Sune Bo

Sune Bo
Psychiatric Research Unit and Psychiatric Unit Svendborg DK

PhD

About

97
Publications
37,807
Reads
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1,002
Citations
Citations since 2016
53 Research Items
858 Citations
2016201720182019202020212022050100150
2016201720182019202020212022050100150
2016201720182019202020212022050100150
2016201720182019202020212022050100150
Introduction
I work in the field of personality and personality disorders (PD), as well as with psychotherapy research. I have interest in classification, assessment and treatment of PD

Publications

Publications (97)
Article
Full-text available
Background There is a dearth of studies evaluating treatment efficacy for adolescents diagnosed with borderline personality disorder. The few available randomized controlled trials that have been conducted show modest results and treatments appear to have equivalent effects. The current paper draws on (a) the lessons learnt from the last 50 years o...
Article
Full-text available
Borderline personlighedsforstyrrelse kan psykoterapeutisk behandles på flere forskellige måder. Metoderne har blandt andet fokus på at give personer med diagnosen en bedre forståelse af følelser hos både sig selv og andre. Derudover kan man som pårørende også gøre en del for at hjaelpe personer med borderline.
Article
Full-text available
Maladaptive personality traits may link childhood trauma history to current internalizing symptoms. Scandinavian Journal of Psychology. Research supports a strong relationship between childhood maltreatment and internalizing psychopathology (e.g., anxiety and depression), and features of personality are assumed to explain some of this relationship....
Article
Objective: Mentalization-based therapy (MBT) is an evidence-supported, long-term psychotherapy program developed to treat borderline personality disorder (BPD). A short-term, 20-week adaptation to the original MBT format including case formulation, psychoeducation, and group and individual therapy has recently been proposed. The current case mater...
Article
The Reflective Functioning Questionnaire for Youths (RFQY) is a self-report measure of reflective functioning (RF) also referred to as mentalizing. Lower levels of RF are characteristic of a wide range of mental disorders and are especially relevant in the assessment of personality pathology. The goal of the current study is to examine the psychome...
Chapter
This article provides a contemporary overview of diagnostic models and systems for codifying mental disorders with four primary goals in mind: We first explain the purported essential purposes of using diagnoses in mental health care, including aspects of clinical management and communication with other professionals, service providers, patients an...
Article
Borderline personality disorder (BPD) manifests in adolescents, serving as a forerunner for later dysfunctionality and life constraints. BPD is characterized by multiple difficulties in understanding the self and others, and it has been implied that intrapsychic processes of reasoning might be the primary driver of these disturbances. In this study...
Article
Full-text available
This online article explains to lay persons the new ICD-11 personality disorder classification. Available online from www.altompsykologi.dk
Article
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Psychopathic tendencies are associated with difficulties in affective theory of mind (ToM), that is, in recognizing others affec-tive mental states. In clinical and non-clinical adult samples, it has been shown that where psychopathic tendencies co-occur with schizophrenia spectrum disorders, the impairing effects of psychopathic tendencies on ToM...
Article
This study examined prediction of various clinical outcomes in adolescents with borderline personality disorder (BPD) features. Of the 112 adolescents who participated at baseline, 97 were seen at 2-year follow-up, of which 49 (50.5%) had clinically improved, defined as a decrease in BPD pathology of minimum 12 points on the Borderline Personality...
Article
Criminal behavior in schizophrenia has been associated with a number of risk factors including symptoms of schizophrenia, co-occurring personality disorders (PDs), substance abuse, intellectual and cognitive dysfunctions, history of violence, and a number of sociodemographic variables. However, the relative importance and predictive power of these...
Article
Full-text available
Mentalization-based treatment in groups (MBT-G) has never been tested in adolescents with Borderline Personality Disorder (BPD) in a randomized controlled trial. The current study aimed to test the long-term effectiveness of MBT-G in an adolescent sample with BPD or BPD features (≥ 4 DSM-5 BPD criteria). Hundred and eleven patients with BPD (n = 10...
Article
Background: In this paper, we outline our approach to dealing with complex social isolation by presenting a network treatment approach named Adaptive Mentalization-Based Integrative Treatment (AMBIT). Method: We describe the AMBIT approach, what elements it consists of, and we explain how we employed this method in the case of a 17-year-old boy...
Article
Full-text available
Background Loneliness and social avoidance are widespread and serious mental health problems. People experiencing loneliness or social avoidance have difficulties maintaining ordinary life activities and often experience profound suffering. How do we as clinicians deal with or help people out of loneliness and social avoidance? Aims In this paper,...
Article
Full-text available
The 11th revision of the International Classification of Diseases for Mortality and Morbidity Statistics (ICD-11) defines personality disorder according to personality functioning, which relates to self-and interpersonal functioning. The aim of the present study was to assess the relationship between mentalizing and personality functioning in patie...
Article
Full-text available
The efficacy of treatment of borderline personality disorder in adolescents is an underresearched area. Although increasing research in borderline personality disorder in adolescents has emerged over the last decade there is a paucity of knowledge about how treatment is adequately designed for this group of patients. As a consequence, it is current...
Article
