Applied Transference-Focused Psychotherapy: An Overview and Update

2021 ◽  
Vol 49 (2) ◽  
pp. 273-295
Author(s):  
Richard G. Hersh
Keyword(s):  
Personality Disorder ◽  
Treatment Manual ◽  
Individual Psychotherapy ◽  
Object Relations Theory ◽  
Patient Acuity ◽  
Theoretical Approaches ◽  
Transference Focused Psychotherapy ◽  
And Training ◽  
Clinician Practice ◽  
Teaching Situations

Transference-focused psychotherapy (TFP), developed and studied as an extended individual psychotherapy for patients with borderline personality disorder (BPD), rests on a rich theoretical foundation informed by psychoanalytic object relations theory. “Applied TFP” is a developing initiative using TFP principles in multiple clinical situations other than the standard extended individual psychotherapy, which has been empirically validated and is detailed in the TFP treatment manual. The growing application of TFP principles in innovative, overlapping ways has been focused primarily in three spheres: (1) the integration of TFP principles in pluralistic theoretical approaches to treatment of patients with personality disorder pathology; (2) the use of TFP elements in multiple teaching situations as part of curricula for trainees and practicing clinicians, and (3) the employment of TFP theory and interventions in settings across a continuum of patient acuity, tailored for patients with varying diagnoses. The use of TFP principles in the situations described directly addresses needs emerging in particular contexts that reflect specific requirements of clinician practice and training and of broader public health missions.

Transference-Focused Psychotherapy for Pathological Narcissism and Narcissistic Personality Disorder (TFP-N)

2021 ◽  
Vol 49 (2) ◽  
pp. 244-272
Author(s):  
Diana Diamond ◽  
Frank Yeomans ◽  
John R. Keefe
Keyword(s):  
Personality Disorder ◽  
Sense Of Self ◽  
Assessment Process ◽  
Narcissistic Personality Disorder ◽  
Object Relations Theory ◽  
Pathological Narcissism ◽  
Personality Functioning ◽  
Therapeutic Interaction ◽  
Narcissistic Personality ◽  
Transference Focused Psychotherapy

In this article, we provide an overview of transference-focused psychotherapy for patients with pathological narcissism and narcissistic personality disorder (TFP-N). In TFP-N we have modified and refined the tactics and techniques of TFP, an evidence-based treatment for borderline personality disorder, to meet the specific challenges of working with patients with narcissistic personality pathology whose retreat from reality into an illusory grandiosity makes them particularly difficult to engage in treatment. We first describe a model of narcissistic pathology based on considerations of psychological structure stemming from object relations theory. This model provides a unifying understanding of the core structure of narcissistic pathology, the pathological grandiose self, that underlies the impairments in self and interpersonal functioning of those with narcissistic pathology across the levels of personality organization (from high functioning to borderline to malignant). We then delineate the clinical process of working with patients with pathological narcissism and narcissistic personality disorder. Starting with the assessment process, using a detailed clinical example, we guide the reader through the progression of TFP-N as it helps the patient move from the distorted, unintegrated sense of self underlying the narcissistic presentation to the more integrated, realistic sense of self that characterizes healthier personality functioning. In TFP-N the focus on the disturbed interpersonal patterns of relating in the here and now of the therapeutic interaction is the vehicle to diminish grandiosity and improve relatedness, thereby effecting enduring changes in mental representation and real-world functioning.

scholarly journals Managing the clinical encounter with patients with borderline personality disorder in a general psychiatry setting: key contributions from transference-focused psychotherapy

2018 ◽  
Vol 25 (4) ◽  
pp. 229-236 ◽  
Author(s):  
Tennyson Lee ◽  
Richard G. Hersh
Keyword(s):  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Object Relations ◽  
Clinical Encounter ◽  
Borderline Personality ◽  
List Type ◽  
Object Relations Theory ◽  
General Psychiatry ◽  
Treatment Contract ◽  
Transference Focused Psychotherapy

