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Published on: March 8, 2018
Clinical Pearls: Good Psychiatric Management for Borderline Personality Disorder and Transference-Focused
Teresa D Carreno1, Richard G Hersh1, Kenneth N Levy1
1Miller School of Medicine, University of Miami, Miami (Carreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Hersh); Department of Psychology, Pennsylvania State University, University Park, and Department of Psychiatry, Joan and Sanford I. Weill Medical College, Cornell University, New York City (Levy).
Good psychiatric management (GPM), a case management approach for borderline personality disorder, integrates key concepts from transference-focused psychotherapy (TFP). This integration enhances GPM
Area of Science:
- Psychiatry
- Psychology
Background:
- Good psychiatric management (GPM) is a versatile approach for borderline personality disorder (BPD).
- GPM utilizes a flexible, once-weekly psychotherapy adaptable for various helping professionals.
- GPM incorporates elements from specialized BPD treatments, notably transference-focused psychotherapy (TFP).
Purpose of the Study:
- To detail the TFP elements influencing John Gunderson's development of GPM.
- To introduce TFP principles and their integration within GPM.
- To illustrate the application of TFP-informed tools in GPM through a clinical vignette.
Main Methods:
- Descriptive analysis of TFP elements foundational to GPM.
- Explanation of theoretical interweavings between GPM and TFP.
- Clinical vignette demonstrating GPM interventions influenced by TFP.
Main Results:
- Identified specific TFP concepts that shaped GPM's strategic case management.
- Elucidated how GPM integrates TFP's theoretical underpinnings.
- Demonstrated practical application of TFP-informed clinical tools within GPM.
Conclusions:
- GPM effectively integrates TFP principles for borderline personality disorder treatment.
- The described TFP elements enhance GPM's strategic case management capabilities.
- Clinical vignettes illustrate the practical utility of TFP-informed interventions in GPM.
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