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Psychotherapy for Borderline Personality [Hardcover]

John F. Clarkin (Author), Frank E. Yeomans (Author), Otto F. Kernberg (Author)
5.0 out of 5 stars  See all reviews (2 customer reviews)


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Book Description

December 28, 1998 0471170429 978-0471170426 1
"This book contains the most readable and understandable description of BPD from a dynamic perspective that I have ever read. It is an eye-opener and must reading for anyone working with this population.

This book goes far beyond any other psychodynamic psychotherapy manual that I've read. It not only delves into the relationship and transference, as most do, but gives some straightforward and clear descriptions of very important interventions that are specific to this population.

This book breathes fresh air into psychodynamic psychotherapy. It includes not only a description of the pathology that is understandable even to the non-dynamic therapist, it offers rich descriptions of the specific interventions and their indications that can be effective with the borderline patient." —Larry Beutler, Graduate School of Education, University of California

"Psychotherapy for Borderline Personality is an excellent guide to the treatment of these difficult and frequently intractable patients who test the mettle of any psychotherapist who attempts the daunting task of engaging them in psychoanalytic psychotherapy. The authors have presented a manual that is practical, lucid, and yet sophisticated." —Hans H. Strupp, Department of Psychology, Vanderbilt University

"In this era of demands for greater accountability in documenting the practice and outcomes of psychotherapy, Clarkin, Yeomans, and Kernberg continue to pursue the challenge of making more transparent what often seems elusive in the treatment of patients with borderline personality disorder. They take seriously the obligation to articulate as plainly as possible the theory behind their work and its translation into 'hands-on' practice." —Paul Pilkonis, University of Pittsburgh School of Medicine

"This book offers us an opportunity to share in [Drs. Clarkin, Yeomans, and Kernberg's] success. It is a must for anyone who works with borderline patients." —Robert Michels, MD, The New York Hospital-Cornell Medical Center

"This admirable guide's many verbatim examples are organized into an expansion of the well-known and impressively effective Kernberg-style psychotherapy treatment system for borderline patients. If you treat borderline patients in psychotherapy, you need this guide for its high-power focus on the special problems of these patients." —Lester Luborsky, PhD, Department of Psychiatry, University of Pennsylvania

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 approach—transference 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.

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.



Editorial Reviews

From the Inside Flap

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 approach—transference 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.

About the Author

JOHN F. CLARKIN, PhD, is Co-Director of the Personality Disorder Institute at the New York Presbyterian Hospital, Westchester Division, and Professor of Clinical Psychology in Psychiatry at the Joan and Sanford I. Weill Medical College and Graduate School of Medical Sciences of Cornell University. He is the Executive Officer of the Society for Psychotherapy Research. FRANK E. YEOMANS, MD, PhD, is a Clinical Associate Professor of Psychiatry at the Joan and Sanford I. Weill Medical College and Graduate School of Medical Sciences of Cornell University. He is a Fellow in the Personality Disorder Institute and is in private practice in White Plains and New York City. OTTO F. KERNBERG, MD, is the Director of the Personality Disorder Institute at the New York Presbyterian Hospital, Westchester Division, and Professor of Psychiatry at the Joan and Sanford I. Weill Medical College and Graduate School of Medical Sciences of Cornell University. He is a training and supervising analyst at the Columbia University Center for Psychoanalytic Training and Research, and is currently the President of the International Psychoanalytic Association.

Product Details

  • Hardcover: 400 pages
  • Publisher: Wiley; 1 edition (December 28, 1998)
  • Language: English
  • ISBN-10: 0471170429
  • ISBN-13: 978-0471170426
  • Product Dimensions: 9.6 x 6.4 x 1.3 inches
  • Shipping Weight: 1.8 pounds
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (2 customer reviews)
  • Amazon Best Sellers Rank: #1,314,708 in Books (See Top 100 in Books)

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4 of 4 people found the following review helpful:
5.0 out of 5 stars Not for beginners, but on the cutting edge..., May 22, 2005
By 
D. Beech MD (Columbus, Ohio) - See all my reviews
This review is from: Psychotherapy for Borderline Personality (Hardcover)
Clarkin, et. al. have crafted a comprehensive but very readable volume that manages to be at the same time thorough and succinct. This group of clinician-researchers and their program continue to set the pace in the realm of psychodynamic psychotherapy for borderline conditions. Their method, termed "transference focused psychotherapy (TFP)", should not be mistaken for just another entry in a long line of manualized, mostly cognitive-behaviorally based psychotherapies currently in vogue. Built upon foundations laid for decades by co-author Otto Kernberg, this is a further-refined, yet evidence-based and intensive form of psychodynamic psychotherapy. The volume is geared specifically toward the practicalities involved in working with such patients. In reading this book, the experience and wisdom of its authors come through in nearly every page, as the approach is very structured and methodical and includes the troubleshooting strategies that could only be honed through repeated experiences with these interesting and challenging patients. The frankness and richness of the clinical examples are keenly illustrative, and will have every therapist empathically nodding their heads as they read how others have handled commonly-encountered dilemmas in their own offices. What is especially helpful is the description of a case in all of its phases. Seeing the future and feeling hope can sometimes be difficult when the therapist gets immersed in the deep hopelessness of some of their patients... the complete case description provides a set of guideposts, benchmarking every phase of the therapeutic process.

It should be noted that familiarity with basic psychodynamic principles, as well as a working knowledge of object relations theory are prerequisites for making the most of this contemporary work. This contribution lends order to what is often a chaotic endeavor, and arms the psychodynamic therapist with very specific, practical, problem-oriented direction. I recommend it highly to every clinician who works in intensive psychotherapy with patients with borderline conditions.
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14 of 16 people found the following review helpful:
5.0 out of 5 stars extremely useful training manual, April 2, 1999
This review is from: Psychotherapy for Borderline Personality (Hardcover)
This book is a very useful manual that helps you to install the unevitable treating contract with bordeline patients which is a necessary frame. The manual provides you with clear instructions on how to set priorities when it comes to troubles (acting-out). And it helps you to develop the feeling when to interprete in terms of transference. Analysts who are used to wait very long until they react actively may be irritated; but no psychotherapist involved in the toil's work with severe borderline conditions can afford to ignore this modern, lively and considerate point of application. This work is the psychoanalytic counterpart, and challenge to Marsha Linehan's famous behavioristic studies on treating the self-destructive and acting-out borderline patient.
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Inside This Book (learn more)
First Sentence:
A MAJOR goal of transference-focused psychotherapy (TFP) is to help borderline personality organization (BPO) patients develop images of themselves and others that are multidimensional, cohesive, and integrated. Read the first page
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
egosyntonic aggression, psychopathic transferences, contract setting phase, pathological grandiose self, depressive transferences, covering therapist, paranoid regression, contract setting process, dominant object relation, sadistic stepmother, paranoid transference, neurotic personality organization, early treatment phase, transference themes, technical neutrality, sadistic object, superego precursors, exploratory therapy, treatment crises, transference paradigms, treatment frame, structural interview, borderline patients, primitive idealization, treatment contract
Key Phrases - Capitalized Phrases (CAPs): (learn more)
Russian Roulette, Melanie Klein, Tactics of Treatment, Treatment Contracting
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