Open Door Review III

"#0!907#2*$696!):!7#2*D0!$*!(#0!(%02(90*(!):!3)%&0%<$*0!10%6)*2<$(4! &$6)%&0%!Z$(#!"%2*6:0%0*70!L)7B60&!/647#)(#0%214!!

A0Y4_!I>a>_!8<2%M$*_!i>L>_!e0)92*6_!L>'>_!Q7)((_!A>a>_!K2660%92*_!5>H>_!I0%*30%D_!N>L>![+,,g^>!"#0!907#2*$696!):! 7#2*D0!$*!(#0!(%02(90*(!):!3)%&0%<$*0!10%6)*2<$(4!&$6)%&0%!Z$(#!"%2*6:0%0*70!L)7B60&!/647#)(#0%214>! N">#+@B& "!&8B)+)?@B&'(A?-"B"LA _ &gG []^_!]b-E.,->! >-001(3! The authors address how Transference Focused Psychotherapy (TFP) conceptualizes mechanisms in the cause and maintenance of borderline personality disorder (BPD) as well as change mechanisms both within the patient and in terms of specific therapists ’ interventions that engender patient change. Mechanisms of change at the level of the patient involve the integration of polarized representations of self and others; mechanisms of change at the level of the therapist ’ s interventions include the structured treatment approach and the use of clarification, confrontation, and “ transference ” interpretations in the here and now of the therapeutic relationship. In addition, the authors briefly review evidence from their group regarding the following hypothesized mechanisms of change: contract setting, integration of representations, and changes in reflective functioning (RF) and affect regulation. G$#.1/.\!! Kenneth N. Levy, Department of Psychology, Pennsylvania State University, 240 Moore Bldg., University Park, PA 16802 Email: klevy@psu.edu. Website: http://psych.la.psu.edu/directory/faculty-bios/levy.html

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