Transference focused psychotherapy (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. Psychotherapy for Borderline Personality is an important professional resource for all mental health professionals.

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.

Borderline Personality disorder is a severe personality dysfunction characterized by behavioural features such as impulsivity, identity disturbance, suicidal behaviour, emptiness, and intense and unstable relationships. Approximately 2% of the population are thought to meet the criteria for BPD. The authors of this volume - Anthony Bateman and Peter Fonagy - have developed a psychoanalytically oriented treatment to BPD known as mentalization treatment. With randomised controlled trialshaving shown this method to be effective, this book presents the first account of mentalization treatment for BPD. The first section gives an overview of BPD, including discussion of nosology, epidemiology, natural history, and psychosocial aetiology. It additionally summarises the present state of our research knowledge about effective psychotherapeutic treatments and use of medication. The second section outlines the authors' theoretical approach and contrasts it with other well known methods, including DBT, CAT, and CBT. In the extensive final section, the authors outline their clinical approach starting with how treatment is organised. A detailed account of the transferable features of the model is provided along with the main strategies and techniques of treatment. Numerous clinical examples are given to illustrate the core techniques and detailed information provided about how to apply aspects of the mentalization based treatment approach in everyday practice. Aimedat mental health professionals, along with counsellors, psychotherapists, and psychoanalysts, the book will be a valuable tool, providing an effective means of treating those suffering from Borderline Personality Disorder.

Explore and understand new approaches in Borderline therapy. Borderline Personality Disorder (BPD) lags far behind other disorders such as schizophrenia in terms of research and treatment interventions. Debates about diagnosis, etiology, neurobiology, genetics, medication, and treatment still persist. Borderline Personality Disorder: Meeting the Challenges to Successful Treatment brings together over two dozen of the field’s leading experts in one enlightening text. The book also offers mental health providers a view of BPD from the perspectives of sufferers as well as family members to foster an understanding of the experiences of relatives who are often devastated by their loved ones’ struggles with this common disorder. Although there has been an increasing interest in BPD in terms of research funding, treatment advancement, and acknowledgment of family perspective over the last decade, the fact remains that the disorder is still highly stigmatized. Borderline Personality Disorder: Meeting the Challenges to Successful Treatment provides social workers and other mental health clinicians with practical access to the knowledge necessary for effective treatment in a single volume of the most current research, information, and management considerations. This important collection explores the latest methods and approaches to treating BPD patients and supporting their families. This useful text also features handy worksheets and numerous tables that present pertinent information clearly. Chapters in Borderline Personality Disorder: Meeting the Challenges to Successful Treatment include: an overview of Borderline Personality Disorder confronting myths and stereotypes about BPD biological underpinnings of BPD BPD and the need for community - a social worker’s perspective on an evidence-based approach to managing suicidal behavior in BPD patients Dialectical Behavior Therapy supportive psychotherapy for borderline patients Systems Training for Emotional Predictability and Problem Solving (STEPPS) Mentalization-based Treatment fostering validating responses in families Family Connections: an education and skills training program for family member wellbeing and much more! Full of practical, useable ideas for the betterment of those affected by BPD, Borderline Personality Disorder: Meeting the Challenges to Successful Treatment is a valuable resource for social workers, psychologists, psychiatrists, and counselors, as well as students, researchers, and academics in the mental health field, family members, loved ones, and anyone directly affected by BPD.

This volume gives psychodynamic psychotherapists a view of how their colleagues actually treat severely disturbed borderline patients and how treatments proceed over the course of several years.

