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Advancing Treatment of Borderline Personality Disorder

International Society of Transference-Focused Psychotherapy

Advancing Treatment of Borderline Personality Disorder

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Evaluating change in transference, interpersonal functioning, and trust processes in the treatment of borderline personality disorder: a single-case study using ecological momentary assessment

Uncategorized

Kevin B. Meehan, PhD, Nicole M. Cain, PhD, Michael J. Roche, PhD, Eric A. Fertuck, PhD, Julia F. Sowislo, PhD, and John F. Clarkin, PhD


Transference-focused psychotherapy (TFP) is an empirically supported treatment for borderline personality disorder (BPD) that improves functioning via targeting representations of self affectively relating to others, particularly as evoked in the therapeutic relationship. If change in TFP operates as theorized, then shifts in patterns of “self affectively relating to others” should be observed in the transference prior to shifts in daily relationships. Using ecological momentary assessment (EMA), a patient with BPD rated daily interpersonal events for 2-week periods during 18 months of TFP; at 9 and 18 months these ratings included interactions with the therapist. Results suggest that positive perceptions of her therapist that ran counter to her negatively biased perception in other relationships preceded changes in her perceptions of others. EMA shifts corresponded to improvements in self-reported symptoms, interview- based personality functioning, and therapist assessments. Implications for assimilation of a trusting experience with the therapist as a mechanism of change in TFP are discussed.

Meehan, K. B., Cain, N. M., Roche, M. J., Fertuck, E. A., Sowislo, J. F., & Clarkin, J. F. (2023). Evaluating Change in Transference, Interpersonal Functioning, and Trust Processes in the Treatment of Borderline Personality Disorder: A Single-Case Study Using Ecological Momentary Assessment. Journal of Personality Disorders, 37(5), 490–507. https://doi.org/10.1521/pedi.2023.37.5.490

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Transference-Focused Psychotherapy and trust processing in BPD: exploring possible mechanisms of change

Uncategorized

Authors: Eric A. Fertuck, PhD, Emanuele Preti, PhD, and John F. Clarkin, PhD

Individuals with borderline personality disorder (BPD) struggle to identify whom they can safely trust, and this struggle contributes to profound
emotional turmoil in their close relationships. Transference-focused psychotherapy (TFP) is an application of object relations theory (ORT) that posits that polarized mental representations of self and other define the personality organization of BPD. TFP aims to utilize a clear treatment frame coupled with an analysis of the therapeutic relationship (i.e., the transference) to help individuals with BPD integrate their polarized mental representations. Improvement in the capacity to trust others is inherent in the mechanisms of change in TFP. In this article, a social cognitive model of trust processing provides a new lens through which we formulate how TFP may enhance trust processing in BPD. Recent evidence from randomized clinical trials supports the argument that TFP may intervene with BPD in a way that is concordant with uniquely improved trust processing

Fertuck, E. A., Preti, E., & Clarkin, J. F. (2023). Transference-Focused Psychotherapy and Trust Processing in BPD: Exploring Possible Mechanisms of Change. Journal of Personality Disorders, 37(5), 620–632. https://doi.org/10.1521/pedi.2023.37.5.620

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Psychosis and personality

Europe, Seminars

TFP-Switzerland

3 certified hours

November 1, 2024

Registration end date October 14th, 2024

Psychosis and personality

French-In person and online (hybrid) (Lausanne, Switzerland)
Louis Diguer
Submit your application by following the registration link

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Transference-Focused Psychotherapy (TFP) Foundational Training – Online 2025

Asia, Seminars

Si Chuan He Guang Clinical Psychology Institute

4 weekend seminar package

Begins Saturday, May 10th 2025

Transference-Focused Psychotherapy (TFP) Foundational Training – Online 2025

English – Online with Chinese translation
Tennyson Lee, Kenneth N. Levy, Philipp Martius, Mathieu Norton-Poulin
Submit your application by following the registration link with mail header format: TFP Training Application + Your Name

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Key technical modifications and challenges in the therapy of patients with a diagnosis of NPD – Online 2024

