Clarkin John F, Meehan Kevin B, De Panfilis Chiara, Doering Stephan
Department of Psychiatry, Weill Medical College, Cornell University, New York City (Clarkin); Department of Psychology, Long Island University Brooklyn, New York City (Meehan); Department of Medicine and Surgery, University of Parma, Parma, Italy (De Panfilis); Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna (Doering).
Am J Psychother. 2023 Mar 1;76(1):39-45. doi: 10.1176/appi.psychotherapy.20220017. Epub 2022 Oct 12.
Transference-focused psychotherapy (TFP) is an empirically supported individualized psychotherapy for patients with borderline personality disorder. This review highlights its development and current status.
A review of the theoretical background underpinning TFP and empirical advances in the development of TFP provide perspective.
Otto Kernberg's object relations model of personality and its implications for assessment and diagnosis of personality disorders are described. The authors review the programmatic research that has been developed and has demonstrated the efficacy of TFP. In view of the empirical studies that have demonstrated the successful outcomes and processes of TFP for patients with borderline personality disorder, compared with other approaches, TFP has been applied to a broader range of difficulties related to patients' self-functioning and interpersonal functioning across the range of severities in personality pathology, consistent with the Alternative DSM-5 Model for Personality Disorders. The authors discuss borderline personality organization in the context of interpersonal, neurocognitive, and self-regulatory dysfunction, including preliminary findings.
The theoretical and empirical advances in TFP lead to future directions for research evaluating personality disorder and its treatment.
聚焦转移心理治疗（TFP）是一种经实证支持的针对边缘型人格障碍患者的个体化心理治疗方法。本综述重点介绍其发展历程和现状。
对支撑TFP的理论背景及TFP发展过程中的实证进展进行综述，以提供相关视角。
描述了奥托·克恩伯格的人格客体关系模型及其对人格障碍评估和诊断的意义。作者回顾了已开展的系统性研究，这些研究证明了TFP的有效性。鉴于实证研究表明TFP对边缘型人格障碍患者具有成功的治疗效果和过程，与其他方法相比，TFP已被应用于人格病理学不同严重程度范围内与患者自我功能和人际功能相关的更广泛困难，这与《精神疾病诊断与统计手册》第五版人格障碍替代模型一致。作者在人际、神经认知和自我调节功能障碍的背景下讨论边缘型人格组织，包括初步研究结果。
TFP在理论和实证方面的进展为评估人格障碍及其治疗的未来研究方向指明了道路。
