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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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12- Working with resistance and acting out in response to attachment | Frank Yeomans

August 13, 2025 by Mathieu Norton-Poulin

This video features 49 minutes from a TFP session focused on working with resistance and acting out in response to attachment within the therapeutic relationship. The patient presents with heightened affect, shifting between idealization and devaluation as closeness to the therapist intensifies, leading to defensive withdrawal, criticism, and subtle enactments. The therapist uses clarification and confrontation to identify how attachment needs activate anxiety and aggression, differentiating the underlying longing for connection from the defensive reactions that aim to ward it off. This segment is useful for illustrating how TFP addresses resistance linked to dependency, manages enactments in the transference, and interprets split dyads activated by attachment.

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