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

Abstract

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 context. 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.