Transferencefocused psychotherapy for borderline personality disorder. Dec 10, 2019 in this article, we describe the goals of transference focused psychotherapy tfp, its indications, underlying theory, and its broad structure and techniques. Focused psychotherapy for working with patients transference with borderline and narcissistic personality features transferencefocused psychotherapy tfp is a comprehensive and ambitious evidence. Transference focused psychotherapy tfp is a manualized evidencebased treatment for borderline and other severe personality disorders that is based on psychoanalytic object relations theory. Transference focused psychotherapy tfp is a psychoanalytic treatment for patients with borderline and other personality disorders. 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. Transference focused psychotherapy is a form of psychodynamic psychotherapy.
In the past few years two methods of psychoanalytic treatment for borderline patients have been developed. Pdf transferencefocused psychotherapy for narcissistic. Kernberg for the treatment of clients with severe personality disorders, is presented. The international society of transference focused psychotherapy istfp was founded in september 2011. A bout transferencefocused psychotherapy tfp our approach to personality disorder treatment and research is based on the understanding of personality disorders in general and bpd in specific that is described on this page. Oct 08, 2018 transference focused psychotherapy tfp is a psychodynamic treatment designed especially for patients with borderline personality disorder bpd. Transferencefocused psychotherapy was developed by otto.
Transference focused psychotherapy for borderline personality disorder. Transferencefocused psychotherapy tfp transferencefocused psychotherapy tfp is a psychodynamic treatment based on kernbergs modified egopsychology and object relations theory of personality disorder. Individuals with these conditions may experience depression, anxiety andor other intense emotions. Theory, research and treatment nationaleducationalallianceborderline. To compare transferencefocused psychotherapy with treatment by experienced community. Transferencefocused psychotherapy for working with patients. Introduction to the theory and technique of transferencefocused. Kernberg and is based on his model of borderline personality disorder. A clinical guide marshals these theoretical advances and data from developmental and neurocognitive studies to enrich the readers understanding of both the pathology itself and the elements of effective clinical intervention and treatment. Diamond and others published transference focused psychotherapy for patients with comorbid narcissistic and. Transference focused psychotherapy tfp lina normandin, ph. The main strategy in the transference focused psychotherapy tfp of borderline personality organization consists in the facilitation of the reactivation in the treat.
In a wellestablished therapy relationship, a patient and a therapist can choose to use transference as a tool of treatment. We address how transference focused psychotherapy tfp conceptualizes mechanisms in the cause and maintenance of borderline personality disorder bpd as well as change mechanisms both within the patient and in terms of specific therapists interventions that engender patient change. Pdf transferencefocused psychotherapy tfp is a manualized evidence based treatment for borderline and other severe personality. The authors outline the application of transference focused psychotherapy tfp, a structured, twiceweekly psychoanalytic psychotherapy, to patients with narcissistic pathology. The main strategy in the transference focused psychotherapy tfp of borderline personality organization consists in the facilitation of the reactivation in the treatment of the patients splitoff internalized object relations that are then observed and interpreted in the transference. Pdf transference focused psychotherapy for borderline.
Transferencefocused psychotherapy for borderline personality disorders pamela a. We summarize the current empirical support for tfp in regard to symptom and personality change. Jul 08, 2018 transference focused psychotherapy in severe personality disorders by otto kernberg, md accompanying slides. Transference focused psychotherapy tfp is an evidencebased psychodynamic therapy designed for patients with the type of condition known as personality disorders. To compare transference focused psychotherapy with treatment by experienced community.
Transferencefocused psychotherapy tfp for narcissistic personality. Plenary presented at the 2nd conference of the international society for transference focused psychotherapy. This book offers clear, practical, and simple recommendations for treating patients. Fundamentals of transference focused psychotherapy. Transferencefocused psychotherapy tfp is an evidencebased psychodynamic therapy designed for patients with the type of condition known as personality disorders. This is an excellent introductory and reference source for objectrelations therapy with borderline patients. Fundamentals of transferencefocused psychotherapy download.
