{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T15:44:21Z","timestamp":1772984661740,"version":"3.50.1"},"reference-count":22,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T00:00:00Z","timestamp":1755129600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Clin Psychol"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    The\n                    <jats:italic>socioecological treatment approach<\/jats:italic>\n                    is rooted in fundamental principles of\n                    <jats:italic>mentalization\u2010based therapy<\/jats:italic>\n                    (MBT) and evolutionary theory. Rather than focusing solely on the individual, this approach broadens the perspective to include the patient's wider social network in understanding and treating mental health disorders such as personality pathology. A core premise of this approach is that problems and their solutions should not be viewed in isolation but identified in close collaboration with the patient's environment. The\n                    <jats:italic>socioecological approach<\/jats:italic>\n                    integrates\n                    <jats:italic>treatment network meetings<\/jats:italic>\n                    , involving individuals who are directly engaged in and significant to the patient's life. These meetings facilitate the development of a\n                    <jats:italic>system case\u2010formulation<\/jats:italic>\n                    and a\n                    <jats:italic>system attachment map<\/jats:italic>\n                    . A self\u2010report instrument,\n                    <jats:italic>NETWORK\u2010AIM<\/jats:italic>\n                    (NET\u2010AIM), is used throughout the process to assess interventions and evaluate meetings, with input from all key members of the patient's network. This approach is illustrated through the case of Olivia, a young girl suffering from personality pathology. Her treatment exemplifies how multiple individuals within her environment collaborated to support her reintegration into the social world (\n                    <jats:italic>communication system 3<\/jats:italic>\n                    ) alongside individual therapy. Olivia's 13\u2010month treatment process led to substantial improvements, including enhanced social engagement, increased trust in others, fewer mood swings, reduced self\u2010harm, and greater involvement with friends and work. The findings underscore the need to move beyond individual treatment models towards systemic, proactive interventions that integrate broader social relationships into therapeutic processes when treating adolescents with personality pathology.\n                  <\/jats:p>","DOI":"10.1002\/jclp.70031","type":"journal-article","created":{"date-parts":[[2025,8,14]],"date-time":"2025-08-14T19:36:25Z","timestamp":1755200185000},"page":"1310-1318","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Outside of Psychotherapy\u2014The Socioecological Approach to Treating Severe Personality Pathology in a Young Patient"],"prefix":"10.1002","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0498-2246","authenticated-orcid":false,"given":"Sune","family":"Bo","sequence":"first","affiliation":[{"name":"Department of Psychology University of Copenhagen Copenhagen Denmark"},{"name":"Department of Psychiatry\/Psychiatric Research Unit Region of Southern Denmark Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Majse","family":"Lind","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Aalborg Aalborg Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Fonagy","sequence":"additional","affiliation":[{"name":"Research Department of Clinical, Educational and Health Psychology, UK &amp; Anna Freud Centre University College London London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,14]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.61.2.226"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/med:psych\/9780199680375.001.0001"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/per0000161"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40479-022-00187-9"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2020.06.008"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0954579421000092"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2015.29.5.575"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0355(199123)12:3<201::AID-IMHJ2280120307>3.0.CO;2-7"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0022060"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.copsyc.2017.12.006"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2023.1130417"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0245331"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.4081\/ripppo.2023.704"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-clinpsy-071919-015355"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12195"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.2307\/1129720"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.4159\/9780674988651"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/med-psych\/9780198855910.003.0010"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203582015"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-0-387-85764-0_14"},{"key":"e_1_2_7_22_1","volume-title":"The ICD\u201010 Classification of Mental and Behavioural Disorders\u2014Diagnostic Criteria for Research","author":"WHO","year":"1993"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/bul0000114"}],"container-title":["Journal of Clinical Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.70031","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jclp.70031","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.70031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T09:52:19Z","timestamp":1772963539000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jclp.70031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,14]]},"references-count":22,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1002\/jclp.70031"],"URL":"https:\/\/doi.org\/10.1002\/jclp.70031","archive":["Portico"],"relation":{},"ISSN":["0021-9762","1097-4679"],"issn-type":[{"value":"0021-9762","type":"print"},{"value":"1097-4679","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,14]]},"assertion":[{"value":"2025-03-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}