[Audio] EP90 Invited Address 12a – Establishing a Therapeutic Alliance with Borderline and Narcissistic Patients – James Masterson, M.D.

Description:Description:

The importance of therapeutic alliance is described. Therapeutic alliance, transference, and transference acting-out are defined and distinguished from each other and the therapeutic task of helping the patient to convert transference acting-out to therapeutic alliance and transference is outlined. The differences in the form and content of the intrapsychic structure are described to show why different therapeutic techniques are necessary to establish the therapeutic alliance: Confrontation with the borderline and mirroring interpretation of narcissistic vulnerability with the Narcissistic Personality Disorder. A brief case illustrates each. The importance of therapeutic alliance is described. Therapeutic alliance, transference, and transference acting-out are defined and distinguished from each other and the therapeutic task of helping the patient to convert transference acting-out to therapeutic alliance and transference is outlined. The differences in the form and content of the intrapsychic structure are described to show why different therapeutic techniques are necessary to establish the therapeutic alliance: Confrontation with the borderline and mirroring interpretation of narcissistic vulnerability with the Narcissistic Personality Disorder. A brief case illustrates each. 

Educational Objectives:Educational Objectives:

1. To learn how developmental object relations theory differentiates the Borderline Personality Disorder from Narcissistic Personality DisorderTo learn how developmental object relations theory differentiates the Borderline Personality Disorder from Narcissistic Personality Disorder
2. To learn the clinical differentiation of these two disordersTo learn the clinical differentiation of these two disorders
3. To learn how the therapeutic technique of confrontation establishes a therapeutic alliance with the Borderline Personality Disorder, and Narcissistic mirroring interpretation establishes a therapeutic alliance with the Narcissistic Personality Disorder To learn how the therapeutic technique of confrontation establishes a therapeutic alliance with the Borderline Personality Disorder, and Narcissistic mirroring interpretation establishes a therapeutic alliance with the Narcissistic Personality Disorder 

*Sessions may be edited for content and to preserve confidentiality**Sessions may be edited for content and to preserve confidentiality*