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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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News

Let’s meet Mariana del Hoyo from Mexico

News

Last June, I had the pleasure of conducting an enlightening interview with Mariana del Hoyo, a dedicated and passionate psychiatrist who recently completed her residency. Our conversation focused on Mariana’s journey and her profound interest in Transference-Focused Psychotherapy. I am excited to share this experience with all of you.

Her educational background is diverse. Not only does she have a Bachelor’s degree in Medicine from UNAM but she as also completed a postgraduate degree in Rural Development from UAM Xochimilco, a postgraduate program in Competencies for Managing BPD from UIC Barcelona, and a specialization in Psychiatry at the National Institute of Psychiatry “Ramón de la Fuente” in Mexico.

Her fascination with TFP began during her psychiatric residency, where she was deeply intrigued by the wide-ranging symptomatology of personality disorders. It stood out as a powerful technique that empowers individuals who have experienced invalidation in the past, helping them recognize their capacity for self-reflection. She was particularly impressed by how TFP integrates the therapist’s introspection and tackles not only the complexities of borderline personality disorder, but also fundamental human concerns.

Throughout her journey, Mariana has actively sought additional training and education. She has completed theoretical courses offered by TFP-Group Mexico, the TFP course provided by the TLP group in Barcelona, and has attended seminars led by Dr. Otto Kernberg. These experiences have enriched her understanding of TFP and facilitated valuable connections with experts in the field.

Currently, Mariana’s professional activities include private psychiatric consultations, supportive psychodynamic therapy at the Fray Bernardino Psychiatric Hospital and collaborative research projects. She actively participates in research focused on studying behaviors and risk factors in young people with HIV, as well as research projects related to Borderline Personality Disorder and its clinical features.

One of the most profound impacts of TFP on Mariana’s practice has been the development of a holistic understanding of her patients’ symptoms and the cultivation of stronger therapeutic relationships. TFP allows her to use transference as a valuable source of information, providing insights into relational dynamics. She considers it vital to the success of psychiatric management and psychotherapeutic interventions when working with patients with significant psychopathology, such as Borderline Personality Disorder. It has transformed Mariana’s overall therapeutic practice by fostering deeper reflection in her interactions with patients.

Mariana’s dedication to TFP goes beyond her clinical practice. She aspires to conduct research that demonstrates the effectiveness of TFP in the Mexican population, recognizing the need for its wider adoption. Currently, the studies focus on gender differences in clinical presentation and symptoms among individuals with Borderline Personality Disorder in Mexico City.

Regarding the advantages and disadvantages of TFP, she emphasized its reflective and introspective nature, which allows for deeper engagement with patients and addresses the chronic sense of emptiness and identity diffusion. However, she acknowledged that TFP requires a longer training period and comes with a certain level of complexity.

That is why she actively participates in supervision, recognizing its pivotal role in her professional development. She is convinced that supervision has been invaluable in guiding her through challenging cases, providing diverse perspectives, and offering emotional support. It has also contributed to her understanding of significant moments in a therapist’s life and their influence on countertransference and transference dynamics.

Practicing TFP in Mexico presents unique challenges due to the complex social and economic context of the country. However, Mariana remains steadfast in her commitment to promote the use of TFP, conduct research, and provide high-quality care to her patients. She is truly an inspiration to all of us as we strive to provide the best possible care in less than ideal situations. Mariana’s story shows us how important it is to include some teaching about TFP in psychiatry residency programs. From that initial contact with TFP, Mariana has gone on to practice both standard and applied TFP and to begin important research.

I hope you had as much pleasure to meet her as I did.

Warm regards,

Diana

Diana Tellez

Diana Téllez Quiroz, PhD

Diana Téllez has been working as a psychodynamic psychotherapist in Mexico since 2005. In 2009, she successfully completed a master’s degree program in psychotherapy for children, adolescents, and adults. She went on to earn a PhD in Psychoanalytic Psychotherapy from the Mexican Psychoanalytic Association in 2012.

She’s a certified TFP Teacher-Supervisor and has clinical practice in TFP since 2011.  Since 2016, she is responsible for the Psychology department at a public hospital part of the Mexican Social Security Institute (IMSS) in Mexico City. She is also an active member of the Academic Committee of Mexico involved in the organization of multiple trainings and supervisions in TFP.

