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The increasing family and community of ISTFP members just met in New York for our 8th Biennial Conference, many in person and some by streaming. We, of course, devoted some activities to the field of teaching and supervision. One of them was the in-person Training and Education Committee meeting on September 27^th, which allowed members of the committee to deepen certain important themes.

During that meeting, the T & E Committee reached the conclusion that our therapists in training are getting more and more consistent with what we may call the macroscopic aspects of supervision.

Let me explain by doing an artificial division in our practice.

Luis Valenciano

Psychiatrist, Executive Officer for the Board of the ISTFP, and currently the Chief Trainee and Supervision Committee member

Luis Valenciano is a physician and psychiatrist, formerly the Executive Officer for the Board of the ISTFP, and currently the Chief Trainee and Supervision Committee member.
After passing the MIR, he trained in Psychiatry at the General Hospital of Murcia under the tutelage of Professor Demetrio Barcia. He specialized in psychotherapy at the Madrid Psychoanalytic Center and Elipsis.
In 2007, he co-founded the first Personality Disorders Program in the Region of Murcia, where he worked until 2021 before dedicating himself to private practice. Since 2006, he has worked with Professor Otto Kernberg in New York and is currently a member of the Board of Directors of the ISTFP. From Murcia, he sees patients and supervises therapists internationally, in addition to teaching at various institutions. In recent years, he has also co-founded the Instituto TFP Hispanoamérica with other colleagues.

From the comfortable yet significant confines of his private practice in Andalusia, southern Spain, Sergio Fernández-Miranda has dedicated his professional life to understanding and treating the human mind. His career as a psychiatrist and psychotherapist encompasses extensive experience in the public healthcare system, including five years at a Day Hospital and ten years as a psychiatric residency tutor. Since 2021, he has transitioned to focusing on his private practice

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

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.

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.

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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.

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.

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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.

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

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

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.

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

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.

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

Psychopathy, the word itself raises fear and entails a feeling of darkness. In the coming text we will take time to explore the construct of psychopathy and better understand why it has such a profound effect on all of us. Will we find solace in the rarity of the pathology, its detectability, and treatability, or will we be haunted by the lurking presence of evil and its influence in the corruption of bonding in our societies?

Research on the question brought us to the works of Theophrastus (c. 371–287 BCE), a Greek philosopher who studied under Plato and Aristotle. During his life, he published many treatises on different subjects. His series of sketches of individuals from everyday Athenian life, “The Characters of Theophrastus (δεισιδαιμονίας Ισ᾽) ” could be considered one of the first “scientific” description of personality types. In his text, translated from ancient Greek by Charles E. Bennet and William A. Hammond, professors at Cornell University, we came across a description of “The Vicious Man”:

The Vicious Man

Viciousness is love of what is bad. The vicious man is one who associates with men convicted in public suits, and who assumes that, if he makes friends of these fellows, he will gain in knowledge of the world, and so will be more feared. Of upright men, he declares that no one is by nature upright, but that all men are alike, and he even reproaches the man who is honorable.

While Theophrastus does not talk of psychopathy proper, his portrait of “The Vicious Man” includes three characteristics that would be recognized by any of us has basics continuants of a psychopathic personality structure: love of evil, the exploitation of others for power, and a fundamental conviction of human amorality. But do we have enough evidence to say for sure that the vicious man is a psychopath?

The short answer is no. This is why we will give you an overview of the development of the construct and an insight into the roots of contemporary definition of psychopathy.

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

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.

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Dear Colleagues,

My thoughts are inspired by the rich and varied, but related, topics that our Public Relations Committee has put together in this newsletter. There is a sobering integration of many themes in the different articles. Silvia Bernardi writes of loss, embodied in the death of our colleague and friend Michael Stone. As Silvia points out, that loss is tempered to some degree by an appreciation of what Michael gave us, of the gift we had in him. Michael’s long association with us at the Personality Disorders Institute in New York is a reminder of something we may not reflect on enough: the degree to which our thinking and experience can be enriched by colleagues whose interests overlap with ours without fitting narrowly into the TFP world. Reflecting our years of association with Michael is a reminder that our community will continue to grow by both refining what we do and also by turning to close colleagues who may have somewhat differing perspectives to expand on what we do.

