{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T01:51:33Z","timestamp":1789696293175,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"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":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Shame is a fundamental human affect that plays a central role in social regulation and psychopathology. In some individuals with antisocial personality disorder (ASPD), chronic and pathological shame\u2014shaped by early experiences of abuse, neglect, and attachment disruption\u2014may contribute to difficulties in affect regulation, mentalization, and interpersonal functioning, and is frequently implicated in violent and antisocial behavior. The authors describe a long\u2010term, psychodynamically informed mentalization\u2010based treatment (MBT) group for men with ASPD. The paper focuses on shame as a clinically organizing affect, examining how unmentalized experiences of shame and humiliation may precipitate transient collapses in mentalization, paranoia, and violent acting out. Drawing on detailed clinical material, the authors consider the developmental origins of pathological shame in early attachment relationships and explore the technical challenges of working therapeutically with profound shame states in a group context. It is proposed that addressing both individual and collective experiences of shame within a stable therapeutic group can foster a sense of safety, support the restoration of mentalizing capacity, and reduce vulnerability to violent behavior. The paper aims to extend existing mentalization\u2010based formulations of ASPD by foregrounding shame as a central affective process within long\u2010term group treatment.<\/jats:p>","DOI":"10.1002\/jclp.70087","type":"journal-article","created":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T09:59:41Z","timestamp":1767866381000},"page":"628-637","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Treating Profound Shame States in Men With Antisocial Personality Disorder (ASPD) With Mentalisation\u2010Based Treatment (MBT): A Case Illustration"],"prefix":"10.1002","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4002-0604","authenticated-orcid":false,"given":"Stephen","family":"Blumenthal","sequence":"first","affiliation":[{"name":"Tavistock &amp; Portman NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Yakeley","sequence":"additional","affiliation":[{"name":"Tavistock &amp; Portman NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40479-023-00231-2"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.focus.11.2.178"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20451"},{"key":"e_1_2_15_5_1","volume-title":"Handook of Mentalizing in Mental Health Practice","author":"Bateman A.","year":"2019"},{"key":"e_1_2_15_6_1","volume-title":"Treatment for Personality Disorders: A Practical Guide. Oxford","author":"Bateman A. W.","year":"2016"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.1072290"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuropharm.2024.110150"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.130.3.355"},{"key":"e_1_2_15_10_1","doi-asserted-by":"crossref","unstructured":"Dodge K. A. J. E. Bates and G. S. Pettit. 1990. Mechanisms in the Cycle of Violence. Science 250 no. 4988: 1678\u20131683.https:\/\/doi.org\/10.1126\/science.2270481.","DOI":"10.1126\/science.2270481"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.avb.2014.05.002"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.110.086991"},{"key":"e_1_2_15_13_1","volume-title":"Affect Regulation, Mentalization, and the Development of the Self","author":"Fonagy P.","year":"2002"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(24)00445-0"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007668.pub3"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2020.586161"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781003035879-5"},{"key":"e_1_2_15_18_1","volume-title":"Violence: Reflections on a National Epidemic","author":"Gilligan J.","year":"1996"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/0803706X.2017.1333145"},{"key":"e_1_2_15_20_1","unstructured":"Hopper E.Difficult Patients in Group Analysis: The Personification of I: AM Paper Presented to the Scientific Meeting of Group Analysis 22 November. 1999."},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.12987\/9780300157925-011"},{"key":"e_1_2_15_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/0533316411436142"},{"key":"e_1_2_15_23_1","first-page":"187","article-title":"Early Superego Development: The Emergence of Shame and Narcissistic Affect Regulation in the Practicing Period","volume":"14","author":"Schore A. N.","year":"1991","journal-title":"Psychoanal Contemp Thought"},{"key":"e_1_2_15_24_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781003175612-7"},{"key":"e_1_2_15_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/0533316410391168"},{"key":"e_1_2_15_26_1","doi-asserted-by":"publisher","DOI":"10.4324\/9781003175612-2"},{"key":"e_1_2_15_27_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.70.4.797"},{"issue":"3","key":"e_1_2_15_28_1","first-page":"459","article-title":"Playing With Reality: II. The Development of Psychic Reality From a Theoretical Perspective","volume":"77","author":"Target M.","year":"1996","journal-title":"International Journal of Psycho\u2010Analysis"},{"key":"e_1_2_15_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-7138(09)62273-1"},{"key":"e_1_2_15_30_1","doi-asserted-by":"crossref","unstructured":"Widom C. S.1989. \"The Cycle of Violence.\" Science 244 no. 4901: 160\u2013166.https:\/\/doi.org\/10.1126\/science.2704995.","DOI":"10.1126\/science.2704995"},{"key":"e_1_2_15_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-80882-2_11"}],"container-title":["Journal of Clinical Psychology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.70087","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jclp.70087","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jclp.70087","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T10:47:09Z","timestamp":1772966829000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jclp.70087"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,8]]},"references-count":30,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/jclp.70087"],"URL":"https:\/\/doi.org\/10.1002\/jclp.70087","archive":["Portico"],"relation":{},"ISSN":["0021-9762","1097-4679"],"issn-type":[{"value":"0021-9762","type":"print"},{"value":"1097-4679","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,8]]},"assertion":[{"value":"2024-12-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-30","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}