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Related Experiment Videos

Becoming a constant object for the borderline patient.

C P Cohen, V R Sherwood

    Bulletin of the Menninger Clinic
    |July 1, 1989
    PubMed
    Summary
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    Therapists treating borderline personality disorder (BPD) should act as a constant object for patients. This approach uses time and minimal intervention to address fear of abandonment and difficulties with emotional regulation in BPD.

    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Psychoanalysis

    Background:

    • Borderline personality disorder (BPD) is characterized by difficulties in emotional regulation and interpersonal relationships.
    • A key challenge in BPD is the failure to achieve object constancy, impacting self-perception and relationships.
    • Effective therapeutic strategies for BPD are continuously being explored to address core deficits.

    Observation:

    • Research indicates a significant deficit in object constancy among individuals with BPD.
    • This deficit contributes to profound emotional instability and interpersonal turmoil.
    • The therapeutic relationship is a critical factor in addressing these challenges.

    Findings:

    • Effective therapy for BPD necessitates the therapist embodying a 'constant object' for the patient.

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  • Therapists should utilize time as a primary therapeutic tool, allowing for gradual change.
  • Minimal interventions, attentive interest, and refraining from interpretations or directives are crucial.

    • Implications:

    • This therapeutic stance, while potentially frustrating, directly targets core BPD issues.
    • It addresses difficulties in experiencing nuanced emotions and managing separateness.
    • It helps mitigate the intense fear of abandonment inherent in BPD, fostering greater stability.