Carreno Teresa D, Hersh Richard G, Levy Kenneth N
Miller School of Medicine, University of Miami, Miami (Carreno); Department of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York City (Hersh); Department of Psychology, Pennsylvania State University, University Park, and Department of Psychiatry, Joan and Sanford I. Weill Medical College, Cornell University, New York City (Levy).
Am J Psychother. 2025 Mar 1;78(1):70-75. doi: 10.1176/appi.psychotherapy.20230052. Epub 2024 Dec 3.
Good psychiatric management (GPM) for borderline personality disorder is a generalist strategic case management approach used by helping professionals of different training backgrounds to work with patients with borderline personality disorder. GPM includes a flexibly administered once-weekly psychotherapy for which a brief introductory course in GPM alone is considered sufficient preparation. GPM integrates concepts from specialized evidence-based treatments for borderline personality disorder, including transference-focused psychotherapy (TFP). This article describes the TFP elements that John Gunderson acknowledged as influential to his development of GPM. A basic introduction to TFP is provided, and elements in GPM that interweave with TFP's theoretical foundation are elucidated and then illustrated in a clinical vignette that captures the GPM clinician's interventions influenced by these ideas. The vignette is then used to illustrate clinical tools informed by TFP principles and common to both GPM and TFP.
边缘型人格障碍的良好精神科管理（GPM）是一种通才战略病例管理方法，供不同培训背景的助人专业人员用于与边缘型人格障碍患者合作。GPM包括一种灵活安排的每周一次心理治疗，仅参加一次GPM简短入门课程就被认为是充分的准备。GPM整合了边缘型人格障碍循证专门治疗的概念，包括移情焦点心理治疗（TFP）。本文描述了约翰·冈德森认可的对其GPM发展有影响的TFP要素。提供了TFP的基本介绍，阐明了GPM中与TFP理论基础交织的要素，然后在一个临床案例中进行说明，该案例展现了受这些理念影响的GPM临床医生的干预措施。接着该案例用于说明受TFP原则启发且GPM和TFP共有的临床工具。
