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Beginning psychotherapy with the borderline patient.

W N Goldstein1

  • 1Baltimore-Washington Institute for Psychoanalysis.

American Journal of Psychotherapy
|October 1, 1988
PubMed
Summary

This guide helps therapists start psychotherapy with borderline patients by reviewing therapeutic frameworks and interventions. It covers conceptual frameworks, general psychotherapy issues, and specific techniques for early-stage treatment.

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Area of Science:

  • Psychology
  • Psychiatry
  • Clinical Psychology

Background:

  • Borderline personality disorder (BPD) presents unique challenges in psychotherapy.
  • Early therapeutic alliance and framework are crucial for successful treatment outcomes.
  • Therapists require specific guidance for initiating treatment with BPD patients.

Purpose of the Study:

  • To provide a guide for therapists beginning psychotherapy with borderline patients.
  • To outline key considerations for the early stages of therapy.
  • To offer a conceptual framework for understanding treatment approaches.

Main Methods:

  • Review of four types of individual psychotherapy relevant to BPD.
  • Discussion of broader issues in psychotherapy for BPD.
  • Focus on specific, actionable interventions for early-stage therapy.

Main Results:

  • Provides a structured approach to initiating psychotherapy for BPD.
  • Highlights the importance of a conceptual framework in guiding treatment.
  • Offers practical interventions for managing early therapeutic challenges.

Conclusions:

  • Effective early psychotherapy for BPD relies on a strong conceptual framework.
  • Understanding different therapeutic modalities is essential.
  • Specific interventions can facilitate a positive therapeutic trajectory.

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