Author’s website

Empirical support for Kernberg’s concept of Temperament

News

Scientific fondations of TFP series

As a member of the ISTFP Public Relations and Communication committee, I have the privilege of connecting with professionals from diverse backgrounds who share their experiences and challenges in implementing Transference Focused Psychotherapy (TFP) in various therapeutic settings worldwide. One recurring challenge that has emerged is the persistent misconception that TFP lacks scientific validity. In this series of articles, my objective is to provide fellow members with the necessary tools to debunk this myth.

Thank you for randomized control trials

In my experience, one of the most effective strategies to address the challenge of perceived lack of scientific validity in Transference Focused Psychotherapy (TFP) is to begin communications by highlighting TFP as a psychodynamic treatment for personality disorders that has been validated by randomized control trials (RCTs). This approach tends to engage the interest of a wide range of audiences.

I hold great respect and gratitude for fellow members who have dedicated themselves to the development of these RCT’s and who continue to plan new RCT’s. Conducting such trial, which play an indispensable role in establishing the credibility of TFP requires a great deal of effort. Especially when pretigious entities like the Cochrane database of systematic reviews use those RCT’s to determine which treatments have the most empirical support. I was happy to see that in 2012 Transference Focused Psychotherapy was considered a promising treatment for BPD along with Dialectic Behavioral Therapy, Schema Therapy, and Mentalisation Based Therapy. Unfortunately, in Cochrane’s new iteration of the review (2020), only DBT and MBT are mentioned as promising treatments. For this reason, the ISTFP is actively pursuing new RCT’s. To ensure that all members have easy access to the existing data, I have included links to all the RCTs at the end of this article.

However, even after presenting evidence of the treatment’s effectiveness, we often encounter a recurring weakness, which is the questioning of our theoretical foundation. I understand that some of you may disagree, emphasizing that our capacity to draw from the extensive psychoanalytic literature is indeed one of our greatest strengths. I completely agree , but we also have to recognize that in an evidence-based world, this reliance on psychoanalytic literature can sometimes undermine our credibility in the eyes of many.

Kernberg’s theory of personality

We are fortunate that Dr. Kernberg, the founding father of Transference Focused Psychotherapy (TFP), has successfully expanded the roots of psychoanalysis to create a psychodynamic treatment that integrates contemporary advancements in neurology with core concepts of psychoanalysis. In this series of articles, we will delve into the scientific evidence that substantiates the fundamental principles of Transference Focused Psychotherapy. Moreover, my aim is to present this information in a manner that is accessible to everyone, so it can be used in many contexts. To facilitate this, I will include links not only to scientific papers but also to the relevant images I have utilized.

Given the extensive nature of the topic, I will employ the following papers as guiding lights to navigate our exploration:

Kernberg, Otto. F (2016): What is personality?, Journal of Personality Disorders, Volume 30(2), 145-156

Otto F. Kernberg M.D. (2001) Object Relations, Affects, and Drives: Toward a New Synthesis, Psychoanalytic Inquiry, 21:5, 604-619

In the first paper, Kernberg provides a clear depiction of personality as a dynamic “umbrella” organization comprising various major component systems.

  1. Temperament
  2. Object relations
  3. Character
  4. Identity
  5. Ethical value system
  6. Cognitive capability (More precisely, attention and effortful control)

When I read the article, I was captivated by the elegant simplicity of the description, which not only established a connection with neurology but also provided bridges with other sciences.

For the time being, our exploration will focus on examining the temperamental components of this organization, deferring the investigation of its dynamic to a later point.

This article contains exclusive content for ISTFP members.

If you already are a member of the ISTFP, login to read the full text. If you are not a current member of the ISTFP and want to enjoy all of our exclusive content such as blog posts and other resources, please click one of the links below and follow the instructions provided. We look forward to welcoming you to our community.

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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 has a certified TFP therapist for the last 9 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

Word from the president – July 2023

News

Dear fellow members of the ISTFP,

My thought after reading the excellent newsletter that our Public Relations Committee has put together is: “Never Bored!”

Why are we never bored? The articles included in the newsletter remind us of:

  1. The increasing need for our services.
  2. The never-ending efforts of our members to meet the need.
  3. The challenge of sharing our knowledge and skills with colleagues from different parts of the world and from different cultures, and the opportunity to learn from them.

In addition, the newsletter, in its informal poll of what others think of TFP, tells us that we should reflect on some internal representations people outside our community have of TFP… and how to modify those representations when they contain inaccuracies. I found this poll very helpful since it contained information that I have been, to some extent, in denial of (like everyone, I have my defenses).

This article contains exclusive content for ISTFP members.

