Transference-Focused Psychotherapy for Borderline Personality
Disorder: A Clinical Guide presents a model of borderline
personality disorder (BPD) and its treatment that is based on
contemporary psychoanalytic object relations theory as developed by
the leading thinker in the field, Otto Kernberg, M.D., who is also
one of the authors of this insightful manual. The model is
supported and enhanced by material on current phenomenological and
neurobiological research and is grounded in real-world cases that
deftly illustrate principles of intervention in ways that mental
health professionals can use with their patients. The book first
provides clinicians with a model of borderline pathology that is
essential for expert assessment and treatment planning and then
addresses the empirical underpinnings and specific therapeutic
strategies of transference-focused psychotherapy (TFP). * From the
chapter on clinical assessment, the clinician learns how to select
the type of treatment on the basis of the level of personality
organization, the symptoms the patient experiences, and the areas
of compromised functioning. In order to decide on the type of
treatment, the clinician must examine the patient's subjective
experience (such as symptoms of anxiety or depression), observable
behaviors (such as investments in relationships and deficits in
functioning), and psychological structures (such as identity,
defenses, and reality testing). * Next, the clinician learns to
establish the conditions of treatment through negotiating a verbal
treatment contract or understanding with the patient. The contract
defines the responsibilities of each of the participants and
defines what the reality of the therapeutic relationship is. *
Techniques of treatment interventions and tactics to address
particularly difficult clinical challenges are addressed next,
equipping the therapist to employ the four primary techniques of
TFP (interpretation, transference analysis, technical neutrality,
and use of countertransference) and setting the stage for and
guiding the proper use of those techniques within the individual
session.* What to expect in the course of long-term treatment to
ameliorate symptoms and to effect personality change is covered,
with sections on the early, middle, and late phases of treatment.
This material prepares the clinician to deal with predictable
phases, such as tests of the frame, impulse containment, movement
toward integration, episodes of regression, and termination.*
Finally, the text is accompanied by supremely instructive online
videos that demonstrate a variety of clinical situations, helping
the clinician with assessment and modeling critical therapeutic
strategies. The book recognizes that each BPD patient presents a
unique treatment challenge. Grounded in the latest research and
rich with clinical insight, Transference-Focused Psychotherapy for
Borderline Personality Disorder: A Clinical Guide will prove
indispensable to mental health professionals seeking to provide
thoughtful, effective care to these patients.
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