Europe, Seminars

Centre for Understanding Personality (CUSP)

4th of a 4 seminar package

Friday, 6 Dec 2024

09:00 – 12:00 GMT-4

Key technical modifications and challenges in the therapy of patients with a diagnosis of NPD – Online 2024

English – Online
Ewa Mach
Nikolas Ragidadakos
Tennyson Lee

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Key aspects of how to prepare patients with a diagnosis of NPD for therapy – Online 2024

Europe, Seminars

Centre for Understanding Personality (CUSP)

3rd of a 4 seminar package

Friday, 1 Nov 2024

09:00 – 12:00 GMT-4

Key aspects of how to prepare patients with a diagnosis of NPD for therapy – Online 2024

English – Online
Nikolas Ragiadakos
Ewa Mach
Tennyson Lee

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Key aspect in the assessment of patients with a diagnosis of NPD – Online 2024

Europe, Seminars

Centre for Understanding Personality (CUSP)

2nd of a 4 seminar package

Friday, 4 Oct 2024

09:00 – 12:00 GMT-4

Key aspect in the assessment of patients with a diagnosis of NPD – Online 2024

English – Online
Annelize Taylor
Tennyson Lee

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Transference Focused Psychotherapy for Narcissistic Personality Disorder – First Online seminar 2024

North America, Seminars

Centre for Understanding Personality (CUSP)

1th of a 4 seminar package

Friday, 6 Sep 2024

09:00 – 12:00 GMT-4

Transference Focused Psychotherapy for Narcissistic Personality Disorder – Online seminar 2024

English – Online
Ken Levy
Tennyson Lee

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The 8th ISTFP Conference

News

0

… days until the 8th ISTFP biennial conference. Yes, I am counting the days. Why? Because it has been six years since we all gathered together in mind AND body to further our knowledge of TFP and feel the warmth of our community. I have missed the stimulation of sharing ideas face to face with our elders, esteemed colleagues and esteemed colleagues who became friends along the road. And since the whole Public Relations and Communications Committee feels the same, we decided to make this edition about the upcoming ISTFP conference and the city where it will be held, New York. If you have not registered yet, you can do so by following this link.

I was there during the first conference in White Plains, NY in 2011 and have been coming every two years since. Every occurrence has left me with insights and experiences that have had a profound impact on me and my practice of TFP. In this article, I will try to tell the story of the ISTFP conference from the participant perspective so previous attendees can reminisces on past convention and new ones have all they need to enjoy it to the fullest. For a more formal history of the conference, I suggest reading this excellent article by Theophilus Kok that was published in the October 2022 members Newsletter.

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Mathieu Norton-Poulin

Mathieu Norton-Poulin, M.Ps.

Mathieu Norton-Poulin is a psychologist in private practice in Gatineau, Québec. He graduated from Laval University in 1995 and started his training in transference focused psychotherapy in 2005. Member of the TFP-Québec group he as been practicing as a certified TFP therapist for the last 11 years. Since 2009 he organized several training events and has given lectures on TFP for medical doctors and college students. He maintains a blog where he write, in plain words, articles to explain TFP to the general public.

Read author’s Blog

A word from the president – July 2024

News

Down from Olympus… and on to New York

Dear Colleagues,

We all make mistakes. Mathieu Norton-Poulin, in his very personal article about attending ISTFP conferences over the years, points out a frequent error that people make: idealizing others. This is very understandable. We get comfort from the idea of someone who could have all the answers and solve all our problems. But, as we know, idealization is very dangerous. It is dangerous because it is not based in reality. In discussing Otto Kernberg’s cautioning people against the risk of idealizing him, Mathieu mentioned the risk of envy and aggression associated with idealization. We can go even further in our critique of idealization. For example, idealization of the leader is an implicit devaluing of the group. Otto Kernberg has always insisted that all members of the group have an important role in advancing our thinking and practice. This emphasis on the role of all members of the group was evident as the Personality Disorders Institute developed at the Weill Cornell Medical College. It is happening in a parallel way as we see the growth of the International Society for TFP. The whole is far stronger than any single member of the organization. Our organization has evolved into an incredibly creative and productive group.