If you already are a member of the ISTFP, login to read the full text. If you are not a current member of the ISTFP and want to enjoy all of our exclusive content such as blog posts and other resources, please click one of the links below and follow the instructions provided. We look forward to welcoming you to our community.

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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.

The public image of TFP – What are people saying about us?

News

Dear members of ISTFP,

It’s already been a year since the ISTFP’s Public Relation and Communications Committee has been working at bringing our community closer and finding ways to disseminate the model more efficiently. This is why I feel that, before introducing the main subject, I should give you a summary of what as been done so far. I the past year we have:

  • Successfully orchestrated and coordinated the promotion of the highly anticipated 7th ISTFP conference, ensuring a wide reach and strong attendance from professionals in the field.
  • Developed and curated engaging newsletters, including the ISTFP members Newsletter and the Mental Health Professionals Newsletter, providing valuable insights, updates, and resources on TFP to a diverse audience.
  • Established a comprehensive and GDPR-compliant database of mental health professionals, facilitating effective promotion of TFP events while respecting European regulations on personal data protection.
  • Implemented a standardized system for event organizers to submit new training events, streamlining the process and ensuring consistency and efficiency in event management.
  • Enhanced the ISTFP website by creating a dedicated TRAINING section, offering a comprehensive repository of seminars, courses and events related to TFP, catering to the needs of professionals and students alike.
  • Enriched the ISTFP website with a NEWS section, featuring the latest updates, research findings, and noteworthy developments in the field of TFP, keeping the community informed and engaged.

Reaching and maintaining these achievements take a lot of time and energy. Veronica and I would like to express our gratitude to our team, Diana Tellez, Theophilus Kok, Silvia Bernardi and Glauco Valdivieso for their involvement in these different projects. We would also like to thank Darlene McCormick, ISTFP website webmaster, for her counsel, and Frank Yeomans who has shown tremendous support and guidance for our ambitious initiatives.

That being said, let’s go to our main subject: What are people saying about us?

This article contains exclusive content for ISTFP members.

If you already are a member of the ISTFP, login to read the full text. If you are not a current member of the ISTFP and want to enjoy all of our exclusive content such as blog posts and other resources, please click one of the links below and follow the instructions provided. We look forward to welcoming you to our community.

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Mathieu Norton-Poulin, M.Ps.
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 has a certified TFP therapist for the last 9 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 THE AUTHOR’S BLOG

Applied Transference Focused Psychotherapy

News

Applied Transference Focused Psychotherapy in psychiatric settings

We often wonder about the future of Transference Focused Psychotherapy (TFP) and the challenges that lie ahead, as well as the directions we would like to pursue. The paper featured this month examines the recent developments of our technique, observing how specific principles of TFP have naturally met the needs of the broader community of mental health providers.

Over the past four decades, there has been a gradual increase in attention given to the personality component of various pathologies and pathological or quasi-pathological circumstances. For instance, the study of pathological dynamics in large groups.

The author of the paper, Richard Hersh MD, is a psychiatrist, psychoanalyst, certified TFP supervisor, and a well-known figure for his contributions in expanding the applications of TFP to different clinical settings. This includes settings that do not primarily focus on psychotherapy-based interventions. You can find more information about Dr. Richard Hersh at this link: https://www.columbiapsychiatry.org/profile/richard-g-hersh-md

This article contains exclusive content for ISTFP members.

If you already are a member of the ISTFP, login to read the full text. If you are not a current member of the ISTFP and want to enjoy all of our exclusive content such as blog posts and other resources, please click one of the links below and follow the instructions provided. We look forward to welcoming you to our community.

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Silvia Bernardi
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.

Glauco Valdivieso
Glauco Valdivieso

Glauco Valdivieso is a Peruvian psychiatrist and psychotherapist who lives and works in Lima, Peru. He has been a psychiatrist since 2018, graduated from the Universidad Nacional Mayor de San Marcos and trained at the Hospital Nacional Victor Larco Herrera. He has training in Cognitive Psychotherapy, Dialectical Behavioral Therapy, Mentalization Based Therapy and Transference Focused Therapy, currently in clinical supervision. He is the co-founder and medical director of the Peruvian Institute for the Study and Comprehensive Approach to Personality (IPEP) and of the TFP PERU therapeutic division. He is the founder of the Personality Disorders Chapter of the Peruvian Psychiatric Association (APP) and head of the mental health unit at the Villa El Salvador Emergency Hospital. He is also co-founder and member of the editorial team of the Latin American Journal of Personality together with the Argentine Institute for the Study of Personality and its Disorders (IAEPD). His clinical interests are the treatment of personality disorders and mood disorders, and he wishes to contribute to research on TFP.