Transferencefocused psychotherapy is grounded in contemporary psychoanalytic theory since we believe that. It is, however, a specialized form of psychodynamic psychotherapy with explicit tactics, strategies and techniques that were written up in a manual. Change in attachment patterns and reflective function in a. It was developed for a specific and defined set of problems severe personality disorders. A primer of transference focused psychotherapy for the borderline patient provides an excellent introduction and resource guide for objectrelations therapy for these borderline patients. Transference focused psychotherapy tfp is a highly structured, twiceweekly modified psychodynamic treatment based on otto f. Transference focused psychotherapy in severe personality disorders by otto kernberg, md accompanying slides. Fundamentals of transference focused psychotherapy is a valuable resource for psychiatrists, psychologists, and all other medical professionals treating patients suffering from borderline personality disorder, and other severe personality disorder presentations. Transference focused psychotherapy for borderline personality disorders. Change in reflective function volume 207 issue 2 melitta fischerkern, stephan doering, svenja taubner, susanne horz, johannes zimmermann, michael rentrop, peter schuster, peter buchheim, anna buchheim. He hypothesized about the developmental birth of borderline personality disorder. Transference is a common occurrence among humans, and it may often occur in therapy, but it does not necessarily imply a mental health condition.
Transference focused psychotherapy in severe personality. The operation of splittingbased defenses in the maintenance of the pathological grandiose self that is characteristic of individuals with narcissistic personality disorders is described, as are the obstacles posed by. Transferencefocused psychotherapy is grounded in contemporary psychoanalytic theory since we believe that psychoanalytic thinking has much to offer in terms of. Our approach to personality disorder treatment and research is based on the understanding of personality disorders in general and bpd in specific that is described on this page. Transference focused psychotherapy is a manualised treatment for borderline personality disorder. Transference focused psychotherapy tfp our approach to personality disorder treatment and research is based on the understanding of personality disorders in general and bpd in specific that is described in our overview section of this website. Transferencefocused psychotherapy tfp is a manualized evidencebased treatment for borderline and other severe personality disorders that is based on psychoanalytic object relations theory. Transferencefocused psychotherapy in the general psychiatry. Applications in psychiatric and medical settings pdf author richard g. Fundamentals of transferencefocused psychotherapy pdf. Transferencefocused psychotherapy tfp springerlink.
Pdf transferencefocused psychotherapy for borderline. May 14, 2018 transference focused therapy for borderline personality disorder bpd is a psychotherapy that focuses on using your relationship with your therapist to change how you relate to people in the world. International society of transference focused psychotherapy istfp. Personality disorders institute, training seminar schedule. By exploring and integrating these splitoff cognitiveaffective units of self and other representations, patients will be able to think more coherently and reflectively.
What is the difference between transference focused. Tfp was developed specifically for borderline personality disorder bpd and an associated broader form of personality dysfunction classified as. Transferencefocused psychotherapy for borderline personality. Transferencefocused psychotherapy tfp personality disorder.
Ninety patients reliably diagnosed with bpd were randomized to transferencefocused psychotherapy tfp, dialectical behavior therapy, or a modified psychodynamic supportive psychotherapy. A distinguishing feature of tfp in contrast to many. Tfp is a theorybased, manualized, empirically supported, outpatient. Transferencefocused psychotherapy tfp is a psychodynamic treatment designed especially for patients with borderline personality disorder. Frank yeomans, md, phd, transference focused psychotherapy. Kernbergs object relations model of borderline personality disorder. A primer of transferencefocused psychotherapy for the.
The operation of splittingbased defenses in the maintenance of the pathological grandiose self that is characteristic of individuals. Transferencefocused psychotherapy tfp is a psychodynamic treatment designed especially for patients with borderline personality disorder bpd. Transferencefocused psychotherapy tfp is a manualized, psycho. Psychotherapy is the treatment of choice, but it is unclear whether specialized psychotherapies dialectical behavior therapy, mentalizationbased treatment, transference focused therapy and. Transferencefocused psychotherapy for borderline personality disorders. Pdf transferencefocused psychotherapy researchgate.
Frank yeomans, md, phd nasspd annual conference boston april 20 and 21, 20 transference focused psychotherapy. Transference focused psychotherapy concepts and techniques have much to offer experienced psychiatrists and psychiatrists in training in their work with patients with borderline personality disorder and, as a consequence, help address the stigmatisation of this group of patients and improve their clinical care. Transferencefocused psychotherapy is a manualised treatment for borderline personality disorder. The essence of transference focused psychotherapy tfp a psychodynamic psychotherapy based on object relations theory developed to treat severe personality disorders empirical support for treatment of dsmiv bpd combines dynamic approach with structure, limit setting and attention to secondary gain. Metaanalysis of empirical outcome research on transference focused psychotherapy for borderline personality disorder. Kernberg wrote about transference focused psychotherapy. Lastly, we discuss recent developments and applications in tfp. Applications in psychiatric and medical settings content this book offers clear, practical, and simple recommendations for treating patients with personality disorders. How can transferencefocused psychotherapy tfp help general.
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