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Transference-Focused Psychotherapy and Trust Processing in BPD: Exploring Possible Mechanisms of Change
Eric A Fertuck1, Emanuele Preti2, John F Clarkin3
1Department of Psychology, The City College and Graduate Center of the City University of New York, New York, New York.
Transference-focused psychotherapy (TFP) helps individuals with borderline personality disorder (BPD) improve their ability to trust others. This therapy integrates polarized mental representations, leading to enhanced trust processing and reduced emotional turmoil in relationships.
Area of Science:
- Psychology
- Psychiatry
- Clinical Psychology
Background:
- Borderline personality disorder (BPD) is characterized by difficulties in trusting others, leading to relationship turmoil.
- Object relations theory (ORT) suggests polarized mental representations contribute to BPD.
- Transference-focused psychotherapy (TFP) is an ORT-based treatment for BPD.
Purpose of the Study:
- To explore how TFP enhances trust processing in individuals with BPD.
- To apply a social cognitive model to understand TFP's mechanisms of change regarding trust.
Main Methods:
- The study reviews evidence from randomized clinical trials on TFP for BPD.
- It formulates TFP's impact on trust using a social cognitive model.
Main Results:
- TFP aims to integrate polarized mental representations in BPD.
- Improvement in the capacity to trust is a key mechanism of TFP.
- Evidence suggests TFP uniquely improves trust processing in BPD.
Conclusions:
- TFP may effectively enhance trust processing in individuals with BPD.
- The social cognitive model provides a framework for understanding TFP's benefits for trust.
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