The ISTFP adolescent committee

News

Dear Colleagues,

The ISTFP established the Adolescent Committee to develop a treatment for adolescents with various personality pathologies. Since the DSM diagnostic system officially recognized the diagnosis of BPD in adolescence and considering the unique developmental challenges of this stage (puberty, peer and love relationships, sexuality, aggression, and narcissism), a group of ISTFP members (L. Normandin, K. Ensink, A. Weiner, and Otto F. Kernberg) published the first edition of a TFP-A manual (Normandin et al., 2021). The manual preserves the core techniques and strategies of TFP for adults but includes specific adaptations for working with parents and addressing developmental issues.

This article contains exclusive content for ISTFP members.

If you already are a member of the ISTFP, login to read the full text. If you are not a current member of the ISTFP and want to enjoy all of our exclusive content such as blog posts and other resources, please click one of the links below and follow the instructions provided. We look forward to welcoming you to our community.

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Lina Normandin, Ph.D.
Lina Normandin, Ph.D.

Dr. Lina Normandin is a professor of psychology at Laval University in Quebec City, Canada and clinical psychologist working with children, adolescents and adults. Her main research themes are in child abuse, adolescent personality disorders and psychotherapy processes such as countertransference. She is an accredited trainer and supervisor in Transference-Focused Psychotherapy (TFP and TFP-A) for personality disorders at the New York Personality Disorders Institute of Weill-Cornell University.

Let’s meet Xumei Wang from China

News


Xumei Wang’s dedicated pursuit of TFP began in 2018, and while she is not presently affiliated with ISTFP, her involvement in its principles remains fervent. As a psychiatrist, she embarked on the study of psychodynamic therapy in 2004, receiving training from distinguished psychoanalysts hailing from countries including Germany, Norway, and the United States. Demonstrating her studious nature, she also attained certifications in music therapy and participated in group relations conferences. Currently serving as the esteemed Director, Professor, and Doctoral Supervisor of the Department of Psychology at Shengjing Hospital, China Medical University, she adeptly guides graduate students in their research endeavors.

In 2015, Xumei Wang had her initial encounter with Otto Kernberg’s work during a workshop at the APA Annual Conference in the United States that she found very illuminating. This encounter proved highly valuable, as her research focus at that time revolved around personality disorders. Collaborating with Dr. Carla Sharp, she worked on introducing the Borderline Characteristics Scale for Children and Adolescents to China. Additionally, her collaboration with Peter Fonagy involved the introduction of the Reflective Functioning Questionnaire for Adolescents to China. Through these collaborations, she gradually familiarized herself with TFP, the therapeutic model developed by Otto Kernberg. In 2017, she deepened her knowledge by attending a TFP workshop led by Otto Kernberg in Hangzhou. A year later, she eagerly enrolled in the inaugural TFP full training program offered in China organized by Theophilus Kok and led by Frank Yeomans.

This article contains exclusive content for ISTFP members.

If you already are a member of the ISTFP, login to read the full text. If you are not a current member of the ISTFP and want to enjoy all of our exclusive content such as blog posts and other resources, please click one of the links below and follow the instructions provided. We look forward to welcoming you to our community.

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TFP in Wartime

News

In February 2022, Ukraine was invaded by its powerful neighbor. Since then, the whole world has been witnessing with horror and sadness the struggle of the Ukrainian people to protect their lives, land, culture, and identity.

In this article, I invite you to meet the leader of TFP-Ukraine, Oleksii Lemeshchuk. With his openness, wit, and generosity, he helps us understand his people and reflect on the challenges of applying TFP in a country at war.

Meeting Oleksii and his people

My first contact with Oleksii was through an email I sent him during the holidays. I decided to contact him when I discovered, through the warm holiday wishes that many of you sent, that we had a Ukrainian TFP group in our society. It seemed to me that they would have a unique perspective on human nature and on the application of transference focused psychotherapy in a difficult context.

He answered quickly and showed enthusiasm for the project. We arranged a zoom meeting with an interpreter so that communication of his ideas would not be limited by language. 

On the given day, I connected with Oleksii and his interpreter and was pleasantly surprised by the brightness of his office. Looking back, I wonder if I was expecting darkness and despair. The short time I spent with Oleksii showed me light and hope for a better future.

Perhaps that resilience comes from spending his childhood in a communist country. Oleksii remembers how it was dangerous to exist outside of Marx and Lenin’s thinking: 

That was the time when everybody had to be obedient and do what is told.