Background: Premature termination from treatment or dropout is prevalent among patients with borderline personality disorder (BPD). To our knowledge, no studies have examined which factors predispose dropout from therapy among adolescents with BPD. The current study examined sociodemographic, clinical and psychological predictors of dropout among a...
Article
Full-text available
Evidence-based treatments for borderline personality disorder (BPD), including mentalization-based treatment (MBT), have not adequately examined changes in positive affect (PA) in the treatment of BPD. Therefore, we developed a new intervention, “mentalizing positive affect,” and evaluated its effect on PA, negative affect, BPD severity, ego-resili...
Poster
Full-text available
Background Healthy metacognition involves several capacities, including the ability to integrate information about the self and others in order to formulate ways of coping with social challenges and psychological distress. Multiple studies have demonstrated that reduced general metacognitive capacity is predictive of the development and persistence...
Article
Background: Borderline personality disorder (BPD) typically onsets in adolescence and predicts later functional disability in adulthood. Highly structured evidence-based psychotherapeutic programs, including mentalization-based treatment (MBT), are first choice treatment. The efficacy of MBT for BPD has mainly been tested with adults, and no RCT h...
Presentation
Full-text available
RCT study comparing MBT group treatment to TAU for adolescents with BPD
Article
Avoidant personality disorder (AVPD) is amongst the most severe personality disorders (PDs) and associated with a marked reduction in social functioning. However, AVPD research is sparse and little is known about treatment efficacy. In adolescents with AVPD even less is known about the disorder, and no studies have investigated the effect of psycho...
Article
The research literature reveals an ongoing debate regarding the most appropriate conceptualization of psychopathic personality disorder. Specifically, it is discussed to what degree antisocial behavior is part of the conceptualization of the psychopathy construct and what constitutes the best factor model of the Psychopathy Checklist scales. The ai...
Article
Background: The Childhood Trauma Questionnaire - Short Form (CTQ-SF) is a widely utilized self-report instrument in the assessment and characterization of childhood trauma. Yet, research on the instrument's psychometric properties in clinical samples is sparse, and the Danish version of the CTQ-SF has not been previously evaluated in clinical samp...
Article
The Mentalization-Based Treatment Adherence and Quality Scale (MBT-AQS) is a 17-item measure of treatment adherence and quality of individual mentalization-based therapy (MBT). Until now, reliability research on the scale has primarily been conducted by highly experienced raters from the Norwegian MBT Quality Lab who were part of its development. H...
Chapter
2nd edition of Handbook of Mentalizing in Mental Health Practice edited by A. Bateman & P. Fonagy. This chapter outlines the basic principles in conducting mentalization-based group therapy.
Article
Full-text available
Background: Findings show that deficiencies in the ability to understand mental states are related to many forms of psychopathology. Mentalizing dysfunctions are suggested to be the core pathology underlying borderline personality disorder (BPD). Moreover, research suggests that BPD predicts psychopathology in general and findings display that dim...
Article
Full-text available
Adolescent psychopathic tendencies are associated with phenotypic increases in proactive aggression. However, the extent to which an understanding of others’ affective mental states, or affective theory of mind (ToM), contributes to proactive aggression remains unknown. We examined how performance on a well-known test of affective ToM, based on cro...
Article
Full-text available
Med denne artikel vil vi belyse, hvorledes den kommende ICD-11 klassifikation af personlighedsforstyrrelse udgør en overskuelig og nyttig diagnostisk vejledning, som ovenikøbet matcher Sundhedsstyrelsens visitationskriterier og behandlingsniveauer baseret på sværhedsgrad. Dertil vil vi drøfte, hvorledes dette kan medvirke til at imødekomme et behov...
Chapter
This chapter outlines the brief definitions of aggression and violence and their subtypes. Conceptions and misconceptions regarding the association of mental illness with aggression and violence are considered in three major mental illnesses: schizophrenia, personality disorders and autism. The chapter highlights the key neurobiological features th...
Article
Full-text available
Background Insecure attachment is a precursor and correlate of borderline personality disorder. According to the mentalization-based theory of borderline personality disorder, the presence of insecure attachment derails the development of the capacity to mentalize, potentially resulting in borderline pathology. While one prior study found support f...
Article
Full-text available
Borderline personality disorder (BPD) has been shown to be a valid and reliable diagnosis in adolescents and associated with a decrease in both general and social functioning. With evidence linking BPD in adolescents to poor prognosis, it is important to develop a better understanding of factors and mechanisms contributing to the development of BPD...
Article
Full-text available
Background: Social deficits and emotional dysregulation have been suggested as explanations for the relational difficulties experienced by patients with borderline personality disorder (BPD). The neuropeptide oxytocin (OXT) is a possible neurobiological underpinning of these adversities, and this study examines possible correlations between BPD sy...
Article
Full-text available
Background: Previous research, which primarily focused on adult samples, suggests that individuals with borderline personality disorder (BPD) display high levels of psychopathology, dysfunctional mentalization and problematic attachment to others. The current study investigated whether impairments in mentalization, attachment, and psychopathology a...
Chapter
Full-text available
Swedish translation from original Danish (Bo & Kongerslev, 2016)
Presentation
Full-text available
