Mentalization-based treatments with children and families: A systematic review of the literature

Clin Child Psychol Psychiatry. 2020 Oct;25(4):1022-1048. doi: 10.1177/1359104520920689. Epub 2020 Jun 3.

Abstract

Objectives: Over the past decade, mentalization-based treatment (MBT) approaches have been developed specifically for children, adolescents and families. This study provides a systematic review of MBT applicable to both children and families.

Method: Five databases were searched to identify reports of MBT studies published up to February 2020. Studies were screened and reported according to PRISMA guidelines.

Results: A total of 34 studies were included in this review. Of these, 14 focused on parent-child dyads, two on child therapy, seven applied the approach to parenting, four evaluated the application of MBT to the school environment and seven focused on adolescent populations.

Conclusion: Despite methodological shortcomings and heterogeneity in design, the existing literature does provide tentative support for the use of MBT approaches for these populations, specifically in increasing mentalizing/reflective functioning. Further controlled and methodologically rigorous studies are required.

Keywords: Mentalization-based treatments; adolescents; children; families; systematic review.

Publication types

  • Systematic Review

MeSH terms

  • Adolescent
  • Child
  • Child Behavior
  • Child Development
  • Family Therapy*
  • Humans
  • Mental Health
  • Mentalization*
  • Object Attachment
  • Parent-Child Relations
  • Parenting
  • Parents / psychology
  • Problem Behavior
  • Psychotherapy*