Borderline Kişilik Bozukluğu’nda Zihinselleştirme Bazlı Terapi’nin Etkinliğinin İncelenmesi: Doküman Analizi

Yıl 2025, Cilt: 27 Sayı: 3, 1123 - 1144, 29.09.2025

Merve Öz , Engin Eker

https://doi.org/10.32709/akusosbil.1435816

Öz

Borderline Kişilik Bozukluğu; duygularda, kimlikte, ilişkilerde ve dürtüsel davranışlarda ciddi dengesizlik ile karakterizedir. Borderline Kişilik Bozukluğuna katkıda bulunan bir faktör de yetersiz zihinselleştirmedir. Zihinselleştime, başkalarının ve kendimizin zihinsel durumlarını anlama yeteneğinidir. Psikoterapiler, Borderline Kişilik Bozukluğu semptomlarını azaltmada etkili olabilmektedir. Bu nedenle, mevcut tedavileri geliştirmek önemlidir. Zihinselleştirmeye dayalı tedavinin; intihar ve kendine zarar verme davranışlarını, depresif semptomları ve yatarak tedavi edilen gün sayısını azalttığı ve borderline kişilik bozukluğu olan bireylerde sosyal ve kişilerarası işlevselliği iyileştirdiği gösterilmiştir. Yapılan doküman analizinin amacı Zihinselleştirme Bazlı Terapi’nin, Borderline Kişilik Bozukluğu üzerindeki etkinliğini inceleyen literatürdeki tüm çalışmaları gözden geçirilerek analizini yapmaktır.
Makaleler bulunurken “Borderline Kişilik Bozukluğu ve Zihinselleştirme Bazlı Terapi” anahtar kelimeleri birlikte yazılarak tarama yapılmıştır. Bu bağlamda; Science Direct, Pubmed ve Google Scholar veri tabanları ve uluslararası dergilerden faydalanılarak Zihinselleştirme Bazlı Terapi’nin, Borderline Kişilik Bozukluğu üzerindeki etkinliğini araştıran tüm makaleler incelenmiştir. Veri toplama yöntemi olarak bir nitel araştırma yöntemi olan doküman analizi kullanılmıştır. Çalışmaya 41 makale dahil edilmiştir.
Zihinselleştirme Bazlı Terapi’nin Borderline Kişilik Bozukluğu tedavisindeki etkinliğinin, başka terapilerle ya da kendi çeşitleri ile karşılaştırıldığı 29 makalenin sonuçları incelendiğinde Zihinselleştirme Bazlı Terapi’nin etkinliğini kanıtlayan 14 makale bulunurken Zihinselleştirme Bazlı Terapi’nin diğer terapilerle eşit etkinliğe sahip olduğunu gösteren 8 makale bulunmuştur. Bu sonuçlar incelendiğinde Zihinselleştirme Bazlı Terapi’nin Borderline Kişilik Bozukluğu için etkin bir tedavi olduğu söylenebilmektedir

Anahtar Kelimeler

Borderline Kişilik Bozukluğu , Zihinselleştirme , Zihinselleştirme Bazlı Terapi

Investigation Of The Effectiveness Of Mentalization Based Therapy In Borderline Personality Disorder: Document Analysis

Öz

Borderline Personality Disorder; is characterized by severe imbalance in emotions, identity, relationships, and impulsive behaviors. One contributing factor to Borderline Personality Disorder is inadequate mentalization. Mentalization is our ability to understand the mental states of others and ourselves. Psychotherapies can be effective in reducing Borderline Personality Disorder symptoms but those have little effect. Therefore, innovative ways to improve existing treatments are important. Mentalization Based Therapy has been shown to reduce suicidal and self-harming acts, depressive symptoms, and the number of inpatient days, and improve social and interpersonal functioning in individuals with Borderline Personality Disorder. The purpose of document analysis is to analyze all studies examining the effectiveness of Mentalization Based Therapy on Borderline Personality Disorder.
While the articles were found, the keywords "Borderline Personality Disorder and Mentalization Based Therapy" were written together. All articles investigating the effectiveness of Mentalization Based Therapy on Borderline Personality Disorder were examined by making use of Science Direct, Pubmed and Google Scholar databases and international journals. Document analysis, which is a qualitative research method, was used as a data collection method. 41 articles were included in the study.
When the results of 29 articles comparing the efficacy of Mentalization Based Therapy in Borderline Personality Disorder treatment with other therapies or its own varieties were examined, there were 14 articles proving the effectiveness of Mentalization Based Therapy and 8 articles showing that Mentalization Based Therapy had equal effectiveness with other therapies. When these results are examined, it can be said that Mentalization Based Therapy is an effective treatment for Borderline Personality Disorder.

Anahtar Kelimeler

Mentalization , Mentalization Based Therapy , Borderline Personality Disorder

Kaynakça

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