Olexeii Lemeshchuk, Leader of TFP-Ukraine

This article contains exclusive content for ISTFP members.

If you already are a member of the ISTFP, login to read the full text. If you are not a current member of the ISTFP and want to enjoy all of our exclusive content such as blog posts and other resources, please click one of the links below and follow the instructions provided. We look forward to welcoming you to our community.

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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 has a certified TFP therapist for the last 9 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

Word of the president – April 2023

News

Peace

Dear Colleagues,

In this period of troubles in the world, I am particularly aware of how much I take for granted. An example is taking for granted that my life is not directly disrupted by a war. Oleksii Lemeshchuk’s interview in this newsletter reminds me of how quickly life can become a struggle for life itself. In that context, I tend to wonder about the importance of my contributions to society as a psychotherapist. It is encouraging to read that psychotherapy has an important role in helping both individuals and society in a time of war. In keeping with that theme, Silvia Bernardi and Glauco Valdivieso have written an important commentary in this newsletter on “The role of psychodynamically informed therapy in complex socio-political realities” in which they elaborate on Otto Kernberg’s reflections on malignant narcissism and group processes. I encourage you all to read it.

This article contains exclusive content for ISTFP members.

If you already are a member of the ISTFP, login to read the full text. If you are not a current member of the ISTFP and want to enjoy all of our exclusive content such as blog posts and other resources, please click one of the links below and follow the instructions provided. We look forward to welcoming you to our community.

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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.

Promoting and submitting TFP training events

News

In the previous newsletter, I introduced the ISTFP mailing list project as the initial step in a comprehensive global strategy to support TFP-Groups worldwide in promoting their training activities. The primary objective of this project is to facilitate the dissemination of information about TFP training opportunities in a convenient and efficient manner.

We are pleased to report that a significant number of you have subscribed to the ISTFP members list. For those who have not yet subscribed, we strongly encourage you to do so promptly to continue receiving our newsletter.

Additionally, we have observed a consistent flow of subscriptions to the ISTFP mental health professionals newsletter. As this mailing list serves as our primary means of recruiting new trainees, I will provide you with ways to contribute to its growth. 

Furthermore, I will outline the process for submitting your upcoming training events to ensure that they are featured on our website and newsletter. We are striving to establish guidelines that will enhance our effectiveness and the success of your events.

This article contains exclusive content for ISTFP members.

If you already are a member of the ISTFP, login to read the full text. If you are not a current member of the ISTFP and want to enjoy all of our exclusive content such as blog posts and other resources, please click one of the links below and follow the instructions provided. We look forward to welcoming you to our community.

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Mathieu Norton-Poulin, M.Ps.
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 has a certified TFP therapist for the last 9 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 THE AUTHOR’S BLOG

The role of psychodynamically informed therapists in complex socio-political realities

News

In this issue of our newsletter, we focused on the role of psychodynamically informed therapists in current sociopolitical conflicts. That is why we have chosen to review Otto Kernberg’s paper: Malignant Narcissism and Large Group Regression.” Psychoanalytic Quarterly 89(1):1-24, 2020.

This article gains in appropriateness by the minutes, as we see conflicts, natural catastrophes and new regimes come to exist all over the world. In the first section of the manuscript, Dr. Kernberg reviews the major contributions of Freud, Bion, Turquet and Volkan on group psychology, highlighting how, at all different levels of grouping, from individual to large groups, when regression develops and the normal social structure that assures the individual of his status in the society disappears, a search for a “second skin”, a second identity that returns individual security begins. In reviewing these masterful contributions.

Social instability and the defensive behaviours of large groups

Otto depicts how, during threats, groups adopt defensive behaviors similar to the paranoid-schizoid position described by Melanie Klein, splitting, denial, omnipotent control, projective identification. In the headline section of this newsletter, Oleksii references his attention and awareness to these feelings and phenomena as his own population goes through massive destruction during the war (Read the article).

This article contains exclusive content for ISTFP members.

If you already are a member of the ISTFP, login to read the full text. If you are not a current member of the ISTFP and want to enjoy all of our exclusive content such as blog posts and other resources, please click one of the links below and follow the instructions provided. We look forward to welcoming you to our community.

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Silvia Bernardi
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.

