The treatment of patients with borderline personality Organization

Journal title PSICOBIETTIVO
Author/s Otto Kernberg
Publishing Year 2014 Issue 2014/2
Language Italian Pages 30 P. 61-90 File size 589 KB
DOI 10.3280/PSOB2014-002005
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

In this paper the Author examines the difficulties of the treatment of patients with borderline personality organization (transference and countertransference characteristics, transference regression and transference psychosis), and he outlines a general psychotherapeutic strategy with them. In particular, the Author outlines how splitting and other related mechanisms (primitive idealization, projective identification, denial, omnipotence), all of which are chacteristic of borderline patients, appear from a clinical point of view, and he suggests overall psychotherapeutic approaches in dealing with them.

Keywords: Borderline Personality Organization; Transfert; Controtransfert; Psychotherapy

  1. Bibring E. (1954) “Psychoanalysis and the dynamic psychotherapies”, J. Am. Psychoanal. Assoc., 2
  2. Bion W.R. (1957) “Differentiation of the psychotic from the non-psychotic personalities”, Int. J. Psychoanal., 38
  3. Eissler K.R. (1953) “The effect of the structure of the ego on psychoanalytic technique” J. Am. Psychoanal. Assoc., 1
  4. Ekstein R., Wallerstein J. (1956) “Observations on the psychotherapy of borderline and psychotic children”, Psychoanal. Study Child, 11
  5. Erikson E.H. (1956) “The problem of ego identity”, J. Am. Psychoanal. Assoc., 4
  6. Fromm-Reichmann F. (1950) Principles of Intensive Psychotherapy, Univ. of Chicago Press, Chicago
  7. Frosch J. (1953) Personal communication
  8. Gill M.M. (1951) “Ego psychology and psychotherapy”, Psychoanal. Q., 20
  9. Gill M.M. (1954) “Psychoanalysis and exploratory psychotherapy”, J. Am.
  10. Psychoanal. Assoc., 2
  11. Glover E. (1955) “The analyst’s case-list (2)”, in The Technique of Psycho-Analysis, Baillière, London; Int. Univ. Press, New York
  12. Hartmann H., Kris E., Loewenstein R.M. (1946) “Comments on the formation of psychic structure”, Psychoanal. Study Child, 2
  13. Heimann P. (1955a) “A contribution to the reevaluation of the Oedipus complex: the early stages”, in Klein M. et al. (ed.), New Directions in Psycho-Analysis, Tavistock, London; Basic Books, New York
  14. Heimann P. (1955b) “A combination of defence mechanisms in paranoid states”, New Directions in Psycho-Analysis, in Klein M. et al. (ed.), New Directions in Psycho-Analysis, Tavistock, London; Basic Books, New York
  15. Holzman P.S., Ekstein R. (1959) “Repetition-Functions of Transitory Regressive Thinking”, Psychoanal. Q., 28
  16. Kernberg O. (1965) “Notes on countertransference”, J. Am. Psychoanal. Assoc., 13
  17. Kernberg O. (1966) “Structural derivatives of object relationships”, Int. J.
  18. Psychoanal., 47
  19. Kernberg O. (1967) “Borderline Personality Organization”, J. Am. Psychoanal. Assoc., 15
  20. Klein M. (1946) “Notes on Some Schizoid Mechanisms”, in Developments in Psycho-Analysis, Riviere (London, Hogarth, 1952)
  21. Klein M. (1952) “The origins of transference”, Int. J. Psychoanal., 33
  22. Knight R.P. (1953a) “Borderline states”, in Knight R.P., Friedman J.I. (eds.), Psychoanalytic Psychiatry and Psychology, Int. Univ. Press, New York, 1954
  23. Knight R.P. (1953b) “Management and psychotherapy of the borderline schizophrenic patient”, in Knight R.P., Friedman J.I. (eds.), Psychoanalytic
  24. Psychiatry and Psychology, Int. Univ. Press, New York, 1954
