Psychotherapy for Borderline Personality

Psychotherapy for Borderline Personality : Focusing on Object Relations

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Description

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.show more

Product details

  • Hardback | 411 pages
  • 160.02 x 233.68 x 25.4mm | 612.35g
  • American Psychiatric Association Publishing
  • American Psychiatric Press Inc.
  • VA, United States
  • English
  • 1585622109
  • 9781585622108
  • 456,245

Review quote

"Pyschotherapy for Borderline Personality offers a clear strategy for treating BPD that follows logically from object relations theory. The text reflects the insight of decades of research and clinical practice with BPD and has the added benefit of incorporating contemporary findings from neurobiology and studies on temperament. This manual would be invaluable for all clinicians practicing psychodynamic psychotherapy, regardless of their level of experience. It is clear and comprehensive in its coverage of BPD treatment and offers reasonable guidelines and strategies for effectively negotiating the complex behavioral and affective oscillations so typical of individuals with BPD. Its 11 chapters present an overview of the theoretical foundations of TFP, followed by an extensive review of the techniques and tactics used to treat BPD, from assessment to termination....Psychotherapy for Borderline Personality is uncompromising in its scholarship as well as inspiring in its clinical formulations....Anyone who wants to understand borderline personality and its treatment from a psychodynamic perspective would do well to read this manual."-- "PsycCRITIQUES", "October 25, 2006"show more

About John F. Clarkin

John F. Clarkin, Ph.D., is Professor of Clinical Psychology in Psychiatry at the Cornell University Medical College; and Director of Psychology, Westchester Division, at The New York Hospital - Cornell Medical Center in White Plains, New York. Frank E. Yeomans, M.D., is Professor of Clinical Psychology in Psychiatry at The New York Hospital- Cornell Medical Center in White Plains, New York. Otto F. Kernberg, M.D., is Professor of Clinical Psychology in Psychiatry at The New York Hospital-Cornell Medical Center in White Plains, New York.show more

Flap copy

The product of more than 25 years of development, transference-focused psychotherapy (TFP) 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 TFP 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 tasks of the therapist and the sequence of responses by the patient for each phase of treatment. Recognizing that patients with borderline personality organization (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. 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.show more

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.show more

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