{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:19:01Z","timestamp":1791566341798,"version":"4.3.4"},"reference-count":57,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,8,29]],"date-time":"2021-08-29T00:00:00Z","timestamp":1630195200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bpspsychub.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychol Psychother"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Dialectical behaviour therapy (DBT) and mentalization\u2010based therapy (MBT) are widely used evidence\u2010based psychological treatments for borderline personality disorder (BPD). The study aimed to establish evidence on common and unique, and helpful and unhelpful, treatment processes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Mixed\u2010methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In\u2010depth qualitative interview data on patient experiences during treatment were combined with quantitative outcome measures in 73 patients diagnosed with a personality disorder and receiving DBT or MBT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Across both DBT and MBT, accounts of learning not to react impulsively, learning to question one\u2019s thoughts and assumptions, learning to communicate more effectively, and exposure to painful emotions that may previously have been avoided were each associated with less baseline\u2010adjusted self\u2010harm at the end of treatment. Difficulties in interacting with other group members were more likely to be described by patients receiving MBT than DBT, whilst difficulties in the therapeutic relationship were equally common. Both of these types of difficult experience were associated with higher baseline\u2010adjusted levels of BPD traits and emotional dysregulation, at the end of the 12\u2010month study period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings identify novel evidence of common therapeutic processes across DBT and MBT that may help to reduce self\u2010harm. The findings also highlight the potential iatrogenic effect of difficulties in the alliance with therapists or with other group members. This underscores the importance of listening to patients\u2019 voices about what they are finding difficult during therapy and working to address these relational challenges, so that the patient is able to progress and make best use of the treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practitioner points<\/jats:title>\n                    <jats:p>\n                      <jats:list list-type=\"bullet\">\n                        <jats:list-item>\n                          <jats:p>Regardless of whether dialectical behaviour therapy or mentalization based therapy is used, helping service\u2010users to learn not to react impulsively, to question their thoughts and assumptions, and to communicate more effectively, may be beneficial for reducing self\u2010harm.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Across both types of therapy, exposure to painful emotions is a difficult experience for service\u2010users, but may also be beneficial for reducing self\u2010harm, if carefully managed.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Whilst service\u2010users\u2019 experiences across both types of therapy have much in common, accounts of mentalization based therapy stand out in more often describing both helpful and unhelpful experiences of interactions with therapy group members.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Service\u2010users across both types of therapy report the benefits of learning intrapersonal mentalization skills, whilst recipients of mentalization based therapy uniquely extend this to learning interpersonal mentalization.<\/jats:p>\n                        <\/jats:list-item>\n                        <jats:list-item>\n                          <jats:p>Ruptures in the therapeutic alliance, and distressing interactions with group members, may be iatrogenic and must be carefully managed.<\/jats:p>\n                        <\/jats:list-item>\n                      <\/jats:list>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papt.12362","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T01:55:27Z","timestamp":1630288527000},"page":"212-233","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Patient experiences of therapy for borderline personality disorder: Commonalities and differences between dialectical behaviour therapy and mentalization\u2010based therapy and relation to outcomes"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5083-5135","authenticated-orcid":false,"given":"Kirsten","family":"Barnicot","sequence":"first","affiliation":[{"name":"Division of Psychiatry Imperial College London UK"},{"name":"Health Services Research &amp; Management City University of London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caio","family":"Redknap","sequence":"additional","affiliation":[{"name":"Division of Psychiatry Imperial College London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florence","family":"Coath","sequence":"additional","affiliation":[{"name":"Division of Psychiatry Imperial College London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeantique","family":"Hommel","sequence":"additional","affiliation":[{"name":"Division of Psychiatry Imperial College London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Couldrey","sequence":"additional","affiliation":[{"name":"Division of Psychiatry Imperial College London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mike","family":"Crawford","sequence":"additional","affiliation":[{"name":"Division of Psychiatry Imperial College London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,8,29]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Traumatic relationships and serious mental disorders","author":"Allen J.G.","year":"2001"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291718002878"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2016.04.006"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2012.04.004"},{"key":"e_1_2_9_7_1","unstructured":"Bateman A. Bales D. &Hutsebaut J.