Narrative Identity within Mentalization-Based Group Therapy for Adolescents: A Feasibility Study
Abstract
:1. Introduction
The Present Study
2. Method
Participants and Procedure
3. Measures
3.1. Narrative Analysis and Coding of Video Recorded Therapy Sessions
Symptomatology and Global Functioning at Baseline and End of Treatment
4. Results
4.1. Nature of Narrated Events: Agency and Communion
4.2. Change of Narrated Events: Agency and Communion
4.3. Nature of Narrated Reactions: Personality Functioning
4.4. Change in Narrated Reactions: Personality Functioning
4.5. Symptomatology and Global Functioning
5. Discussion
5.1. A Shift from Other-Functioning (Communion) towards a Focus on Self-Functioning in Both Nature and Reaction of the Narration
5.2. Study Limitations
5.3. Concluding Remarks
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Narrated Events | n | Examples | |
---|---|---|---|
Agency themes | |||
Generalized plots | 15 | “She felt that everyday life was boring” “She was in her room, and suddenly felt stressed out” | |
School | 10 | “She had a panic attack at school, and does not want to go there anymore” “She had to meet with the headmaster due to truancy” | |
Transitions | 7 | “She has been suggested to move to her cousins place in another city to start over” “She got told to move out of home” | |
Communion themes | |||
Romantic relationships | 33 | “She had a fight with her boyfriend, because he texted with another girl” “She had started dating a new guy, but felt that he was moving too fast” | |
Parents/family | 24 | “She visited her father” “She ended up discussing with her sister, because of guy” | |
Friendships | 13 | “She tried to help a friend with relationship issues” “She went on a trip with a group of friends, but they ended up having a row” | |
Other themes | 5 | “She talked to her doctor about stopping medication” “She had her brace removed” | |
Narrated Reactions | n | Examples | |
Identity | |||
Coherence | 13 | “She suddenly felt empty” | |
Self-esteem | 10 | “His message made her feel weak” | |
Emotion Regulation | 26 | “She ended up self-harming” | |
Self-direction | |||
Goal-striving | 12 | “She could not decide whether she wanted to marry him” | |
Internal standards of behavior | 0 | none | |
Self-reflection | 5 | “She got confused about her feelings and did not know how to react” | |
Empathy | |||
Comprehension of others’ experiences | 4 | “Her boyfriend did not answer her, because he was at school, which made her angry and anxious” | |
Tolerance of others’ perspectives | 2 | “She felt she had wasted her time on him because he did not change opinion” | |
Effect of one’s behavior on others | 3 | “She did not want to make her mom sad, so she stopped herself from self-harming” | |
Intimacy | |||
Depth and duration | 11 | “She withdrew from him” | |
Desire and capacity for closeness | 14 | “She turned to him to get calmed down” | |
Reciprocity | 7 | “She scolded him, because she felt he was unrespectful” |
Events | n (%) | First 5 n (%) | Last 5 n (%) | χ2(3) | p |
---|---|---|---|---|---|
Total | 143 (100) | 30 (100) | 30 (100) | 8.8 | 0.03 |
Agency | 32 (22.4) | 5 (16.7) | 11 (36.7) | ||
Communion | 70 (49.0) | 20 (66.7) | 10 (33.3) | ||
Other | 5 (3.5) | 0 (0.0) | 4 (13.3) | ||
Unidentified | 36 (25.2) | 5 (16.7) | 5 (16.7) | ||
Reactions | |||||
Total | 107 (100) | 30 (100) | 30 (100) | 5.7 | 0.13 |
Identity | 52 (48.6) | 15 (50) | 13 (43.3) | ||
Self-Direction | 12 (11.2) | 1 (3.3) | 7 (23.3) | ||
Empathy | 8 (7.5) | 3 (10.0) | 1 (3.3) | ||
Intimacy | 35 (32.7) | 11 (36.7) | 9 (30.0) |
Clinical Measures (n = 6) | Baseline M (SD) | EOT M (SD) | t(5) | p | Difference * (95% CI) | Hedges’ g |
---|---|---|---|---|---|---|
BPFS-C | 86.2 (11.6) | 76.8 (13.2) | 1.69 | 0.15 | 9.3 (−4.9; 23.2) | 0.58 |
BPFS-P | 82.9 (14.2) | 63.2 (15.4) | 2.56 | 0.06 | 19.7 (−1.7; 41.1) | 0.91 |
CBCL-P | ||||||
Externalizing | 24.3 (12.7) | 4.6 (9.2) | 2.51 | 0.066 | 19.8 (−2.1; 41.7) | 0.90 |
Internalizing | 24.8 (10.8) | 2.7 (6.0) | 3.59 | 0.023 | 22.1 (5.0; 39.3) | 1.3 |
YSR | ||||||
Externalizing | 26.7 (7.6) | 7.0 (4.3) | 4.98 | 0.008 | 19.7 (8.7; 30.7) | 1.8 |
Internalizing | 34.6 (5.5) | 12.8 (9.8) | 4.26 | 0.013 | 21.8 (7.6; 36.0) | 1.5 |
BDI-Y | 30.9 (4.7) | 29.0 (7.9) | 0.51 | 0.634 | 1.9 (−7.9; 11.8) | 0.17 |
C-GAS | 37.5 (4.7) | 47.7 (6.8) | −4.07 | 0.01 | −10.2 (−16.6; −3.8) | −1.4 |
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Lind, M.; Kiel, L.; Hansen, S.B.; Jørgensen, M.S.; Simonsen, E. Narrative Identity within Mentalization-Based Group Therapy for Adolescents: A Feasibility Study. Children 2023, 10, 854. https://doi.org/10.3390/children10050854
Lind M, Kiel L, Hansen SB, Jørgensen MS, Simonsen E. Narrative Identity within Mentalization-Based Group Therapy for Adolescents: A Feasibility Study. Children. 2023; 10(5):854. https://doi.org/10.3390/children10050854
Chicago/Turabian StyleLind, Majse, Lennart Kiel, Sune Bo Hansen, Mie Sedoc Jørgensen, and Erik Simonsen. 2023. "Narrative Identity within Mentalization-Based Group Therapy for Adolescents: A Feasibility Study" Children 10, no. 5: 854. https://doi.org/10.3390/children10050854