"I Could be Wrong": Men’s passage through uncertainty and change in mentalization-based treatment for personality disorder and substance use

Key Points

• This research aims to explore how men navigate uncertainty and change while undergoing mentalization-based treatment for personality disorders and substance use.
• Participants were men undergoing mentalization-based treatment for substance use and personality disorders.
• Qualitative assessments focused on their capacity to reflect on mental states.
• Variation in treatment experiences and outcomes was documented.
• Participants showed enhanced ability to distinguish between their own and others' thoughts and feelings.
• Despite overall improvements, therapeutic benefits varied among individuals.
• Distinct change pathways were identified, indicating a non-uniform impact of the treatment.