心智化治療與邊緣型人格障礙症

Mentalization-Based Treatment and Borderline Personality Disorder

許欣偉(Hsin-Wei Hsu) ； 林怡青(Yi-Ching Lin) ； 劉佳昌(Chia-Chang Liu)

《北市醫學雜誌》 15卷2期 (2018/06) Pp. 17-27

https://doi.org/10.6200/TCMJ.201806_15(2).0003

摘要

以心智化為本的治療﹙下稱心智化治療﹚源自精神分析取向發展理論，是一種專為邊緣型人格障礙症病患研發的心理治療。國內少有文獻彙整評析心智化理論或心智化治療，有鑑於此，本文試圖勾勒其理論基礎與研究證據，並探討其實作技術。隨機對照試驗研究結果已顯示心智化治療之臨床有效性，且療效可以持續。心智化治療的特色是可由一般心理衛生工作者執行，所需的額外訓練相對較少。目前英美兩地的治療準則皆明載治療邊緣型人格障礙症應以心理治療為主，而心智化治療已證實為一種針對邊緣型人格障礙症的有效治療，有潛能運用到與邊緣型人格個案相關的各種場域。

關鍵字

心智化 ； 以心智化為本的治療 ； 邊緣型人格障礙症

並列摘要

Mentalization-based treatment (MBT) is a psychotherapy derived from the psychoanalytic developmental theory and tailored for patients with borderline personality disorder (BPD). In Taiwan, there is still lack of systemic review of the theory of mentalization or MBT. In light of this, we attempt to depict the theoretical basis and research evidence of MBT and explore the techniques in practice. Previous randomized controlled trials have proved that MBT is effective and the effectiveness is sustainable for BPD patients. One feature of MBT is that it can be implemented by generic mental health workers and relatively less additional training is required. Both the treatment guidelines of the UK and the USA declare that psychotherapy is considered the treatment of choice for patients with BPD, and evidence supports that MBT is an effective treatment for them and has the potential to be applied to various fields related to cases with BPD.

並列關鍵字

Mentalization ； Mentalization-Based Treatment ； Borderline Personality Disorder