SUMMARYThis article describes how the core principles and techniques of transference-focused psychotherapy (TFP) can be used in general psychiatry to help in the management of patients with borderline personality disorder (or other moderate to severe personality disorders). It focuses on: knowledge – appreciating how an understanding of object relations assists the clinician in assessment and treatment; attitude – developing a stance to manage the confusing and negative feelings that may arise in both clinician and patient; and skills – describing how use of TFP techniques (technical neutrality, analysing the transference and countertransference, and judicious use of interpretation) helps the clinician to continue thinking in the fraught clinical encounter. The structural (including contemporary object relations) and structured approach in TFP are exemplified in clinical vignettes.LEARNING OBJECTIVESAfter reading this article you will be able to: •Apply an understanding of object relations theory to interactions with patients with Borderline Personality Disorder (BPD)•Describe the use of the treatment contract and technical neutrality•Understand and better manage the countertransference in working with patients with BPDDECLARATION OF INTERESTNone.

Transference-Focused Psychotherapy

2017 ◽  
Author(s):  
Frank E. Yeomans ◽  
Jill C. Delaney
Keyword(s):  
Personality Disorder ◽  
Sense Of Self ◽  
Borderline Personality ◽  
Psychological Development ◽  
Object Relations Theory ◽  
Psychodynamic Treatment ◽  
The Core ◽  
Negative Affects ◽  
Transference Focused Psychotherapy ◽  
Positive And Negative Affects

This chapter details the theoretical and clinical underpinnings of transference-focused psychotherapy (TFP), a psychodynamic treatment modified from essential psychoanalytic principles and intended to treat patients with borderline personality disorder (BPD). TFP has its roots in object relations theory, which focuses on the developmental achievement of an integrated and stable sense of self in interaction and relationship to equally whole and stable others. The theory posits a progression of psychological development on a continuum toward object constancy, tolerance of ambivalence (positive and negative affects in self and others), and achievement of an integrated identity. Our understanding of the core pathology of BPD and the systematic application of essential techniques and strategies of TFP are described.

Transference-Focused Psychotherapy for Adolescents With Personality Disorders

2021 ◽  
Vol 49 (2) ◽  
pp. 215-243
Author(s):  
Lina Normandin ◽  
Alan Weiner ◽  
Karin Ensink
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Current Evidence ◽  
Evidence Based ◽  
Object Relations Theory ◽  
Major Focus ◽  
Assessment And Treatment ◽  
Personality Disordered ◽  
Transference Focused Psychotherapy ◽  
Over Time

This article presents a conceptualization of personality disorders in adolescence and the adaptation of transference-focused psychotherapy (TFP) for personality disordered adolescents (TFP-A). The model of assessment and treatment presented is based on contemporary psychoanalytic object relations theory developed by Otto F. Kernberg and supported by findings from current evidence-based outcome research. We present a method of assessing personality disorders in adolescents that addresses the variability of personality disorder symptoms and traits among adolescents and their instability over time. We then present the goal of TFP-A and its major phases of implementation. A major focus is therapist interventions.

scholarly journals The main theoretical approaches to psychological counseling of children in residential care

2021 ◽  
pp. 82-91
Author(s):  
Irina Gorohova ◽  
Mihail Filippov
Keyword(s):  
Boarding School ◽  
Psychological Counseling ◽  
School Students ◽  
Problem Situations ◽  
Theoretical Approaches ◽  
Family And Household ◽  
The Subject ◽  
Residential Institutions ◽  
Almost All ◽  
And Training

The article considers one of the important directions of the practical psychologist-teacher in residential institutions - psychological counseling, the problem of psychological counseling of boarding school students, specific features of counseling by a teacher-psychologist, features of the consultant's interaction with boarding school students, the content of the motivational and need-based sphere of students at all stages of their stay in this institution: during the period of adaptation of students, correction, and training, as well as during their preparation for new living conditions and practical life after graduation, a teenager, getting into the new environment of a residential institution, it faces a lot of complex problems, it has questions about almost all vital situations: family and household, material, interpersonal, labor, legal, and so on. In the case of solving any problem situations, the level of anxiety increases in the pupils, on the basis of which neurotic states can develop, psychological overstrain, which manifests itself in numerous conflicts. To prevent them objectively and to resolve any contradictions in each residential institution psychologists-teachers must be organized counseling on topical issues of activity, relations and communication between pupils, special attention in the process of psychological counseling is given to the subject of "works" adviser: behaviour, feelings and experiences of pupils, and lists in detail the difficulties and errors made by the educational psychologist in the process of psychological counseling.

