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Related Experiment Videos

Cognitive and interactive aspects of splitting

M J Horowitz

    The American Journal of Psychiatry
    |May 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    This study explores splitting, the segregation of self and other representations, in borderline personality disorder. Therapists must address atypical transference and stabilize patient self-images before interpretation.

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    Area of Science:

    • Psychology
    • Psychiatry
    • Psychoanalysis

    Background:

    • Splitting, the segregation of multiple inner schemata of self and others, is a key concept in understanding personality disorders.
    • Borderline personality disorder (BPD) is often characterized by unstable interpersonal relationships and self-image.
    • Understanding cognitive processes and interpersonal transactions is crucial for therapeutic interventions.

    Purpose of the Study:

    • To examine the concept of splitting from cognitive and interpersonal perspectives.
    • To illustrate the fluid shifts in representations of the doctor-patient relationship in a borderline patient.
    • To inform therapeutic strategies for working with patients exhibiting splitting behaviors.

    Main Methods:

    • Conceptual analysis of splitting across cognitive structure, process, and interpersonal transaction.

    Related Experiment Videos

  • Case study of a borderline patient's therapeutic journey.
  • Observation of shifting representations within the therapeutic dyad.

    • Main Results:

    • A case example demonstrated a borderline patient's fluid shifts among four isolated and incompatible representations of the doctor-patient relationship.
    • Splitting manifests as distinct and sometimes conflicting self- and other-images.
    • Atypical transference patterns are evident in patients with BPD.

    Conclusions:

    • Therapists treating borderline patients must recognize and anticipate atypical transference.
    • Stabilizing realistic self- and therapist images is a necessary therapeutic step before offering interpretations.
    • Integrating fragmented self- and other-representations is essential for therapeutic progress.