Good Psychiatric Management and Transference-Focused Psychotherapy for Borderline Personality Disorder: A Spectrum of Psychodynamically Informed Treatments

2021 ◽  
Vol 49 (2) ◽  
pp. 296-321
Author(s):  
Benjamin McCommon ◽  
Richard Hersh
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Family Involvement ◽  
Medication Management ◽  
Borderline Personality ◽  
Identity Integration ◽  
Supportive Psychotherapy ◽  
Eclectic Approach ◽  
Evidence Supported Treatments ◽  
Transference Focused Psychotherapy

Good psychiatric management for borderline personality disorder (GPM) and transference-focused psychotherapy (TFP) are evidence-supported treatments that may be used in a complementary, flexible manner to provide a spectrum of psychodynamically informed care. In this article, we provide overviews of TFP and GPM, describing GPM's eclectic approach that includes psychodynamically informed supportive psychotherapy, case management, and medication management, informed by a model of hypersensitivity to rejection, comparing it with TFP's focus on identity integration and modification of standard psychodynamic techniques for use in treating patients with borderline personality disorder. We outline convergences and divergences between TFP and GPM in assessment, establishment of treatment goals and a treatment agreement, family involvement, and moment-to-moment psychotherapeutic interventions. The options for integration of TFP and GPM theoretical principles, as well as for models of treatment sequencing, are explored. Clinical vignettes are provided that illustrate sequential uses of GPM and TFP as part of psychodynamically informed long-term clinical management.

scholarly journals Application of Transference Focused Psychotherapy in Borderline Personality Disorders

2021 ◽  
Vol 10 (2) ◽  
pp. 66
Author(s):  
Ina Dewi Ardiyani ◽  
Azimatul Karimah
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychiatric Disorders ◽  
Behavioral Control ◽  
Borderline Personality ◽  
Identity Integration ◽  
Borderline Personality Disorders ◽  
First Line Therapy ◽  
Transference Focused Psychotherapy ◽  
The Relationship

Borderline Personality Disorder (BPD) is a condition that is currently commonly found in daily psychiatric practice, and causes serious psychiatric disorders because it has an impact on the emergence of various other comorbid psychiatric disorders. The management of BPD is a challenge, because it is quite difficult and complex. Psychotherapy is an effective first-line therapy for BPD. Transference Focused Psychotherapy (TFP) is psychodynamic based psychotherapy that is specifically designed for BPD and is considered effective based on the specific psychopathology of BPD, namely the lack of identity integration. TFP focuses on the relationship between patient and therapist in sessions which have the aim of facilitating better behavioral control and increasing reflection and influencing regulation so as to produce identity integration that leads to a more coherent identity, better regulatory abilities, less self-destructive behavior. forming a more balanced and constant relationship, and increasing overall functioning.Keywords : Borderline Personality Disorder, Psychodynamic Psychotherapy, Transference Focused Psychotherapy.

Psychotherapy for Borderline Personality Disorder

2018 ◽  
Author(s):  
David Grunwald ◽  
Erica Robinson ◽  
Sarah Fineberg
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Behavioral Therapy ◽  
Supportive Therapy ◽  
Borderline Personality ◽  
Funding Sources ◽  
Study Intervention ◽  
Transference Focused Psychotherapy ◽  
Landmark Study

This chapter provides a summary of a landmark study on borderline personality disorder. How does transference-focused psychotherapy, supportive therapy, and dialectical behavioral therapy compare in the treatment of borderline personality disorder? Starting with that question, the chapter describes the basics of this study, including funding sources, study location, who was studied, and how many patients participated in the study. The study design is described, as well as the study intervention, follow-up, endpoints, results, and finally a discussion of criticisms and limitations. The chapter briefly reviews other relevant studies and information, discusses implications, and concludes with a relevant clinical case.

Generalist psychiatric treatments for borderline personality disorder: the evidence base and common factors

2015 ◽  
Author(s):  
Anthony W. Bateman ◽  
Roy Krawitz
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Clinical Management ◽  
Clinical Care ◽  
Relevant Literature ◽  
Common Factors ◽  
Evidence Base ◽  
Borderline Personality ◽  
Outcome Studies ◽  
Supportive Psychotherapy

Chapter 2 discusses generalist psychiatric treatments for borderline personality disorder (BPD). It introduces the rationale for seeking common factors in treatment and provide a brief overview of some relevant literature, outlines the four generalist treatments that have been shown to be effective (structured clinical management (SCM), general psychiatric management (GPM), good clinical care (GCC), and supportive psychotherapy (SP)), describes the outcome studies of the four treatments, and reviews commonalities of the treatments.

scholarly journals Transference-focused psychotherapy v. treatment by community psychotherapists for borderline personality disorder: randomised controlled trial

2010 ◽  
Vol 196 (5) ◽  
pp. 389-395 ◽  
Author(s):  
Stephan Doering ◽  
Susanne Hörz ◽  
Michael Rentrop ◽  
Melitta Fischer-Kern ◽  
Peter Schuster ◽  
...  
Keyword(s):  
Borderline Personality Disorder ◽  
Randomised Controlled Trial ◽  
Personality Disorder ◽  
Psychosocial Functioning ◽  
Controlled Trial ◽  
Borderline Personality ◽  
Patient Treatment ◽  
Significant Group ◽  
Randomised Controlled ◽  
Transference Focused Psychotherapy

BackgroundTransference-focused psychotherapy is a manualised treatment for borderline personality disorder.AimsTo compare transference-focused psychotherapy with treatment by experienced community psychotherapists.MethodIn a randomised controlled trial (NCT00714311) 104 female out-patients were treated for 1 year with either transference-focused psychotherapy or by an experienced community psychotherapist.ResultsSignificantly fewer participants dropped out of the transference-focused psychotherapy group (38.5% v. 67.3%) and also significantly fewer attempted suicide (d = 0.8, P = 0.009). Transference-focused psychotherapy was significantly superior in the domains of borderline symptomatology (d = 1.6, P = 0.001), psychosocial functioning (d = 1.0, P = 0.002), personality organisation (d = 1.0, P = 0.001) and psychiatric in-patient admissions (d = 0.5, P = 0.001). Both groups improved significantly in the domains of depression and anxiety and the transference-focused psychotherapy group in general psychopathology, all without significant group differences (d = 0.3–0.5). Self-harming behaviour did not change in either group.ConclusionsTransference-focused psychotherapy is more efficacious than treatment by experienced community psychotherapists in the domains of borderline symptomatology, psychosocial functioning, and personality organisation. Moreover, there is preliminary evidence for a superiority in the reduction of suicidality and need for psychiatric in-patient treatment.

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