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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

Dear members,

As you all know part of the mission of our society is to disseminate the model of Transference Focused Psychotherapy. This is achieved through many channels, including lectures, trainings and scientific articles. Today I suggest we take a look at where and how information about the model is communicated on the internet.

dataportal.com, a web platform dedicated on gathering data about the internet tells us that 60 % percent of people worldwide look online for information. That implies it is the same for information about treatments for personality disorders. That is why we asked the members of the Public Relations and Communications Committee to send me the first 10 results they obtain when conducting a Google search in their country for “transference focused psychotherapy” in English and in the country’s official language. In doing this, we hoped to monitor the information circulating about TFP on the internet and assess the ranking of TFP-Group websites.

Generally, information we found about transference focused psychotherapy mostly ranged from clear to adequate but, has you will see, we also came across some disturbing findings.

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.

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My name is Frank Denning, I am Chair of the Ethics Committee, and I wish to highlight the fundamental importance of ethics in the practice of Transference-Focused Therapy (TFP). In this newsletter, we will explore the role and relevance of our Ethics Committee, as well as the principles that guide therapists and professionals in this field.

First, though, I would like to acknowledge the help of my colleague Iván Arango, in putting together this introduction. Iván is a valued member of the Ethics Committee, along with Monica Carsky, Sergio Dazzi, Petra Holler, Alan Weiner and Teresa Ribalta. Had time allowed, and in keeping with the collaborative spirit of the committee, I would have consulted all the members about the content of this introduction. Hopefully, the thoughts of Iván and myself reflect the thinking of the whole committee.

Iván and I are grateful to Diana Téllez from the ISTFP Public Relations and Communication Committee, for her help in putting this introduction together. 

Amid the current situation, marked by global conflicts, wars, and health crises, the concept of loss and grief becomes especially relevant for our community. Each of us has been confronted with this painful experience.

Grief emerges as a universal phenomenon, an inescapable constant in human experience that transcends cultures, times, and geographies. Throughout history, it has captured the attention of philosophers, physicians, psychologists, and sociologists who have sought to understand its complexities and have contributed diverse perspectives to its comprehension.

The contribution of psychoanalysis

At the intersection of these disciplines, the psychodynamic perspective emerged as especially insightful regarding the intricate process by which individuals cope with death, other major losses, and subsequent grief… mainly by recognizing that the latter does not present itself as a series of isolated symptoms but as a holistic and deeply personal experience.

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

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.

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Dear members,

I would like to give a special thanks to our remarkable ISTFP Public Relations Committee for the particularly relevant and moving newsletter they have produced. We can all benefit from the reflections on mourning they have written. At a time when loss and threat are very present in the world and in our lives, it is important to be reminded that we can continue to build our lives and our community.

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

Let’s start by wishing everyone a healthy, safe, and productive year for all the members of the ISTFP in 2024! That being said we, at the Public relations and Communications Committee, decided to start the new year with a review of 2023 so all members are aware of general health of our society. We hope it will encourage those of you who have worked tirelessly doing volunteer work to contribute to the society and spark interest in others to get involve.

To us, the ISTFP is like a living organism so we have made a list of health indicators that we will try to review each year. And, since we love empirical evidence, we will show you numbers that we will refresh every year. Let’s see what the data tells us. Is the ISTFP growing or slowly fading away?

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.

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Consistent with the theme of this newsletter, the research digest will focus on a paper where Dr. Kernberg elaborates on some observations regarding the process of mourning. Our intention is to review some psychoanalytic literature on this complex process, which certainly does not lack heterogeneity.

While some brain regions have been indicated as possible candidates related to mourning (see Chambers J 2023 for a review), we chose not to focus on the neurobiology underlying mourning, given the lack of consensus over the definition, the dynamic and complex nature of the processes, and the different responses to different losses, which, combined with the limitations of biological investigations in humans, exponentially increase the number of variables to account for rigor.

We will, however, mention how circadian rhythms, heart rate, blood pressure, and other homeostatic regulatory mechanisms are impacted by the loss of a close relationship.

Silvia Bernardi

Silvia Bernardi, MD, is an Assistant Professor of Psychiatry at Columbia University. After graduating from medical school in Florence Italy in 2006, Silvia emigrated to the USA to work intensively in neuroscience research, studying the bases of the interaction between emotions and cognition. Silvia completed her residency in Psychiatry at Columbia and has since practiced privately in New York. She trained in Transference Focused Psychotherapy and continues to see patients for medication management and psychotherapy while conducting her research to unlock further knowledge to support the biological underpinnings of TFP and borderline personality disorder.

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Glauco Valdivieso

Glauco Valdivieso is a Peruvian psychiatrist, psychotherapist, and researcher based in Lima, Peru. He completed his medical degree at the Universidad Nacional Mayor de San Marcos and specialized in psychiatry at the Hospital Nacional Víctor Larco Herrera, becoming a board-certified psychiatrist in 2018.

