This video features 36 minutes from a TFP session focused on clarification and confrontation of a psychopathic patient’s intense ambivalence around dependency, closeness, and aggression within the therapeutic relationship. The patient presents severe personality pathology marked by oscillations between clinging attachment and defensive self-sufficiency, alongside fears of being overwhelming, destructive, or “psychopathic.” This segment is useful for illustrating the management of intense affect, primitive defenses, and emerging aggression in the transference within a structured TFP framework.