scholarly journals Acceptability of a physiotherapeutic pain school treatment in trauma-affected populations in the Middle Eastern & Northern African region

2021 ◽  
Vol 30 (3) ◽  
pp. 43-60
Author(s):  
Anne-Mette Karrer ◽  
Ane Kirstine Viller Hansen ◽  
Linda Nordin ◽  
Marie-Louise Drivsholm Oestergaard
Keyword(s):  
Training Program ◽  
Treatment Effects ◽  
Pain Treatment ◽  
Post Treatment ◽  
Treatment Manual ◽  
Control Group ◽  
Final Conclusion ◽  
Mena Region ◽  
Building Program ◽  
And Training

Introduction: The aim of this study was to evaluate the acceptability of a physiotherapeutic pain treatment (Pain School), focusing on patient education, physical exercises and self-reliance, and a capacity building program developed for MENA based physiotherapists working with pain and trauma-affected populations.Method: The perceived benefits and challenges of the physiotherapy Pain School treatment were evaluated through qualitative interviews with seven physiotherapists participating in the Pain School training program. The acceptability and feasibility of the treatment manual and training program of the physiotherapists was evaluated. The preliminary results of the Pain School treatment were also analyzed with a paired-sample t-test pre- and post-treatment in 38 patients suffering from persistent pain and trauma-related stress in the MENA region. Results: The qualitative analysis showed good feasibility and high acceptance among the participating physiotherapists of this physiotherapeutic treatment and training program. The pre- to post-treatment evaluation of Pain School, also gave an indication of positive treatment effects. Monitoring and evaluation of treatment was found useful, but indications of mental health status were evaluated to be missing. Due to other limitations, such as author biases (authors carrying out training, interviews and analyzing qualitative results) and no control group, the results from this study do not provide a final conclusion on the training program nor treatment effects. Nevertheless, this study is an important first step to offer evidence-based standardized treatment for pain and trauma-affected populations in the MENA region.

Narrazioni transnazionali: rappresentazione e racconto nei movimenti alterglobalisti, tra traduzione culturale e attivazione della protesta

2009 ◽  
pp. 135-162
Author(s):  
Beppe De Sario
Keyword(s):  
Personal Experience ◽  
Cultural Practices ◽  
Mutual Recognition ◽  
Decisive Role ◽  
Documentary Films ◽  
Cultural Experience ◽  
Theoretical Approaches ◽  
Fundamental Dimension ◽  
And Training

- The article focuses on the role of representations (particularly visual and medial representations), of storytelling (biographical, memory of activism, training to global activism), of personal experience (travels, experience included in counter-summits and protests) and more generally examines cultural practices in the building of basis of mutual recognition and identity for people involved in the networks of alterglobal movements. Representations, narratives and experience have a decisive role in the developing of a globalization from below, giving a sort of cultural ground to communication and organizational networks. In this sense, the "activist experience" acts as a device of mediation and cultural translation in the emerging alterglobal movements, becoming a fundamental dimension of movements which should be considered "transnational" not only on the level of organization, agenda setting, activation of protest, but also at level of subjectivity. The article develops in three parts. In the first part, it's the analysis of representations of alterglobal movements in Genoa (counter-summit and protests against G8 summit) emerging from audiovisual products and documentary films. The second one focuses on biographical stories of activists about learning and training to experience activism in the new environment of protest taking place in Genoa. The third part summarizes concepts and theoretical approaches about a culturalist perspective in the study of alterglobal movements. Keywords: alterglobal movements, transnational subjectivity, cultural experience, representations, narratives. 174

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