He is a certified psychotherapist in Transference-Focused Psychotherapy (TFP), trained by the International Society of Transference-Focused Psychotherapy (ISTFP). In addition, he has completed formal training in Cognitive Psychotherapy, Dialectical Behavior Therapy (DBT), and Mentalization-Based Treatment (MBT).

More information

Dr. Valdivieso is the co-founder and medical director of the Instituto Peruano para el Estudio y Abordaje Integral de la Personalidad (IPEP), where he also coordinates the TFP Peru division. He founded and currently leads the Chapter on Personality Disorders within the Peruvian Psychiatric Association (APP), and works at the Mental Health Unit of Hospital de Villa El Salvador in Lima.

He is also a co-founder and editorial board member of the Latin American Journal of Personality, a collaborative initiative with the Instituto Argentino para el Estudio de la Personalidad y sus Trastornos (IAEPD). Additionally, he serves on the editorial board of the Peruvian Journal of Psychiatry. Internationally, he is a Board Member of the International Society for the Study of Personality Disorders (ISSPD), where he chairs the Communications Committee and leads the Latin American Regional Group.

His main clinical and research interests include the treatment of personality and mood disorders, with a particular focus on advancing research in Transference-Focused Psychotherapy (TFP).

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Dear members,

I am Chiara De Panfilis, co-chair of the Applied TFP Committee. Together with my co-chair, Richard Hersh, I will present you the members of our committee, its history and achievements.

Our committee is comprised of twelve members: Eve Caligor (USA), Sergio Dazzi (Italy), Chiara De Panfilis (Italy), Richard Hersh (USA), Tennyson Lee (UK), Jonathan Radcliffe (UK), Michael Rentrop (Germany), Eulalia Ripoll (Spain), Christiane Roesch (Switzerland), Maria Jesús Rufat (Spain), Luis Valenciano (Spain), Jo-anna VanDenBosch (UK). 

We aim to bring together, to study, and to develop the various applications of TFP principles in mental health settings other than the standard, twice-a-week outpatient individual psychotherapy setting.

Examples include, but are not limited to:

• Modifications of TFP for family interventions, group therapy, or forensic settings
• Implementation of inpatient treatment for personality disorders (PD) with TFP principles techniques and strategies
• Application of TFP principles within a variety of clinical situations and experiences such as:
  • general outpatient psychiatric care for PD
  • consultation-liaison psychiatry or medical settings
  • psychoeducation interventions.

Broadly speaking, such initiatives are referred to as “Applied TFP”. Examples of some of the elements of TFP that can be brought into these different settings are an emphasis on the role of a clear treatment frame and the utility of conceptualizing any clinical encounter in terms of the internal representations of self and other that are activated.

Chiara De Panfilis

MD, Associate Professor in Psychiatry

Chiara De Panfilis, MD, is an associate professor of Psychiatry in the Department of Medicine and Surgery, Unit of Neuroscience, University of Parma, Italy. Her main research interests are the potential social-cognitive mechanisms that shape the clinical picture and the psychosocial functioning of individuals suffering with personality disorders. She was previously a visiting research fellow at the Personality Disorders Institute of Weill Cornell Medical School, New York. For her research she received a grant from the International Psychoanalytic Association and awards from the International Society of Transference-Focused Psychotherapy (ISTFP) and the Society for Personality Assessment. She is co-founder and research coordinator of the Personality Disorders Lab (Parma-Milan, Italy). She is a board member of the ISTFP and is clinically active in implementing general psychiatric care for personality disorders with TFP principles. She authored
more than sixty peer-reviewed publications.

Richard G. Hersh

MD, Special Lecturer, Department of Psychiatry, Columbia University 

Richard G. Hersh, MD, was an attending psychiatrist at Massachusetts General Hospital and McLean Hospitals while an Instructor in Psychiatry at Harvard Medical School before coming to Columbia University Medical Center where he was a psychiatrist on the inpatient service before serving for fifteen years as the Associate Director of the Department of Psychiatry’s Intensive Outpatient Program. He has been trained in Transference-Focused Psychotherapy (TFP) for treatment of personality disorders and has fulfilled the requirements for Teacher and Supervisor status for TFP. He as serves on the Scientific Advisory Board of the National Education Alliance for Borderline Personality Disorder (NEA-BPD) and recently co-authored the textbook “Fundamentals of Transference-Focused Psychotherapy: Applications in Psychiatric and Medical Settings” published in 2017 by Springer.