Clinical Professor of Psychology in Psychiatry, Department of Psychiatry, New York Presbyterian Hospital-Weill Medical College of Cornell University, White Plains, New York.
Clinical Professor of Psychiatry, Clinical Professor of Psychology in Psychiatry, Columbia University Vagelos College of Physicians and Surgeons, New York.
Psychodyn Psychiatry. 2021 Summer;49(2):188-214. doi: 10.1521/pdps.2021.49.2.188.
Recent advances in the understanding of personality pathology have contributed to an emphasis on the core of personality pathology as deficits in self-functioning and interpersonal functioning at different levels of severity that must be assessed for clinical intervention. In concert with these conceptual and empirical advances, transference-focused psychotherapy (TFP), an empirically supported psychodynamic treatment for borderline personality disorder, has been in constant development with extensive clinical use. This article describes an object relations model for conceptualizing and assessing levels of personality organization, a transdiagnostic approach to personality pathology, and related treatment modifications, thus expanding the utilization of TFP beyond borderline personality disorder to the full range of personality dysfunction. The core of this treatment approach is a sequential interpretive process between patient and therapist. This process takes place within the context of a structured treatment frame tailored to the unique individual with problems in self-functioning and interpersonal functioning in his/her particular environment.
近年来，对人格病理学的理解有了新的进展，这使得人们更加关注人格病理学的核心，即不同严重程度的自我功能和人际功能缺陷，这些缺陷必须进行评估以便进行临床干预。与这些概念和实证进展相一致，转移焦点心理治疗（TFP）是一种针对边缘型人格障碍的经验支持的心理动力学治疗方法，一直在不断发展并广泛应用于临床。本文描述了一种用于概念化和评估人格组织水平的客体关系模型，一种针对人格病理学的跨诊断方法，以及相关的治疗修改，从而将 TFP 的应用从边缘型人格障碍扩展到了所有人格障碍。这种治疗方法的核心是患者和治疗师之间的顺序解释过程。这个过程发生在一个结构化的治疗框架中，该框架是根据有自我功能和人际功能障碍的独特个体及其特定环境量身定制的。
