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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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14 – Coming to the end of the process | Frank Yeomans

August 15, 2025 by Mathieu Norton-Poulin

This video features 38 minutes from a TFP session focused on coming to the end of the process and the emotional complexity that accompanies the termination phase of treatment. As therapy draws to a close, the patient confronts mixed feelings of gratitude, loss, pride, resentment, and renewed dependency needs, which become activated in the transference. The therapist uses clarification and confrontation to explore how earlier patterns of idealization, devaluation, and attachment anxiety re-emerge in the context of separation, while also highlighting the patient’s structural changes and increased capacity for integration. This segment is useful for illustrating how TFP addresses termination, consolidates gains, and works through separation-related conflicts within a structured interpretive framework.

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