There is a wide variety of approaches to defining, understanding and treating personality pathologies. Borderline Personality Disorder, which is one of the personality disorders, is a personality disorder that has been studied frequently in recent years. There are psychodynamic, neurobiological, interpersonal and cognitive approaches among the approaches that are frequently encountered in the literature and whose effectiveness has been tested. Transference-focused psychotherapy is a school of psychotherapy developed by Kernberg et al., a follower of the contemporary psychodynamic approach, to understand and treat borderline people.
Transference-focused psychotherapy is based on contemporary psychoanalytic object relations theory. Kernberg stated that as a result of his observations and therapy experiences in severe personality disorder cases that he worked as part of the Psychotherapy Research Project at the Menninger Foundation, some people were neither included in the neurotic level nor in the psychotic level; He realized that these people had some differentiated, distinct and stable pathological psychological configurations. The fact that some of the conditions necessary for the "transference" of the classical psychoanalytic approach to work are not met by these people, the ability to evaluate reality is lacking in these people, and these people have unrealistic transference ideas. It has led to the identification of people both at the level of pathology and at the level of structural organization.
Transference-oriented psychotherapy aims at a structural change rather than the relief of symptoms. He argues that when the structural changes begin, the symptoms decrease and disappear spontaneously. In other words, in transference-focused psychotherapy, the symptom is a reflection of the pathological characteristics of the underlying psychological structures of the observable behaviors of the individuals and their specific distresses, and the treatment takes place only when a change occurs at the psychological configuration level. It is aimed to achieve integration by assuming that the internalized object relations are not fully and completely integrated. Psychological structure, quality of perceptions between self and other and degree of integration in personality disorders is determined by. The theory is based on the self, the other, and the affect between them. Personality organization is examined as normal, neurotic, borderline and psychotic levels.
Defining the dominant object relations, observing and interpreting the dyadic changes of the person, understanding and interpreting the manifestations of the diyas in the session room, and studying the person's capacity to experience the relationship differently are among the basic strategies. . People go through an effective psychotherapy process with the effective and appropriate use of clarification, confrontation and interpretation techniques, the appropriate use of therapeutic neutrality by the psychotherapist, and the ownership of the framework. When internal object relations are studied in the relationship with the therapist, that is, it is aimed to study the transference, to realize the therapist's own countertransference feelings and to use them correctly and effectively as a material of the psychotherapy process, and to realize neurobiological changes when the person is repeatedly exposed to this new form of relationship. Transference-focused psychotherapy is an evidence-based therapy with high effectiveness in the psychotherapy of borderline personality disorder.
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