(2014).A Quality Manual for MBT. United Kingdom: Anna Freud Centre. Retrieved fromhttps:\/\/www.annafreud.org\/media\/1217\/a\u2010quality\u2010manual\u2010for\u2010mbt\u2010edited\u2010april\u201023rd\u20102014\u20102.pdf"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/med\/9780198570905.001.0001"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.2051-5545.2010.tb00255.x"},{"key":"e_1_2_9_10_1","volume-title":"Handbook of Mentalizing in Mental Health Practice","author":"Bateman A. W.","year":"2012"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/00048670903107559"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/h0085911"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2018.32.supp.115"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"issue":"12","key":"e_1_2_9_15_1","first-page":"20","article-title":"Patient narratives 3: Power inequality between patients and nurses","volume":"112","author":"Corless L.","year":"2016","journal-title":"Nursing times"},{"key":"e_1_2_9_16_1","first-page":"247","article-title":"Personality disorder services in England: Findings from a national survey","volume":"41","author":"Dale O.","year":"2017","journal-title":"British Journal of Psychiatry Bulletin"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1177\/0890334419830990"},{"key":"e_1_2_9_18_1","volume-title":"Structured clinical interview for DSM\u2010IV Axis II personality disorders, (SCID\u2010II)","author":"First M.B.","year":"1997"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.70.4.1022"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0036505"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20241"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.105.012088"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1037\/per0000113"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12097"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732312448541"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0032354"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:JOBA.0000007455.08539.94"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/1046496407304336"},{"key":"e_1_2_9_29_1","volume-title":"IBM SPSS statistics for windows (Version 25.0) [Software]","author":"IBM Corp","year":"2017"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1745-8315.2008.00046.x"},{"key":"e_1_2_9_31_1","first-page":"109","volume-title":"Science and pseudoscience in clinical psychology","author":"Lilienfeld S.","year":"2003"},{"key":"e_1_2_9_32_1","volume-title":"Cognitive\u2010behavioral treatment of borderline personality disorder","author":"Linehan M.","year":"1993"},{"key":"e_1_2_9_33_1","volume-title":"Skills training manual for treating borderline personality disorder","author":"Linehan M.","year":"1993"},{"key":"e_1_2_9_34_1","volume-title":"DBT skills training manual","author":"Linehan M.","year":"2015"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.18.3.303"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12156"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.focus.11.2.155"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20243"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2648.2003.02730.x"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0038768"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-020-02682-1"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-2850.1995.tb00022.x"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.01327"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0016085"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2010.05.017"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1080\/10503300601139988"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1108\/MHRJ-04-2016-0008"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1037\/pas0000693"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.5296\/ije.v3i1.618"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.2009.23.3.281"},{"issue":"11","key":"e_1_2_9_51_1","first-page":"CD012955","article-title":"Psychological therapies for people with borderline personality disorder","volume":"2020","author":"Storeb\u00f8 O.J.","year":"2020","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1754470X15000574"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.67.1.13"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.32872\/cpe.v1i2.30639"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.conctc.2018.03.008"},{"key":"e_1_2_9_56_1","volume-title":"The great psychotherapy debate: Models, methods and findings","author":"Wampold B.","year":"2001"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1002\/cpp.392"},{"key":"e_1_2_9_58_1","volume-title":"The theory and practice of group psychotherapy","author":"Yalom I.","year":"1995"}],"container-title":["Psychology and Psychotherapy: Theory, Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papt.12362","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/papt.12362","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/papt.12362","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T10:25:03Z","timestamp":1762251903000},"score":1,"resource":{"primary":{"URL":"https:\/\/bpspsychub.onlinelibrary.wiley.com\/doi\/10.1111\/papt.12362"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8,29]]},"references-count":57,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1111\/papt.12362"],"URL":"https:\/\/doi.org\/10.1111\/papt.12362","archive":["Portico"],"relation":{},"ISSN":["1476-0835","2044-8341"],"issn-type":[{"value":"1476-0835","type":"print"},{"value":"2044-8341","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8,29]]},"assertion":[{"value":"2021-05-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-29","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}