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Borderline Personality Disorder

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Borderline Personality Disorder is a complex and multifaceted mental health condition characterized by pervasive instability in interpersonal relationships, self-image, emotions, and impulse control. This instability manifests in extreme emotional reactions, fear of abandonment, and self-destructive behaviors. The disorder significantly impacts daily functioning, often leading to distress in both personal and professional domains.
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Related Experiment Video

Updated: May 21, 2026

Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder

Use of a Psychophysiological Script-driven Imagery Experiment to Study Trauma-related Dissociation in Borderline Personality Disorder

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Therapeutic self-disclosure with borderline patients.

S M Wilkinson¹, G O Gabbard

¹Menninger Children's Hospital and the Menninger Clinic, Topeka, Kansas.

The Journal of Psychotherapy Practice and Research

|June 16, 2012

Summary

This study explores countertransference disclosure in therapy with borderline patients. It examines how therapists sharing their here-and-now experience can illuminate patient dynamics and improve treatment.

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Area of Science:

Psychology
Psychiatry
Clinical Psychology

Background:

Borderline personality disorder (BPD) presents complex transference and interpersonal challenges in therapy.
Understanding the therapist's subjective experience (countertransference) is crucial for effective BPD treatment.

Purpose of the Study:

To discuss the therapeutic application of countertransference disclosure in BPD treatment.
To define countertransference disclosure as a specific form of clinical honesty focused on the therapist's immediate experience.
To explore the impact of disclosure on transference, therapist neutrality, and patient revelations.

Main Methods:

Analysis of detailed process notes from therapy sessions involving borderline patients.
Examination of the effects of countertransference disclosure on therapeutic processes.
Discussion of technical aspects of disclosure, including direct versus indirect methods and responses to patient inquiries.

Main Results:

Countertransference disclosure can effectively highlight the borderline patient's intrapsychic and interpersonal patterns.
Disclosure impacts transference exploration, potentially enhancing or altering it.
The therapist's here-and-now experience, when disclosed, can lead to significant patient revelations.

Conclusions:

Countertransference disclosure is a valuable technique for understanding and treating borderline personality disorder.
Careful consideration of technical issues is necessary for optimal use of disclosure.
Further research into the nuances of disclosure in BPD therapy is warranted.