  25. Kohut H. (1966) “Transference and Countertransference in the analysis of narcissistic personalities”, Presented at the 2nd Panamerican Congress for Psychoanalysis, Beunos Aires, Argentina, August 1966 (Unpublished)
  26. Little M. (1951) “Countertransference and the patient’s response to it”, Int. J. Psychoanal., 32
  27. Little M. (1958) “On delusional transference (transference psychosis)”, Int. J. Psychoanal., 39
  28. Little M. (1960a) “Countertransference”, Brit. J. med. Psychol., 33
  29. Little M. (1960b) “On basic unity”, Int. J. Psychoanal., 41
  30. MacAlpine I. (1950) “The development of the transference”, Psychoanal. Q., 19
  31. Money-Kyrle R.E. (1956) “Normal countertransference and some of its deviations”, Int. J. Psychoanal., 37
  32. Racker H. (1957) “The Meanings and uses of Countertransference”, Psychoanal. Q., 26
  33. Rapaport D. (1957) “Cognitive structures”, in Bruner et al., Contemporary Approaches to Cognition, Harvard Univ. Press, Cambridge
  34. Reider N. (1957) “Transference psychosis”, J. Hillside Hosp., 6
  35. Romm M.E. (1957) “Transient psychotic episodes during psychoanalysis”, J. Am. Psychoanal. Assoc., 5
  36. Rosenfeld H. (1958) “Contribution to the Discussion on ‘Variations in classical technique’”, Int. J. Psychoanal., 39
  37. Rosenfeld H. (1963) “Notes on the psychopathology and psychoanalytic treatment of Schizophrenia”, in Azima L., Glueck B.C. Jr. (eds.), Psychotherapy of Schizophrenic and Manic-Depressive States, American Psychiatric Association, Washington
  38. Rosenfeld H. (1964) “On the psychopathology of narcissim: a clinical approach”, Int. J. Psychoanal., 45
  39. Schlesinger H. (1966) In defence of denial, Presented to the Topeka Psychoanalytic Society, June 1966 (Unpublished)
  40. Schmideberg M. (1947) “The treatment of psychopaths and borderline patients”, Amer. J. Psychother., 1
  41. Segal H. (1964) Introduction to the Work of Melanie Klein, Heinemann, London; Basic Books, New York
  42. Sharpe E.F. (1931) “Anxiety, outbreak and resolution”, in Collected Papers on Psycho-Analysis, Hogarth, London, 1950
  43. Sterba R. (1934) “The fate of the ego in analytic therapy”, Int. J. Psychoanal., 15
  44. Stern A. (1938) “Psychoanalytic investigation of and therapy in the borderline group of neuroses”, Psychoanal. Q., 7
  45. Stern A. (1945) “Psychoanalytic therapy in the borderline neuroses”, Psychoanal. Q., 14
  46. Stone L. (1951) “Psychoanalysis and brief psychotherapy”, Psychoanal. Q., 20
  47. Stone L. (1954) “The widening scope of indications for psychoanalysis”, J. Am. Psychoanal. Assoc., 2
  48. Strachey J. (1934) “The nature of the therapeutic action of psycho-analysis”, Int. J. Psychoanal., 15
  49. Sutherland J.D. (1966) Personal Communication
  50. Ticho E. (1966) Selection of Patients for Psychoanalysis or Psychotherapy, Presented at the 20th Anniversary Meeting of the Menninger School of Psychiatry Alumni Association. Topeka, Kansas, May 1966a (Unpublished)
  51. Ticho G. (1966) Personal Communication
  52. Wallerstein R.S. (1967) “Reconstruction and mastery in the transference psychosis” J. Am. Psychoanal. Assoc. 15
  53. Wallerstein R.S., Robbins L.L. (1956) “The psychotherapy research project of The Menninger Foundation: IV. Concepts”, Bull. Menn. Clin., 20
  54. Winnicott D.W. (1949) “Hate in the countertransference”, Int. J. Psychoanal., 30
  55. Winnicott D.W. (1960) “Countertransference”, Brit. J. Med. Psychol., 33
  56. Zetzel E.R. (1966) “The analytic situation”, in Litman R.E. (ed.), Psychoanalysis in the Americas, Int. Univ. Press, New York, 1966

Otto Kernberg, Il trattamento dei pazienti con organizzazione borderline di personalità in "PSICOBIETTIVO" 2/2014, pp 61-90, DOI: 10.3280/PSOB2014-002005