[Splitting and ambivalence. On the therapeutic dilemma in treating patients with early damage]

The article refers to the pathological problem of severe psychic disturbed patients (with: borderline syndromes/pathological narcism/character neurosis/basic faults and/or disorders of ego structure). The author refers to countertransferences and acting out of affects and reports on the changes and possibilities in the therapy of these patients. The therapists fundamental attitude will be described and supplemented by favouring a treatment in day-hospital-settings. Basic literature has been compiled and is reported as survey.