Presenting data from the first MBT group treatment program for adolescents with BPD
Article
Objective Borderline Personality Disorder (BPD) is a highly prevalent diagnosis in mental health care and includes a heterogeneous constellation of symptoms. As the field of personality disorder (PD) research moves to emphasize dimensional traits in its operationalization, it is important to determine how the alternative DSM-5 Section III personali...
Article
Full-text available
Adolescent borderline personality disorder (BPD) is a devastating disorder, and it is essential to identify and treat the disorder in its early course. A total of 34 female Danish adolescents between 15 and 18 years old participated in 1 year of structured mentalization-based group therapy. Twenty-five adolescents completed the study, of which the...
Article
Full-text available
Background: Evidence-based outpatient psychotherapeutic programs are first-line treatment of borderline personality disorder (BPD). Early and effective treatment of BPD is crucial to the prevention of its individual, psychosocial, and economic consequences. However, in spite of recent advantages in diagnosing adolescent BPD, there is a lack of cos...
Article
Full-text available
The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013a) offers an alternative model for Personality Disorders (PDs) in Section III, which consists in part of a pathological personality traits criterion measured with the Personality Inventory for DSM-5 (PID-5). The PID-5 selfrep...
Poster
Full-text available
Background/aims: Callous-unemotional (CU) traits index a subgroup of delinquent adolescents in heightened risk for developing psychopathic personality disorder, and becoming persistent and severe offenders. Hence, the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), have included a “with limited prosocial emotions” spec...
Poster
Background/aims: Little research has examined the impact of personality disorder on general health in the general population. The current study aims to explore associations between personality disorder and self-rated health. Method: This ongoing study was part of the nationwide Danish National Health Survey 2013, also called ‘How are you?’ – which...
Conference Paper
Full-text available
BACKGROUND: DSM-5 Section III includes an alternative model of personality and personality disorders. Apart from rating overall functioning, 25 pathological personality trait facets (DSM-5 traits) are measured. All individuals have certain degrees of DSM-5 traits within continua. OBJECTIVE: Based on the hypothesis that pathological traits are more...
Presentation
Background/aims: Psychopathy is a personality disorder partly characterized by affective features (e.g. callous-unemotional), a manipulative and deceitful interpersonal style, and the propensity to engage in violent and criminal behaviors. It has been suggested that an impairment in the ability to understand the overt behaviors of self and others i...
Conference Paper
Full-text available
The DSM-5 trait model, as measured with the PID-5 self report form, has already demonstrated promising psychometric qualities which is an important prerequisite for clinical utility. However, for a considerable number of clinicians, the various “unfamiliar” trait facets may be perceived as a trip in the jungle without any clue of how they should be...
Article
Psychopathy and metacognitive difficulties have been associated with the occurrence of violence in schizophrenia. However, evidence suggests that nonschizophrenic psychopaths match or even outperform healthy controls on tests of metacognition. We hypothesize that the metacognitive difficulties associated with schizophrenia may be ameliorated by com...
Article
Full-text available
Background Callous-unemotional (CU) traits have been found to index an important subgroup of antisocial youth who are at high risk for developing psychopathic personality pathology, and for becoming severe and persistent offenders. On the basis of such research findings, the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition , hav...
Article
Full-text available
In this study we assessed the DSM-5 trait model in a large Danish sample (n = 1,119) with respect to reliability of the applied Danish version of the Personality Inventory for DSM-5 (PID-5) self-report form by means of internal consistency and item discrimination. In addition, we tested whether the five-factor structure of the DSM-5 trait model can...
Article
Full-text available
In this commentary on the 6 articles comprising this In Session issue on metacognition and mentalizing in the psychotherapeutic treatment of severe mental disorders, we strive to contextualize and bring together salient issues reflected in these articles. In the foreground of our discussion is the point that the commonalities of these and related s...
Chapter
Patients with schizophrenia engage in more violence and delinquent behavior compared with the normal population. Research has presented comorbid factors such as psychoses (and specifically first-episode psychoses), drug and alcohol abuse, personality disorders, and psychopathy as the major culprits in precipitating increased violent behavior in pat...
Article
Full-text available
Convincing evidence demonstrates that psychopathy is associated with premeditated aggression. However, studies have failed to explain why this association exists and whether socio-cognitive functions, such as mentalizing, could explain the relation. This cross-sectional study investigates, in 108 patients with schizophrenia, the association of psyc...
Article
Mentalizing abilities are severely disrupted in patients with schizophrenia, but gender-related differences in this domain are virtually unexplored. Given the importance of these abilities in understanding psychopathology, social functioning and outcome, this study aimed to examine the mentalizing abilities of male and female patients with schizoph...
Poster
Full-text available
Background: The Personality Inventory DSM-5 (PID-5) was recently included in the section III of DSM-5 as an alternative measure of personality disorders with roots in quantitative personality theory and clinical psychology. PID-5 is a dimensional personality inventory with 220 likert-type items designed to measure five maladaptive personality facto...