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This study expands transference-focused psychotherapy (TFP) beyond borderline personality disorder to all personality dysfunctions. TFP now uses an object relations model to assess and treat deficits in self and interpersonal functioning.

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object relations theorypersonalitypersonality disorderpsychodynamic treatment of personality disordertransference-focused psychotherapy

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Area of Science:

  • Psychology
  • Psychiatry
  • Clinical Psychology

Background:

  • Personality pathology is increasingly understood as deficits in self and interpersonal functioning.
  • Transference-focused psychotherapy (TFP) is an established psychodynamic treatment for borderline personality disorder.
  • Advances necessitate broader applications of TFP.

Purpose of the Study:

  • To describe an object relations model for conceptualizing and assessing personality organization.
  • To present a transdiagnostic approach to personality pathology.
  • To detail treatment modifications for expanding TFP's utility.

Main Methods:

  • Utilizing an object relations model to assess personality organization.
  • Applying a transdiagnostic framework to personality pathology.
  • Implementing sequential interpretive processes within a structured treatment frame.

Main Results:

  • The described model and modifications allow TFP to address a wider spectrum of personality dysfunction.
  • TFP can be tailored to individual deficits in self and interpersonal functioning.
  • The approach facilitates clinical intervention across various levels of personality pathology.

Conclusions:

  • The expanded TFP model offers a transdiagnostic approach to personality pathology.
  • Assessment of self and interpersonal functioning is key for clinical intervention.
  • TFP is adaptable for treating the full range of personality dysfunction.