"#0!@B*$7#!E!a0Z!e)%M!8)<<23)%2($Y0!Q(B&4![@aeQ^?!! "#0!1647#)&4*29$7!(%02(90*(!):!F/N!!
The Department of Psychosomatic Medicine and Psychotherapy at the Technical University of Munich and the Personality Disorders Institute of the Cornell Medical Center in New York have collaborated since 1997 in conducting an empirically supported training of psychoanalytic therapists (in Munich). They have also collaborated in designing a controlled, comparative psychodynamic treatment study of German outpatients with Borderline Personality Disorders (Buchheim, P >_! Dammann, G., Lohmer, M., Martius, Ph. (Munich) & Kernberg, O., Clarkin, J. (New York)) ?(&1.0&#.! The first aim of the feasibility study is to empirically evaluate the training of a group of 30 experienced psychoanalytic therapists in the Munich centre in a particular type of object-relations treatment - “Transference focused Psychotherapy (TFP)". TFP was conceptualised and elaborated by Kernberg, Clarkin and co-workers as a manualised psychodynamic psychotherapy for patients with the diagnosis of Borderline Personality Disorder. The manual was written by the research team of the Cornell Psychotherapy Program based upon the treatment of 55 cases. Data available for this project included that from the treatment development study funded by NIMH, in which the sessions were recorded and carefully examined. This is a distillation of both the theoretical writings about the treatment and the actual experience in doing the treatment in a project explicitly designed to manualise it. ?(1*#*#Y!.$!1'4&(&#/&! The principles of the training program have been largely developed by the research team of the Cornell Psychotherapy Program over the last 17 years, with additional work over the past year in the German research group focusing on: • the written manual describing the principles of the theory and the treatment with accompanying clinical illustrations. • a video-tape library of actual sessions with BPD patients, illustrating various stages of the treatment process both in terms of good adherence and relative levels of competence. • an intensive seminar that is taught by the senior therapists to instruct new therapists in the treatment. • the supervision of an initial case of each of the therapists in training with ratings of adherence and competence. In Munich to date, 30 psychoanalytic therapists have applied for and were selected for the training based on their experience and reputation as excellent clinicians. Since April 1997, the German psychotherapists have been taught by Otto Kernberg, John Clarkin and Michael Stone in three intensive seminars about the principles of the theoretical and clinical concepts of the TFP-Treatment with accompanying clinical illustrations. Additionally, two very experienced German supervisors were selected by the Munich research team to receive direct training from their colleagues in the Personality Disorders Institute. The second important aim of the feasibility study, the description and evaluation of Therapy as Usual (TAU) of inpatients and outpatients with the Borderline Personality Disorders, will be conducted in collaboration with the Departments of Psychiatry of the two Medical Faculties at Munich Universities.
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