Psychotherapy for Borderline Personality: Focusing on Object Relations [NOOK Book]


For therapists treating patients with borderline personality organization, transference-focused psychotherapy (TFP) has proven to be a remarkably successful approach that effectively targets the pathology of character. The product of more than 25 years of development, it draws on advances in object relations theory and attachment theory with the goal of not merely treating symptoms but changing the patient's underlying personality and quality of life.

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Psychotherapy for Borderline Personality: Focusing on Object Relations

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For therapists treating patients with borderline personality organization, transference-focused psychotherapy (TFP) has proven to be a remarkably successful approach that effectively targets the pathology of character. The product of more than 25 years of development, it draws on advances in object relations theory and attachment theory with the goal of not merely treating symptoms but changing the patient's underlying personality and quality of life.

Psychotherapy for Borderline Personality describes principles of intervention and contains a wealth of practical guidelines on how to apply TFP to individual patients on a session-by-session basis. This groundbreaking treatment manual focuses on the analysis of the transference, showing how to help patients relax their defenses and become active participants in the therapeutic process. The authors describe techniques for seeing past the wall of behavioral and cognitive dissonance typically thrown up by the borderline patient, identifying a patient's conflicting self-conceptions and object representations, and immersing oneself in the turbulent currents of the borderline narrative stream while maintaining the clinical distance required to be a constructive force in patients' lives. • For each phase of treatment-assessment, early treatment, midphase, advanced phase, and termination-the authors describe the tasks of the therapist and the sequence of responses by the patients• Session descriptions are included to illustrate treatment in progress• A separate chapter addresses specific issues in treatment, including crisis management for suicide threats and aggressive behavior• Recognizing that patients with BPO start treatment at different points of their pathology, the authors provide an expansive description of the treatment course with high-level and low-level BPO patients, making the book relevant to a wide range of clinical situations

This volume also reflects not only the authors' ongoing experience with TFP in other clinical sites, showing how it can be used in diverse cultural settings, but also research that helps precisely identify the course and type of changes resulting from TFP. Brimming with insights garnered from years of successful clinical application, Psychotherapy for Borderline Personality will sharpen the skills of those already familiar with TFP and introduce others to a trailblazing approach to therapy.

The book contains black-and-white illustrations.

Focusing on the application of transference based therapy in treating patients with borderline personality disorder, this book outlines a successful approach for helping clients with this complex disorder.

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Editorial Reviews

Lester Luborsky
This admirable guide's many verbatim examples are organized into an expansion of the well-known and impressively effective Kernberg-style psychotherapy treatment system for borderline patients. If you treat borderline patients in psychotherapy, you need this guide for its high-power focus on the special problems of these patients.
Robert Michels
This book offers us an opportunity to share in [Drs. Clarkin, Yeomans, and Kernberg's] success. It is a must for anyone who works with borderline patients.
Larry Beutler
This book contains the most readable and understandable description of BPD from a dynamic perspective that I have ever read. It is an eye-opener and must reading for anyone working with this population.

This book goes far beyond any other psychodynamic psychotherapy manual that I've read. It not only delves into the relationship and transference, as most do, but gives some straightforward and clear descriptions of very important interventions that are specific to this population.

This book breathes fresh air into psychodynamic psychotherapy. It includes not only a description of the pathology that is understandable even to the non-dynamic therapist, it offers rich descriptions of the specific interventions and their indications that can be effective with the borderline patient.

Hans H. Strupp
Psychotherapy for Borderline Personality is an excellent guide to the treatment of these difficult and frequently intractable patients who test the mettle of any psychotherapist who attempts the daunting task of engaging them in psychoanalytic psychotherapy. The authors have presented a manual that is practical, lucid, and yet sophisticated.
Paul Pilkonis
In this era of demands for greater accountability in documenting the practice and outcomes of psychotherapy, Clarkin, Yeomans, and Kernberg continue to pursue the challenge of making more transparent what often seems elusive in the treatment of patients with borderline personality disorder. They take seriously the obligation to articulate as plainly as possible the theory behind their work and its translation into 'hands-on' practice.
Doody's Review Service
Reviewer: Sheila M. Dowd, PhD (Rush University Medical Center)
Description: For more than 25 years, the authors and their colleagues have developed a therapeutic intervention for individuals suffering with "pathology of character." This book presents an update of the Transference-Focused Psychotherapy (TFP) for the treatment of borderline personality disorder.
Purpose: The purpose of the book is to update the treatment manual for severe personality disorders, a very challenging illness to treat. The authors successfully provide the guidance and theoretical foundation to use TFP.
Audience: The book is appropriate for clinicians and trainees working with this population and can be easily used by experienced clinicians who are unfamiliar with the psychoanalytic perspective. Who doesn't know these authors? They are leading experts in the field.
Features: Initially, the book reviews the object relations view of personality development which anchors their intervention. It then proceeds with the strategies, techniques, and tactics of TFP, including numerous clinical illustrations and transcripts from sessions. Throughout the book, the authors compare and contrast their intervention to other leading theories and clarify the differences in their model from other traditional psychoanalytic models. The book also includes a description of the most recent empirical support for their model.
Assessment: This book can be used by those with experience in psychoanalysis and those without experience. It is a carefully written, clear treatment manual for TFP for borderline personality disorder. The updated edition includes more of their research data as well as their experience bringing this intervention to other treatment centers. The book successfully provides the principles of the treatment, models the day-to-day interactions, and helps guide clinicians' formulations within their frameworks.
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Product Details

  • ISBN-13: 9781585626441
  • Publisher: American Psychiatric Publishing, Incorporated
  • Publication date: 4/2/2007
  • Sold by: Barnes & Noble
  • Format: eBook
  • Pages: 411
  • Sales rank: 886,579
  • Product dimensions: 0.60 (w) x 0.90 (h) x 0.10 (d)
  • File size: 4 MB

Meet the Author

John F. Clarkin, Ph.D., is Co-Director of the Personality Disorder Institute at New York Presbyterian Hospital, Westchester Division, and Clinical Professor of Psychology in Psychiatry at the Joan and Sanford I. Weill Medical College and Graduate School of Medical Sciences of Cornell University in New York City. He is Past President of the International Society for Psychotherapy Research.

Frank E. Yeomans, M.D., Ph.D., is Clinical Associate Professor of Psychiatry at the Weill Medical College of Cornell University and Director of Training at the Personality Disorders Institute of New York Presbyterian Hospital, and Director of the Personality Studies Institute in New York City.

Otto F. Kernberg, M.D., is Director of the Personality Disorders Institute at the New York Presbyterian Hospital, Westchester Division, and Professor of Psychiatry at the Joan and Sanford I. Weill Medical College and Graduate School of Medical Sciences of Cornell University, New York City. He is a training and supervising analyst at the Columbia University Center for Psychoanalytic Training and Research and is a past president of the International Psychoanalytic Association.

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Table of Contents

Preface. The nature of borderline personality organization. Treatment of borderline pathology: the strategies of transference-focused psychotherapy. Techniques of treatment: the moment-to-moment interventions. Tactics of treatment: laying the foundation for the techniques. Assessment phase, I: clinical evaluation and treatment selection. Assessment phase, II: treatment contracting. Early treatment phase: tests of the frame and impulse containment. Midphase of treatment: movement toward integration with episodes of regression. Advanced phase of treatment and termination. Common treatment complications. Changes processes in transference-focused psychotherapy: theoretical and empirical approaches. References. Index.

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