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Journal of the American Psychoanalytic Association
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What's this?

The Effect of Therapist Interventions on the Therapeutic Alliance with Borderline Patients

Glen O. Gabbard, M.D.

The Menninger Clinic Box 829 Topeka, KS 66601

Leonard Horwitz, Ph.D.

The Menninger Clinic Box 829 Topeka, KS 66601

Siebolt Frieswyk, Ph.D.

The Menninger Clinic Box 829 Topeka, KS 66601

Jon G. Allen, Ph.D.

The Menninger Clinic Box 829 Topeka, KS 66601

Donald B. Colson, Ph.D.

The Menninger Clinic Box 829 Topeka, KS 66601

Gavin Newsom, M.S.W.

The Menninger Clinic Box 829 Topeka, KS 66601

Lolafaye Coyne, Ph.D.

The Menninger Clinic Box 829 Topeka, KS 66601

The authors draw attention to the problems of establishing and maintaining a therapeutic alliance in the psychotherapy of the borderline patient. They elaborate an extensive methodology designed to study the manner in which shifts in collaboration occur in response to therapist interventions. This report demonstrates how one particular borderline patient increased his ability to collaborate with the therapist in response to a transference focus in the psychotherapy. Methodological problems are noted as are directions for future research. Only a series of patients studied with this or with similar methodology will allow for a sophisticated and empirical rationale for choosing a particular form of psychotherapy for a particular kind of borderline patient.

Journal of the American Psychoanalytic Association, Vol. 36, No. 3, 697-727 (1988)
DOI: 10.1177/000306518803600306
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