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Frank E. Yeomans, MD, PhD

Frank E. Yeomans, MD, PhD, is a Clinical Professor of Psychiatry at the Joan and Sanford I. Weill Medical College and Graduate School of Medical Sciences of Cornell University. He is a Senior Consultant in and teaches internationally for the Personality Disorders Institute, and is in private practice in White Plains and New York City.

Author’s Website

Exploring NYC Through TFP

News

Uncovering City Adventures

Hello, I’m Diana Téllez from Mexico, and years ago, New York captured my heart on my first visit. I have been fortunate enough to explore the city on various occasions: with family, a partner, children, for work, or on vacation. These varied experiences reflect my deep passion for the city, making it one of my favorite destinations in the world. As the saying goes, “New York is always a good idea,” so if you are considering coming to the congress, I assure you that choosing it as the venue was an excellent decision.

With the same enthusiasm, I want to share some suggestions for having fun, based on what I would have liked to know on my first visits to New York. I hope these recommendations help you fall in love with the city as much as I have.

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Diana Tellez

Diana Téllez Quiroz, PhD

Diana Téllez has been a Psychodynamic Psychotherapist since 2005. She obtained a Master’s in Psychotherapy for Children, Adolescents, and Adults in 2009 and a Doctorate in Psychoanalytic Psychotherapy from the Mexican Psychoanalytic Association in 2012.

She holds a PhD and Master’s in APM. Certified supervisor, teacher, and therapist in TFP, Circle of Security, and AAI. Psychologist with experience in personality disorders, specializing in MBT and EFT. Member of ISTFP and ISSPD.

Author’s website

The Scientific Symposia of the 8th ISTFP Conference

News

SYMPOSIUM 1 – Efficacy and effectiveness studies in TFP / Chair: Stephan Doering

  1. Jonathan Radcliffe, E. Fertuck, E. Preti, M. Boden,T. Dewhurst,C. Reeves Mates, C.Tuckett, P. Birch: The UK Study
  2. Annemieke Noteboom, M. Kaan, R. van Grieken, R. Kortrijk, N. Draijer, R. Van: Dyads – Effectiveness and Process of Change of Transference-focused Psychotherapy for Patients with Treatment Refractory Borderline and Narcissistic Personality Disorders
  3. Agnieszka Izdebska, M. Olga Jańczak, J. Franczyk-Glita: The Effectiveness of Transference-Focused Psychotherapy for Personality Disorders: A Protocol of RCT in Poland (TFP-PL Study)
  4. Joan Vegué, MJ Rufat, I. De Ángel, V. López, M. Ferrer, E. Sánchez: An experience of Applied Transference Focused Psychotherapy in a Rehabilitation Service for people with Borderline Personality Organization in Barcelona: assessment of results.
  5. John F. Clarkin, J. Sowislo, M. Lenzenweger: Preliminary Findings from the Weill Cornell Personality Disorders Institute (PDI) Study of Trajectory of Change
  6. Cecily Jahn, M. Hellmich, N. Kreutzer, S. Bender, M. Krischer: Decrease in Hospitalizations Among Adolescents with Borderline Personality Organization After TFP-A Day Clinic Treatment – A 2-Year Follow-Up

SYMPOSIUM 2 – Validation of the STIPO-R: results from five different countries and languages / Chair: Susanne Hörz-Sagstetter & Leonie Kampe

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The ISTFP Art Committee

News

My name is Marike Steeman, Chair of the recently established Art Committee.

In the 1990’s, a group of psychoanalytic psychotherapists in the Netherlands were educated in TFP by faculty from the Personality Disorders Institute at the Weill Cornell Medical College under the leadership of Otto Kernberg. Since then I have been a TFP therapist and, in addition, I became a TFP teacher / supervisor and board member of TFP NL (the Netherlands). 

After completing a degree at the Academy of Fine Arts in my 50’s, I became interested in processes and developments in the works of visual artists. I did N=1 studies on Rothko, Mondrian, and others.

