Transference Focused Psychotherapy for Patients with Comorbid Narcissistic and Borderline Personality Disorder

Autor: Kenneth N. Levy, Barry L. Stern, Melitta Fischer-Kern, John F. Clarkin, Frank E. Yeomans, Susanne Hörz, Diana Diamond, Stephan Doering, Jill C. Delaney
Rok vydání: 2013
Předmět:
Zdroj: Psychoanalytic Inquiry. 33:527-551
ISSN: 1940-9133
0735-1690
DOI: 10.1080/07351690.2013.815087
Popis: Clinical experience involving the treatment of patients with comorbid borderline and narcissistic personality disorders suggests that this patient population is among the more difficult to treat within the personality disorder spectrum. In this article, we present refinements of Transference Focused Psychotherapy (TFP) based on our clinical experience with and research data on patients with comorbid narcissistic personality disorder/borderline personality disorder (NPD/BPD). We briefly review object relations formulations of severe narcissistic pathology, as well as recent research in attachment and the allied concept of mentalization, which have provided a new lens through which to view narcissistic disorders. The research findings from two randomized clinical trials demonstrating the efficacy and effectiveness of TFP are presented. The data from the two Randomized Clinical Trials (RCT) allowed for the study of the characteristics of the subgroup of borderline personality disorder patients who have comor...
Databáze: OpenAIRE
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