Wetenschappelijk centrum voor zorg en welzijn,
Tilburg School of Social and Behavioral Sciences

'Interactie tussen wetenschap, praktijk en zorgvraag'


Schaamte bij aanvang en gedurende Mentalization based Treatment (MBT) bij patiënten met borderline persoonlijkheidspathologie - een naturalistische volgstudie

Dr. H. Andrea Prof.dr. C.M. van der Feltz-Cornelis Prof. dr. P. Luyten

Proneness to shame (i.e. the tendency to experience shame in various situations) is thought to be linked with core borderline personality disorder (BPD) symptoms including chronic suicidality, self harm, impulsivity, and inappropriate anger. Recognizing the impact of intense and chronic shame, and helping persons with BPD to reduce or regulate aversive states of shame may contribute to successful psychotherapeutic treatment. With respect to Mentalization-Based Treatment (MBT), it can be hypothesized that recognizing feelings of shame and changing maladaptive into more adaptive shame regulation can help the patient to mentalise, a process that is assumed to be a general component of successful psychotherapy. However, empirical evidence about proneness to shame among patients at the start of MBT and during treatment is as yet not available. As part of more extensive treatment outcome measurement, we will collect data on the proneness to shame among patients following MBT at a general mental health institution in the south of the Netherlands (GGz Breburg) at the start of treatment as well as during treatment. Since shame can reflect an emotion that may not be consciously accessible to the patient, shame-proneness will be measured not only by self-report measurements, but on a more implicit level (assessed by the Implicit Association Test, a computer based paradigm) as well.