Patients with borderline personality disorder (BPD) or borderline traits are among the most difficult for mental health practitioners to treat. They present an incredible range of symptoms, dysfunctional interpersonal interactions, provocative behavior in therapy, and comorbid psychiatric disturbances. So broad is this array that indeed the disorder constitutes a virtual model for the study of all forms of self-destructive and self-defeating behavior patterns. Psychotherapy With Borderline Patients: An Integrated Approach fills the need for a problem-focused, clinically oriented, and operationalized treatment manual that addresses major ongoing family factors that trigger and reinforce the patient's self-destructive or self-defeating behavior. In it, David Allen draws on the theoretical ideas and techniques of biological, family systems, psychodynamic, and cognitive-behavioral therapists to describe an integrated approach to adults with BPD or borderline traits in individual therapy. Innovative, practical, and specific, the book * helps therapists teach their patients, through the use of various role-playing techniques, strategies to alter the dysfunctional patterns of interaction with their families of origin that reinforce self-destructive behavior or chronic affective symptoms; * explains the nature and origins of the characteristic oscillation of hostile over- and underinvolvement between adults with BPD and those who served as their primary parental figures during childhood; * elucidates the nature and causes of the dysfunctional communication patterns in patients' families that lead to misunderstanding; and * provides concrete, clearly spelled out advice for therapists about how to deal with provocative patient behavior, how to minimize distorted descriptions by patients of significant others, how to avoid patients' misuse of medications, and how to respond to managed care restrictions on patients' insurance coverage. Psychotherapy With Borderline Patients: An Integrated Approach will be welcomed by all clinicians who work with these patients, whatever their training or theoretical orientation.

This book brings together a series of experts and experienced clinicians to describe and discuss a series of BPD cases in a manner that emphasizes core descriptive and diagnostic features, generalizable principles and techniques, and key take-home messages for clinicians at all levels of experience. The book emphasizes consideration for the disorder from multiple perspectives to help identify effective responses to common clinical challenges and decision points. To enhance interest, narrative, and readability, each chapter uses a consistent format to present a common clinical challenge along with an effective therapeutic response and discussion of relevant theoretical and empirically validated principles. Each chapter title contains a patient’s (fictionalized) name and a subheading identifying the clinical dilemma or approach to be illustrated. The text includes key points and chapter summaries to help pull together the most important takeaways as quick reference. Borderline Personality Disorder is a vital resource for psychiatrists, psychologists, psychiatric nurses, general internists, social workers, and all medical professions working with patients suffering from Borderline Personality Disorder.

Built on the solid foundation of a six-year treatment comparison trial, the interpersonal group psychotherapy model fully detailed here focuses on the current relationships in the patient's life. The research study showed that individual psychodynamic psychotherapy, which emphasizes the developmental genesis of the borderline disorder, leads down a much longer and more costly road - but with outcomes equivalent to the group model. By zeroing in on the affective significance of the patient's lifelong search for more gratifying and secure relationships, the therapist can address a key feature of the disorder found in all its subtypes. With group therapy, the therapist is able to dilute the powerful transference reactions commonly found in individual therapy with borderline patients. In interpersonal group therapy, the patient is also able to form new, positive identifications with others. This guide, generously illustrated with extensive clinical examples, has been designed to be used in a broad range of treatment settings and employed by an extensive array of mental health professionals: psychiatrists, psychologists, social workers, and nurses.

This issue of Psychiatric Clinics of North America, edited by Drs. Frank Yeomans and Kenneth Levy, will offer a comprehensive review of key topics of importance in the study of Borderline Personality Disorder. The series is led by our Consulting Editor, Dr. Harsh Trivedi of Sheppard Pratt Health System. This issue will explore the following topics: Conceptual models, Diagnosis and assessment, Differential diagnosis, Community and Clinical Epidemiology, Comorbidity, Longitudinal Course, Neuroscience and social cognition, Attachment, Psychotherapy and medication treatment research, Psychotherapy with children and adolescents, and Family and patient perspectives, among others.

Though much progress has been made in developing specialist psychosocial treatments for borderline personality disorder (BPD), the majority of people with BPD receive treatment within generalist mental health services. This is a practical evidence-based guide on how to help people with BPD with advice based on research evidence.