Details

Autor(en) / Beteiligte

• Jaffrani, A
• Sunley, T
• Midgley, N

Titel

4 The building of epistemic trust: an adoptive family’s experience of mentalization based-therapy

Ist Teil von

• BMJ open, 2021-03, Vol.11 (Suppl 1), p.A15-A16

Ort / Verlag

London: BMJ Publishing Group LTD

Erscheinungsjahr

2021

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• BackgroundRecently, theorists have posited the development of epistemic trust - the trust in others as reliable sources of information - as an essential aspect of the therapeutic relationship and a mechanism of therapeutic change. Epistemic trust is likely to be disrupted in adoptive children and families and Mentalization Based Treatment (MBT) aims to explicitly promote its development.AimThis study aims to investigate how epistemic mistrust is addressed and how epistemic trust is established within the MBT framework.MethodsThis single-case, exploratory study reports data from in-depth interviews with one adoptive family, which were analyzed qualitatively using Interpretative Phenomenological Analysis.ResultsTwo superordinate themes are reported: pre-therapy factors contributing to epistemic mistrust and factors contributing to the development of epistemic trust. The findings highlight two critical elements in establishing epistemic trust: the use of certain clinical skills that help build a secure base within therapy and the possibility of trust being transferred from and to other professionals/systems beyond therapy.ConclusionThis study informs a deeper understanding of how epistemic trust may be built in therapeutic work with adopted children and identifies possible clinical approaches that may be used by clinicians working with this client group.