Frank E. Yeomans

In this book, Frank E. Yeomans, Diana Diamond, and Eve Caligor provide a systemic review of Otto Kernberg’s multiple contributions to psychoanalysis, psychiatry, psychology, and our understanding of the mind and group behavior. The book spans the full scope of Kernberg’s career, both highlighting the diversity of topics on which his writings have shed light and emphasizing conceptual threads that link the different areas of his work. It accessibly follows the experiences that had an impact on the development of his thought and the increasingly strong impact his writing and thinking have had on psychoanalysis and related fields. The authors draw on their decades of working closely with Kernberg to offer a unique insight into his teaching and research, focusing on his work on borderline and narcissistic pathology and the fundamental conceptualization of personality disorders. Including an overview of Kernberg’s critique and expansion of traditional psychoanalytic training, as well as his role in developing transference-focused psychotherapy, this book is an invaluable guide to students, researchers, and analysts in practice and training looking to integrate Kernberg’s ideas into their own clinical and theoretical work.

In this book, Frank E. Yeomans, Diana Diamond, and Eve Caligor provide a systemic review of Otto Kernberg’s multiple contributions to psychoanalysis, psychiatry, psychology, and our understanding of the mind and group behavior. The book spans the full scope of Kernberg’s career, both highlighting the diversity of topics on which his writings have shed light and emphasizing conceptual threads that link the different areas of his work. It accessibly follows the experiences that had an impact on the development of his thought and the increasingly strong impact his writing and thinking have had on psychoanalysis and related fields. The authors draw on their decades of working closely with Kernberg to offer a unique insight into his teaching and research, focusing on his work on borderline and narcissistic pathology and the fundamental conceptualization of personality disorders. Including an overview of Kernberg’s critique and expansion of traditional psychoanalytic training, as well as his role in developing transference-focused psychotherapy, this book is an invaluable guide to students, researchers, and analysts in practice and training looking to integrate Kernberg’s ideas into their own clinical and theoretical work.

Filling a crucial gap in the clinical literature, this book provides a contemporary view of pathological narcissism and presents an innovative treatment approach. The preeminent authors explore the special challenges of treating patients--with narcissistic traits or narcissistic personality disorder--who retreat from reality into narcissistic grandiosity, thereby compromising their lives and relationships. Assessment procedures and therapeutic strategies have been adapted from transference-focused psychotherapy (TFP), a manualized, evidence-based treatment for borderline personality disorder. Rich case material illustrates how TFP-N enables the clinician to engage patients more deeply in therapy and help them overcome relationship and behavioral problems at different levels of severity. The volume integrates psychodynamic theory and research with findings from social cognition, attachment, and neurobiology.

This book offers clear, practical, and simple recommendations for treating patients with personality disorders. The goals of the book are twofold: 1) to describe the essential elements of Transference-Focused Psychotherapy (TFP), an evidence-based treatment for Borderline Personality Disorder, and 2) to describe how core principles and techniques of TFP can be used in a variety of settings to improve clinical management of patients with a broad spectrum of personality pathology, even when patients are not engaged in individual psychotherapy. A short introduction outlines in concise language the core elements of TFP and its origins in object relations theory. The book then takes the clinician through the process of: 1) comprehensive diagnosis, 2) negotiation of the treatment frame, and 3) the overarching strategies, techniques, and tactics used in the individual treatment, including helpful, accessible clinical vignettes. Subsequent chapters build on the literature of TFP in individual psychotherapy, broadening its applications to include crisis management, family engagement, inpatient psychiatry, pharmacotherapy, medical settings, psychiatry residency training. Fundamentals of Transference-Focused Psychotherapy is a valuable resource for psychiatrists, psychologists, and all other medical professionals treating patients suffering from Borderline Personality Disorder, and other severe personality disorder presentations.

