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

Diamond, Diana; Yeomans, Frank E.; Stern, Barry L.; Levy, Kenneth N.; Hörz, Susanne; Doering, Stephan; Fischer-Kern, Melitta; Delaney, Jill C.; Clarkin, John F.

doi:10.1080/07351690.2013.815087

Cited by 41 publications

(37 citation statements)

References 55 publications

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“…Additionally, there is some preliminary evidence that TFP is uniquely efficacious when compared with dialectical behavior therapy and a supportive psychotherapy for narcissistic patients (Diamond, Yeomans, Stern, Levy, Hörz, Delaney, in press). Nevertheless, in recent years a number of technical modifications of TFP have been made to accommodate differences in the pathology between these disorders (e.g., Diamond & Yeomans, 2008; Diamond, Yeomans, & Levy, ; Diamond et al., in press; Stern, Yeomans, & Diamond, in press). These technical modifications will be described below.…”

Section: Case Illustrationmentioning

confidence: 99%

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Subtypes, Dimensions, Levels, and Mental States in Narcissism and Narcissistic Personality Disorder

Levy

2012

J Clin Psychol

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Various conceptualizations of subtypes, levels, and dimensions of narcissism and narcissistic personality disorder (NPD) are considered with a particular focus on overt grandiose presentations and covert vulnerable presentations. Evidence supporting this distinction and clinical vignettes to illustrate it are presented as well as their implications for clinical work with NPD patients. The research and clinical evidence points to the conclusion that these broad categorical subtypes are better conceptualized as dimensions on which individual patients vary on relative levels, thus suggesting that grandiose and vulnerable presentations represent two sides of the same coin. A case example and clinical implications are provided and discussed.

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Section: Case Illustrationmentioning

confidence: 99%

“…As Diamond et al. (in press) outline more fully, the contract‐setting phase is more difficult with narcissistic patients because the expectations and responsibilities confront and limit the patient's grandiosity and omnipotent control and often results in their perceiving the therapist as controlling and imposing.…”

Section: Case Illustrationmentioning

confidence: 99%

Subtypes, Dimensions, Levels, and Mental States in Narcissism and Narcissistic Personality Disorder

Levy

2012

J Clin Psychol

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“…TFP continues to be developed with regard to patient presentations (Caligor et al ., ) and aspects of its methods applied in medical and psychiatric settings (Hersh et al ., 2017). As Kernberg and his colleagues refine increasingly specific approaches for patients with narcissistic personality disorder, they have found that the initial rigidity of these patients’ psychic structures requires greater flexibility in the initial approaches to psychotherapy, including a longer negotiation of the patient starting to function more productively outside their home, while addressing grandiose aspects of the self that interfere with them doing this, such as perfectionism (Diamond et al ., ).…”

Section: Discussionmentioning

confidence: 97%

Transference‐focused Psychotherapy for Patients with Personality Disorders: Overview and Case Example with a Focus on the Use of Contracting

Radcliffe¹,

Yeomans²

2019

Brit J Psychotherapy

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Transference-focused psychotherapy (TFP) is a manualized treatment for patients with a personality disorder based on 18 months of once-weekly or twice-weekly therapy. TFP is suitable for publicly funded psychotherapy and private practice. Devised by Kernberg and colleagues, its conceptual framework is based on Kleinian theory of primitive defences in the paranoid schizoid position. A TFP 'structural assessment' is carried out before negotiating a treatment contract, which must be agreed before therapy can begin. Contracting addresses destructive acting-out and isolative lifestyles, and requires a commitment to active engagement with therapy and its agreed aims. The therapist closely attends to relationships outside therapy and transference parallels. The goal is greater integration of the self and self-object relations. In addition to changes in symptoms, TFP can lead to changes in patients' defensive structures with concomitant shifts in personality structure, improved satisfaction in life, and fuller engagement in work and relationships. A case example is given of a patient with a withdrawn lifestyle. Her object relationships were interpreted as they unfolded in life outside therapy and in the transference, leading to personality structure changes which enabled her to be able to function successfully in work and in her personal relationships.

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“…Die TFP hat als Zielgruppe Patienten mit schweren Persönlichkeitsstörungen und findet daher nicht nur zur Therapie von BPS, sondern beispielsweise auch bei Patienten mit narzisstischer Persönlich-keitsstörung Anwendung (Diamond et al 2013). Für Patienten mit höher strukturierten Persönlichkeitsstörungen, wie z.…”

Section: Zielgruppeunclassified

Psychoanalytisch orientierte Therapie der Persönlichkeitsstörungen

Hörz-Sagstetter

Doering

2015

Psychotherapeut

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Manualisierte Ansätze der psychoanalytisch orientierten Therapie von Persönlichkeitsstörungen unterscheiden sich von der Psychoanalyse dahingehend, dass sie ein strukturiertes Setting, meist mit vertraglich vereinbarten Rahmenbedingungen vorsehen und die Behandlungsstrategien an Patienten mit strukturellen Defiziten (Borderline-Niveau der Persönlichkeit) adaptiert werden. Im deutschsprachigen Raum sind insbesondere die Übertragungsfokussier-te Psychotherapie (TFP), die Mentalisierungsbasierte Therapie (MBT) und die Strukturbezogene Psychotherapie etabliert.

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

Cited by 41 publications

References 55 publications

Subtypes, Dimensions, Levels, and Mental States in Narcissism and Narcissistic Personality Disorder

Subtypes, Dimensions, Levels, and Mental States in Narcissism and Narcissistic Personality Disorder

Transference‐focused Psychotherapy for Patients with Personality Disorders: Overview and Case Example with a Focus on the Use of Contracting

Psychoanalytisch orientierte Therapie der Persönlichkeitsstörungen

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