks in 
      therapy particularly for patients with high levels of mistrust.
FAU - Folmo, E J
AU  - Folmo EJ
AUID- ORCID: 0000-0001-8271-3271
AD  - Norwegian National Advisory Unit on Personality Psychiatry, Section for 
      Personality Psychiatry & Specialized Treatments, Division of Mental Health & 
      Addiction, Oslo University Hospital, Oslo, Norway.
AD  - Department of Psychology, University of Oslo, Oslo, Norway.
FAU - Stanicke, E
AU  - Stanicke E
AD  - Department of Psychology, University of Oslo, Oslo, Norway.
FAU - Johansen, M S
AU  - Johansen MS
AUID- ORCID: 0000-0001-8608-3780
AD  - Section for Personality Psychiatry & Specialized Treatments, Division of Mental 
      Health & Addiction, Oslo University Hospital, Oslo, Norway.
FAU - Pedersen, G
AU  - Pedersen G
AD  - Section for Personality Psychiatry & Specialized Treatments, Division of Mental 
      Health & Addiction, Oslo University Hospital, Oslo, Norway.
AD  - NORMENT, KG Jebsen Center for Psychosis Research, Institute of Clinical Medicine, 
      University of Oslo, Oslo, Norway.
FAU - Kvarstein, E H
AU  - Kvarstein EH
AD  - Section for Personality Psychiatry & Specialized Treatments, Division of Mental 
      Health & Addiction, Oslo University Hospital, Oslo, Norway.
AD  - Adult Psychiatry Unit, Institute of Clinical Medicine, University of Oslo, Oslo, 
      Norway.
LA  - eng
PT  - Journal Article
DEP - 20201011
PL  - England
TA  - Psychother Res
JT  - Psychotherapy research : journal of the Society for Psychotherapy Research
JID - 9110958
SB  - IM
MH  - *Borderline Personality Disorder/therapy
MH  - Goals
MH  - Humans
MH  - *Mentalization
MH  - *Therapeutic Alliance
MH  - Treatment Outcome
OTO - NOTNLM
OT  - borderline personality disorder (BPD)
OT  - mentalization-based treatment (MBT)
OT  - process research
OT  - therapeutic alliance
OT  - working alliance inventory
EDAT- 2020/10/13 06:00
MHDA- 2021/05/22 06:00
CRDT- 2020/10/12 08:47
PHST- 2020/10/13 06:00 [pubmed]
PHST- 2021/05/22 06:00 [medline]
PHST- 2020/10/12 08:47 [entrez]
AID - 10.1080/10503307.2020.1831097 [doi]
PST - ppublish
SO  - Psychother Res. 2021 Jun;31(5):604-618. doi: 10.1080/10503307.2020.1831097. Epub 
      2020 Oct 11.