Co-Constructing Mentalizing Contexts in Therapeutic Work with Adolescents-Exploring Resilience in Social Support Networks

ABSTRACT

Adolescence, a transformative phase of human development, is marked by a growing need for social support. During this pivotal period, young individuals grapple with the challenges of identity formation, emotional regulation, and forging meaningful relationships. Research has underscored the significance of a robust social network in fostering resilience and promoting mental well-being. In this exploration, we consider the evolving landscape of adolescent support, drawing insights from the concept of Mentalization-Based Therapy (MBT), especially from the specialized treatment model explicitly designed for adolescents, known as Mentalization-Based Treatment for Adolescents (MBT-A). MBT-A is an approach that emphasizes establishing a therapeutic alliance, epistemic trust, and mentalizing within an adolescents’ therapy and social context. This approach includes forming a dynamic external support network to help the young person remain connected with their social environment. Through two case examples, we illuminate how this approach aims to strengthen mentalizing within peer groups and the wider social contexts adolescents live within. This paper will consider the various ways in which therapists might step outside the activity of individual therapeutic sessions to address mentalizing barriers preventing the adolescent from accessing everyday social support. In this process, we encourage creativity and multiple participant involvement, challenging the boundaries of perceived therapeutic practice.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Correction Statement

This article has been corrected with minor changes. These changes do not impact the academic content of the article.

Additional information

Notes on contributors

Maria Svernell

Maria Svernell is a Clinical Psychologist, Psychotherapist, Supervisor and PhD student in Sweden, and a trainer and supervisor in MBT-A for the Anna Freud National Center for Children and Families, London. She is co-editor of Mentalization-based treatment for adolescents: A practical treatment guide (Routledge, 2021).

Holly Dwyer Hall

Holly Dwyer Hall is a Psychotherapist and Training Lead MBT for Children, Families, Parents and Carers Anna Freud National Centre for Children and Families.