By Glen O. Gabbard
This ebook presents a scientific method of dealing with countertransference while treating borderline sufferers. utilizing specified money owed of medical reviews, the authors reveal how their very own techniques, emotions, and fantasies permit them to appreciate their sufferers' inner worlds.
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Extra info for Management of Countertransference with Borderline Patients
In addition to her reluctance to attempt to offer the patient more than she knew that she could deliver, Dr. B felt hesitant to compete with such a highly idealized object. Based on a diagnostic understanding of the patient's need to develop further the ego strength necessary to sustain her between sessions, as well as the patient's need to mourn the loss of this idealized figure who functioned as an external prop to her internal world, Dr. B decided to offer the patient two sessions per week. Ms.
IntJ Psychoanal 56: 163-177, 1975 McLaughlin JT: Clinical and theoretical aspects of enactment. J Am Psychoanal Assoc 39:595-614, 1991 Meissner WW: Treatment of Patients in the Borderline Spectrum. Northvale, NJ, Jason Aronson, 1988 Natterson J: Beyond Countertransference: The Therapist's Subjectivity in the Therapeutic Process. Northvale, NJ, Jason Aronson, 1991 Ogden TH: On projective identification. Int J Psychoanal 60:357-373,1979 Ogden TH: Projective Identification and Psychotherapeutic Technique.
Z had relocated the chair in such a way that when she sat, her knee was actually touching Dr. A's knee. The therapist immediately felt intruded upon, anxious, and a bit off balance by this unexpected development. Ms. Z immediately began to launch into an account of her problems without any apparent recognition of Dr. A's discomfort. Dr. A did nothing for a few moments as he contemplated his options. Should he simply tolerate this encroachment to indicate his flexibility and empathy with the patient's needs?