{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T14:47:58Z","timestamp":1790952478407,"version":"4.1.0"},"reference-count":78,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T00:00:00Z","timestamp":1726185600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:p>Trauma-Focused mentalization-based treatment (MBT-TF) is an adaptation of mentalization-based treatment (MBT) specifically developed for patients suffering from attachment or complex trauma, with the possibility of co-occurring borderline personality pathology. The creation of MBT-TF was driven by previous research and observations that interventions centered on mentalizing could be significantly improved by directly addressing the impact of trauma. MBT-TF aims to mitigate symptoms that arise post-trauma, such as hyperarousal, hypervigilance, intrusions, flashbacks, avoidance behaviors, dissociative experiences, negative perceptions of self and others, and ensuing relational difficulties. Implemented as a group intervention, MBT-TF typically spans 6\u201312\u2009months. From a mentalizing perspective, trauma, particularly attachment trauma, leads to a failure in processing the effects of trauma through and with others. Stress and attachment behavioral systems are disrupted, which undermines the capacity for epistemic trust, and impairs mentalizing abilities. This paper offers a concise summary of the reasoning for MBT-TF\u2019s creation, its theoretical underpinnings, and its clinical strategy for addressing the adverse impacts of trauma. It further details the treatment phases, their main goals, and their interventions, supplemented by clinical case examples that underscore MBT-TF\u2019s distinctive attributes and frequent clinical hurdles.<\/jats:p>","DOI":"10.3389\/fpsyg.2024.1426092","type":"journal-article","created":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T00:55:48Z","timestamp":1726188948000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":34,"title":["Breaking the cycle with trauma-focused mentalization-based treatment: theory and practice of a trauma-focused group intervention"],"prefix":"10.3389","volume":"15","author":[{"given":"Maaike L.","family":"Smits","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jasmijn","family":"de Vos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"R\u00fcfenacht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liesbet","family":"Nijssens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Shaverin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Nolte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Luyten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Fonagy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony","family":"Bateman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,9,13]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","DOI":"10.1002\/9780470712986","volume-title":"The handbook of mentalization-based treatment","author":"Allen","year":"2006"},{"key":"ref2","doi-asserted-by":"crossref","DOI":"10.1017\/CBO9780511777042.029","article-title":"The role of mentalizing in treating attachment trauma","volume-title":"The hidden epidemic: the impact of early life trauma on health and disease","author":"Allen","year":"2010"},{"key":"ref3","article-title":"Mentalizing in psychotherapy","volume-title":"The American Psychiatric Association publishing textbook of psychiatry","author":"Allen","year":"2019"},{"key":"ref4","volume-title":"Mentalizing in clinical practice","author":"Allen","year":"2008"},{"key":"ref5","volume-title":"Diagnostic and statistical manual of mental disorders: DSM-5","year":"2013"},{"key":"ref6","first-page":"213","article-title":"The development of a sense of coherence and its impact on responses to stress situations","volume":"126","author":"Antonovsky","year":"1986","journal-title":"J. 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