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Journal of the American Psychoanalytic Association
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The Interpretive Process in the Psychoanalytic Psychotherapy of Borderline Personality Pathology

Eve Caligor

NYU School of Medicine, Psychotherapy Division, Columbia University Center for Psychoanalytic Training and Research, evecaligor{at}aol.com

Diana Diamond

City College and the Graduate and University Center of the City of New York, New York Presbyterian Hospital, Weill Cornell Medical Center, NYU Postodoctoral Progam in Psychoterqpy and Psychoanalysis

Frank E. Yeomans

Weill Cornell Medical College, Personality Disorders Institute, New York Presbyterian Hospital

Otto F. Kernberg

Weill Cornell Medical College, Columbia University Center for Psychoanalytic Training and Research, Personality Disorders Institute, New York Presbyterian Hospital

While all patients become more concrete in their psychological functioning in areas of conflict, especially in the setting of transference regression, in the treatment of patients with severe personality pathology this process poses a particular clinical challenge. In the psychoanalytic psychotherapy of patients with severe personality pathology in general, and borderline personality disorder in particular, the interpretive process serves multiple functions. This process comprises a series of steps or phases that can be viewed as moving the patient further away from a single, poorly elaborated, and concrete experience in the transference, which dominates and floods subjectivity, and toward more fully elaborated, complex, stable, and integrated representations of the analyst and of what he or she evokes in the patient's internal world.

Journal of the American Psychoanalytic Association, Vol. 57, No. 2, 271-301 (2009)
DOI: 10.1177/0003065109336183
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