Dr. Kernberg will describe strategies, techniques and tactics in TFP beginning with diagnostic assessment and contracting.He will continue with main developments in transference and countertransference assessment and management. The concepts of technical neutrality and priorities of intervention will be outlined. Clinical examples will illustrate all these procedures.
This workshop will focus on the complications in psychodynamic treatment with Transference Focused Psychotherapy. It will explore the management of suicidal and parasuicidal behavior, disruptive of the treatment, severe acting out in and outside the sessions, dishonesty, severe affect storms, and primitive forms of aggression. The treatment of trauma, paranoid regression, erotization, and secondary gain will complement this workshop.
This presentation will differentiate the clinical characteristics and therapeutic management of several types of severely regressive transferences: typical split transferences of borderline patients, the fragmentation of affective experiences of schizoid personalities the intolerance of triangulation, and the narcissistic transferences. Clinical illustration will exemplify these differential transferences and their clinical management.
Ways to implement the core tasks of psychotherapy with patients who evidence PTSD and co-morbid disorders of prolong and complicated grief, Substance Abuse Disorders and Borderline Personality Disorders. A case conceptualization model of risk and protective factors and incorporates a constructive narrator perspective will be presented.
The importance of therapeutic alliance is described. Therapeutic alliance, transference, and transference acting-out are defined and distinguished from each other and the therapeutic task of helping the patient to convert transference acting-out to therapeutic alliance and transference is outlined. The differences in the form and content of the intrapsychic structure are described to show why different therapeutic techniques are necessary to establish the therapeutic alliance: Confrontation with the borderline and mirroring interpretation of narcissistic vulnerability with the Narcissistic Personality Disorder. A brief case illustrates each.
This workshop will demonstrate the clinical application of developmental, self and object relations theory to psychotherapy with borderline and narcissistic patients- both shorter and longer term. After brief orienting remarks by Dr. Masterson, the participants will present their clinical material for discussion. This material can vary from single interactions to vignettes to longer presentations. Particular attention will be paid to the role of therapeutic neutrality and countertransference.