Glauco Valdivieso
Glauco Valdivieso

Glauco Valdivieso is a Peruvian psychiatrist and psychotherapist who lives and works in Lima, Peru. He has been a psychiatrist since 2018, graduated from the Universidad Nacional Mayor de San Marcos and trained at the Hospital Nacional Victor Larco Herrera. He has training in Cognitive Psychotherapy, Dialectical Behavioral Therapy, Mentalization Based Therapy and Transference Focused Therapy, currently in clinical supervision. He is the co-founder and medical director of the Peruvian Institute for the Study and Comprehensive Approach to Personality (IPEP) and of the TFP PERU therapeutic division. He is the founder of the Personality Disorders Chapter of the Peruvian Psychiatric Association (APP) and head of the mental health unit at the Villa El Salvador Emergency Hospital. He is also co-founder and member of the editorial team of the Latin American Journal of Personality together with the Argentine Institute for the Study of Personality and its Disorders (IAEPD). His clinical interests are the treatment of personality disorders and mood disorders, and he wishes to contribute to research on TFP.

The ISTFP research committee

News

The Research and Publication Committee was established within the ISTFP to promote attention toward research relevant to the field of TFP. John Clarkin has guided the Research Committee since the foundation of the ISTFP. During the past decade, I had the opportunity to assist Dr. Clarkin in the initiatives of the Committee. In particular, we had regular open meetings of the Committee during the biennial ISTFP conferences, and the stimuli from those meetings fostered the initiatives of the Committee. In 2022 I was given the exciting opportunity to chair the Research and Publication Committee and was honored to accept this role. The first task was to establish a group of members. With the precious consultation of John Clarkin and Stephan Doering, a list of highly competent and motivated colleagues emerged:

Marko Biberdzic, Victor Blüml, Anna Buchheim, John Clarkin, Chiara De Panfilis, Rossella Di Pierro, Stephan Doering, Karin Ensink, Eric Fertuck, Andrea Fontana, Susanne Hörz-Sagstetter, Maya Krischer, Maria Jesus Rufat

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Let’s meet Daniela Saralegui a young and dynamic member of TFP Chile

News

Daniela Saralegui is a young member of the ISTFP since 2020. She is a member of Grupo TFP Chile. She is a clinical psychologist, has a master’s degree in Adolescents from the University of Valencia, and has TFP training from TFP Latin America. Upon meeting her, we discovered an inquisitive girl who was involved in various activities. She is a university professor, attends to patients, and devotes much of her time to research, particularly in the field of TFP supervision.

Her first contact with the structural approach was during her undergraduate training at the university.

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Veronica Steiner
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 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 Mónica Eidlin she directs an important training in TFP for Spanish speaking students, TFP Latin America.

Otto Kernberg, M.D.

News

On May 13, an event an oral “Festschrift” was held, in which the part of the ISTFP community connected to Cornell and special guests gathered with Otto Kernberg to celebrate his retirement as Director of the Personality Disorder Institute of New York Presbyterian-Weill Cornell Medical College.

More than 90 colleagues and members of his family paid heartfelt tribute through special words dedicated by Nancy Mc Williams, John Oldham, Salman Akhtar, Mark Solms, and Stephan Doering.

Undoubtedly, it was a moment of many mixed emotions.

Many voices honouring the same man

A lot can be said about Otto, his versatility and his skills in different fields make it difficult to choose how to pay tribute to him. Not surprisingly, everyone who spoke at the Festchrift chose a similar path, by addressing not only his long career and inspiration for many mental health professionals and therapists, but also his human qualities.

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Veronica Steiner
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 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 Mónica Eidlin she directs an important training in TFP for Spanish speaking students, TFP Latin America.

A word from the president – January 2023

News

Photo de Gabriel Herter sur Unsplash

Dear Colleagues,

First, I hope everyone has had the opportunity to have a good holiday break and a good start to the new year.

My understanding is that the classical Greeks taught us to “observe moderation in all things” (it sounds like a different way to say “avoid splitting”).

In that spirit, I would like to direct your attention to the post from Mathieu Norton Poulin, our Co-Chair of the ISTFP Public Relations Committee.

Mathieu outlines a system of email communication that is designed to keep you from the annoyance of getting too many ISTFP communications but to assure that you get important news, information, and resources from our organization. His letter is of particular interest to those who have a leadership role in their local TFP group. I would like to thank Mathieu and the rest of the PR Committee for their hard and successful work.

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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.

The ISTFP mailing list project

News

Dear ISTFP members,

The 7th ISTFP conference ended just over two months ago, and I am still reflecting on how stimulating it was, both intellectually and emotionally. Like me, those of you who attended were able to witness our strong sense of community that prevails despite the challenges to group cohesion wonderfully described during the conference by Miguel Angel Gonzalez Torres.

