Psychotherapy for Borderline Personality / Edition 1

Psychotherapy for Borderline Personality / Edition 1

by John F. Clarkin, Frank E. Yeomans, Otto F. Kernberg, Otto F. Kernberg
     
 

Psychotherapy for Borderline Personality Working with a severely reduced emotional palette, the borderline personality inhabits a stark world populated by comic book heroes and villains, victims and destroyers, saints and serpents, endlessly vying for dominance. As any psychotherapist who treats borderline patients knows, entering the fray in an effort to help… See more details below

Overview

Psychotherapy for Borderline Personality Working with a severely reduced emotional palette, the borderline personality inhabits a stark world populated by comic book heroes and villains, victims and destroyers, saints and serpents, endlessly vying for dominance. As any psychotherapist who treats borderline patients knows, entering the fray in an effort to help establish harmony among the warring factions is an undertaking fraught with danger. Even the canniest therapist is at risk of being drawn into the seductive whirlwind of shifting roles and power struggles, only to become another unwitting agent of chaos. What is needed, then, is an approach that provides sufficient clinical structure to contain the destructive forces that can undermine the therapeutic process while remaining flexible enough to allow the therapist the freedom to safely interact with and respond constructively to the roles thrust upon him or her by the patient. This groundbreaking book describes such an approach—transference focused psychotherapy (TFP). TFP is a sophisticated new variant of psychodynamic interventions centering on the analysis of the transference. Its main goal is to bring a patient’s unconscious conflicts to the surface so that they can be actively worked through by the client and therapist within a rigorous clinical framework. In Psychotherapy for Borderline Personality, the authors describe TFP principles and methods and provide clear guidelines on how to apply them to individual patients on a session-by-session basis. With the help of numerous vignettes and case examples, they clearly outline the various stages of the TFP therapeutic process, from initial assessment to termination. Readers learn techniques for seeing past the wall of behavioral and cognitive dissonance typically thrown up by the borderline patient and to identify and label a patient’s radically conflicting self-conceptions and object representations. They learn how to immerse themselves in the turbulent currents of the borderline narrative stream, while, at the same time, maintaining the clinical distance required to be a constructive force in their patients’ lives. And they learn how to get patients to relax their defenses, to become active participants in the process of reconciling the warring factions within, and to find the courage to appreciate themselves and others in their full complexity as human beings. An elegantly humane yet clinically rigorous approach to interventions with one of the most challenging categories of personality disorders, Psychotherapy for Borderline Personality is an important professional resource for all mental health professionals.

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Product Details

ISBN-13:
9780471170426
Publisher:
Wiley
Publication date:
02/02/2004
Pages:
400
Product dimensions:
6.44(w) x 9.59(h) x 1.27(d)

Meet the Author

JOHN F. CLARKIN, PhD, is Co-Director of the Personality Disorder Institute at the New York Presbyterian Hospital, Westchester Division, and Professor of Clinical Psychology in Psychiatry at the Joan and Sanford I. Weill Medical College and Graduate School of Medical Sciences of Cornell University. He is the Executive Officer of the Society for Psychotherapy Research. FRANK E. YEOMANS, MD, PhD, is a Clinical Associate Professor of Psychiatry at the Joan and Sanford I. Weill Medical College and Graduate School of Medical Sciences of Cornell University. He is a Fellow in the Personality Disorder Institute and is in private practice in White Plains and New York City. OTTO F. KERNBERG, MD, is the Director of the Personality Disorder 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. He is a training and supervising analyst at the Columbia University Center for Psychoanalytic Training and Research, and is currently the President of the International Psychoanalytic Association.

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Table of Contents

INGREDIENTS OF TRANSFERENCE-FOCUSED PSYCHOTHERAPY.

Introduction to Transference-Focused Psychotherapy.

Strategies of Treatment: The Broad Strokes.

Tactics of Treatment: Position from Which the Therapist Intervenes.

Techniques of Treatment: The Specific Interventions.

PHASES OF TREATMENT.

Patient Assessment.

Treatment Contracting: Universal Aspects.

Treatment Contracting: Individualized Aspects.

Early Treatment Phase: Impulse Containment.

A Session in the Early Treatment Phase: A Clinical Illustration.

Midphase of Treatment: Deepening Understanding.

Midphase of Treatment: Love and Sexuality.

Advanced Phase of Treatment.

Overview of an Entire TFP Case.

Treatment Termination.

SIGNIFICANT TREATMENT ISSUES.

Crisis Management.

Medication Management.

Appendices.

References.

Index.

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