Psychoanalysis : eISSN 2383-7624 / pISSN 1226-7503

Table. 4.

Table. 4.

The newly modified principle of psychodynamic psychotherapy for BPD; by integration good psychiatric management to dynamic psychotherapy

1. Use preliminary sessions actively
a. Share diagnosis
b. Disclosure severity and evaluation of patient’s symptoms
c. Use preliminary sessions as the primary therapeutic approach and as a tool for improving patient’s motivation
d. Cooperate with patient in choosing treatment methods and managing comorbidity
e. Careful to decide whether you start the psychodynamic psychotherapy or not
f. Psychoeducation-prevalence, hereditability, natural course, comorbidity
g. Explain the primary hypothesis-psychoeducation about interpersonal hypersensitivity
h. Must have the supervision
2. Open mind to flexible settings
a. Flexibility with frequency and duration of treatment
b. Safety management-patient has the primary responsibility to his/her safety
c. Careful judgement about medication and hospitalization
d. Cooperation with family or caretakers.
3. Active attitude of therapist
a. Have a confidence as ‘Good enough’ therapist
b. Establish therapeutic alliance
c. Supportive attitude
4. Show empathy and listen authentically
5. Focus on here and now
a. Focus on the interaction between patient and therapist
b. Use confrontation, interpretation, and transference interpretation
6. Attention on real-life problems
7. Use therapist’s countertransference
8. Accept the various treatment approaches-have acceptive and comprehensive attitude toward various and new perspectives about BPD

BPD: borderline personality disorder

Psychoanal 2021;32:74-88
© 2021 Korean Association of Psychoanalysis