Our sense of community strengthens each of us in numerous ways, so it is important that we nurture this sense of community on an ongoing basis. One way to accomplish this is to enhance our ability to share different skills and resources.

To formalize this ability to share and communicate, the ISTFP’s Public Relations and Communications Committee is creating a complimentary service that will be provided to all TFP groups. We call this service “The ISTFP Mailing List Project”. This will be especially relevant to those of you who plan lectures, trainings, and other academic events.

What is a mailing list?

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Mathieu Norton-Poulin, M.Ps.
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 has a certified TFP therapist for the last 9 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 THE AUTHOR’S BLOG

Neurobiological underpinning of distress related to social exclusion

News

In this issue of our research digest, we focus on a very recent article from Eric Fertuck, Ph.D. and colleagues entitled:

Rejection Distress Suppresses Medial Prefrontal Cortex in Borderline Personality Disorder.

Dr. Fertuck is an Associate Professor of Psychology at CUNY, NY, a certified TFP supervisor and therapist, a psychoanalyst, as well as a member of ISTFP. The article investigates the neurobiological underpinning of distress related to social exclusion, often a core symptom of borderline personality disorder (BPD). We chose to feature this article not simply because its result shed light on the biological underpinning of BPD, which is of course of interest for our community, but also because its methods are driven by the profound understanding of emotional processes that TFP, and psychoanalytic approaches, allow. By applying a deeper conceptual understanding of social rejection, Fertuck et al. help elucidate a biological mechanism that in the past has been investigated as a categorical, insular, function, leading to mixed results that have been difficult to replicate. We see this contribution as one of the first compelling papers utilizing awareness gained from the psychotherapy setting and psychoanalytic theory to deepen biological knowledge. This type of studies and approaches breaks the stigma of the absence of foundations in psychotherapy and psychoanalytic theory, likewise contributing to the scientific knowledge of clinical effectiveness through its different neurobiological mechanisms.

First, we will quickly review the results of Fertuck et al., to then focus on the creativity of their methodological strategy.

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Silvia Bernardi
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.

Glauco Valdivieso
Glauco Valdivieso

Glauco Valdivieso is a Peruvian psychiatrist and psychotherapist who lives and works in Lima, Peru. He has been a psychiatrist since 2018, graduated from the Universidad Nacional Mayor de San Marcos and trained at the Hospital Nacional Victor Larco Herrera. He has training in Cognitive Psychotherapy, Dialectical Behavioral Therapy, Mentalization Based Therapy and Transference Focused Therapy, currently in clinical supervision. He is the co-founder and medical director of the Peruvian Institute for the Study and Comprehensive Approach to Personality (IPEP) and of the TFP PERU therapeutic division. He is the founder of the Personality Disorders Chapter of the Peruvian Psychiatric Association (APP) and head of the mental health unit at the Villa El Salvador Emergency Hospital. He is also co-founder and member of the editorial team of the Latin American Journal of Personality together with the Argentine Institute for the Study of Personality and its Disorders (IAEPD). His clinical interests are the treatment of personality disorders and mood disorders, and he wishes to contribute to research on TFP.

Authors’s facebook page

Let’s meet Glauco Valdivieso, Coordinator of developing TFP Peru group

News

Meeting Glauco feels like an adventure, as he wears many hats, he is passionate about his work as a head of Mental Health Unit of Hospital de Emergencias Villa El Salvador, but above all he is passionate about studying.

He has studied a master’s degree in Health Management, and is currently pursuing two more master’s degrees, one in Clinical Epidemiology and the other in Personality Disorders.
He is also trained and certified in Rational Emotive Behavior Therapy (REBT), Dialectical Behavior Therapy (DBT) and Transference Focused Therapy (TFP).

Dedicated to the study and treatment of complex patients

This article contains exclusive content for ISTFP members.

If you already are a member of the ISTFP, login to read the full text. If you are not a current member of the ISTFP and want to enjoy all of our exclusive content such as blog posts and other resources, please click one of the links below and follow the instructions provided. We look forward to welcoming you to our community.

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Veronica Steiner
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 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 Mónica Eidlin she directs an important training in TFP for Spanish speaking students, TFP Latin America.

