“There is no end unless the bottom of the trough has been reached, unless the thing feared has been experienced.” (Winnicott in Casement, 1991, pp. 129–130). “As a matter of fact in these cases it is of decisive importance for the psychotherapist to remain clearly differentiated from the core of psychopathology—if he cannot achieve this separation and becomes drawn into the patient's delusions, he loses his tie to the healthy remainder of the patient's psyche and thus his therapeutic leverage. The maintenance of a realistic, friendly relationship with the psychotherapist is thus of crucial importance in the treatment of the psychoses and borderline states ...” (Kohut, 1971, p. 30).
After reviewing differing approaches to the treatment of the borderline patient, this paper describes the treatment of a patient whose negative transferences are not interpreted by the therapist; rather, the focus is on maintaining the therapeutic alliance via the awareness of the kinship selfobject function of the therapist and merger with the idealized selfobject.
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Alexander, F. (1961).The scope of psychoanalysis. New York: Basic Books.
Basch, M. F. (1992).Practicing psychotherapy. New York: Basic Books.
— (1988).Understanding psychotherapy. New York: Basic Books.
— (1980).Doing psychotherapy. New York: Basic Books.
Brandchaft, B. and Stolorow, R. (1984). The borderline concept: Pathological character or iatrogenic myth.Empathy 11, eds. J. Lichtenberg and D. Silver. New York: Analytic Press.
Casement, P. (1991).Learning from the patient. New York and London: The Guilford Press.
Goldberg, A. (1973). Psychotherapy of narcissistic injuries.Archives of general psychiatry, 28, 722–726.
Kohut, H. (1971).The analysis of the self. New York: International Universities Press.
— (1984).How does analysis cure? Chicago and London: The University of Chicago Press.
Magid, B. (1988). Some contributions of self psychology to the treatment of borderline and schizophrenic patients.Borderline and narcissistic patients in therapy. Ed. Nonna Slavinska-Holy, Ph.D. Madison, Connecticut: International Universities Press.
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Goldberg, C. The uninterpreted rage: Protecting the therapeutic alliance in the treatment of borderline patients. Clin Soc Work J 22, 291–302 (1994). https://doi.org/10.1007/BF02190359
- Social Psychology
- Therapeutic Alliance
- Negative Transference
- Borderline Patient
- Selfobject Function