Several evidence-based psychotherapies for personality disorders have been developed in recent decades, including transference-focused psychotherapy (TFP), a contemporary model of psychodynamic psychotherapy developed by Otto Kernberg. Kernberg established Group TFP (TFP-G) as an alternative or adjunct treatment to individual TFP. Although not yet manualized, TFP-G is used in publicly and privately funded mental health services, including outpatient clinics, subacute hospitals, therapeutic inpatient units, partial hospitalization services, and rehabilitation services serving people with borderline personality. Kernberg's model of TFP-G psychotherapy, its application in clinical settings, and what differentiates it from other group psychotherapy models is described as well as illustrated with some examples useful to practitioners.
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Teaching transference focused psychotherapy to South African mental health practitioners.
S Afr J Psychiatr
November 2024
DeanCross Personality Disorder Service, East London NHS Foundation Trust, London, United Kingdom.
Background: Personality disorders (PDs) are estimated to occur in 6.8% of South Africans and in 45% to 80% of clinical populations. Mental health practitioners often harbour negative attitudes and lack confidence in working with such patients.
View Article and Find Full Text PDFClinical Pearls: Good Psychiatric Management for Borderline Personality Disorder and Transference-Focused Psychotherapy.
Am J Psychother
December 2024
Miller School of Medicine, University of Miami, Miami (Carreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Hersh); Department of Psychology, Pennsylvania State University, University Park, and Department of Psychiatry, Joan and Sanford I. Weill Medical College, Cornell University, New York City (Levy).
Article Synopsis
- Good Psychiatric Management (GPM) is a flexible case management approach for treating borderline personality disorder, suitable for various helping professionals.
- GPM incorporates elements from specialized therapies like transference-focused psychotherapy (TFP) while focusing on weekly sessions and minimal training requirements.
- The article highlights key TFP concepts that shape GPM, supported by a clinical example showcasing how these ideas can be applied in practice.
Article Synopsis
- - The study examines whether specialized treatment, specifically transference focused psychotherapy in a day hospital setting, can improve school attendance in adolescents with borderline and other personality disorders (PD).
- - Of the 175 juvenile patients studied, 60% were absent from school before treatment, but results showed significant improvements in school attendance post-treatment, highlighting key psychological predictors influencing these changes.
- - With the upcoming ICD-11 emphasizing functional impairment, the findings suggest earlier assessment and treatment could better address school dysfunction in adolescents with PD, particularly those with borderline and avoidant traits, while future research should explore optimizing treatment for these groups.
Patients with primary or co-occurring narcissistic disorders are seen routinely in general psychiatry settings. Contemporary trends in training and practice have impacted psychiatrists' skills and confidence in identifying and treating these disorders, which can range from relatively benign to high-acuity presentations. The goal of this article is to introduce key principles derived from transference-focused psychotherapy (TFP) for use by clinicians in general practice in their work with patients with narcissistic disorders, even when those clinicians do not routinely provide individual psychotherapy.
View Article and Find Full Text PDFTransference interpretation and psychotherapy outcome: a systematic review of a no-consensus relationship.
Res Psychother
May 2024
Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome.
Despite its well-established importance in psychoanalytic theory, there is a scarcity of empirical evidence on the relationship between a therapist's transference interpretation (TI) and therapeutic outcome. The current scientific literature shows no consensus on the existence and nature of such an association. Therefore, the present study aimed to systematically review the literature on the link between TI and outcomes in psychodynamic psychotherapies.
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