Third ESSPD Summer School 2023: Developmental Pathways and Interventions

News

Third ESSPD Summer School 2023 – August 27th to September 2nd, 2023

Dear colleagues and ISTFP members,

The European Society for the Study of Personality Disorders (ESSPD) is proud to announce the third ESSPD Summer School for early career researchers, organized in collaboration with the University of Lausanne, Depart- ment of Psychiatry, Institute of Psychotherapy and Child and Adolescent Psychiatry Service, with the financial support of the Swiss National Science Foundation (SNSF).

The aim of the summer school is to increase the meth- odological competencies in conducting high quality de- velopmental psychopathology research in the domain of personality disorders. Topics include: developmental psy- chopathology (i.e., prediction of self-harm and suicide in adolescence), inclusion of family in research designs (i.e., mothers with personality disorders and their offspring), prospective long-term follow-up studies, psychotherapy, research designs (i.e., effectiveness, mediation, modera- tion), assessment of emotional processing, socio-cognitive processing and reflective functioning in adolescence.

We will adopt a theory-integrative, disorder-oriented and evidence-based approach. Throughout the one-week pro- gram, the focus will be on the plurality of methods, their productive use for specific research questions and their creative combinations in order to deepen the understand- ing of developmental pathways and the effects of pre- vention and intervention to personality disorders in youth.

Teaching methodologies include interactive presentations, workshop exercises on actual research material, plenary and small group discussions, individual work, speed-talk presentations, playfully structured question-and-answer sessions.

Where?

The summer school takes place in a relaxing and inspiring atmosphere at the picturesque retreat center Crêt-Bérard, calmly perching over Lac Léman in Switzerland, one of the largest lakes in Western Europe. Activities as part of a social program will be organized.

When ?

Sunday, August 27th 2023 (arrival day) – Saturday, September 2nd, 2023 (departure day); 5 full days residential).

For whom ?

PhD students, MDs, or early post-doctoral fellows affiliated with a European university.
Deadline : Applications by February 1st, 2023 by e-mail to summerschool@esspd.eu.

All applications must contain a letter of motivation, a curriculum vitae and a 1-page summary of the relevant research project (in one PDF file). Applications from Eastern Europe are explicitly encouraged.

Full fee EUR 750 (includes registration to all scientific ac- tivities, six overnight stays at Crêt-Bérard, all meals/coffee breaks, and organized social activities).

Reduced fee EUR 300 for participants from Eastern Euro- pean countries (includes registration to all scientific ac- tivities, six overnight stays at Crêt-Bérard, all meals and organized social activities).

Important: ESSPD, with funding from SNSF, fully supports financially up to five participants from Eastern European countries (will be paid for: reduced fee and travel expens- es). Please attach one letter of support (e.g. from your supervisor) if you are interested to apply for this funding.

Flyer of the event (PDF)

ESSPD
ESSPD

The European Society for the Study of Personality Disorders (ESSPD)

ESSPD website

The ISTFP conference history

ISTFP Conference, News

Dear colleagues and ISTFP members,

We are happy to welcome you to the 7th ISTFP conference. We hope that this biennial “meeting of minds” will provide you with a memorable learning experience. Again this year, because of the COVID Pandemic, we cannot meet in person. We will not be able to, like in previous editions of the event, engage in meaningful human interactions. Since that important part of the event will be missing, let’s make the most of this, like we did two years ago, and look forward to seeing each other again in two years… for real.

I am Theophilus Kok and, like some of you, I was not there in the early ISTFP Conferences. That is why the Public Relations and Communication Committee and I thought it would be a good idea to tell you about the origin of the event. For those of you that have been here since the beginning, we thought that it would be important, after 3 difficult years, to remind ourselves where we come from and go forward with renewed energy and intent.

Meeting the needs of “difficult” patients

As you all know, personality disorders used to present severe treatment challenges in psychiatry, however, during the 1970s and 1980s along with the publishing of Borderline Conditions and Pathological Narcissism (1975), Severe Personality Disorders (1984), and the first treatment manual Psychodynamic Psychotherapy of Borderline Patients (1989), Otto. F. Kernberg and his team at the Personality Disorders Institute of Cornell University in New York have developed the Transference-Focused Psychotherapy.

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Theophilus Kok

Theophilus Kok

Theophilus Kok is a psychiatrist and psychotherapist in private practice in Hangzhou, China. He graduated from Zhejiang University in 2006 and started his training in TFP in 2018. He is the founder and director of the Institute of Personality Studies and Development, and the leader of the Personality Disorders Working Group in Kangning Hospital affiliated to Wenzhou Medical University. His interest is to treat patients with personality disorders and as the coordinator of TFP training in China, he aims to introduce TFP to more local clinicians.

Author’s Linkedin page
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