On the relationship between group analysis and mentalization-based group therapy

Abstract

In this article we describe and reflect upon the roots of mentalization-based group therapy (MBT-G) and its relationship to group analysis. The original setting for MBT was psychotherapeutic day hospitals that were strongly influenced by group analytic thinking. The challenges from an increasing number of borderline patients initiated theoretical and therapeutic innovations that separated MBT-G from traditional group analysis who responded differently, e.g. by strengthening its ties to object-relational theories that emphasized innate destructive drives. Since then, the dialogue between the two approaches have been meagre in the UK, but more constructive in e.g. Norway and Germany. We argue that MBT-G needs group analytic competence with respect to basic group dynamics, and that group analysis needs revitalization by the theory of mentalizing. We call for dialogues between the two approaches. The authors belong to both camps and speak with reference to experiences in Norway, United Kingdom, Denmark and Germany.