Psychotherapy for Borderline Personality / Edition 1by John F. Clarkin, Frank E. Yeomans, Otto F. Kernberg, Otto F. Kernberg
Pub. Date: 02/02/2004
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
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 approachtransference 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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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.
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.
SIGNIFICANT TREATMENT ISSUES.
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