Sanz, PedroTur, NuriaLana, Fernando2025-05-282025-05-282024Sanz P, Tur N, Lana F. Mentalization-based approach for schizophrenia spectrum disorders: a psychotherapeutic proposal for evolved schizophrenic trajectories and serious mental disorders. Front Psychiatry. 2024 May 8;15:1240393. DOI: 10.3389/fpsyt.2024.12403931664-0640http://hdl.handle.net/10230/70534There is a growing interest in psychotherapeutic approaches to pre-psychotic high-risk states or first-episode psychosis, where mentalization-based treatment has shown its utility. This article presents a mentalization-based approach for the treatment of those individuals diagnosed with an evolved schizophrenia spectrum disorder, whose characteristics make them especially inaccessible to reflective psychotherapeutic treatment. A synthesis of the conceptual frameworks that justify the needs for technical modification of the mentalization-based treatment foundational techniques is carried out, followed by the proposal of adaptations, with a focus in self-agency and patient-therapist dyad. Therapeutic interventions are outlined, including illustrative examples. The mentalizing approach presented here holds promise for future research and treatment opportunities for patients with evolved schizophrenia and other serious mental disorders.application/pdfeng© 2024 Sanz, Tur and Lana. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/articlehttp://dx.doi.org/10.3389/fpsyt.2024.1240393DyadicMentalization-based treatmentPsychotherapy processSchizophreniaSchizophrenia spectrum disorderSelf-agencySerious mental disorderinfo:eu-repo/semantics/openAccess