Deftly combining contemporary theory with clinical practice, Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning is an invaluable resource for any clinician seeking a coherent model of personality functioning and pathology, classification, assessment, and treatment. This insightful guide introduces Transference-Focused Psychotherapy—Extended (TFP-E), a specialized but accessible approach for any clinician interested in the skillful treatment of personality disorders. Compatible with the DSM-5 Section III Alternative Model for Personality Disorders—and elaborating on that approach, this volume offers clinicians at all levels of experience an accessible framework to guide evaluation and treatment of personality disorders in a broad variety of clinical and research settings. In this book, readers will find: • A coherent model of personality functioning and disorders based in psychodynamic object relations theory• A clinically near approach to the classification of personality disorders, coupled with a comprehensive approach to assessment• An integrated treatment model based on general clinical principles that apply across the spectrum of personality disorders• An understanding of specific modifications of technique that tailor intervention to the individual patient's personality pathology• Descriptions of specific psychodynamic techniques that can be exported to shorter-term treatments and acute clinical settings Patient assessment and basic psychodynamic techniques are described in up-to-date, jargon-free terms and richly supported by numerous clinical vignettes, as well as online videos demonstrating interventions. At the end of each chapter, readers will find a summary of key clinical concepts, making this book both a quick reference tool as well as a springboard for continued learning. Clinicians looking for an innovative, trustworthy guide to understanding and treating personality pathology that combines contemporary theory with clinical practice need look no further than Psychodynamic Therapy for Personality Pathology: Treating Self and Interpersonal Functioning.

This book offers clear, practical, and simple recommendations for treating patients with personality disorders. The goals of the book are twofold: 1) to describe the essential elements of Transference-Focused Psychotherapy (TFP), an evidence-based treatment for Borderline Personality Disorder, and 2) to describe how core principles and techniques of TFP can be used in a variety of settings to improve clinical management of patients with a broad spectrum of personality pathology, even when patients are not engaged in individual psychotherapy. A short introduction outlines in concise language the core elements of TFP and its origins in object relations theory. The book then takes the clinician through the process of: 1) comprehensive diagnosis, 2) negotiation of the treatment frame, and 3) the overarching strategies, techniques, and tactics used in the individual treatment, including helpful, accessible clinical vignettes. Subsequent chapters build on the literature of TFP in individual psychotherapy, broadening its applications to include crisis management, family engagement, inpatient psychiatry, pharmacotherapy, medical settings, psychiatry residency training. Fundamentals of Transference-Focused Psychotherapy is a valuable resource for psychiatrists, psychologists, and all other medical professionals treating patients suffering from Borderline Personality Disorder, and other severe personality disorder presentations.

La Psicoterapia centrada en la transferencia se basa en la teor a de las relaciones objetales -orientaci n que constituye uno de los pilares fundamentales del pensamiento psicoanal tico- y ha sido concebida con la ayuda de una metodolog a de investigaci n y una evaluaci n emp rica rigurosas. Dise ada para tratar a los pacientes m s dif ciles dentro de la cartera de casos del psicoterapeuta psicodin mico, a saber, aquellos que adolecen de una organizaci n borderline de la personalidad, este tratamiento ofrece ya no nicamente un mero alivio de los s ntomas cuanto un enfoque para abordar el trastorno de personalidad subyacente. Permite a los pacientes mejorar su funcionamiento social y vocacional, sus vidas amorosas y su creatividad. En esta gu a de tratamiento dirigida a los profesionales cl nicos, Yeomans, Clarkin y Kernberg, los creadores del enfoque, describen los or genes de la Psicoterapia centrada en la transferencia y acompa an al profesional cl nico a trav s de la exposici n de sus diferentes fases y etapas. Los autores analizan el proceso de selecci n de casos, el establecimiento y el mantenimiento del marco terap utico y el desarrollo y an lisis de la transferencia. Brindan una orientaci n para el manejo de las crisis, el potencial suicida, y los acting-outs sexuales, todo ello ricamente ilustrado con distintos ejemplos cl nicos. Este texto es de lectura obligada para todo aquel profesional que pretenda comprender o aplicar la Psicoterapia centrada en la transferencia, o para quienes desarrollen su labor cl nica con pacientes l mites. Frank E. Yeomans, M. D., Ph. D. es profesor cl nico asociado de Psiquiatr a en la Universidad Weill Cornell y en la Universidad de Columbia. John F. Clarkin, Ph. D. es codirector del Instituto de Trastornos de la Personalidad en la Escuela Superior de Medicina de la Universidad Weill Cornell. Otto F. Kernberg, M. D. es director del Instituto de Trastornos de la Personalidad en la Universidad Weill Cornell y psicoanalista formador en la Universidad de Columbia.

Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide presents a model of borderline personality disorder (BPD) and its treatment that is based on contemporary psychoanalytic object relations theory as developed by the leading thinker in the field, Otto Kernberg, M. D., who is also one of the authors of this insightful manual. The model is supported and enhanced by material on current phenomenological and neurobiological research and is grounded in real-world cases that deftly illustrate principles of intervention in ways that mental health professionals can use with their patients. The book first provides clinicians with a model of borderline pathology that is essential for expert assessment and treatment planning and then addresses the empirical underpinnings and specific therapeutic strategies of transference-focused psychotherapy (TFP). • From the chapter on clinical assessment, the clinician learns how to select the type of treatment on the basis of the level of personality organization, the symptoms the patient experiences, and the areas of compromised functioning. In order to decide on the type of treatment, the clinician must examine the patient's subjective experience (such as symptoms of anxiety or depression), observable behaviors (such as investments in relationships and deficits in functioning), and psychological structures (such as identity, defenses, and reality testing). • Next, the clinician learns to establish the conditions of treatment through negotiating a verbal treatment contract or understanding with the patient. The contract defines the responsibilities of each of the participants and defines what the reality of the therapeutic relationship is. • Techniques of treatment interventions and tactics to address particularly difficult clinical challenges are addressed next, equipping the therapist to employ the four primary techniques of TFP (interpretation, transference analysis, technical neutrality, and use of countertransference) and setting the stage for and guiding the proper use of those techniques within the individual session.• What to expect in the course of long-term treatment to ameliorate symptoms and to effect personality change is covered, with sections on the early, middle, and late phases of treatment. This material prepares the clinician to deal with predictable phases, such as tests of the frame, impulse containment, movement toward integration, episodes of regression, and termination.• Finally, the text is accompanied by supremely instructive online videos that demonstrate a variety of clinical situations, helping the clinician with assessment and modeling critical therapeutic strategies. The book recognizes that each BPD patient presents a unique treatment challenge. Grounded in the latest research and rich with clinical insight, Transference-Focused Psychotherapy for Borderline Personality Disorder: A Clinical Guide will prove indispensable to mental health professionals seeking to provide thoughtful, effective care to these patients.

Treating borderline patients is one of the most challenging areas in psychotherapy because of the patient's extreme emotional expressions, the strain it places on the therapist, and the danger of the patient acting out and harming himself or the therapeutic relationship. Many clinicians consider this patient population difficult, if not impossible, to treat. However, in recent years dedicated experts have focused their clinical and research efforts on the borderline patient and have produced treatments that increase our success in working with borderline patients. Transference-Focused Therapy (TFP) is psychodynamic treatment designed especially for borderline patients. This book provides a concise and comprehensive introduction to TFP that will be useful both to experienced clinicians and also to students of psychotherapy. TFP has its roots in object relations and it emphasizes that the transference is the key to understanding and producing change. The patient's internal world of object representations unfolds and is lived in the transference with the therapist. The therapist listens for and makes use of the relationship that is revealed through words, silence, or, as often occurs in the case of individuals with some borderline personality disorder, acting out in subtle or not-so-subtle ways. This primer offers clinicians a way to understand and then use the transference and countertransference for change in the patient.