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  • Book
    Laurel L. Williams, Owen Muir, editors.
    Summary: This volume presents a comprehensive and practical approach to the treatment of suicide and NSSI for adolescents utilizing a mentalizing framework. The beginning of the text provides up-to-date information on the theory of a mentalizing therapy in order to ground the readers in the neuroscientific underpinnings of a mentalizing approach. Next chapters provide information on the fundamental building blocks of a mentalizing therapy at the individual and family level. These chapters provide step-by-step approaches in order to provide examples of the techniques involved in mentalizing treatment that can be employed to address suicidality and NSSI. The next chapter builds on these concepts as the reader learns about mentalizing failures involved in common co-morbidities in adolescents who are experiencing suicidality and/or employing NSSI. The next several chapters cover practical issues related to working within this patient population including the key concept of social systems and connections for both providers and adolescents, the ability of mentalizing theory and therapy to integrate with other effective therapies, how to approach sessions after a suicide attempt, resiliency for patient, family and the provider, along with important self-care for a therapist if a patient commits suicide. The final chapter brings all of the aforementioned elements together in order for the reader to conceptualize employing a mentalizing approach to adolescents and their families when suicide and NSSI concerns are a predominate focus of care. Illustrations of specific therapeutic approaches and a list of resources and guidelines where available are also included. Adolescent Suicide and Self-Injury is an excellent resource for all clinicians working with youths at risk for suicide and/or self-injury, including psychiatrists, psychologists, pediatricians, family medicine physicians, emergency medicine specialists, social workers, and all others.

    1: What Is Mentalizing?
    Brief History
    The Four Dimensions
    Whose Mental State? Self Versus Other
    What Kind of Mental State? Affective Versus Cognitive
    What Kind of Cues Are Used? Internal Versus External
    How Does the Awareness Come About? Automatic Versus Controlled
    The Development of Typical Mentalizing
    The Normative Timeline
    The Importance of Parenting and Attachment
    The Development of Atypical Mentalizing
    The Alien Self
    Pre-mentalizing Modes: The Target of Treatment
    References 2: Core Mentalizing Techniques
    The Mentalizing Stance
    "Not Knowing"
    Holding the Balance
    Disengaging from Non-mentalizing
    Highlighting and Promoting Mentalizing
    Psychic Equivalence
    Teleological Mode
    Pretend Mode
    Notice and Name: The Mentalizing Loop
    Suggested Reading
    3: Mentalizing in Family Work
    Case Introduction
    Initial Family Mentalizing Assessment and Formulation
    Example Formulation
    Promoting the Mentalizing Stance in Therapy
    Holding the Balance: Curiosity Holding the Balance: Slowing Down/Emotion Regulation
    Holding the Balance: The Affect Focus
    Holding the Balance: The "Here and Now" Focus
    Holding the Balance: Perspective-Taking
    Highlighting Good or Improved Mentalizing: Humility
    Highlighting Good or Improved Mentalizing: Humor
    Highlighting Good or Improved Mentalizing: Impact Awareness
    Highlighting Good or Improved Mentalizing: Forgiveness
    Disengaging from Non-mentalizing: Psychic Equivalence
    Disengaging from Non-mentalizing: Pretend Mode
    Disengaging from Non-mentalizing: Teleological Mode
    The Mentalizing Loop Psychic Equivalence: "Open Door?"
    Pretend Mode: The "Ferris Wheel"
    Teleological Mode: "Lecture Voice"
    4: Mentalization-Based Treatment Activities, Games, and Intersession Activities
    Introducing the Other (Introduction, a Challenge for Pretend Mode)
    The Pause Button (a Challenge for Psychic Equivalence or Teleological Mode)
    Inverted Roles Activity (All Three Mentalizing Failures)
    The "Feeling and Doing" Activity (Pretend Mode)
    Family Modeling (Pretend Mode, General Lack of Knowledge)
    The Mind [or Brain] Scan (Pretend Mode General Lack of Mentalizing)
    Safety, Timing, and Communicating About Games/Activities
    Modeling the Mentalizing Stance, Playfulness, Humility, and Use of Humor
    Troubleshooting Avoidance of Games
    5: Suicidality in Context
    Childhood Trauma
    Maltreatment Disrupts Mentalizing, Attachment, and Trust
    How Can Therapists Work Productively with Youth Who Have Suffered Maltreatment?
    Personality Factors
    Borderline Personality Disorder
    Antisocial Personality Disorder
    Internalizing Disorders
    Digital Access Springer 2020