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Marike Steeman

Marike Steeman is psychoanalytic psychotherapist, teacher & supervisor TFP, member NVPP, ISTFP, chair of TFP Nederland and director of the Psy Art Foundation.

Author’s Linked in profile

Let’s meet Silvia Bernardi from New York

News

Dear members, my name is Veronica Steiner and in this special edition of our members Newsletter, I have the pleasure of presenting Silvia Bernardi, a proud TFP therapist and genuine New Yorker. In this interview, you will meet a brilliant, curious woman who left her native Florence to become a psychiatrist, in New York.

Veronica: No doubt, all members will wonder why you change from beautiful Italy to dizzying New York.

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Ps. Veronica Steiner

Veronica Steiner Segal is a Chilean clinical psychologist who graduated in 1998. Since her beginnings she has been working with patients with Severe Personality Disorders in different health institutions in her country, and since 2018 she is a certified TFP therapist. In 2019 she obtained her accreditation as a teacher and supervisor. Since the same year she is coordinator of Grupo TFP Chile. She is the Executive Officer for the Board and she collaborates with the T&E Committee. She also teaches at the University of Valparaiso, in the Department of Psychiatry, where she also teaches in the Diploma of Severe Personality Disorders.
She collaborates in different courses looking for the diffusion of TFP. Together with Luis Valenciano and Pepa Gonzalez she directs an important training in TFP for Spanish speaking students, Instituto TFP Hispanoamerica.

TFP Chile WebsitE

Personality Disorders: One-Year Training Program with Otto Kernberg – First module

Europe, Seminars

TFP Group Ukraine

20 certified hours – first module

The First Module (consists three one-day workshops): September 14, 2024 October 19, 2024 November 16, 2024

Registration end date – September 11th, 2024

Personality Disorders: One-Year Training Program with Otto Kernberg – First Module

English – Online, Zoom
Otto Kernberg, MD

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Postgraduate Program- Psychodynamic Clinic in Personality Disorders: Theory, Complexities, and Challenges – Chile 2026

Latin America, Ongoing Trainings

Instituto Chileno de Trastornos de Personalidad- ICHTP

100 certified hours

2025-2026

Postgraduate Program- Psychodynamic Clinic in Personality Disorders: Theory, Complexities, and Challenges – Chile 2026

Spanish – Online
Dr. Otto Kernberg, Dr. Luis Valenciano, Ps. Mónica Eidlin, Dr. Miguel Angel Gonzalez, Dr. Benny Oksenberg, and Ps. Valeria Fernández.
Email your application by following the registration link.

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[Read more…] about Postgraduate Program- Psychodynamic Clinic in Personality Disorders: Theory, Complexities, and Challenges – Chile 2026

STIPO-R Workshop – Mexico, 2024

Latin America, Seminars

TFP Group Mexico

16 certified hours

December 13, 2024

STIPO-R Workshop – Mexico, 2024

Spanish – Online
Diana Téllez Quiroz , Ph.D.
Ruth Alcala
Email your application by following the registration link

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Course for Narcissistic Personality Disorder – Mexico, 2024

Latin America, Seminars

TFP Group Mexico

32 certified hours

August 17, 2024

Course for Narcissistic Personality Disorder – Mexico, 2024

Spanish – Online
Diana Téllez Quiroz , Ph.D.
Ruth Alcala Lozano , M.D.
Xóchitl Duque Alarcon , M.D.
Email your application by following the registration link

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[Read more…] about Course for Narcissistic Personality Disorder – Mexico, 2024

Basic Course in TFP – Mexico, 2024

Latin America, Seminars

TFP Group Mexico

32 certified hours

August 17, 2024

Basic Course in TFP – Mexico, 2024

Spanish – Online
Diana Téllez Quiroz , Ph.D.
Ruth Alcala Lozano , M.D.
Xóchitl Duque Alarcon , M.D.
Email your application by following the registration link

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[Read more…] about Basic Course in TFP – Mexico, 2024

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