TFP therapy - Transference Focused Therapy for BPD

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TFP Therapy-Clinician's FAQS
TFP was developed at the Personality Disorders Insitute(PDI) by Otto F. Kernberg, MD (Director) and colleagues
What is TFP?
TFP is a modified psychodynamic psychotherapy, based in object relations theory, to treat personality disorders. The theoretical basis is the assumption that personality disorders are characterized by disruptions in the normal organization of internalized object relations. Normal personality organization is characterized by an integration of positive and negative objects.  Persons with personality disorders have internalized object representations that are split into either "all good" (positive) or "all bad" (negative) self and other representations. The emphasis in the treatment is to work within the transference in the "here and now" of the moment with the patient by identifying the split part internalized objects and the linking affect (either idealized "all good" or devalued "all bad") that are enacted in the transference during the session and work systematically to bring these to the patient's awareness. In this process, the part objects become integrated (the "good" and "bad" are no longer split) and the individual developes the capacity to experience relationships and themselves in a more integrated, balanced way. The person can now view themselves and others as containing both "good" and "bad", not "all good" one minute and "all bad" in the next. 

Is TFP only for Borderline Personality Disorder (BPD)?
No. TFP is used for the spectrum of personality disorders.  Although it is most widely associated with BPD and the majority of the supporting research has been restricted to that patient population. However, even within the research protocols, a large number of patients have a full range of co-morbid AXIS II diagnosis. most frequently including Narcissistic, Paranoid, Schizoid and Antisocial. Those diagnosis also show improvement after one year of TFP treatment. 

How do I identify when someone may benefit from TFP?
The most common signs that indicate a patient may benefit from TFP are: 
(1) Multiple treatment failures.  Patients have often been to many previous therapists, tried multiple medications, all with little or no positive benefit. Additionally, previous treator's may describe the experience of feeling hopeless or frustrated in their attempts to help the patient. 
(Aapel's note: It seems "stange" to read that the first criteria to try this treatment with a BPD people is the failure of all the previous ones. During this time, what about the patient suffering ? )
(2) Relationship difficulties.  Patients frequently report either a series of chaotic relationships or a complete void of relationships. The patients who are involved in relationships often report that relationships tend to develop a level of intimacy quickly, describe the other person in idealized terms, become narrowly focused on the relationship (sometimes decreasing contact with friends and family and/or not paying attention to work responsibilities). This phase is then followed by a shift in affection, precipitated by some "failing" in the other person.  The relationship usually ends precipitously, with full blame for the failure in the relationship assigned to the other person. There may be repeated attempts to reunite with the other, but usually these fail.  In the most severe cases, threats of suicide may become involved as a way of testing the relationship or communicating the level of affection and/or distress. For other individuals, there may be a complete lack of the development of love relationships. 
(3). Work/Career difficulties.  Patients with personality disorders frequently have difficulty maintaining jobs or following a career path.  There are often interpersonal difficulties that arise between the individual and his/her supervisor,boss, or co-worker.  They may also describe themselves as "undecided" about what they want to do for a living, or describe vague somewhat contradictory plans/goals. When pressed to describe how they might accomplish their goals, the plan falls apart.  Alternatively, the individual may be able to work consistently, but changes jobs frequently and describes themselves as dissatisfied in career or work. In the most severe cases, a person has been unable to work productively and relies on subsidies from the state or federal government. 

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All the informations on this site are with an aim of helping to understand a "particular" disease at the very least and puzzle
But more especially to support peoples who suffer, sick or not.  In all cases, it is ESSENTIAL to have recourse to a therapist specialized in the disease to confirm or to cancel a diagnosis
Though it is the name doesn't much matter, which is important, it is to apply "the right" treatment to each patient