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In this chapter we apply the concept of mentalizing to the development and treatment of borderline personality disorder (BPD). Our approach to BPD is predicated on the assumption that treatment interventions will be most effective when they address core psychopathological processes as understood from a developmental perspective. We focus on mentalizing as a core component of psychopathology and treatment. In the context of BPD, we maintain this focus not only because impaired mentalizing is central to problems with affect regulation and disturbances in attachment relationships but also because a focus on mentalizing in treatment reduces the likelihood of causing harm in a group of patients who may be particularly vulnerable to the negative effects of psychotherapeutic interventions.
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